Cost analysis of post-polio certification immunization policies.

PubMed Central

Sangrujee, Nalinee; Cáceres, Victor M.; Cochi, Stephen L.

2004-01-01

OBJECTIVE: An analysis was conducted to estimate the costs of different potential post-polio certification immunization policies currently under consideration, with the objective of providing this information to policy-makers. METHODS: We analyzed three global policy options: continued use of oral poliovirus vaccine (OPV); OPV cessation with optional inactivated poliovirus vaccine (IPV); and OPV cessation with universal IPV. Assumptions were made on future immunization policy decisions taken by low-, middle-, and high-income countries. We estimated the financial costs of each immunization policy, the number of vaccine-associated paralytic poliomyelitis (VAPP) cases, and the global costs of maintaining an outbreak response capacity. The financial costs of each immunization policy were based on estimates of the cost of polio vaccine, its administration, and coverage projections. The costs of maintaining outbreak response capacity include those associated with developing and maintaining a vaccine stockpile in addition to laboratory and epidemiological surveillance. We used the period 2005-20 as the time frame for the analysis. FINDINGS: OPV cessation with optional IPV, at an estimated cost of US$ 20,412 million, was the least costly option. The global cost of outbreak response capacity was estimated to be US$ 1320 million during 2005-20. The policy option continued use of OPV resulted in the highest number of VAPP cases. OPV cessation with universal IPV had the highest financial costs, but it also had the least number of VAPP cases. Sensitivity analyses showed that global costs were sensitive to assumptions on the cost of the vaccine. Analysis also showed that if the price per dose of IPV was reduced to US$ 0.50 for low-income countries, the cost of OPV cessation with universal IPV would be the same as the costs of continued use of OPV. CONCLUSION: Projections on the vaccine price per dose and future coverage rates were major drivers of the global costs of post-certification polio immunization. The break-even price of switching to IPV compared with continuing with OPV immunizations is US$ 0.50 per dose of IPV. However, this doses not account for the cost of vaccine-derived poliovirus cases resulting from the continued use of OPV. In addition to financial costs, risk assessments related to the re-emergence of polio will be major determinants of policy decisions. PMID:15106295

Think globally, act locally: the role of local demographics and vaccination coverage in the dynamic response of measles infection to control.

PubMed

Ferrari, M J; Grenfell, B T; Strebel, P M

2013-08-05

The global reduction of the burden of morbidity and mortality owing to measles has been a major triumph of public health. However, the continued persistence of measles infection probably not only reflects local variation in progress towards vaccination target goals, but may also reflect local variation in dynamic processes of transmission, susceptible replenishment through births and stochastic local extinction. Dynamic models predict that vaccination should increase the mean age of infection and increase inter-annual variability in incidence. Through a comparative approach, we assess national-level patterns in the mean age of infection and measles persistence. We find that while the classic predictions do hold in general, the impact of vaccination on the age distribution of cases and stochastic fadeout are mediated by local birth rate. Thus, broad-scale vaccine coverage goals are unlikely to have the same impact on the interruption of measles transmission in all demographic settings. Indeed, these results suggest that the achievement of further measles reduction or elimination goals is likely to require programmatic and vaccine coverage goals that are tailored to local demographic conditions.

Financial hardship on the path to Universal Health Coverage in the Gulf States.

PubMed

Alshamsan, Riyadh; Leslie, Hannah; Majeed, Azeem; Kruk, Margaret

2017-03-01

Countries globally are pursuing universal health coverage to ensure better healthcare for their populations and prevent households from catastrophic expenditure. The countries of the Gulf Cooperation Council (GCC) have and continue to implement reforms to strengthen their health systems. A common theme between the countries is their pursuit of universal health coverage to provide access to necessary health care without exposing people to financial hardship. Using nationally representative data from the Global Findex study, we sought to analyze the hardship faced by individuals from four high-income countries in the GCC. We estimated the weighted proportion of individuals borrowing for medical reasons and those who are not able to obtain emergency funds. We further examined variations in these outcomes by key socioeconomic factors. We found up to 11% of respondents borrowed money for medical purposes, double of that reported in other high-income countries. In contrast to affluent respondents, we found that respondents from deprived background were more likely to borrow money for medical purposes (adjusted odds ratio: 1.81, P<0.001) and expected to fail in obtaining emergency funds (adjusted odds ratio: 4.03, P<0.001). In moving forward with their reforms, GCC countries should adopt a financing strategy that addresses the health needs of poorer groups in their pursuit of universal health coverage. Copyright © 2017 Elsevier B.V. All rights reserved.

Countdown to 2015 and beyond: fulfilling the health agenda for women and children.

PubMed

Requejo, Jennifer Harris; Bryce, Jennifer; Barros, Aluisio J D; Berman, Peter; Bhutta, Zulfiqar; Chopra, Mickey; Daelmans, Bernadette; de Francisco, Andres; Lawn, Joy; Maliqi, Blerta; Mason, Elizabeth; Newby, Holly; Presern, Carole; Starrs, Ann; Victora, Cesar G

2015-01-31

The end of 2015 will signal the end of the Millennium Development Goal era, when the world can take stock of what has been achieved. The Countdown to 2015 for Maternal, Newborn, and Child Survival (Countdown) has focused its 2014 report on how much has been achieved in intervention coverage in these groups, and on how best to sustain, focus, and intensify efforts to progress for this and future generations. Our 2014 results show unfinished business in achievement of high, sustained, and equitable coverage of essential interventions. Progress has accelerated in the past decade in most Countdown countries, suggesting that further gains are possible with intensified actions. Some of the greatest coverage gaps are in family planning, interventions addressing newborn mortality, and case management of childhood diseases. Although inequities are pervasive, country successes in reaching of the poorest populations provide lessons for other countries to follow. As we transition to the next set of global goals, we must remember the centrality of data to accountability, and the importance of support of country capacity to collect and use high-quality data on intervention coverage and inequities for decision making. To fulfill the health agenda for women and children both now and beyond 2015 requires continued monitoring of country and global progress; Countdown is committed to playing its part in this effort. Copyright © 2015 Elsevier Ltd. All rights reserved.

20 CFR 404.1217 - Continuation of coverage.

Code of Federal Regulations, 2011 CFR

2011-04-01

... employees continues as follows: (a) Absolute coverage group. Generally, the services of an employee covered as a part of an absolute coverage group (see § 404.1205) continue to be covered indefinitely. A position covered as a part of an absolute coverage group continues to be covered even if the position later...

20 CFR 404.1217 - Continuation of coverage.

Code of Federal Regulations, 2010 CFR

2010-04-01

... employees continues as follows: (a) Absolute coverage group. Generally, the services of an employee covered as a part of an absolute coverage group (see § 404.1205) continue to be covered indefinitely. A position covered as a part of an absolute coverage group continues to be covered even if the position later...

75 FR 2562 - Publication of Model Notices for Health Care Continuation Coverage Provided Pursuant to the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-15

... Health Care Continuation Coverage Provided Pursuant to the Consolidated Omnibus Budget Reconciliation Act (COBRA) and Other Health Care Continuation Coverage, as Required by the American Recovery and... Availability of the Model Health Care Continuation Coverage Notices Required by ARRA, as amended. SUMMARY: On...

Mars Operational Environmental Satellite (MOES): A post-Mars Observer discovery mission

NASA Technical Reports Server (NTRS)

Limaye, Sanjay S.

1993-01-01

Mars Operational Environmental Satellite (MOES) is a Discovery concept mission that is designed to observe the global short-term weather phenomena on Mars in a systematic fashion. Even after the Mariner, Viking, and, soon, Mars Observer missions, crucial aspects of the martian atmosphere will remain unobserved systematically. Achieving a better understanding of the cycles of dust, water vapor, and ices on Mars requires detailed information about atmospheric transports of those quantities associated with the weather systems, particularly those arising in mid latitudes during fall and winter. It also requires a quantitive understanding of the processes responsible for the onset and evolution of dust storms on all scales. Whereas on Earth the system of geosynchronous and polar orbiting satellites provides continuous coverage of the weather systems, on Mars the time history of important events such as regional and global dust storms remains unobserved. To understand the transport of tracers in the martian atmosphere and particularly to identify their sources and sinks, it is necessary to have systematic global, synoptic observations that have yet to be attained. Clearly these requirements are not easy to achieve from a single spacecraft in orbit, but if we focus on specific regions of the planet, e.g., polar vs. low and mid latitudes, then it is possible to attain a nearly ideal coverage at a reasonable spatial and temporal resolution with a system of just two satellites. Mars Observer is about to yield good coverage of the polar latitudes, so we focus initially on the region not covered well in terms of diurnal coverage, and in terms of desired observations will provide the initial data for the numerical models of the martian weather and climate that can be verified only with better temporal and spatial data.

Indicators for Universal Health Coverage: can Kenya comply with the proposed post-2015 monitoring recommendations?

PubMed

Obare, Valerie; Brolan, Claire E; Hill, Peter S

2014-12-20

Universal Health Coverage (UHC), referring to access to healthcare without financial burden, has received renewed attention in global health spheres. UHC is a potential goal in the post-2015 development agenda. Monitoring of progress towards achieving UHC is thus critical at both country and global level, and a monitoring framework for UHC was proposed by a joint WHO/World Bank discussion paper in December 2013. The aim of this study was to determine the feasibility of the framework proposed by WHO/World Bank for global UHC monitoring framework in Kenya. The study utilised three documents--the joint WHO/World Bank UHC monitoring framework and its update, and the Bellagio meeting report sponsored by WHO and the Rockefeller Foundation--to conduct the research. These documents informed the list of potential indicators that were used to determine the feasibility of the framework. A purposive literature search was undertaken to identify key government policy documents and relevant scholarly articles. A desk review of the literature was undertaken to answer the research objectives of this study. Kenya has yet to establish an official policy on UHC that provides a clear mandate on the goals, targets and monitoring and evaluation of performance. However, a significant majority of Kenyans continue to have limited access to health services as well as limited financial risk protection. The country has the capacity to reasonably report on five out of the seven proposed UHC indicators. However, there was very limited capacity to report on the two service coverage indicators for the chronic condition and injuries (CCIs) interventions. Out of the potential tracer indicators (n = 27) for aggregate CCI-related measures, four tracer indicators were available. Moreover the country experiences some wider challenges that may impact on the implementation and feasibility of the WHO/World Bank framework. The proposed global framework for monitoring UHC will only be feasible in Kenya if systemic challenges are addressed. While the infrastructure for reporting the MDG related indicators is in place, Kenya will require continued international investment to extend its capacity to meet the data requirements of the proposed UHC monitoring framework, particularly for the CCI-related indicators.

Low Earth orbit communications satellite

NASA Technical Reports Server (NTRS)

Moroney, D.; Lashbrook, D.; Mckibben, B.; Gardener, N.; Rivers, T.; Nottingham, G.; Golden, B.; Barfield, B.; Bruening, J.; Wood, D.

1992-01-01

A current thrust in satellite communication systems considers a low-Earth orbiting constellations of satellites for continuous global coverage. Conceptual design studies have been done at the time of this design project by LORAL Aerospace Corporation under the program name GLOBALSTAR and by Motorola under their IRIDIUM program. This design project concentrates on the spacecraft design of the GLOBALSTAR low-Earth orbiting communication system. Overview information on the program was gained through the Federal Communications Commission licensing request. The GLOBALSTAR system consists of 48 operational satellites positioned in a Walker Delta pattern providing global coverage and redundancy. The operational orbit is 1389 km (750 nmi) altitude with eight planes of six satellites each. The orbital planes are spaced 45 deg., and the spacecraft are separated by 60 deg. within the plane. A Delta 2 launch vehicle is used to carry six spacecraft for orbit establishment. Once in orbit, the spacecraft will utilize code-division multiple access (spread spectrum modulation) for digital relay, voice, and radio determination satellite services (RDSS) yielding position determination with accuracy up to 200 meters.

Large-Scale Aerosol Modeling and Analysis

DTIC Science & Technology

2007-09-30

deserts of the world: Arabian Gulf, Sea of Japan, China Sea , Mediterranean Sea , and the Tropical Atlantic Ocean. NAAPS also accurately predicts the...fate of large-scale smoke and pollution plumes. With its global and continuous coverage, 1 Report Documentation Page Form ApprovedOMB No. 0704-0188...origin of dust plumes impacting naval operations in the Red Sea , Mediterranean, eastern Atlantic, Gulf of Guinea, Sea of Japan, Yellow Sea , and East

Climsat rationale

NASA Technical Reports Server (NTRS)

Hansen, James

1993-01-01

We summarize reasons for the Climsat proposition; we also stress the need for certain climate monitoring other than that supplied by Climsat, especially solar irradiance, and we stress the complementarity of Climsat monitoring to plans for detailed EOS measurements. Existing and planned observations will not provide measurements of most climate forcing and feedback parameters with the accuracy needed to measure plausible decadal changes. Stratospheric water vapor and aerosol requirements are not met, for example, even though the present SAGE II instrument on the ERBS spacecraft measures those two parameters accurately, because ERBS is not expected to last more than a few years and it does not provide global coverage. We stress the imminence of a potential data gap even of those parameters, such as solar irradiance and stratospheric aerosols, for which monitoring capability has been proven and currently is in place. We find that most of the missing global climate forcings and feedbacks can be measured by three small instruments, which would need to be deployed on two spacecraft to obtain adequate sampling and global coverage. The monitoring must be maintained continuously for at least two decades. Such continuity can be attained by replacing a satellite after it fails, the functioning satellite providing calibration transfer to the new satellite. Certain complementary monitoring data are also needed, including solar monitoring from space, in order to fully meet requirements for monitoring all the climate forcings and feedbacks. The complementary data needs are discussed toward the end of this section. We summarize the proposed Climsat measurements and compare the expected accuracies to those which are needed to analyze changes of the global thermal energy cycle on decadal time scales. We stress the need to get broader participation of the scientific community in the monitoring and analysis activity. Finally, we discuss related climate process and diagnostic measurements.

Azimuthally Anisotropic Global Adjoint Tomography

NASA Astrophysics Data System (ADS)

Bozdag, E.; Orsvuran, R.; Lefebvre, M. P.; Lei, W.; Peter, D. B.; Ruan, Y.; Smith, J. A.; Komatitsch, D.; Tromp, J.

2017-12-01

Earth's upper mantle shows significant evidence of anisotropy as a result of its composition and deformation. After the first-generation global adjoint tomography model, GLAD-M15 (Bozdag et al. 2016), which has transverse isotropy confined to upper mantle, we continue our iterations including surface-wave azimuthal anisotropy with an emphasis on the upper mantle. We are focusing on four elastic parameters that surface waves are known to be most sensitive to, namely, vertically and horizontally polarized shear waves and the density-normalised anisotropic parameters Gc' & Gs'. As part of the current anisotropic inversions, which will lead to our "second-generation" global adjoint tomography model, we have started exploring new misfits based on a double-difference approach (Yuan et al. 2016). We define our misfit function in terms of double-difference multitaper measurements, where each waveform is normalized by its number of pairs in the period ranges 45-100 s & 90-250 s. New measurements result in better balanced gradients while extracting more information underneath clusters of stations, such as USArray. Our initial results reveals multi-scale anisotorpic signals depending on ray (kernel) coverage close to continental-scale resolution in areas with dense coverage, consistent with previous studies.

Progress toward measles control - African region, 2001-2008.

PubMed

2009-09-25

In 2001, the countries of the World Health Organization (WHO) African Region (AFR) became part of a global initiative with a goal of reducing the number of measles deaths by 50% by 2005, compared with 1999. Recommended strategies for measles mortality reduction included 1) increasing routine coverage for the first dose of measles-containing vaccine (MCV1) for all children, 2) providing a second opportunity for measles vaccination through supplemental immunization activities (SIAs), 3) improving measles case management, and 4) establishing case-based surveillance with laboratory confirmation of all suspected measles cases. Before introduction of MCV throughout AFR, approximately 1 million measles cases had been reported each year in the early 1980s. After strengthening measles-control activities, annual reported cases declined to an estimated 300,000- -580,000 during the 1990s. This report summarizes the progress made during 2001- -2008 toward improving measles control in AFR. During 2001- -2008 estimated MCV1 coverage increased from 57% to 73%, SIAs vaccinated approximately 398 million children, and reported measles cases decreased by 93%, from 492,116 in 2001 to 32,278 in 2008. By 2005, global measles deaths had decreased by 60%, and the AFR goal had been achieved; AFR adopted a new goal to reduce deaths by 90%, compared with 2000, and that goal was achieved in 2006. However, inaccuracies in reported vaccination coverage exist, surveillance is suboptimal, and measles outbreaks continue to occur in AFR countries. Further progress in measles control will require full implementation of recommended strategies, including validation of vaccination coverage.

Project Catch: A space based solution to combat illegal, unreported and unregulated fishing. Part I: Vessel monitoring system

NASA Astrophysics Data System (ADS)

Detsis, Emmanouil; Brodsky, Yuval; Knudtson, Peter; Cuba, Manuel; Fuqua, Heidi; Szalai, Bianca

2012-11-01

Space assets have a unique opportunity to play a more active role in global resource management. There is a clear need to develop resource management tools in a global framework. Illegal, Unregulated and Unreported (IUU) fishing is placing pressure on the health and size of fishing stocks around the world. Earth observation systems can provide fishery management organizations with cost effective monitoring of large swaths of ocean. Project Catch is a fisheries management project based upon the complimentary, but independent Catch-VMS and Catch-GIS systems. Catch-VMS is a Vessel Monitoring System with increased fidelity over existing offerings. Catch-GIS is a Geographical Information System that combines VMS information with existing Earth Observation data and other data sources to identify Illegal, Unregulated and Unreported (IUU) fishing. Project Catch was undertaken by 19 Masters students from the 2010 class of the International Space University. In this paper, the space-based system architecture of Project Catch is presented and analyzed. The rationale for the creation of the system, as well as the engineering trade-off studies in its creation, are discussed. The Catch-VMS proposal was envisaged in order to address two specific problems: (1) the expansion of illegal fishing to high-latitude regions where existing satellite systems coverage is an issue and (2) the lack of coverage in remote oceanic regions due to reliance on coastal-based monitoring. Catch-VMS utilizes ship-borne transponders and hosted-payload receivers on a Global Navigation Satellite System in order to monitor the position and activity of compliant fishing vessels. Coverage is global and continuous with multiple satellites in view providing positional verification through multilateration techniques. The second part of the paper briefly describes the Catch-GIS system and investigates its cost of implementation.

The 'Book of Life' in the press: comparing German and Irish media discourse on human genome research.

PubMed

O'Mahony, Patrick; Schäfer, Mike Steffen

2005-02-01

The essay compares German and Irish media coverage of human genome research in the year 2000, using qualitative and quantitative frame analysis of a print media corpus. Drawing from a media-theoretical account of science communication, the study examines four analytic dimensions: (1) the influence of global and national sources of discourse; (2) the nature of elaboration on important themes; (3) the extent of societal participation in discourse production; (4) the cultural conditions in which the discourse resonates. The analysis shows that a global discursive package, emphasizing claims of scientific achievement and medical progress, dominates media coverage in both countries. However, German coverage is more extensive and elaborate, and includes a wider range of participants. Irish coverage more often incorporates the global package without further elaboration. These finding indicate that the global package is 'localized' differently due to national patterns of interests, German participation in human genome research, traditions of media coverage, and the domestic resonance of the issue.

Improved candidate generation and coverage analysis methods for design optimization of symmetric multi-satellite constellations

NASA Astrophysics Data System (ADS)

Matossian, Mark G.

1997-01-01

Much attention in recent years has focused on commercial telecommunications ventures involving constellations of spacecraft in low and medium Earth orbit. These projects often require investments on the order of billions of dollars (US$) for development and operations, but surprisingly little work has been published on constellation design optimization for coverage analysis, traffic simulation and launch sequencing for constellation build-up strategies. This paper addresses the two most critical aspects of constellation orbital design — efficient constellation candidate generation and coverage analysis. Inefficiencies and flaws in the current standard algorithm for constellation modeling are identified, and a corrected and improved algorithm is presented. In the 1970's, John Walker and G. V. Mozhaev developed innovative strategies for continuous global coverage using symmetric non-geosynchronous constellations. (These are sometimes referred to as rosette, or Walker constellations. An example is pictured above.) In 1980, the late Arthur Ballard extended and generalized the work of Walker into a detailed algorithm for the NAVSTAR/GPS program, which deployed a 24 satellite symmetric constellation. Ballard's important contribution was published in his "Rosette Constellations of Earth Satellites."

The scientific challenges to forecasting and nowcasting the solar origins of space weather (Invited)

NASA Astrophysics Data System (ADS)

Schrijver, C. J.; Title, A. M.

2013-12-01

With the full-sphere continuous coverage of the Sun achieved by combining SDO and STEREO imagery comes the realization that solar activity is a manifestation of local processes that respond to long-range if not global influences. Numerical experiments provide insights into these couplings, as well as into the intricacies of destabilizations of field emerging into pre-existing configurations and evolving within the context of their dynamic surroundings. With these capabilities grows an understanding of the difficulties in forecasting of the solar origins of space weather: we need assimilative global non-potential field models, but our observational resources are too limited to meet that need.

5 CFR 831.203 - Continuation of coverage for employees of the Metropolitan Washington Airports Authority.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Continuation of coverage for employees of the Metropolitan Washington Airports Authority. 831.203 Section 831.203 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage...

5 CFR 831.203 - Continuation of coverage for employees of the Metropolitan Washington Airports Authority.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Continuation of coverage for employees of the Metropolitan Washington Airports Authority. 831.203 Section 831.203 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage...

Global Estimates of Syphilis in Pregnancy and Associated Adverse Outcomes: Analysis of Multinational Antenatal Surveillance Data

PubMed Central

Newman, Lori; Kamb, Mary; Hawkes, Sarah; Gomez, Gabriela; Say, Lale; Seuc, Armando; Broutet, Nathalie

2013-01-01

Background The World Health Organization initiative to eliminate mother-to-child transmission of syphilis aims for ≥90% of pregnant women to be tested for syphilis and ≥90% to receive treatment by 2015. We calculated global and regional estimates of syphilis in pregnancy and associated adverse outcomes for 2008, as well as antenatal care (ANC) coverage for women with syphilis. Methods and Findings Estimates were based upon a health service delivery model. National syphilis seropositivity data from 97 of 193 countries and ANC coverage from 147 countries were obtained from World Health Organization databases. Proportions of adverse outcomes and effectiveness of screening and treatment were from published literature. Regional estimates of ANC syphilis testing and treatment were examined through sensitivity analysis. In 2008, approximately 1.36 million (range: 1.16 to 1.56 million) pregnant women globally were estimated to have probable active syphilis; of these, 80% had attended ANC. Globally, 520,905 (best case: 425,847; worst case: 615,963) adverse outcomes were estimated to be caused by maternal syphilis, including approximately 212,327 (174,938; 249,716) stillbirths (>28 wk) or early fetal deaths (22 to 28 wk), 91,764 (76,141; 107,397) neonatal deaths, 65,267 (56,929; 73,605) preterm or low birth weight infants, and 151,547 (117,848; 185,245) infected newborns. Approximately 66% of adverse outcomes occurred in ANC attendees who were not tested or were not treated for syphilis. In 2008, based on the middle case scenario, clinical services likely averted 26% of all adverse outcomes. Limitations include missing syphilis seropositivity data for many countries in Europe, the Mediterranean, and North America, and use of estimates for the proportion of syphilis that was “probable active,” and for testing and treatment coverage. Conclusions Syphilis continues to affect large numbers of pregnant women, causing substantial perinatal morbidity and mortality that could be prevented by early testing and treatment. In this analysis, most adverse outcomes occurred among women who attended ANC but were not tested or treated for syphilis, highlighting the need to improve the quality of ANC as well as ANC coverage. In addition, improved ANC data on syphilis testing coverage, positivity, and treatment are needed. Please see later in the article for the Editors' Summary PMID:23468598

Global estimates of syphilis in pregnancy and associated adverse outcomes: analysis of multinational antenatal surveillance data.

PubMed

Newman, Lori; Kamb, Mary; Hawkes, Sarah; Gomez, Gabriela; Say, Lale; Seuc, Armando; Broutet, Nathalie

2013-01-01

The World Health Organization initiative to eliminate mother-to-child transmission of syphilis aims for ≥ 90% of pregnant women to be tested for syphilis and ≥ 90% to receive treatment by 2015. We calculated global and regional estimates of syphilis in pregnancy and associated adverse outcomes for 2008, as well as antenatal care (ANC) coverage for women with syphilis. Estimates were based upon a health service delivery model. National syphilis seropositivity data from 97 of 193 countries and ANC coverage from 147 countries were obtained from World Health Organization databases. Proportions of adverse outcomes and effectiveness of screening and treatment were from published literature. Regional estimates of ANC syphilis testing and treatment were examined through sensitivity analysis. In 2008, approximately 1.36 million (range: 1.16 to 1.56 million) pregnant women globally were estimated to have probable active syphilis; of these, 80% had attended ANC. Globally, 520,905 (best case: 425,847; worst case: 615,963) adverse outcomes were estimated to be caused by maternal syphilis, including approximately 212,327 (174,938; 249,716) stillbirths (>28 wk) or early fetal deaths (22 to 28 wk), 91,764 (76,141; 107,397) neonatal deaths, 65,267 (56,929; 73,605) preterm or low birth weight infants, and 151,547 (117,848; 185,245) infected newborns. Approximately 66% of adverse outcomes occurred in ANC attendees who were not tested or were not treated for syphilis. In 2008, based on the middle case scenario, clinical services likely averted 26% of all adverse outcomes. Limitations include missing syphilis seropositivity data for many countries in Europe, the Mediterranean, and North America, and use of estimates for the proportion of syphilis that was "probable active," and for testing and treatment coverage. Syphilis continues to affect large numbers of pregnant women, causing substantial perinatal morbidity and mortality that could be prevented by early testing and treatment. In this analysis, most adverse outcomes occurred among women who attended ANC but were not tested or treated for syphilis, highlighting the need to improve the quality of ANC as well as ANC coverage. In addition, improved ANC data on syphilis testing coverage, positivity, and treatment are needed. Please see later in the article for the Editors' Summary.

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 17 2013-04-01 2013-04-01 false COBRA continuation coverage. 54.4980B-5 Section 54.4980B-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.4980B-5 COBRA continuation coverage. The following questions-and-answers address the...

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 17 2012-04-01 2012-04-01 false COBRA continuation coverage. 54.4980B-5 Section 54.4980B-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.4980B-5 COBRA continuation coverage. The following questions-and-answers address the...

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 17 2011-04-01 2011-04-01 false COBRA continuation coverage. 54.4980B-5 Section 54.4980B-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.4980B-5 COBRA continuation coverage. The following questions-and-answers address the...

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 17 2014-04-01 2014-04-01 false COBRA continuation coverage. 54.4980B-5 Section 54.4980B-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.4980B-5 COBRA continuation coverage. The following questions-and-answers address the...

5 CFR 831.206 - Continuation of coverage for former Federal employees of the Civilian Marksmanship Program.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Continuation of coverage for former Federal employees of the Civilian Marksmanship Program. 831.206 Section 831.206 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage...

Measles control in Australia - threats, opportunities and future needs.

PubMed

MacIntyre, C Raina; Kpozehouen, Elizabeth; Kunasekaran, Mohana; Harriman, Kathleen; Conaty, Stephen; Rosewell, Alexander; Druce, Julian; Martin, Nicolee; Heywood, Anita E; Gidding, Heather F; Wood, James; Nicholl, Sonya

2018-06-19

Control of measles was the focus of a national workshop held in 2015 in Sydney, Australia, bringing together stakeholders in disease control and immunisation to discuss maintaining Australia's measles elimination status in the context of regional and global measles control. The global epidemiology of measles was reviewed, including outbreaks in countries that have achieved elimination, such as the Disneyland outbreak in the United States and large outbreaks in Sydney, Australia. Transmission of measles between Australia and New Zealand occurs, but has not been a focus of control measures. Risk groups, the genetic and seroepidemiology of measles as well as surveillance, modelling and waning vaccine-induced immunity were reviewed. Gaps in policy, research and practice for maintaining measles elimination status in Australia were identified and recommendations were developed. Elimination of measles globally is challenging because of the infectiousness of measles and the need for 2-dose vaccine coverage rates in excess of 95% in all countries to achieve it. Until this occurs, international travel will continue to permit measles importation from endemic countries to countries that have achieved elimination. When measles cases are imported, failure to diagnose and isolate cases places the health system at risk of measles outbreaks. Vaccine funding models can result in gaps in vaccine coverage for adults and migrants. Australia introduced a whole-of-life immunisation register in 2016 and catch-up vaccination for at-risk communities, which will improve measles control. Research on diagnosis, immunology, case management and modelling of vaccination strategies are important to ensure continued control of measles. Copyright © 2018.

Recent developments and future directions in the monitoring of terrestrial sun-induced chlorophyll fluorescence from space

NASA Astrophysics Data System (ADS)

Guanter, L.

2017-12-01

Sun-induced chlorophyll fluorescence (SIF) is an electromagnetic signal emitted by the chlorophyll-a of assimilating plants in the 650-850 nm spectral range. The SIF emission has a mechanistic link to photosynthesis and responds instantaneously to perturbations in environmental conditions such as light and water stress, which makes it a powerful proxy for plants' photosynthetic activity. Global measurements of SIF from space have been available since late 2011 from four different atmospheric satellite missions (chronologically, GOSAT, SCIAMACHY, GOME-2 and OCO-2). The potential of the derived SIF data sets to represent the photosynthetic activity of different ecosystems, including large crop belts worldwide, the Amazon rainforest and boreal evergreen forests has been demonstrated in the relatively short life-time of global SIF data. Despite the demonstrated potential of SIF data as a proxy for global terrestrial gross primary production, current observations are partly hampered by a coarse spatial resolution or the lack of spatial coverage. For this reason, great expectations are put on the upcoming TROPOMI instrument onboard the Copernicus' Sentinel 5-Precursor mission to be launched by mid-end of 2017. TROPOMI will provide daily global coverage with a spatial resolution between 3 and 7 km and continuous spectral coverage of the visible and near-infrared part of the spectrum. The recent selection of FLEX as the ESA Earth Explorer 8 to be launched around 2022 and several upcoming geostationary missions (TEMPO, Sentinel-4 and GeoCARB, covering Europe and the Americas) with potential for SIF retrievals complete an exciting near-future scenario for the monitoring of SIF from space. In this contribution, we will provide an overview of recent developments in the global monitoring of SIF and will introduce the near-future observational scenario with especial emphasis on TROPOMI and the geostationary missions to be launched in the coming years.

42 CFR 423.566 - Coverage determinations.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 3 2014-10-01 2014-10-01 false Coverage determinations. 423.566 Section 423.566... (CONTINUED) MEDICARE PROGRAM (CONTINUED) VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT Grievances, Coverage Determinations, Redeterminations, and Reconsiderations § 423.566 Coverage determinations. (a) Responsibilities of...

Protecting Important Sites for Biodiversity Contributes to Meeting Global Conservation Targets

PubMed Central

Butchart, Stuart H. M.; Scharlemann, Jörn P. W.; Evans, Mike I.; Quader, Suhel; Aricò, Salvatore; Arinaitwe, Julius; Balman, Mark; Bennun, Leon A.; Bertzky, Bastian; Besançon, Charles; Boucher, Timothy M.; Brooks, Thomas M.; Burfield, Ian J.; Burgess, Neil D.; Chan, Simba; Clay, Rob P.; Crosby, Mike J.; Davidson, Nicholas C.; De Silva, Naamal; Devenish, Christian; Dutson, Guy C. L.; Fernández, David F. Día z; Fishpool, Lincoln D. C.; Fitzgerald, Claire; Foster, Matt; Heath, Melanie F.; Hockings, Marc; Hoffmann, Michael; Knox, David; Larsen, Frank W.; Lamoreux, John F.; Loucks, Colby; May, Ian; Millett, James; Molloy, Dominic; Morling, Paul; Parr, Mike; Ricketts, Taylor H.; Seddon, Nathalie; Skolnik, Benjamin; Stuart, Simon N.; Upgren, Amy; Woodley, Stephen

2012-01-01

Protected areas (PAs) are a cornerstone of conservation efforts and now cover nearly 13% of the world's land surface, with the world's governments committed to expand this to 17%. However, as biodiversity continues to decline, the effectiveness of PAs in reducing the extinction risk of species remains largely untested. We analyzed PA coverage and trends in species' extinction risk at globally significant sites for conserving birds (10,993 Important Bird Areas, IBAs) and highly threatened vertebrates and conifers (588 Alliance for Zero Extinction sites, AZEs) (referred to collectively hereafter as ‘important sites’). Species occurring in important sites with greater PA coverage experienced smaller increases in extinction risk over recent decades: the increase was half as large for bird species with>50% of the IBAs at which they occur completely covered by PAs, and a third lower for birds, mammals and amphibians restricted to protected AZEs (compared with unprotected or partially protected sites). Globally, half of the important sites for biodiversity conservation remain unprotected (49% of IBAs, 51% of AZEs). While PA coverage of important sites has increased over time, the proportion of PA area covering important sites, as opposed to less important land, has declined (by 0.45–1.14% annually since 1950 for IBAs and 0.79–1.49% annually for AZEs). Thus, while appropriately located PAs may slow the rate at which species are driven towards extinction, recent PA network expansion has under-represented important sites. We conclude that better targeted expansion of PA networks would help to improve biodiversity trends. PMID:22457717

Understanding the Influence of Socioeconomic Environment on Paediatric Antiretroviral Treatment Coverage: Towards Closing Treatment Gaps in Sub-Saharan Africa.

PubMed

Adeyinka, Daniel A; Evans, Meirion R; Ozigbu, Chamberline E; van Woerden, Hugo; Adeyinka, Esther F; Oladimeji, Olanrewaju; Aimakhu, Chris; Odoh, Deborah; Chamla, Dick

2017-03-01

Many sub-Saharan African countries have massively scaled-up their antiretroviral treatment (ART) programmes, but many national programmes still show large gaps in paediatric ART coverage making it challenging to reduce AIDS-related deaths among HIV-infected children. We sought to identify enablers of paediatric ART coverage in Africa by examining the relationship between paediatric ART coverage and socioeconomic parameters measured at the population level so as to accelerate reaching the 90-90-90 targets. Ecological analyses of paediatric ART coverage and socioeconomic indicators were performed. The data were obtained from the United Nations agencies and Forum for a new World Governance reports for the 21 Global Plan priority countries in Africa with highest burden of mother-to-child HIV transmission. Spearman's correlation and median regression were utilized to explore possible enablers of paediatric ART coverage. Factors associated with paediatric ART coverage included adult literacy (r=0.6, p=0.004), effective governance (r=0.6, p=0.003), virology testing by 2 months of age (r=0.9, p=0.001), density of healthcare workers per 10,000 population (r=0.6, p=0.007), and government expenditure on health (r=0.5, p=0.046). The paediatric ART coverage had a significant inverse relationship with the national mother-to-child transmission (MTCT) rate (r=-0.9, p<0.001) and gender inequality index (r=-0.6, p=0.006). Paediatric ART coverage had no relationship with poverty and HIV stigma indices. Low paediatric ART coverage continues to hamper progress towards eliminating AIDS-related deaths in HIV-infected children. Achieving this requires full commitment to a broad range of socioeconomic development goals. Copyright© by the National Institute of Public Health, Prague 2017

Global Coverage from Ad-Hoc Constellations in Rideshare Orbits

NASA Technical Reports Server (NTRS)

Ellis, Armin; Mercury, Michael; Brown, Shannon

2012-01-01

A promising area of small satellite development is in providing higher temporal resolution than larger satellites. Traditional constellations have required specific orbits and dedicated launch vehicles. In this paper we discuss an alternative architecture in which the individual elements of the constellation are launched as rideshare opportunities. We compare the coverage of such an ad-hoc constellation with more traditional constellations. Coverage analysis is based on actual historical data from rideshare opportunities. Our analysis includes ground coverage and temporal revisits for Polar, Tropics, Temperate, and Global regions, comparing ad-hoc and Walker constellation.

Spatio-temporal variation of vegetation coverage and its response to climate change in North China plain in the last 33 years

NASA Astrophysics Data System (ADS)

A, Duo; Zhao, Wenji; Qu, Xinyuan; Jing, Ran; Xiong, Kai

2016-12-01

Global climate change has led to significant vegetation changes in the past half century. North China Plain, the most important grain production base of china, is undergoing a process of prominent warming and drying. The vegetation coverage, which is used to monitor vegetation change, can respond to climate change (temperature and precipitation). In this study, GIMMS (Global Inventory Modelling and Mapping Studies)-NDVI (Normalized Difference Vegetation Index) data, MODIS (Moderate-resolution Imaging Spectroradiometer) - NDVI data and climate data, during 1981-2013, were used to investigate the spatial distribution and changes of vegetation. The relationship between climate and vegetation on different spatial (agriculture, forest and grassland) and temporal (yearly, decadal and monthly) scales were also analyzed in North China Plain. (1) It was found that temperature exhibiting a slight increase trend (0.20 °C/10a, P < 0.01). This may be due to the disappearance of 0 °C isotherm, the rise of spring temperature. At the same time, precipitation showed a significant reduction trend (-1.75 mm/10a, P > 0.05). The climate mutation period was during 1991-1994. (2) Vegetation coverage slight increase was observed in the 55% of total study area, with a change rate of 0.00039/10a. Human activities may not only accelerate the changes of the vegetation coverage, but also c effect to the rate of these changes. (3) Overall, the correlation between the vegetation coverage and climatic factor is higher in monthly scale than yearly scale. The correlation analysis between vegetation coverage and climate changes showed that annual vegetation coverage was better correlatend with precipitation in grassland biome; but it showed a better correlated with temperature i the agriculture biome and forest biome. In addition, the vegetation coverage had sensitive time-effect respond to precipitation. (4) The vegetation coverage showed the same increasing trend before and after the climatic variations, but the rate of increase slowed down. From the vegetation coverage point of view, the grassland ecological zone had an obvious response to the climatic variations, but the agricultural ecological zones showed a significant response from the vegetation coverage change rate point of view. The effect of human activity in degradation region was higher than that in improvement area. But after the climate abruptly changing, the effect of human activity in improvement area was higher than that in degradation region, and the influence of human activity will continue in the future.

KSC-2012-6504

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The truck transporting NASA's Landsat Data Continuity Mission, or LDCM, satellite backs into the processing facility at Vandenberg Air Force Base, Calif. for prelaunch checkout. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2013-1124

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – The Landsat Data Continuity Mission, or LDCM, spacecraft stands in the Astrotech processing facility at Vandenberg Air Force Base in Calif., during fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2012-6520

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians unload and rotate NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6518

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians use a crane to move NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6496

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- NASA's Landsat Data Continuity Mission, or LDCM, satellite arrives by transport truck at Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6517

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians use a crane to move NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6495

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- NASA's Landsat Data Continuity Mission, or LDCM, satellite arrives by transport truck at Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6503

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The truck transporting NASA's Landsat Data Continuity Mission, or LDCM, satellite backs into the processing facility at Vandenberg Air Force Base, Calif. for prelaunch checkout. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6519

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians begin checkout of NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6513

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians unload NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6523

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians inspect NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6514

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians unload NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6515

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians use a crane to move NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6506

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians position the transport container with NASA's Landsat Data Continuity Mission, or LDCM, satellite at the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6497

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- NASA's Landsat Data Continuity Mission, or LDCM, satellite arrives by transport truck at the Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6525

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- NASA's Landsat Data Continuity Mission, or LDCM, satellite during post-arrival inspections at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6507

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The truck transporting NASA's Landsat Data Continuity Mission, or LDCM, satellite backs into the processing facility at Vandenberg Air Force Base, Calif. for prelaunch checkout. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6516

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians begin checkout of NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6512

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians unload NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6508

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians position the transport container with NASA's Landsat Data Continuity Mission, or LDCM, satellite at the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6524

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- NASA's Landsat Data Continuity Mission, or LDCM, satellite during post-arrival inspections at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6526

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians inspect NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

Measles Elimination Activities in the Western Pacific Region: Experience from the Republic of Korea

PubMed Central

Choe, Young June; Jee, Youngmee; Oh, Myoung-don

2015-01-01

We describe the global status of measles control and elimination, including surveillance and vaccination coverage data provided by the World Health Organization (WHO). Since 2000, two doses of measles vaccine (MCV2) became recommended globally and the achievement of high vaccination coverage has led to dramatic decrease in the measles incidence. Our finding indicates that, in the Western Pacific Region (WPR), substantial progress has been made to control measles transmission in some countries; however, the measles virus continues to circulate, causing outbreaks. The Republic of Korea (ROK) experienced a series of resurgence of measles due to the importation and healthcare-associated transmission in infants, however overall incidence and surveillance indicators met the WHO criteria for measles elimination. The ROK was verified to be measles-free along with Australia, Mongolia, and Macau, China in 2014. One of the effective elimination activities was the establishment of solid keep-up vaccination system in school settings. The lessons learnt from the measles elimination activities in Korea may contribute to enhancing the surveillance schemes and strengthening of vaccination programs in member countries and areas of WPR. PMID:26617443

Measles Elimination Activities in the Western Pacific Region: Experience from the Republic of Korea.

PubMed

Choe, Young June; Jee, Youngmee; Oh, Myoung-don; Lee, Jong-Koo

2015-11-01

We describe the global status of measles control and elimination, including surveillance and vaccination coverage data provided by the World Health Organization (WHO). Since 2000, two doses of measles vaccine (MCV2) became recommended globally and the achievement of high vaccination coverage has led to dramatic decrease in the measles incidence. Our finding indicates that, in the Western Pacific Region (WPR), substantial progress has been made to control measles transmission in some countries; however, the measles virus continues to circulate, causing outbreaks. The Republic of Korea (ROK) experienced a series of resurgence of measles due to the importation and healthcare-associated transmission in infants, however overall incidence and surveillance indicators met the WHO criteria for measles elimination. The ROK was verified to be measles-free along with Australia, Mongolia, and Macau, China in 2014. One of the effective elimination activities was the establishment of solid keep-up vaccination system in school settings. The lessons learnt from the measles elimination activities in Korea may contribute to enhancing the surveillance schemes and strengthening of vaccination programs in member countries and areas of WPR.

Regional positioning using a low Earth orbit satellite constellation

NASA Astrophysics Data System (ADS)

Shtark, Tomer; Gurfil, Pini

2018-02-01

Global and regional satellite navigation systems are constellations orbiting the Earth and transmitting radio signals for determining position and velocity of users around the globe. The state-of-the-art navigation satellite systems are located in medium Earth orbits and geosynchronous Earth orbits and are characterized by high launching, building and maintenance costs. For applications that require only regional coverage, the continuous and global coverage that existing systems provide may be unnecessary. Thus, a nano-satellites-based regional navigation satellite system in Low Earth Orbit (LEO), with significantly reduced launching, building and maintenance costs, can be considered. Thus, this paper is aimed at developing a LEO constellation optimization and design method, using genetic algorithms and gradient-based optimization. The preliminary results of this study include 268 LEO constellations, aimed at regional navigation in an approximately 1000 km × 1000 km area centered at the geographic coordinates [30, 30] degrees. The constellations performance is examined using simulations, and the figures of merit include total coverage time, revisit time, and geometric dilution of precision (GDOP) percentiles. The GDOP is a quantity that determines the positioning solution accuracy and solely depends on the spatial geometry of the satellites. Whereas the optimization method takes into account only the Earth's second zonal harmonic coefficient, the simulations include the Earth's gravitational field with zonal and tesseral harmonics up to degree 10 and order 10, Solar radiation pressure, drag, and the lunisolar gravitational perturbation.

Partisan differences in the relationship between newspaper coverage and concern over global warming.

PubMed

Zhao, Xiaoquan; Rolfe-Redding, Justin; Kotcher, John E

2016-07-01

The effects of news media on public opinion about global warming have been a topic of much interest in both academic and popular discourse. Empirical evidence in this regard, however, is still limited and somewhat mixed. This study used data from the 2006 General Social Survey in combination with a content analysis of newspaper coverage of the same time period to examine the relationship between general news climate and public concern about global warming. Results showed a pattern of political polarization, with increased coverage associated with growing divergence between Democrats and Republicans. Further analysis also showed evidence of reactivity in partisan response to coverage from different news outlets. These findings point to a particular form of politically motivated, biased processing of news information. © The Author(s) 2014.

76 FR 53156 - Submission for Review: Request To Change Federal Employees Health Benefits (FEHB) Enrollment for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-25

... Benefits (FEHB) Enrollment for Spouse Equity/Temporary Continuation of Coverage (TCC) Enrollees/Direct Pay.../Temporary Continuation of Coverage (TCC) Enrollees/ Direct Pay Annuitants. As required by the Paperwork... Equity/Temporary Continuation of Coverage (TCC) Enrollees/Direct Pay Annuitants is used by former spouses...

Assimilation of global versus local data sets into a regional model of the Gulf Stream system. 1. Data effectiveness

NASA Astrophysics Data System (ADS)

Malanotte-Rizzoli, Paola; Young, Roberta E.

1995-12-01

The primary objective of this paper is to assess the relative effectiveness of data sets with different space coverage and time resolution when they are assimilated into an ocean circulation model. We focus on obtaining realistic numerical simulations of the Gulf Stream system typically of the order of 3-month duration by constructing a "synthetic" ocean simultaneously consistent with the model dynamics and the observations. The model used is the Semispectral Primitive Equation Model. The data sets are the "global" Optimal Thermal Interpolation Scheme (OTIS) 3 of the Fleet Numerical Oceanography Center providing temperature and salinity fields with global coverage and with bi-weekly frequency, and the localized measurements, mostly of current velocities, from the central and eastern array moorings of the Synoptic Ocean Prediction (SYNOP) program, with daily frequency but with a very small spatial coverage. We use a suboptimal assimilation technique ("nudging"). Even though this technique has already been used in idealized data assimilation studies, to our knowledge this is the first study in which the effectiveness of nudging is tested by assimilating real observations of the interior temperature and salinity fields. This is also the first work in which a systematic assimilation is carried out of the localized, high-quality SYNOP data sets in numerical experiments longer than 1-2 weeks, that is, not aimed to forecasting. We assimilate (1) the global OTIS 3 alone, (2) the local SYNOP observations alone, and (3) both OTIS 3 and SYNOP observations. We assess the success of the assimilations with quantitative measures of performance, both on the global and local scale. The results can be summarized as follows. The intermittent assimilation of the global OTIS 3 is necessary to keep the model "on track" over 3-month simulations on the global scale. As OTIS 3 is assimilated at every model grid point, a "gentle" weight must be prescribed to it so as not to overconstrain the model. However, in these assimilations the predicted velocity fields over the SYNOP arrays are greatly in error. The continuous assimilation of the localized SYNOP data sets with a strong weight is necessary to obtain local realistic evolutions. Then assimilation of velocity measurements alone recovers the density structure over the array area. However, the spatial coverage of the SYNOP measurements is too small to constrain the model on the global scale. Thus the blending of both types of datasets is necessary in the assimilation as they constrain different time and space scales. Our choice of "gentle" nudging weight for the global OTIS 3 and "strong" weight for the local SYNOP data provides for realistic simulations of the Gulf Stream system, both globally and locally, on the 3- to 4-month-long timescale, the one governed by the Gulf Stream jet internal dynamics.

5 CFR 831.205 - CSRS coverage determinations to be approved by OPM.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false CSRS coverage determinations to be approved by OPM. 831.205 Section 831.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage § 831.205 CSRS coverage determinations to be...

5 CFR 831.205 - CSRS coverage determinations to be approved by OPM.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false CSRS coverage determinations to be approved by OPM. 831.205 Section 831.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage § 831.205 CSRS coverage determinations to be...

Landsat 7 - A challenge to America

NASA Astrophysics Data System (ADS)

Colvocoresses, Alden P.

Factors in favor of Landsat 7 are discussed; they include: reasonable cost, a base on which to examine global change, and the need for comprehensive and continuous satellite coverage of the earth at moderate (5-30 m) resolution, in view of various occurrences on the earth's surface, ranging from the Chernobyl disaster to deforestation to the Persian Gulf conflict. Attention is given to proposed parameters for Landsat 7 and suggested actions that should be taken by Congress, the Administration, and the public to implement this space program.

42 CFR 422.68 - Effective dates of coverage and change of coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Eligibility, Election, and... continuity of health benefits coverage. (e) Special election period for individual age 65. For an election of...

Effects of finite coverage on global polarization observables in heavy ion collisions

NASA Astrophysics Data System (ADS)

Lan, Shaowei; Lin, Zi-Wei; Shi, Shusu; Sun, Xu

2018-05-01

In non-central relativistic heavy ion collisions, the created matter possesses a large initial orbital angular momentum. Particles produced in the collisions could be polarized globally in the direction of the orbital angular momentum due to spin-orbit coupling. Recently, the STAR experiment has presented polarization signals for Λ hyperons and possible spin alignment signals for ϕ mesons. Here we discuss the effects of finite coverage on these observables. The results from a multi-phase transport and a toy model both indicate that a pseudorapidity coverage narrower than | η | < ∼ 1 will generate a larger value for the extracted ϕ-meson ρ00 parameter; thus a finite coverage can lead to an artificial deviation of ρ00 from 1/3. We also show that a finite η and pT coverage affect the extracted pH parameter for Λ hyperons when the real pH value is non-zero. Therefore proper corrections are necessary to reliably quantify the global polarization with experimental observables.

5 CFR 839.213 - May I make a retirement coverage election if I withdrew all or part of my TSP account after I was...

Code of Federal Regulations, 2010 CFR

2010-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) CORRECTION OF RETIREMENT COVERAGE ERRORS UNDER THE FEDERAL ERRONEOUS RETIREMENT COVERAGE CORRECTIONS ACT... if your qualifying retirement coverage error was previously corrected to FERS, and you later received...

Reconciling Land-Ocean Moisture Transport Variability in Reanalyses with P-ET in Observationally-Driven Land Surface Models

NASA Technical Reports Server (NTRS)

Robertson, Franklin R.; Bosilovich, Michael G.; Roberts, Jason B.

2016-01-01

Vertically integrated atmospheric moisture transport from ocean to land [vertically integrated atmospheric moisture flux convergence (VMFC)] is a dynamic component of the global climate system but remains problematic in atmospheric reanalyses, with current estimates having significant multidecadal global trends differing even in sign. Continual evolution of the global observing system, particularly stepwise improvements in satellite observations, has introduced discrete changes in the ability of data assimilation to correct systematic model biases, manifesting as nonphysical variability. Land surface models (LSMs) forced with observed precipitation P and near-surface meteorology and radiation provide estimates of evapotranspiration (ET). Since variability of atmospheric moisture storage is small on interannual and longer time scales, VMFC equals P minus ET is a good approximation and LSMs can provide an alternative estimate. However, heterogeneous density of rain gauge coverage, especially the sparse coverage over tropical continents, remains a serious concern. Rotated principal component analysis (RPCA) with prefiltering of VMFC to isolate the artificial variability is used to investigate artifacts in five reanalysis systems. This procedure, although ad hoc, enables useful VMFC corrections over global land. The P minus ET estimates from seven different LSMs are evaluated and subsequently used to confirm the efficacy of the RPCA-based adjustments. Global VMFC trends over the period 1979-2012 ranging from 0.07 to minus 0.03 millimeters per day per decade are reduced by the adjustments to 0.016 millimeters per day per decade, much closer to the LSM P minus ET estimate (0.007 millimeters per day per decade). Neither is significant at the 90 percent level. ENSO (El Nino-Southern Oscillation)-related modulation of VMFC and P minus ET remains the largest global interannual signal, with mean LSM and adjusted reanalysis time series correlating at 0.86.

Change in Health Insurance Coverage After Liver Transplantation Can Be Associated with Worse Outcomes.

PubMed

Akateh, Clifford; Tumin, Dmitry; Beal, Eliza W; Mumtaz, Khalid; Tobias, Joseph D; Hayes, Don; Black, Sylvester M

2018-06-01

Health insurance coverage changes for many patients after liver transplantation, but the implications of this change on long-term outcomes are unclear. To assess post-transplant patient and graft survival according to change in insurance coverage within 1 year of transplantation. We queried the United Network for Organ Sharing for patients between ages 18-64 years undergoing liver transplantation in 2002-2016. Patients surviving > 1 year were categorized by insurance coverage at transplantation and the 1-year transplant anniversary. Multivariable Cox regression characterized the association between coverage pattern and long-term patient or graft survival. Among 34,487 patients in the analysis, insurance coverage patterns included continuous private coverage (58%), continuous public coverage (29%), private to public transition (8%) and public to private transition (4%). In multivariable analysis of patient survival, continuous public insurance (HR 1.29, CI 1.22, 1.37, p < 0.001), private to public transition (HR 1.17, CI 1.07, 1.28, p < 0.001), and public to private transition (HR 1.14, CI 1.00, 1.29, p = 0.044), were associated with greater mortality hazard, compared to continuous private coverage. After disaggregating public coverage by source, mortality hazard was highest for patients transitioning from private insurance to Medicaid (HR vs. continuous private coverage = 1.32; 95% CI 1.14, 1.52; p < 0.001). Similar differences by insurance category were found for death-censored graft failure. Post-transplant transition to public insurance coverage is associated with higher risk of adverse outcomes when compared to retaining private coverage.

Proposals to Subsidize Health Insurance for the Unemployed

DTIC Science & Technology

1998-01-01

firms with 20 or more employees to continue offering health coverage to workers who separate from the firm. However, firms may charge former employees ...employment-based health plans must make continuation coverage available to former employees and covered family members. Sepated workers may continue COBRA... workers in firms of 20 or more employees who participate in an existing employer-sponsored health plan are eligible to continue coverage under COBRA

Effect of the Global Alliance for Vaccines and Immunisation on diphtheria, tetanus, and pertussis vaccine coverage: an independent assessment.

PubMed

Lu, Chunling; Michaud, Catherine M; Gakidou, Emmanuela; Khan, Kashif; Murray, Christopher J L

2006-09-23

The Global Alliance for Vaccines and Immunisation (GAVI) was created in 1999 to enable even the poorest countries to provide vaccines to all children. We aimed to assess the effect of GAVI on combined diphtheria, tetanus, and pertussis vaccine (DTP3) coverage. We examined the relation between DTP3 coverage for GAVI recipient countries from 1995 to 2004 and immunisation services support (ISS) and non-ISS expenditure per surviving child, controlling for income per head and local political governance variables. We analysed DTP3 coverage reported by governments and estimated by WHO/UNICEF. We also investigated the effect of GAVI on country reporting behaviour. In countries with DTP3 coverage of 65% or less at baseline, ISS spending per surviving child had a significant positive effect on DTP3 coverage (p=0.0005). This effect was not present in countries with DTP3 coverage of 65-80% or 80% or more at baseline. If ISS expenditure only is assessed, the estimated cost per additional child immunised in countries with baseline coverage of 65% or less is US$14 and if ISS and non-ISS expenditures are included the cost per child is almost $20. The success of ISS funding in countries with baseline DTP3 coverage of 65% or less provides evidence that a public-private partnership can work to reverse a negative trend in global health and that performance-related disbursement can work in some settings. Because ISS funding seems to have no effect in countries with baseline coverage greater than 65%, GAVI should consider redistributing its resources to countries with the lowest coverage.

Sub-national variation in measles vaccine coverage and outbreak risk: a case study from a 2010 outbreak in Malawi.

PubMed

Kundrick, Avery; Huang, Zhuojie; Carran, Spencer; Kagoli, Matthew; Grais, Rebecca Freeman; Hurtado, Northan; Ferrari, Matthew

2018-06-15

Despite progress towards increasing global vaccination coverage, measles continues to be one of the leading, preventable causes of death among children worldwide. Whether and how to target sub-national areas for vaccination campaigns continues to remain a question. We analyzed three metrics for prioritizing target areas: vaccination coverage, susceptible birth cohort, and the effective reproductive ratio (R E ) in the context of the 2010 measles epidemic in Malawi. Using case-based surveillance data from the 2010 measles outbreak in Malawi, we estimated vaccination coverage from the proportion of cases reporting with a history of prior vaccination at the district and health facility catchment scale. Health facility catchments were defined as the set of locations closer to a given health facility than to any other. We combined these estimates with regional birth rates to estimate the size of the annual susceptible birth cohort. We also estimated the effective reproductive ratio, R E , at the health facility polygon scale based on the observed rate of exponential increase of the epidemic. We combined these estimates to identify spatial regions that would be of high priority for supplemental vaccination activities. The estimated vaccination coverage across all districts was 84%, but ranged from 61 to 99%. We found that 8 districts and 354 health facility catchments had estimated vaccination coverage below 80%. Areas that had highest birth cohort size were frequently large urban centers that had high vaccination coverage. The estimated R E ranged between 1 and 2.56. The ranking of districts and health facility catchments as priority areas varied depending on the measure used. Each metric for prioritization may result in discrete target areas for vaccination campaigns; thus, there are tradeoffs to choosing one metric over another. However, in some cases, certain areas may be prioritized by all three metrics. These areas should be treated with particular concern. Furthermore, the spatial scale at which each metric is calculated impacts the resulting prioritization and should also be considered when prioritizing areas for vaccination campaigns. These methods may be used to allocate effort for prophylactic campaigns or to prioritize response for outbreak response vaccination.

KSC-2012-5946

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5947

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5952

NASA Image and Video Library

2012-10-13

VANDENBERG AFB, Calif. – The boattail element is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5951

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2013-1128

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – A technician inspects the Landsat Data Continuity Mission, or LDCM, spacecraft in the Astrotech processing facility at Vandenberg Air Force Base in Calif., following fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2012-6502

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians check out the transport truck used to deliver NASA's Landsat Data Continuity Mission, or LDCM, satellite to Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5926

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5922

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5939

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – The first stage booster of a United Launch Alliance Atlas V is raised onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6494

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The Astrotech payload processing facility at Vandenberg Air Force Base, Calif. where NASA's Landsat Data Continuity Mission, or LDCM, satellite will be processed prior to launch. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5932

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5940

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – The first stage booster of a United Launch Alliance Atlas V is raised onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5925

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6498

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians check out the transport truck used to deliver NASA's Landsat Data Continuity Mission, or LDCM, satellite to Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5938

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – Cranes raise the first stage booster of a United Launch Alliance Atlas V onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5950

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6499

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians check out the transport truck used to deliver NASA's Landsat Data Continuity Mission, or LDCM, satellite to Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6493

NASA Image and Video Library

2012-12-18

VANDENBERG AFB, Calif.-- Mechanical ground support equipment to be used in support of NASA's Landsat Data Continuity Mission, or LDCM, satellite arrives by transport truck at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5931

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5942

NASA Image and Video Library

2012-10-10

VANDENBERG AFB, Calif. – The interstage booster segment is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5941

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – The first stage booster of a United Launch Alliance Atlas V is raised onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5924

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5945

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5948

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6521

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians unload and rotate NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The payload faring is seen on the left. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6505

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians monitor activity as the transport container delivering NASA's Landsat Data Continuity Mission, or LDCM, satellite is lowered to the floor at the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5927

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2013-1130

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – A technician inspects the Landsat Data Continuity Mission, or LDCM, spacecraft in the Astrotech processing facility at Vandenberg Air Force Base in Calif., following fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2012-5921

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5949

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6509

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The transport container with NASA's Landsat Data Continuity Mission, or LDCM, satellite has been delivered to the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5930

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5929

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5937

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – Technicians prepare to raise the first stage booster of a United Launch Alliance Atlas V onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5928

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

Overview of Global, Regional, and National Routine Vaccination Coverage Trends and Growth Patterns From 1980 to 2009: Implications for Vaccine-Preventable Disease Eradication and Elimination Initiatives

PubMed Central

Wallace, Aaron S.; Ryman, Tove K.; Dietz, Vance

2015-01-01

Background Review of the historical growth in annual vaccination coverage across countries and regions can better inform decision makers’ development of future goals and strategies to improve routine vaccination services. Methods Using the World Health Organization (WHO) and the United Nations Children's Fund estimates of annual national third dose of diphtheria-tetanus-pertussis–containing vaccine (DTP3) and third dose of polio vaccine (POL3) coverage for 1980–2009, we calculated the mean absolute annual rate of change in national DTP3 coverage among all countries (globally) and among countries within each WHO region, as well as the number of years taken by each region to reach specific regional coverage levels. Last, we assessed differences in mean absolute annual rate of change in DTP3 coverage, stratified by baseline level of DTP3 coverage. Results During the 1980s, global DTP3 coverage increased a mean of 5.3 percentage points/year. Annual rate of change decreased to 0.5 percentage points/year in the 1990s and then increased to 0.9 percentage points/year during the 2000s. Mean annual rate of change in coverage across all countries was highest (9.2 percentage points) when national coverage levels were 26%–30% and lowest (−0.9 percentage points) when national coverage levels were 96%–100%. Regional differences existed as both WHO South-East Asia Region and WHO African Region countries experienced mean negative DTP3 coverage growth at lower coverage levels (81%–85%) than other regions. The regions that have achieved 95% DTP3 coverage (Americas, Western Pacific, and European) took 25–29 years to reach that level from a level of 50% DTP3 coverage. POL3 coverage change trends were similar to described DTP3 coverage change trends. Conclusions Mean national coverage growth patterns across all regions are nonlinear as coverage levels increase. Saturation points of mean 0 percentage-point growth in annual coverage varies by region and require further investigation. The achievement of >90% routine coverage is observed to take decades, which has implications for disease eradication and elimination initiatives. PMID:25316875

The moderate resolution imaging spectrometer (MODIS) science and data system requirements

NASA Technical Reports Server (NTRS)

Ardanuy, Philip E.; Han, Daesoo; Salomonson, Vincent V.

1991-01-01

The Moderate Resolution Imaging Spectrometer (MODIS) has been designated as a facility instrument on the first NASA polar orbiting platform as part of the Earth Observing System (EOS) and is scheduled for launch in the late 1990s. The near-global daily coverage of MODIS, combined with its continuous operation, broad spectral coverage, and relatively high spatial resolution, makes it central to the objectives of EOS. The development, implementation, production, and validation of the core MODIS data products define a set of functional, performance, and operational requirements on the data system that operate between the sensor measurements and the data products supplied to the user community. The science requirements guiding the processing of MODIS data are reviewed, and the aspects of an operations concept for the production of data products from MODIS for use by the scientific community are discussed.

LDCM Ground System. Network Lesson Learned

NASA Technical Reports Server (NTRS)

Gal-Edd, Jonathan

2010-01-01

This slide presentation reviews the Landsat Data Continuity Mission (LDCM) and the lessons learned in implementing the network that was assembled to allow for the acquisition, archiving and distribution of the data from the Landsat mission. The objective of the LDCM is to continue the acquisition, archiving, and distribution of moderate-resolution multispectral imagery affording global, synoptic, and repetitive coverage of the earth's land surface at a scale where natural and human-induced changes can be detected, differentiated, characterized, and monitored over time. It includes a review of the ground network, including a block diagram of the ground network elements (GNE) and a review of the RF design and testing. Also included is a listing of the lessons learned.

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

MISR 17.6 KM Gridded Cloud Motion Vectors: Overview and Assessment

NASA Technical Reports Server (NTRS)

Mueller, Kevin; Garay, Michael; Moroney, Catherine; Jovanovic, Veljko

2012-01-01

The MISR (Multi-angle Imaging SpectroRadiometer) instrument on the Terra satellite has been retrieving cloud motion vectors (CMVs) globally and almost continuously since early in 2000. In February 2012 the new MISR Level 2 Cloud product was publicly released, providing cloud motion vectors at 17.6 km resolution with improved accuracy and roughly threefold increased coverage relative to the 70.4 km resolution vectors of the current MISR Level 2 Stereo product (which remains available). MISR retrieves both horizontal cloud motion and height from the apparent displacement due to parallax and movement of cloud features across three visible channel (670nm) camera views over a span of 200 seconds. The retrieval has comparable accuracy to operational atmospheric motion vectors from other current sensors, but holds the additional advantage of global coverage and finer precision height retrieval that is insensitive to radiometric calibration. The MISR mission is expected to continue operation for many more years, possibly until 2019, and Level 2 Cloud has the possibility of being produced with a sensing-to-availability lag of 5 hours. This report compares MISR CMV with collocated motion vectors from arctic rawinsonde sites, and from the GOES and MODISTerra instruments. CMV at heights below 3 km exhibit the smallest differences, as small as 3.3 m/s for MISR and GOES. Clouds above 3 km exhibit larger differences, as large as 8.9 m/s for MISR and MODIS. Typical differences are on the order of 6 m/s.

Stable Satellite Orbits for Global Coverage of the Moon

NASA Technical Reports Server (NTRS)

Ely, Todd; Lieb, Erica

2006-01-01

A document proposes a constellation of spacecraft to be placed in orbit around the Moon to provide navigation and communication services with global coverage required for exploration of the Moon. There would be six spacecraft in inclined elliptical orbits: three in each of two orthogonal orbital planes, suggestive of a linked-chain configuration. The orbits have been chosen to (1) provide 99.999-percent global coverage for ten years and (2) to be stable under perturbation by Earth gravitation and solar-radiation pressure, so that no deterministic firing of thrusters would be needed to maintain the orbits. However, a minor amount of orbit control might be needed to correct for such unmodeled effects as outgassing of the spacecraft.

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 23 2011-07-01 2011-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than 14 days and...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 24 2013-07-01 2013-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than 14 days and...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 24 2012-07-01 2012-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than 14 days and...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Service § 752.601 Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 23 2014-07-01 2014-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 22 2010-07-01 2010-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

5 CFR 752.201 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 752.201 Section 752.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE ACTIONS Regulatory Requirements for Suspension for 14 Days or Less § 752.201 Coverage. (a) Adverse actions...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than 14 days and...

5 CFR 752.201 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 752.201 Section 752.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE ACTIONS Regulatory Requirements for Suspension for 14 Days or Less § 752.201 Coverage. (a) Adverse actions...

5 CFR 752.201 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 752.201 Section 752.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE ACTIONS Regulatory Requirements for Suspension for 14 Days or Less § 752.201 Coverage. (a) Adverse actions...

Global-scale hydrological response to future glacier mass loss

NASA Astrophysics Data System (ADS)

Huss, Matthias; Hock, Regine

2018-01-01

Worldwide glacier retreat and associated future runoff changes raise major concerns over the sustainability of global water resources1-4, but global-scale assessments of glacier decline and the resulting hydrological consequences are scarce5,6. Here we compute global glacier runoff changes for 56 large-scale glacierized drainage basins to 2100 and analyse the glacial impact on streamflow. In roughly half of the investigated basins, the modelled annual glacier runoff continues to rise until a maximum (`peak water') is reached, beyond which runoff steadily declines. In the remaining basins, this tipping point has already been passed. Peak water occurs later in basins with larger glaciers and higher ice-cover fractions. Typically, future glacier runoff increases in early summer but decreases in late summer. Although most of the 56 basins have less than 2% ice coverage, by 2100 one-third of them might experience runoff decreases greater than 10% due to glacier mass loss in at least one month of the melt season, with the largest reductions in central Asia and the Andes. We conclude that, even in large-scale basins with minimal ice-cover fraction, the downstream hydrological effects of continued glacier wastage can be substantial, but the magnitudes vary greatly among basins and throughout the melt season.

Transitioning Lessons Learned and Assets of the Global Polio Eradication Initiative to Global and Regional Measles and Rubella Elimination.

PubMed

Kretsinger, Katrina; Strebel, Peter; Kezaala, Robert; Goodson, James L

2017-07-01

The Global Polio Eradication Initiative has built an extensive infrastructure with capabilities and resources that should be transitioned to measles and rubella elimination efforts. Measles continues to be a major cause of child mortality globally, and rubella continues to be the leading infectious cause of birth defects. Measles and rubella eradication is feasible and cost saving. The obvious similarities in strategies between polio elimination and measles and rubella elimination include the use of an extensive surveillance and laboratory network, outbreak preparedness and response, extensive communications and social mobilization networks, and the need for periodic supplementary immunization activities. Polio staff and resources are already connected with those of measles and rubella, and transitioning existing capabilities to measles and rubella elimination efforts allows for optimized use of resources and the best opportunity to incorporate important lessons learned from polio eradication, and polio resources are concentrated in the countries with the highest burden of measles and rubella. Measles and rubella elimination strategies rely heavily on achieving and maintaining high vaccination coverage through the routine immunization activity infrastructure, thus creating synergies with immunization systems approaches, in what is termed a "diagonal approach." © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

Sentinel-3 coverage-driven mission design: Coupling of orbit selection and instrument design

NASA Astrophysics Data System (ADS)

Cornara, S.; Pirondini, F.; Palmade, J. L.

2017-11-01

The first satellite of the Sentinel-3 series was launched in February 2016. Sentinel-3 payload suite encompasses the Ocean and Land Colour Instrument (OLCI) with a swath of 1270 km, the Sea and Land Surface Temperature Radiometer (SLSTR) yielding a dual-view scan with swaths of 1420 km (nadir) and 750 km (oblique view), the Synthetic Aperture Radar Altimeter (SRAL) working in Ku-band and C-band, and the dual-frequency Microwave Radiometer (MWR). In the early stages of mission and system design, the main driver for the Sentinel-3 reference orbit selection was the requirement to achieve a revisit time of two days or less globally over ocean areas with two satellites (i.e. 4-day global coverage with one satellite). The orbit selection was seamlessly coupled with the OLCI instrument design in terms of field of view (FoV) definition driven by the observation zenith angle (OZA) and sunglint constraints applied to ocean observations. The criticality of the global coverage requirement for ocean monitoring derives from the sunglint phenomenon, i.e. the impact on visible channels of the solar ray reflection on the water surface. This constraint was finally overcome thanks to the concurrent optimisation of the orbit parameters, notably the Local Time at Descending Node (LTDN), and the OLCI instrument FoV definition. The orbit selection process started with the identification of orbits with short repeat cycle (2-4 days), firstly to minimise the time required to achieve global coverage with existing constraints, and then to minimise the swath required to obtain global coverage and the maximum required OZA. This step yielded the selection of a 4-day repeat cycle orbit, thus allowing 2-day coverage with two adequately spaced satellites. Then suitable candidate orbits with higher repeat cycles were identified in the proximity of the selected altitudes and the reference orbit was ultimately chosen. Rationale was to keep the swath for global coverage as close as possible to the previous optimum value, but to tailor the repeat cycle length (i.e. the ground-track grid) to optimise the topography mission performances. The final choice converged on the sun-synchronous orbit 14 + 7/27, reference altitude ∼800 km, LTDN = 10h00. Extensive coverage analyses were carried out to characterise the mission performance and the fulfilment of the requirements, encompassing revisit time, number of acquisitions, observation viewing geometry and swath properties. This paper presents a comprehensive overview of the Sentinel-3 orbit selection, starting from coverage requirements and highlighting the close interaction with the instrument design activity.

Permafrost and infrastructure in the usa Basin (Northeast European Russia): possible impacts of global warming.

PubMed

Mazhitova, Galina; Karstkarel, Nanka; Oberman, Naum; Romanovsky, Vladimir; Kuhry, Peter

2004-08-01

The relationship between permafrost conditions and the distribution of infrastructure in the Usa Basin, Northeast European Russia, is analyzed. About 75% of the Basin is underlain by permafrost terrain with various degrees of continuity (isolated patches to continuous permafrost). The region has a high level of urban and industrial development (e.g., towns, coal mines, hydrocarbon extraction sites, railway, pipelines). GIS-analyses indicate that about 60% of all infrastructure is located in the 'high risk' permafrost area, here defined as the zones of isolated to discontinuous permafrost (3-90% coverage) with 'warm' ground temperatures (0 to -2 degrees C). Ground monitoring, aerial photo interpretation, and permafrost modeling suggest a differential response to future global warming. Most of the permafrost-affected terrain will likely start to thaw within a few decades to a century. This forecast poses serious challenges to permafrost engineering and calls for long-term investments in adequate infrastructure that will pay back overtime.

5 CFR 880.304 - FEGLI coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false FEGLI coverage. 880.304 Section 880.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED... FEGLI coverage. (a) FEGLI premiums will not be collected during periods when an annuitant is a missing...

5 CFR 880.304 - FEGLI coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false FEGLI coverage. 880.304 Section 880.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED... FEGLI coverage. (a) FEGLI premiums will not be collected during periods when an annuitant is a missing...

5 CFR 880.304 - FEGLI coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false FEGLI coverage. 880.304 Section 880.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED... FEGLI coverage. (a) FEGLI premiums will not be collected during periods when an annuitant is a missing...

Globalization and multi-spatial trends in the coverage of protected-area conservation (1980-2000).

PubMed

Zimmerer, Karl S; Galt, Ryan E; Buck, Margaret V

2004-12-01

This study is focused on the global expansion of protected-area coverage that occurred during the 1980--2000 period. We examine the multi-scale patterning of four of the basic facets of this expansion: i) estimated increases at the world-regional and country-level scales of total protected-area coverage; ii) transboundary protected areas; iii) conservation corridor projects; and iv) type of conservation management. Geospatial patterning of protected-area designations is a reflection of the priorities of global conservation organizations and the globalization of post-Cold War political and economic arrangements. Local and national-level factors (political leadership and infrastructure) as well as international relations such as multilateral and bilateral aid combine with these globalization processes to impact the extent, type, and location of protected-area designations. We conclude that the interaction of these factors led to the creation and reinforcement of marked spatial differences (rather than tendencies toward worldwide evenness or homogenization) in the course of protected-area expansion during the 1980--2000 period.

Historical record of Landsat global coverage

USGS Publications Warehouse

Goward, Samuel; Arvidson, Terry; Williams, Darrel; Faundeen, John; Irons, James; Franks, Shannon

2006-01-01

The long-term, 34+ year record of global Landsat remote sensing data is a critical resource to study the Earth system and human impacts on this system. The National Satellite Land Remote Sensing Data Archive (NSLRSDA) is charged by public law to: “maintain a permanent, comprehensive Government archive of global Landsat and other land remote sensing data for long-term monitoring and study of the changing global environment” (U.S. Congress, 1992). The advisory committee for NSLRSDA requested a detailed analysis of observation coverage within the U.S. Landsat holdings, as well as that acquired and held by International Cooperator (IC) stations. Our analyses, to date, have found gaps of varying magnitude in U.S. holdings of Landsat global coverage data, which appear to reflect technical or administrative variations in mission operations. In many cases it may be possible to partially fill these gaps in U.S. holdings through observations that were acquired and are now being held at International Cooperator stations.

Tertiary Institutions in Ghana Curriculum Coverage on Climate Change: Implications for Climate Change Awareness

ERIC Educational Resources Information Center

Boateng, C. A.

2015-01-01

Global problems such as climate change, which have deeper implications for survival of mankind on this planet, needs to be given wider attention in the quest for knowledge. It is expected that, improved knowledge derived from curriculum coverage may promote greater public awareness of such important global issue. This research aims at examining…

Global Moon Coverage via Hyperbolic Flybys

NASA Technical Reports Server (NTRS)

Buffington, Brent; Strange, Nathan; Campagnola, Stefano

2012-01-01

The scientific desire for global coverage of moons such as Jupiter's Galilean moons or Saturn's Titan has invariably led to the design of orbiter missions. These orbiter missions require a large amount of propellant needed to insert into orbit around such small bodies, and for a given launch vehicle, the additional propellant mass takes away from mass that could otherwise be used for scientific instrumentation on a multiple flyby-only mission. This paper will present methods--expanding upon techniques developed for the design of the Cassini prime and extended missions--to obtain near global moon coverage through multiple flybys. Furthermore we will show with proper instrument suite selection, a flyby-only mission can provide science return similar (and in some cases greater) to that of an orbiter mission.

76 FR 57637 - TRICARE; Continued Health Care Benefit Program Expansion

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-16

... TRICARE; Continued Health Care Benefit Program Expansion AGENCY: Office of the Secretary, Department of... Continued Health Care Benefit Program (CHCBP) coverage under certain circumstances that terminate their MHS.... Introduction and Background CHCBP is the program that provides continued health care coverage for eligible...

KSC-2013-1125

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – A technician performs thermal blanket closeouts on the fuel servicing valves on the Landsat Data Continuity Mission, or LDCM, spacecraft in the Astrotech processing facility at Vandenberg Air Force Base in Calif., following fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2013-1127

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – A technician performs thermal blanket closeouts on the fuel servicing valves of the Landsat Data Continuity Mission, or LDCM, spacecraft in the Astrotech processing facility at Vandenberg Air Force Base in Calif., following fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2013-1126

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – A technician performs thermal blanket closeouts on the fuel servicing valves on the Landsat Data Continuity Mission, or LDCM, spacecraft in the Astrotech processing facility at Vandenberg Air Force Base in Calif., following fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2012-6522

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- A Technician photographs a component on NASA's Landsat Data Continuity Mission, or LDCM, satellite during inspection at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The solar arrays are in the foreground. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2013-1129

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – Technicians perform thermal blanket closeouts on the fuel servicing valves on the Landsat Data Continuity Mission, or LDCM, spacecraft in the Astrotech processing facility at Vandenberg Air Force Base in Calif., following fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2012-5944

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is prepared for lifting onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5943

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is prepared for lifting onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

Measuring Coverage in MNCH: Tracking Progress in Health for Women and Children Using DHS and MICS Household Surveys

PubMed Central

Hancioglu, Attila; Arnold, Fred

2013-01-01

Household surveys are the primary data source of coverage indicators for children and women for most developing countries. Most of this information is generated by two global household survey programmes—the USAID-supported Demographic and Health Surveys (DHS) and the UNICEF-supported Multiple Indicator Cluster Surveys (MICS). In this review, we provide an overview of these two programmes, which cover a wide range of child and maternal health topics and provide estimates of many Millennium Development Goal indicators, as well as estimates of the indicators for the Countdown to 2015 initiative and the Commission on Information and Accountability for Women's and Children's Health. MICS and DHS collaborate closely and work through interagency processes to ensure that survey tools are harmonized and comparable as far as possible, but we highlight differences between DHS and MICS in the population covered and the reference periods used to measure coverage. These differences need to be considered when comparing estimates of reproductive, maternal, newborn, and child health indicators across countries and over time and we discuss the implications of these differences for coverage measurement. Finally, we discuss the need for survey planners and consumers of survey results to understand the strengths, limitations, and constraints of coverage measurements generated through household surveys, and address some technical issues surrounding sampling and quality control. We conclude that, although much effort has been made to improve coverage measurement in household surveys, continuing efforts are needed, including further research to improve and refine survey methods and analytical techniques. PMID:23667333

The future for domestic communications satellites - Lease or buy

NASA Astrophysics Data System (ADS)

Rooney, K. J.

1982-04-01

The demand for leased satellite communications services is growing at such a rate that a dedicated leasing satellite system is envisioned to deal with the demand. The most economical solution would be three similarly designed 24-channel capacity satellites with on-orbit antenna beam reconfiguration offering regional C-band coverage and situated over America, Africa, and Asia. Spatial frequency reuse is not considered necessary until at least the next generation. A two-meter antenna projecting a three dB beamwidth nearly three degrees in diameter at 4 GHz can achieve global coverage with only 19 adjacent beams at the aforementioned locations. Circular polarization will be continued in leasing. It is proposed to operate dual orthogonal polarization frequency reuse for uplink and downlink to increase the available capacity. The communications repeater is discussed in detail together with a glossary of terms and an economic analysis of the competition from dedicated domestic satellites.

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... dependent children, were covered family members of a former employee receiving continued coverage under this... after the former spouse ceased meeting the requirements for coverage as a family member, unless it is...) Whose marriage to the former employee terminates after the former employee's separation but before the...

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... dependent children, were covered family members of a former employee receiving continued coverage under this... after the former spouse ceased meeting the requirements for coverage as a family member, unless it is...) Whose marriage to the former employee terminates after the former employee's separation but before the...

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... dependent children, were covered family members of a former employee receiving continued coverage under this... after the former spouse ceased meeting the requirements for coverage as a family member, unless it is...) Whose marriage to the former employee terminates after the former employee's separation but before the...

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... dependent children, were covered family members of a former employee receiving continued coverage under this... after the former spouse ceased meeting the requirements for coverage as a family member, unless it is...) Whose marriage to the former employee terminates after the former employee's separation but before the...

Global stability of a two-mediums rumor spreading model with media coverage

NASA Astrophysics Data System (ADS)

Huo, Liang'an; Wang, Li; Song, Guoxiang

2017-09-01

Rumor spreading is a typical form of social communication and plays a significant role in social life, and media coverage has a great influence on the spread of rumor. In this paper, we present a new model with two media coverage to investigate the impact of the different mediums on rumor spreading. Then, we calculate the equilibria of the model and construct the reproduction number ℜ0. And we prove the global asymptotic stability of equilibria by using Lyapunov functions. Finally, we can conclude that the transition rate of the ignorants between two mediums has a direct effect on the scale of spreaders, and different media coverage has significant effects on the dynamics behaviors of rumor spreading.

Constructing identities in the media: newspaper coverage analysis of a major UK Clostridium difficile outbreak.

PubMed

Burnett, Emma; Johnston, Bridget; Corlett, Joanne; Kearney, Nora

2014-07-01

To examine how a major Clostridium difficile outbreak in the UK was represented in the media. Clostridium difficile is a serious health care-associated infection with significant global prevalence. As major outbreaks have continued to occur worldwide over the last few decades, it has also resulted in increasing media coverage. Newspaper journalists are, however, frequently criticized for sensationalized and inaccurate reporting and alarming the public. Despite such criticisms, nothing is known about how the media frame Clostridium difficile related coverage. Qualitative interpretive descriptive study. An interpretive analysis of newspaper articles from the national press that reported about the outbreak from the first day of coverage over 3 weeks (12 June-3 July 2008). Twenty-eight newspaper articles were included in the study from tabloids, broadsheets, a regional and a Sunday newspaper. Monster and war metaphors were frequently adopted to portray the severity of Clostridium difficile and the impact it can have on patient safety. In addition, the positioning of the affected patients, their families, healthcare professionals and the Government produced representations of victims, villains and heroes. This subsequently evoked notions of vulnerability, blame and conflict. The media are and will remain critical convectors of public information and, as such, are hugely influential in risk perceptions and responses. Rather than simply dismissing media coverage, further understanding around how such stories in specific contexts are constructed and represented is needed so that it can help inform future communication and management strategies. © 2013 John Wiley & Sons Ltd.

Operational Interoperable Web Coverage Service for Earth Observing Satellite Data: Issues and Lessons Learned

NASA Astrophysics Data System (ADS)

Yang, W.; Min, M.; Bai, Y.; Lynnes, C.; Holloway, D.; Enloe, Y.; di, L.

2008-12-01

In the past few years, there have been growing interests, among major earth observing satellite (EOS) data providers, in serving data through the interoperable Web Coverage Service (WCS) interface protocol, developed by the Open Geospatial Consortium (OGC). The interface protocol defined in WCS specifications allows client software to make customized requests of multi-dimensional EOS data, including spatial and temporal subsetting, resampling and interpolation, and coordinate reference system (CRS) transformation. A WCS server describes an offered coverage, i.e., a data product, through a response to a client's DescribeCoverage request. The description includes the offered coverage's spatial/temporal extents and resolutions, supported CRSs, supported interpolation methods, and supported encoding formats. Based on such information, a client can request the entire or a subset of coverage in any spatial/temporal resolutions and in any one of the supported CRSs, formats, and interpolation methods. When implementing a WCS server, a data provider has different approaches to present its data holdings to clients. One of the most straightforward, and commonly used, approaches is to offer individual physical data files as separate coverages. Such implementation, however, will result in too many offered coverages for large data holdings and it also cannot fully present the relationship among different, but spatially and/or temporally associated, data files. It is desirable to disconnect offered coverages from physical data files so that the former is more coherent, especially in spatial and temporal domains. Therefore, some servers offer one single coverage for a set of spatially coregistered time series data files such as a daily global precipitation coverage linked to many global single- day precipitation files; others offer one single coverage for multiple temporally coregistered files together forming a large spatial extent. In either case, a server needs to assemble an output coverage real-time by combining potentially large number of physical files, which can be operationally difficult. The task becomes more challenging if an offered coverage involves spatially and temporally un-registered physical files. In this presentation, we will discuss issues and lessons learned in providing NASA's AIRS Level 2 atmospheric products, which are in satellite swath CRS and in 6-minute segment granule files, as virtual global coverages. We"ll discuss the WCS server's on- the-fly georectification, mosaicking, quality screening, performance, and scalability.

Patient Experience Of Provider Refusal Of Medicaid Coverage And Its Implications.

PubMed

Bhandari, Neeraj; Shi, Yunfeng; Jung, Kyoungrae

2016-01-01

Previous studies show that many physicians do not accept new patients with Medicaid coverage, but no study has examined Medicaid enrollees' actual experience of provider refusal of their coverage and its implications. Using the 2012 National Health Interview Survey, we estimate provider refusal of health insurance coverage reported by 23,992 adults with continuous coverage for the past 12 months. We find that among Medicaid enrollees, 6.73% reported their coverage being refused by a provider in 2012, a rate higher than that in Medicare and private insurance by 4.07 (p<.01) and 3.68 (p<.001) percentage points, respectively. Refusal of Medicaid coverage is associated with delaying needed care, using emergency room (ER) as a usual source of care, and perceiving current coverage as worse than last year. In view of the Affordable Care Act's (ACA) Medicaid expansion, future studies should continue monitoring enrollees' experience of coverage refusal.

Science Objectives of EOS-Aura's Ozone Monitoring Instrument (OMI)

NASA Technical Reports Server (NTRS)

Levelt, P. F.; Veefkind, J. P.; Stammes, P.; Hilsenrath, E.; Bhartia, P. K.; Chance, K. V.; Leppelmeier, G. W.; Maelkki, A.; Bhartia, Pawan (Technical Monitor)

2002-01-01

OMI is a UV/VIS nadir solar backscatter spectrograph, which provides near global coverage in one day with a spatial resolution of 13 x 24 sq km. OMI is a new instrument, with a heritage from the European satellite instruments GOME, GOMOS and SCIAMACHY. OMI's unique capabilities for measuring important trace gases with a small footprint and daily global coverage, in conjunction with the other Aura instruments, will make a major contribution to our understanding of stratospheric and tropospheric chemistry and climate change. OMI will measure solar irradiance and Earth radiances in the wavelength range of 270 to 500 nm with spectral resolution of about 0.5 nm and a spectral sampling of about 2-3 per FWHM. From these observations, total columns of O3, NO2, BrO and SO2 will be derived from the back-scattered solar radiance using differential absorption spectroscopy (DOAS). The TOMS total ozone record will also be continued by employing the well established TOMS algorithm. Because of the high accuracy and spatial resolution of the measurements, a good estimate of tropospheric amounts of ozone and NO2 are expected. Ozone profiles will be derived using the optimal estimation method. The spectral aerosol optical depth will be determined from measurements between 340 and 500 nm. This will provide information on aerosol concentration, aerosol size distribution and aerosol type. This wavelength range makes it possible to retrieve aerosol information over both land and sea. OMI observations will also allow retrievals of cloud coverage and cloud heights. From these products, the UV-B flux at the surface can then be derived with high spatial resolution.

The global response to HIV in men who have sex with men.

PubMed

Beyrer, Chris; Baral, Stefan D; Collins, Chris; Richardson, Eugene T; Sullivan, Patrick S; Sanchez, Jorge; Trapence, Gift; Katabira, Elly; Kazatchkine, Michel; Ryan, Owen; Wirtz, Andrea L; Mayer, Kenneth H

2016-07-09

Gay, bisexual, and other men who have sex with men (MSM) continue to have disproportionately high burdens of HIV infection in countries of low, middle, and high income in 2016. 4 years after publication of a Lancet Series on MSM and HIV, progress on reducing HIV incidence, expanding sustained access to treatment, and realising human rights gains for MSM remains markedly uneven and fraught with challenges. Incidence densities in MSM are unacceptably high in countries as diverse as China, Kenya, Thailand, the UK, and the USA, with substantial disparities observed in specific communities of MSM including young and minority populations. Although some settings have achieved sufficient coverage of treatment, pre-exposure prophylaxis (PrEP), and human rights protections for sexual and gender minorities to change the trajectory of the HIV epidemic in MSM, these are exceptions. The roll-out of PrEP has been notably slow and coverage nowhere near what will be required for full use of this new preventive approach. Despite progress on issues such as marriage equality and decriminalisation of same-sex behaviour in some countries, there has been a marked increase in anti-gay legislation in many countries, including Nigeria, Russia, and The Gambia. The global epidemic of HIV in MSM is ongoing, and global efforts to address it remain insufficient. This must change if we are ever to truly achieve an AIDS-free generation. Copyright © 2016 Elsevier Ltd. All rights reserved.

From blockchain technology to global health equity: can cryptocurrencies finance universal health coverage?

PubMed

Till, Brian M; Peters, Alexander W; Afshar, Salim; Meara, John

2017-01-01

Blockchain technology and cryptocurrencies could remake global health financing and usher in an era global health equity and universal health coverage. We outline and provide examples for at least four important ways in which this potential disruption of traditional global health funding mechanisms could occur: universal access to financing through direct transactions without third parties; novel new multilateral financing mechanisms; increased security and reduced fraud and corruption; and the opportunity for open markets for healthcare data that drive discovery and innovation. We see these issues as a paramount to the delivery of healthcare worldwide and relevant for payers and providers of healthcare at state, national and global levels; for government and non-governmental organisations; and for global aid organisations, including the WHO, International Monetary Fund and World Bank Group.

KSC-2013-1386

NASA Image and Video Library

2013-02-10

VANDENBERG AFB, Calif. -- At Space Launch Complex 3E at Vandenberg Air Force Base, Calif., NASA Administrator Charles Bolden, left, discusses Landsat Data Continuity Mission, or LDCM, satellite preparations with Kennedy Space Center Director Bob Cabana. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Liftoff is planned for Feb. 11, 2013 aboard a United Launch Alliance Atlas V rocket. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA/Kim Shiflett

KSC-2013-1387

NASA Image and Video Library

2013-02-10

VANDENBERG AFB, Calif. -- At Space Launch Complex 3E at Vandenberg Air Force Base, Calif., Kennedy Space Center Director Bob Cabana, left, and NASA Administrator Charles Bolden discuss the Landsat Data Continuity Mission, or LDCM, satellite mission with NASA social media followers. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Liftoff is planned for Feb. 11, 2013 aboard a United Launch Alliance Atlas V rocket. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA/Kim Shiflett

KSC-2013-1388

NASA Image and Video Library

2013-02-10

VANDENBERG AFB, Calif. -- At Vandenberg Air Force Base, Calif., NASA's Landsat Data Continuity Mission, or LDCM, satellite is mounted atop a United Launch Alliance Atlas V rocket in the gantry at Space Launch Complex 3E. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Liftoff is planned for Feb. 11, 2013 aboard a United Launch Alliance Atlas V rocket. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA/Kim Shiflett

Developing a Scorecard to Assess Global Progress in Scaling Up Diarrhea Control Tools: A Qualitative Study of Academic Leaders and Implementers

PubMed Central

Rosinski, Alexander Anthony; Narine, Steven; Yamey, Gavin

2013-01-01

Background In 2010, diarrhea caused 0.75 million child deaths, accounting for nearly 12% of all under-five mortality worldwide. Many evidence-based interventions can reduce diarrhea mortality, including oral rehydration solution (ORS), zinc, and improved sanitation. Yet global coverage levels of such interventions remain low. A new scorecard of diarrhea control, showing how different countries are performing in their control efforts, could draw greater attention to the low coverage levels of proven interventions. Methods We conducted in-depth qualitative interviews with 21 experts, purposively sampled for their relevant academic or implementation expertise, to explore their views on (a) the value of a scorecard of global diarrhea control and (b) which indicators should be included in such a scorecard. We then conducted a ranking exercise in which we compiled a list of all 49 indicators suggested by the experts, sent the list to the 21 experts, and asked them to choose 10 indicators that they would include and 10 that they would exclude from such a scorecard. Finally, we created a “prototype” scorecard based on the 9 highest-ranked indicators. Results Key themes that emerged from coding the interview transcripts were: a scorecard could facilitate country comparisons; it could help to identify best practices, set priorities, and spur donor action; and it could help with goal-setting and accountability in diarrhea control. The nine highest ranking indicators, in descending order, were ORS coverage, rotavirus vaccine coverage, zinc coverage, diarrhea-specific mortality rate, diarrhea prevalence, proportion of population with access to improved sanitation, proportion with access to improved drinking water, exclusive breastfeeding coverage, and measles vaccine coverage. Conclusion A new scorecard of global diarrhea control could help track progress, focus prevention and treatment efforts on the most effective interventions, establish transparency and accountability, and alert donors and ministries of health to inadequacies in diarrhea control efforts. PMID:23874412

Seasonal influenza vaccine dose distribution in 195 countries (2004-2013): Little progress in estimated global vaccination coverage.

PubMed

Palache, Abraham; Oriol-Mathieu, Valerie; Fino, Mireli; Xydia-Charmanta, Margarita

2015-10-13

Seasonal influenza is an important disease which results in 250,000-500,000 annual deaths worldwide. Global targets for vaccination coverage rates (VCRs) in high-risk groups are at least 75% in adults ≥65 years and increased coverage in other risk groups. The International Federation of Pharmaceutical Manufacturers and Associations Influenza Vaccine Supply (IFPMA IVS) International Task Force developed a survey methodology in 2008, to assess the global distribution of influenza vaccine doses as a proxy for VCRs. This paper updates the previous survey results on absolute numbers of influenza vaccine doses distributed between 2004 and 2013 inclusive, and dose distribution rates per 1000 population, and provides a qualitative assessment of the principal enablers and barriers to seasonal influenza vaccination. The two main findings from the quantitative portion of the survey are the continued negative trend for dose distribution in the EURO region and the perpetuation of appreciable differences in scale of dose distribution between WHO regions, with no observed convergence in the rates of doses distributed per 1000 population over time. The main findings from the qualitative portion of the survey were that actively managing the vaccination program in real-time and ensuring political commitment to vaccination are important enablers of vaccination, whereas insufficient access to vaccination and lack of political commitment to seasonal influenza vaccination programs are likely contributing to vaccination target failures. In all regions of the world, seasonal influenza vaccination is underutilized as a public health tool. The survey provides evidence of lost opportunity to protect populations against potentially serious influenza-associated disease. We call on the national and international public health communities to re-evaluate their political commitment to the prevention of the annual influenza disease burden and to develop a systematic approach to improve vaccine distribution equitably. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Competition between plant functional types in the Canadian Terrestrial Ecosystem Model (CTEM) v. 2.0

NASA Astrophysics Data System (ADS)

Melton, J. R.; Arora, V. K.

2015-06-01

The Canadian Terrestrial Ecosystem Model (CTEM) is the interactive vegetation component in the Earth system model of the Canadian Centre for Climate Modelling and Analysis. CTEM models land-atmosphere exchange of CO2 through the response of carbon in living vegetation, and dead litter and soil pools, to changes in weather and climate at timescales of days to centuries. Version 1.0 of CTEM uses prescribed fractional coverage of plant functional types (PFTs) although, in reality, vegetation cover continually adapts to changes in climate, atmospheric composition, and anthropogenic forcing. Changes in the spatial distribution of vegetation occur on timescales of years to centuries as vegetation distributions inherently have inertia. Here, we present version 2.0 of CTEM which includes a representation of competition between PFTs based on a modified version of the Lotka-Volterra (L-V) predator-prey equations. Our approach is used to dynamically simulate the fractional coverage of CTEM's seven natural, non-crop PFTs which are then compared with available observation-based estimates. Results from CTEM v. 2.0 show the model is able to represent the broad spatial distributions of its seven PFTs at the global scale. However, differences remain between modelled and observation-based fractional coverages of PFTs since representing the multitude of plant species globally, with just seven non-crop PFTs, only captures the large scale climatic controls on PFT distributions. As expected, PFTs that exist in climate niches are difficult to represent either due to the coarse spatial resolution of the model, and the corresponding driving climate, or the limited number of PFTs used. We also simulate the fractional coverages of PFTs using unmodified L-V equations to illustrate its limitations. The geographic and zonal distributions of primary terrestrial carbon pools and fluxes from the versions of CTEM that use prescribed and dynamically simulated fractional coverage of PFTs compare reasonably well with each other and observation-based estimates. The parametrization of competition between PFTs in CTEM v. 2.0 based on the modified L-V equations behaves in a reasonably realistic manner and yields a tool with which to investigate the changes in spatial distribution of vegetation in response to future changes in climate.

Competition between plant functional types in the Canadian Terrestrial Ecosystem Model (CTEM) v. 2.0

NASA Astrophysics Data System (ADS)

Melton, J. R.; Arora, V. K.

2016-01-01

The Canadian Terrestrial Ecosystem Model (CTEM) is the interactive vegetation component in the Earth system model of the Canadian Centre for Climate Modelling and Analysis. CTEM models land-atmosphere exchange of CO2 through the response of carbon in living vegetation, and dead litter and soil pools, to changes in weather and climate at timescales of days to centuries. Version 1.0 of CTEM uses prescribed fractional coverage of plant functional types (PFTs) although, in reality, vegetation cover continually adapts to changes in climate, atmospheric composition and anthropogenic forcing. Changes in the spatial distribution of vegetation occur on timescales of years to centuries as vegetation distributions inherently have inertia. Here, we present version 2.0 of CTEM, which includes a representation of competition between PFTs based on a modified version of the Lotka-Volterra (L-V) predator-prey equations. Our approach is used to dynamically simulate the fractional coverage of CTEM's seven natural, non-crop PFTs, which are then compared with available observation-based estimates. Results from CTEM v. 2.0 show the model is able to represent the broad spatial distributions of its seven PFTs at the global scale. However, differences remain between modelled and observation-based fractional coverage of PFTs since representing the multitude of plant species globally, with just seven non-crop PFTs, only captures the large-scale climatic controls on PFT distributions. As expected, PFTs that exist in climate niches are difficult to represent either due to the coarse spatial resolution of the model, and the corresponding driving climate, or the limited number of PFTs used. We also simulate the fractional coverage of PFTs using unmodified L-V equations to illustrate its limitations. The geographic and zonal distributions of primary terrestrial carbon pools and fluxes from the versions of CTEM that use prescribed and dynamically simulated fractional coverage of PFTs compare reasonably well with each other and observation-based estimates. The parametrization of competition between PFTs in CTEM v. 2.0 based on the modified L-V equations behaves in a reasonably realistic manner and yields a tool with which to investigate the changes in spatial distribution of vegetation in response to future changes in climate.

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 890.1106 Section 890.1106... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 890.1106 Section 890.1106... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 890.1106 Section 890.1106... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 890.1106 Section 890.1106... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

Implementation of Rotavirus Surveillance and Vaccine Introduction - World Health Organization African Region, 2007-2016.

PubMed

Mwenda, Jason M; Burke, Rachel M; Shaba, Keith; Mihigo, Richard; Tevi-Benissan, Mable Carole; Mumba, Mutale; Biey, Joseph Nsiari-Muzeyi; Cheikh, Dah; Poy MSc, Alain; Zawaira, Felicitas R; Aliabadi, Negar; Tate, Jacqueline E; Hyde, Terri; Cohen, Adam L; Parashar, Umesh D

2017-11-03

Rotavirus is a leading cause of severe pediatric diarrhea globally, estimated to have caused 120,000 deaths among children aged <5 years in sub-Saharan Africa in 2013 (1). In 2009, the World Health Organization (WHO) recommended rotavirus vaccination for all infants worldwide (2). Two rotavirus vaccines are currently licensed globally: the monovalent Rotarix vaccine (RV1, GlaxoSmithKline; 2-dose series) and the pentavalent RotaTeq vaccine (RV5, Merck; 3-dose series). This report describes progress of rotavirus vaccine introduction (3), coverage (using estimates from WHO and the United Nations Children's Fund [UNICEF]) (4), and impact on pediatric diarrhea hospitalizations in the WHO African Region. By December 2016, 31 (66%) of 47 countries in the WHO African Region had introduced rotavirus vaccine, including 26 that introduced RV1 and five that introduced RV5. Among these countries, rotavirus vaccination coverage (completed series) was 77%, according to WHO/UNICEF population-weighted estimates. In 12 countries with surveillance data available before and after vaccine introduction, the proportion of pediatric diarrhea hospitalizations that were rotavirus-positive declined 33%, from 39% preintroduction to 26% following rotavirus vaccine introduction. These results support introduction of rotavirus vaccine in the remaining countries in the region and continuation of rotavirus surveillance to monitor impact.

State humanitarian verticalism versus universal health coverage: a century of French international health assistance revisited.

PubMed

Atlani-Duault, Laëtitia; Dozon, Jean-Pierre; Wilson, Andrew; Delfraissy, Jean-François; Moatti, Jean-Paul

2016-05-28

The French contribution to global public health over the past two centuries has been marked by a fundamental tension between two approaches: State-provided universal free health care and what we propose to call State humanitarian verticalism. Both approaches have historical roots in French colonialism and have led to successes and failures that continue until the present day. In this paper, the second in The Lancet's Series on France, we look at how this tension has evolved. During the French colonial period (1890s to 1950s), the Indigenous Medical Assistance structure was supposed to bring metropolitan France's model of universal and free public health care to the colonies, and French State imperial humanitarianism crystallised in vertical programmes inspired by Louis Pasteur, while vying with early private humanitarian activism in health represented by Albert Schweitzer. From decolonisation to the end of the Cold War (1960-99), French assistance to newly independent states was affected by sans frontièrisme, Health for All, and the AIDS pandemic. Since 2000, France has had an active role in development of global health initiatives and favoured multilateral action for health assistance. Today, with adoption of the 2030 Sustainable Development Goals and the challenges of non-communicable diseases, economic inequality, and climate change, French international health assistance needs new direction. In the context of current debate over global health as a universal goal, understanding and acknowledging France's history could help strengthen advocacy in favour of universal health coverage and contribute to advancing global equity through income redistribution, from healthy populations to people who are sick and from wealthy individuals to those who are poor. Copyright © 2016 Elsevier Ltd. All rights reserved.

Progress towards malaria control targets in relation to national malaria programme funding

PubMed Central

2013-01-01

Background Malaria control has been dramatically scaled up the past decade, mainly thanks to increasing international donor financing since 2003. This study assessed progress up to 2010 towards global malaria impact targets, in relation to Global Fund, other donor and domestic malaria programme financing over 2003 to 2009. Methods Assessments used domestic malaria financing reported by national programmes, and Global Fund/OECD data on donor financing for 90 endemic low- and middle-income countries, WHO estimates of households owning one or more insecticide-treated mosquito net (ITN) for countries in sub-Saharan Africa, and WHO-estimated malaria case incidence and deaths in countries outside sub-Saharan Africa. Results Global Fund and other donor funding is concentrated in a subset of the highest endemic African countries. Outside Africa, donor funding is concentrated in those countries with highest malaria mortality and case incidence rates over the years 2000 to 2003. ITN coverage in 2010 in Africa, and declines in case and death rates per person at risk over 2004 to 2010 outside Africa, were greatest in countries with highest donor funding per person at risk, and smallest in countries with lowest donor malaria funding per person at risk. Outside Africa, all-source malaria programme funding over 2003 to 2009 per case averted ($56-5,749) or per death averted ($58,000-3,900,000) over 2004 to 2010 tended to be lower (more favourable) in countries with higher donor malaria funding per person at risk. Conclusions Increases in malaria programme funding are associated with accelerated progress towards malaria control targets. Associations between programme funding per person at risk and ITN coverage increases and declines in case and death rates suggest opportunities to maximize the impact of donor funding, by strategic re-allocation to countries with highest continued need. PMID:23317000

Advancements in Open Geospatial Standards for Photogrammetry and Remote Sensing from Ogc

NASA Astrophysics Data System (ADS)

Percivall, George; Simonis, Ingo

2016-06-01

The necessity of open standards for effective sharing and use of remote sensing continues to receive increasing emphasis in policies of agencies and projects around the world. Coordination on the development of open standards for geospatial information is a vital step to insure that the technical standards are ready to support the policy objectives. The mission of the Open Geospatial Consortium (OGC) is to advance development and use of international standards and supporting services that promote geospatial interoperability. To accomplish this mission, OGC serves as the global forum for the collaboration of geospatial data / solution providers and users. Photogrammetry and remote sensing are sources of the largest and most complex geospatial information. Some of the most mature OGC standards for remote sensing include the Sensor Web Enablement (SWE) standards, the Web Coverage Service (WCS) suite of standards, encodings such as NetCDF, GMLJP2 and GeoPackage, and the soon to be approved Discrete Global Grid Systems (DGGS) standard. In collaboration with ISPRS, OGC working with government, research and industrial organizations continue to advance the state of geospatial standards for full use of photogrammetry and remote sensing.

Climate and Ozone Response to Increased Stratospheric Water Vapor

NASA Technical Reports Server (NTRS)

Shindell, Drew T.

2001-01-01

Stratospheric water vapor abundance affects ozone, surface climate, and stratospheric temperatures. From 30-50 km altitude, temperatures show global decreases of 3-6 K over recent decades. These may be a proxy for water vapor increases, as the Goddard Institute for Space Studies (GISS) climate model reproduces these trends only when stratospheric water vapor is allowed to increase. Observations suggest that stratospheric water vapor is indeed increasing, however, measurements are extremely limited in either spatial coverage or duration. The model results suggest that the observed changes may be part of a global, long-term trend. Furthermore, the required water vapor change is too large to be accounted for by increased production within the stratosphere, suggesting that ongoing climate change may be altering tropospheric input. The calculated stratospheric water vapor increase contributes an additional approximately equals 24% (approximately equals 0.2 W/m(exp 2)) to the global warming from well-mixed greenhouse gases over the past two decades. Observed ozone depletion is also better reproduced when destruction due to increased water vapor is included. If the trend continues, it could increase future global warming and impede stratospheric ozone recovery.

29 CFR 2590.609-1 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Continuation Coverage, Qualified Medical Child Support Orders, Coverage for Adopted Children § 2590.609-1 [Reserved] ...

The current crisis in human resources for health in Africa: the time to adjust our focus is now.

PubMed

Dalton, Simon C

2014-09-01

The challenges as we strive towards universal health coverage are many, but the need for an improved health workforce is chief among them. Unfortunately the global deficit in skilled professionals continues to increase. Nevertheless, there are potential solutions, and success stories are well documented when the approach is on system building and sustainability. As we approach 2015 and the Millennium Development Goals, we must shift our focus to a more distant time point in order to achieve the dramatic gains in global health that are possible. However, we must understand that there can be no health without a workforce. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The appeasement effect of a United Nations climate summit on the German public

NASA Astrophysics Data System (ADS)

Brüggemann, Michael; de Silva-Schmidt, Fenja; Hoppe, Imke; Arlt, Dorothee; Schmitt, Josephine B.

2017-11-01

The annual UN climate summits receive intense global media coverage, and as such could engage local publics around the world, stimulate debate and knowledge about climate politics, and, ultimately, mobilize people to combat climate change. Here we show that, in contrast to these hopes, although the German public were exposed to news about the 2015 Paris summit, they did not engage with it in a more active way. Comparing knowledge and attitudes before, during and after the summit using a three-wave online panel survey (quota sample, N = 1,121), we find that respondents learnt a few basic facts about the conference but they continue to lack basic background knowledge about climate policy. Trust in global climate policy increased a little, but citizens were less inclined to support a leading role for Germany in climate politics. Moreover, they were not more likely to engage personally in climate protection. These results suggest that this global media event had a modest appeasing rather than mobilizing effect.

Great expectations for the World Health Organization: a Framework Convention on Global Health to achieve universal health coverage.

PubMed

Ooms, G; Marten, R; Waris, A; Hammonds, R; Mulumba, M; Friedman, E A

2014-02-01

Establishing a reform agenda for the World Health Organization (WHO) requires understanding its role within the wider global health system and the purposes of that wider global health system. In this paper, the focus is on one particular purpose: achieving universal health coverage (UHC). The intention is to describe why achieving UHC requires something like a Framework Convention on Global Health (FCGH) that have been proposed elsewhere,(1) why WHO is in a unique position to usher in an FCGH, and what specific reforms would help enable WHO to assume this role. Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Operational satellites and the global monitoring of snow and ice

NASA Technical Reports Server (NTRS)

Walsh, John E.

1991-01-01

The altitudinal dependence of the global warming projected by global climate models is at least partially attributable to the albedo-temperature feedback involving snow and ice, which must be regarded as key variables in the monitoring for global change. Statistical analyses of data from IR and microwave sensors monitoring the areal coverage and extent of sea ice have led to mixed conclusions about recent trends of hemisphere sea ice coverage. Seasonal snow cover has been mapped for over 20 years by NOAA/NESDIS on the basis of imagery from a variety of satellite sensors. Multichannel passive microwave data show some promise for the routine monitoring of snow depth over unforested land areas.

SSE Global Data

Atmospheric Science Data Center

2018-04-12

SSE Global Data Text files of monthly averaged data for the entire ... Version:  V6 Location:  Global Spatial Coverage:  (90N, 90S)(180W,180E) ... File Format:  ASCII Order Data:  SSE Global Data: Order Data SCAR-B Block:  ...

From blockchain technology to global health equity: can cryptocurrencies finance universal health coverage?

PubMed Central

Till, Brian M; Peters, Alexander W; Afshar, Salim; Meara, John G

2017-01-01

Blockchain technology and cryptocurrencies could remake global health financing and usher in an era global health equity and universal health coverage. We outline and provide examples for at least four important ways in which this potential disruption of traditional global health funding mechanisms could occur: universal access to financing through direct transactions without third parties; novel new multilateral financing mechanisms; increased security and reduced fraud and corruption; and the opportunity for open markets for healthcare data that drive discovery and innovation. We see these issues as a paramount to the delivery of healthcare worldwide and relevant for payers and providers of healthcare at state, national and global levels; for government and non-governmental organisations; and for global aid organisations, including the WHO, International Monetary Fund and World Bank Group. PMID:29177101

State of equity: childhood immunization in the World Health Organization African Region.

PubMed

Casey, Rebecca Mary; Hampton, Lee McCalla; Anya, Blanche-Philomene Melanga; Gacic-Dobo, Marta; Diallo, Mamadou Saliou; Wallace, Aaron Stuart

2017-01-01

In 2010, the Global Vaccine Action Plan called on all countries to reach and sustain 90% national coverage and 80% coverage in all districts for the third dose of diphtheria-tetanus-pertussis vaccine (DTP3) by 2015 and for all vaccines in national immunization schedules by 2020. The aims of this study are to analyze recent trends in national vaccination coverage in the World Health Organization African Region andto assess how these trends differ by country income category. We compared national vaccination coverage estimates for DTP3 and the first dose of measles-containing vaccine (MCV) obtained from the World Health Organization (WHO)/United Nations Children's Fund (UNICEF) joint estimates of national immunization coverage for all African Region countries. Using United Nations (UN) population estimates of surviving infants and country income category for the corresponding year, we calculated population-weighted average vaccination coverage by country income category (i.e., low, lower middle, and upper middle-income) for the years 2000, 2005, 2010 and 2015. DTP3 coverage in the African Region increased from 52% in 2000 to 76% in 2015,and MCV1 coverage increased from 53% to 74% during the same period, but with considerable differences among countries. Thirty-six African Region countries were low income in 2000 with an average DTP3 coverage of 50% while 26 were low income in 2015 with an average coverage of 80%. Five countries were lower middle-income in 2000 with an average DTP3 coverage of 84% while 12 were lower middle-income in 2015 with an average coverage of 69%. Five countries were upper middle-income in 2000 with an average DTP3 coverage of 73% and eight were upper middle-income in 2015 with an average coverage of 76%. Disparities in vaccination coverage by country persist in the African Region, with countries that were lower middle-income having the lowest coverage on average in 2015. Monitoring and addressing these disparities is essential for meeting global immunization targets.

Implications of MOLA Global Roughness, Statistics, and Topography

NASA Technical Reports Server (NTRS)

Aharonson, O.; Zuber, M. T.; Neumann, G. A.

1999-01-01

New insights are emerging as the ongoing high-quality measurements of the Martian surface topography by Mars Orbiter Laser Altimeter (MOLA) on board the Mars Global Surveyor (MGS) spacecraft increase in coverage, resolution, and diversity. For the first time, a global characterization of the statistical properties of topography is possible. The data were collected during the aerobreaking hiatus, science phasing, and mapping orbits of MGS, and have a resolution of 300-400 m along track, a range resolution of 37.5 cm, a range precision of 1-10 m for surface slopes up to 30 deg., and an absolute accuracy of topography of 13 m. The spacecraft's orbit inclination dictates that nadir observations have latitude coverage of about 87.1S to 87.1N; the addition of observations obtained during a period of off-nadir pointing over the north pole extended coverage to 90N. Additional information is contained in the original extended abstract.

26 CFR 1.410(b)-1 - Minimum coverage requirements (before 1994).

Code of Federal Regulations, 2011 CFR

2011-04-01

... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Pension, Profit-Sharing, Stock Bonus Plans, Etc... the minimum age and service requirements (if any) prescribed by the plan, as of the date coverage is... employees (including employees who do not satisfy the minimum age or service requirements of the plan) are...

5 CFR 831.202 - Continuation of coverage for food service employees of the House of Representatives.

Code of Federal Regulations, 2011 CFR

2011-01-01

... employees of the House of Representatives. 831.202 Section 831.202 Administrative Personnel OFFICE OF... Continuation of coverage for food service employees of the House of Representatives. (a) Congressional employees who provide food service operations for the House of Representatives can elect to continue their...

Global land cover mapping using Earth observation satellite data: Recent progresses and challenges

NASA Astrophysics Data System (ADS)

Ban, Yifang; Gong, Peng; Giri, Chandra

2015-05-01

Land cover is an important variable for many studies involving the Earth surface, such as climate, food security, hydrology, soil erosion, atmospheric quality, conservation biology, and plant functioning. Land cover not only changes with human caused land use changes, but also changes with nature. Therefore, the state of land cover is highly dynamic. In winter snow shields underneath various other land cover types in higher latitudes. Floods may persist for a long period in a year over low land areas in the tropical and subtropical regions. Forest maybe burnt or clear cut in a few days and changes to bare land. Within several months, the coverage of crops may vary from bare land to nearly 100% crops and then back to bare land following harvest. The highly dynamic nature of land cover creates a challenge in mapping and monitoring which remains to be adequately addressed. As economic globalization continues to intensify, there is an increasing trend of land cover/land use change, environmental pollution, land degradation, biodiversity loss at the global scale, timely and reliable information on global land cover and its changes is urgently needed to mitigate the negative impact of global environment change.

Discontinuity of Medicaid Coverage: Impact on Cost and Utilization Among Adult Medicaid Beneficiaries With Major Depression.

PubMed

Ji, Xu; Wilk, Adam S; Druss, Benjamin G; Lally, Cathy; Cummings, Janet R

2017-08-01

Gaps in Medicaid coverage may disrupt access to and continuity of care. This can be detrimental for beneficiaries with chronic conditions, such as major depression, for whom disruptions in access to outpatient care may lead to increased use of acute care. However, little is known about how Medicaid coverage discontinuities impact acute care utilization among adults with depression. Examine the relationship between Medicaid discontinuities and service utilization among adults with major depression. A total of 139,164 adults (18-64) with major depression was identified using the 2003-2004 Medicaid Analytic eXtract Files. We used generalized linear and two-part models to examine the effect of Medicaid discontinuity on service utilization. To establish causality in this relationship, we used instrumental variables analysis, relying on exogenous variation in a state-level policy for identification. Emergency department (ED) visits, inpatient episodes, inpatient days, and Medicaid-reimbursed costs. Approximately 29.4% of beneficiaries experienced coverage disruptions. In instrumental variables models, those with coverage disruptions incurred an increase of $650 in acute care costs per-person per Medicaid-covered month compared with those with continuous coverage, evidenced by an increase in ED use (0.1 more ED visits per-person-month) and inpatient days (0.6 more days per-person-month). The increase in acute costs contributed to an overall increase in all-cause costs by $310 per-person-month (all P-values<0.001). Among depressed adults, those experiencing coverage disruptions have, on average, significantly greater use of costly ED/inpatient services than those with continuous coverage. Maintenance of continuous Medicaid coverage may help prevent acute episodes requiring high-cost interventions.

Reconstruction of Arctic surface temperature in past 100 years using DINEOF

NASA Astrophysics Data System (ADS)

Zhang, Qiyi; Huang, Jianbin; Luo, Yong

2015-04-01

Global annual mean surface temperature has not risen apparently since 1998, which is described as global warming hiatus in recent years. However, measuring of temperature variability in Arctic is difficult because of large gaps in coverage of Arctic region in most observed gridded datasets. Since Arctic has experienced a rapid temperature change in recent years that called polar amplification, and temperature risen in Arctic is faster than global mean, the unobserved temperature in central Arctic will result in cold bias in both global and Arctic temperature measurement compared with model simulations and reanalysis datasets. Moreover, some datasets that have complete coverage in Arctic but short temporal scale cannot show Arctic temperature variability for long time. Data Interpolating Empirical Orthogonal Function (DINEOF) were applied to fill the coverage gap of NASA's Goddard Institute for Space Studies Surface Temperature Analysis (GISTEMP 250km smooth) product in Arctic with IABP dataset which covers entire Arctic region between 1979 and 1998, and to reconstruct Arctic temperature in 1900-2012. This method provided temperature reconstruction in central Arctic and precise estimation of both global and Arctic temperature variability with a long temporal scale. Results have been verified by extra independent station records in Arctic by statistical analysis, such as variance and standard deviation. The result of reconstruction shows significant warming trend in Arctic in recent 30 years, as the temperature trend in Arctic since 1997 is 0.76°C per decade, compared with 0.48°C and 0.67°C per decade from 250km smooth and 1200km smooth of GISTEMP. And global temperature trend is two times greater after using DINEOF. The discrepancies above stress the importance of fully consideration of temperature variance in Arctic because gaps of coverage in Arctic cause apparent cold bias in temperature estimation. The result of global surface temperature also proves that global warming in recent years is not as slow as thought.

29 CFR 2590.701-2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Health Coverage Portability, Nondiscrimination... coverage, under a group health plan, that satisfies an applicable COBRA continuation provision. (3) COBRA...

5 CFR 850.401 - Electronic notice of coverage determination.

Code of Federal Regulations, 2010 CFR

2010-01-01

... determination. 850.401 Section 850.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Submission of Law Enforcement... notice of law enforcement officer, firefighter, or nuclear materials retirement coverage, required by...

5 CFR 850.401 - Electronic notice of coverage determination.

Code of Federal Regulations, 2012 CFR

2012-01-01

... determination. 850.401 Section 850.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Submission of Law Enforcement... notice of law enforcement officer, firefighter, or nuclear materials retirement coverage, required by...

5 CFR 850.401 - Electronic notice of coverage determination.

Code of Federal Regulations, 2011 CFR

2011-01-01

... determination. 850.401 Section 850.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Submission of Law Enforcement... notice of law enforcement officer, firefighter, or nuclear materials retirement coverage, required by...

5 CFR 850.401 - Electronic notice of coverage determination.

Code of Federal Regulations, 2013 CFR

2013-01-01

... determination. 850.401 Section 850.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Submission of Law Enforcement... notice of law enforcement officer, firefighter, or nuclear materials retirement coverage, required by...

Strengthening Health Systems of Developing Countries: Inclusion of Surgery in Universal Health Coverage.

PubMed

Okoroh, Juliet S; Chia, Victoria; Oliver, Emily A; Dharmawardene, Marisa; Riviello, Robert

2015-08-01

Universal health coverage (UHC) has its roots in the Universal Declaration of Human Rights and has recently gained momentum. Out-of-pocket payments (OPP) remain a significant barrier to care. There is an increasing global prevalence of non-communicable diseases, many of which are surgically treatable. We sought to provide a comparative analysis of the inclusion of surgical care in operating plans for UHC in low- and middle-income countries (LMIC). We systematically searched PubMed and Google Scholar using pre-defined criteria for articles published in English, Spanish, or French between January 1991 and November 2013. Keywords included "insurance," "OPP," "surgery," "trauma," "cancer," and "congenital anomalies." World Health Organization (WHO), World Bank, and Joint Learning Network for UHC websites were searched for supporting documents. Ministries of Health were contacted to provide further information on the inclusion of surgery. We found 696 articles and selected 265 for full-text review based on our criteria. Some countries enumerated surgical conditions in detail (India, 947 conditions). Other countries mentioned surgery broadly. Obstetric care was most commonly covered (19 countries). Solid organ transplantation was least covered. Cancer care was mentioned broadly, often without specifying the therapeutic modality. No countries were identified where hospitals are required to provide emergency care regardless of insurance coverage. OPP varied greatly between countries. Eighty percent of countries had OPP of 60% or more, making these services, even if partially covered, largely inaccessible. While OPP, delivery, and utilization continue to represent challenges to health care access in many LMICs, the inclusion of surgery in many UHC policies sets an important precedent in addressing a growing global prevalence of surgically treatable conditions. Barriers to access, including inequalities in financial protection in the form of high OPP, remain a fundamental challenge to providing surgical care in LMICs.

Continuous strife for better coverage and more details in ocean surface winds measurements - from Midori and ADEOS-2 to GCOM

NASA Technical Reports Server (NTRS)

Xie, X.; Liu, W.; Hu, H.; Tang, W.

2001-01-01

The series of joint U.S.-Japan spaceborne scatterometers missions to provide continuous measurements of ocean wind vectors is reviewed. Examples of the scientific impact of the continuous effort in improving spatial resolution and coverage are provided. The plan for the future is reviewed.

The Politics of Universal Health Coverage in Low- and Middle-Income Countries: A Framework for Evaluation and Action.

PubMed

Fox, Ashley M; Reich, Michael R

2015-10-01

Universal health coverage has recently become a top item on the global health agenda pressed by multilateral and donor organizations, as disenchantment grows with vertical, disease-specific health programs. This increasing focus on universal health coverage has brought renewed attention to the role of domestic politics and the interaction between domestic and international relations in the health reform process. This article proposes a theory-based framework for analyzing the politics of health reform for universal health coverage, according to four stages in the policy cycle (agenda setting, design, adoption, and implementation) and four variables that affect reform (interests, institutions, ideas, and ideology). This framework can assist global health policy researchers, multilateral organization officials, and national policy makers in navigating the complex political waters of health reforms aimed at achieving universal health coverage. To derive the framework, we critically review the theoretical and applied literature on health policy reform in developing countries and illustrate the framework with examples of health reforms moving toward universal coverage in low- and middle-income countries. We offer a series of lessons stemming from these experiences to date. Copyright © 2015 by Duke University Press.

Strengthening global vaccine access for adolescents and adults.

PubMed

Nanni, Angeline; Meredith, Stefanie; Gati, Stephanie; Holm, Karin; Harmon, Tom; Ginsberg, Ann

2017-12-14

Global immunization efforts to date have heavily focused on infants and children, with noted success on public health. Healthy adolescents and adults contribute to the economic growth and development of countries but efforts to ensure vaccine coverage for these groups receive inadequate global attention and resources. Emerging epidemics for a number of infectious diseases including Ebola, Zika, dengue, malaria and the continuing epidemics of tuberculosis and several sexually transmitted infections, including HIV, HPV and Hepatitis B, have high incidence and prevalence in adolescents and adults. New vaccines under development for these diseases and under-used vaccines such as for human papilloma virus will have the greatest health and economic impact in these populations. Global consensus, political will, policies, global and country infrastructure, and financing mechanisms are needed to accelerate access for the billions of adolescents and adults living under the threat of devastating infectious disease outbreaks and epidemics, especially in lower income countries. The global health community and countries cannot afford to delay planning for implementation of adolescent and adult vaccine programs that will potentially save millions of lives and strengthen global and national economies. The article examines this next challenge and suggests a research agenda and a framework for action to galvanize global and national policy decision-makers to begin preparations for future immunization challenges. Copyright © 2017 Elsevier Ltd. All rights reserved.

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH, COUNSELING, AND WORK/LIFE PROGRAMS Alcoholism and Drug Abuse Programs and Services for...

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and...

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and...

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and...

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH, COUNSELING, AND WORK/LIFE PROGRAMS Alcoholism and Drug Abuse Programs and Services for...

5 CFR 890.302 - Coverage of family members.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Section 890.302 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Enrollment § 890.302 Coverage of family...) Evidence of goods or services which show regular and substantial contributions of considerable value; (v...

Air traffic management system design using satellite based geo-positioning and communications assets

NASA Technical Reports Server (NTRS)

Horkin, Phil

1995-01-01

The current FAA and ICAO FANS vision of Air Traffic Management will transition the functions of Communications, Navigation, and Surveillance to satellite based assets in the 21st century. Fundamental to widespread acceptance of this vision is a geo-positioning system that can provide worldwide access with best case differential GPS performance, but without the associated problems. A robust communications capability linking-up aircraft and towers to meet the voice and data requirements is also essential. The current GPS constellation does not provide continuous global coverage with a sufficient number of satellites to meet the precision landing requirements as set by the world community. Periodic loss of the minimum number of satellites in view creates an integrity problem, which prevents GPS from becoming the primary system for navigation. Furthermore, there is reluctance on the part of many countries to depend on assets like GPS and GLONASS which are controlled by military communities. This paper addresses these concerns and provides a system solving the key issues associated with navigation, automatic dependent surveillance, and flexible communications. It contains an independent GPS-like navigation system with 27 satellites providing global coverage with a minimum of six in view at all times. Robust communications is provided by a network of TDMA/FDMA communications payloads contained on these satellites. This network can support simultaneous communications for up to 30,000 links, nearly enough to simultaneously support three times the current global fleet of jumbo air passenger aircraft. All of the required hardware is directly traceable to existing designs.

Progress Towards a Global Understanding of Plankton Dynamics: The Global Alliance of CPR Surveys (GACS)

NASA Astrophysics Data System (ADS)

Batten, S.; Richardson, A.; Melrose, C.; Muxagata, E.; Hosie, G.; Verheye, H.; Hall, J.; Edwards, M.; Koubbi, P.; Abu-Alhaija, R.; Chiba, S.; Wilson, W.; Nagappa, R.; Takahashi, K.

2016-02-01

The Continuous Plankton Recorder (CPR) was first used in 1931 to routinely sample plankton and its continued deployment now sustains the longest-running, and spatially most extensive marine biological sampling programme in the world. Towed behind, for the most part commercial, ships it collects plankton samples from the surface waters that are subsequently analysed to provide taxonomically-resolved abundance data on a broad range of planktonic organisms from the size of coccolithophores to euphausiids. Plankton appear to integrate changes in the physical environment and by underpinning most marine food-webs, pass on this variability to higher trophic levels which have societal value. CPRs are deployed increasingly around the globe in discrete regional surveys that until recently interacted in an informal way. In 2011 the Global Alliance of CPR Surveys (GACS) was launched to bring these surveys together to collaborate more productively and address issues such as: methodological standardization, data integration, capacity building, and data analysis. Early products include a combined global database and regularly-released global marine ecological status reports. There are, of course, limitations to the exploitation of CPR data as well as the current geographic coverage. A current focus of GACS is integration of the data with models to meaningfully extrapolate across time and space. In this way the output could be used to provide more robust synoptic representations of key plankton variables. Recent years have also seen the CPR used as a platform in itself with the inclusion of additional sensors and water samplers that can sample the microplankton. The archive of samples has already been used for some molecular investigations and curation of samples is maintained for future studies. Thus the CPR is a key element of any regional to global ocean observing system of biodiversity.

Reliability of Navigation Service Provided by the Global Positioning System

DOT National Transportation Integrated Search

1985-09-01

The planned NAVSTAR/GPS satellite constellation of 18 satellites plus 3 active will provide excellent coverage over the continental United States (CONUS) if all are operating properly. This report examines the coverage under conditions of one satelli...

Leadership for the next millennium: the physician executive.

PubMed

Klint, R A

1993-01-01

We continue to muddle through using tourniquets and bandaids on a health care system that is in dire straits. And the future is even less promising. There will be millions without basic health care, let alone basic health care coverage. Rural and inner-city hospitals will close, with progressive public apathy, as we focus on the marvels of expensive technologies that serve only the few. Costs will continue to rise at double digit rates, and our nation's employers will fall further behind in the global marketplace. Preventive care will be uncommonly provided and only more rarely reimbursed, while a couple more children die of measles in Mississippi. It's not a pretty picture, and it simply doesn't have to come to pass. "What we really need is leadership," the public cries. That leadership can and should come from medicine through physician executives.

Making sense of global warming: Norwegians appropriating knowledge of anthropogenic climate change.

PubMed

Ryghaug, Marianne; Sørensen, Knut Holtan; Naess, Robert

2011-11-01

This paper studies how people reason about and make sense of human-made global warming, based on ten focus group interviews with Norwegian citizens. It shows that the domestication of climate science knowledge was shaped through five sense-making devices: news media coverage of changes in nature, particularly the weather, the coverage of presumed experts' disagreement about global warming, critical attitudes towards media, observations of political inaction, and considerations with respect to everyday life. These sense-making devices allowed for ambiguous outcomes, and the paper argues four main outcomes with respect to the domestication processes: the acceptors, the tempered acceptors, the uncertain and the sceptics.

5 CFR 831.911 - Oversight of coverage determinations.

Code of Federal Regulations, 2013 CFR

2013-01-01

....911 Section 831.911 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Law Enforcement Officers and Firefighters § 831.911 Oversight of coverage determinations. (a) Upon deciding that a position is a law enforcement officer or firefighter position, each...

5 CFR 831.911 - Oversight of coverage determinations.

Code of Federal Regulations, 2011 CFR

2011-01-01

....911 Section 831.911 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Law Enforcement Officers and Firefighters § 831.911 Oversight of coverage determinations. (a) Upon deciding that a position is a law enforcement officer or firefighter position, each...

5 CFR 831.911 - Oversight of coverage determinations.

Code of Federal Regulations, 2014 CFR

2014-01-01

....911 Section 831.911 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Law Enforcement Officers and Firefighters § 831.911 Oversight of coverage determinations. (a) Upon deciding that a position is a law enforcement officer or firefighter position, each...

5 CFR 831.911 - Oversight of coverage determinations.

Code of Federal Regulations, 2012 CFR

2012-01-01

....911 Section 831.911 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Law Enforcement Officers and Firefighters § 831.911 Oversight of coverage determinations. (a) Upon deciding that a position is a law enforcement officer or firefighter position, each...

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... family member is an individual whose relationship to the enrollee meets the requirements of 5 U.S.C. 8901... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

Impact of different eddy covariance sensors and set-up on the annual balance of CO2 and fluxes of CH4 and latent heat in the Arctic

NASA Astrophysics Data System (ADS)

Goodrich, J. P.; Zona, D.; Gioli, B.; Murphy, P.; Burba, G. G.; Oechel, W. C.

2015-12-01

Expanding eddy covariance measurements of CO2 and CH4 fluxes in the Arctic is critical for refining the global C budget. Continuous measurements are particularly challenging because of the remote locations, low power availability, and extreme weather conditions. The necessity for tailoring instrumentation at different sites further complicates the interpretation of results and may add uncertainty to estimates of annual CO2 budgets. We investigated the influence of different sensor combinations on FCO2, latent heat (LE), and FCH4, and assessed the differences in annual FCO2 estimated with different instrumentation at the same sites. Using data from four sites across the North Slope of Alaska, we resolved FCO2 and FCH4 to within 5% using different combinations of open- and closed-path gas analyzers and within 10% using heated and non-heated anemometers. A continuously heated anemometer increased data coverage relative to non-heated anemometers while resulting in comparable annual FCO2, despite over-estimating sensible heat fluxes by 15%. We also implemented an intermittent heating strategy whereby activation only when ice or snow blockage of the transducers was detected. This resulted in comparable data coverage (~ 60%) to the continuously heated anemometer, while avoiding potential over-estimation of sensible heat and gas fluxes. We found good agreement in FCO2 and FCH4 from two closed-path and one open-path gas analyzer, despite the need for large spectral corrections of closed-path fluxes and density and temperature corrections to open-path sensors. However, data coverage was generally greater when using closed-path, especially during cold seasons (36-40% vs 10-14% for the open path), when fluxes from Arctic regions are particularly uncertain and potentially critical to annual C budgets. Measurement of Arctic LE remains a challenge due to strong attenuation along sample tubes, even when heated, that could not be accounted for with spectral corrections.

Two years of LCOGT operations: the challenges of a global observatory

NASA Astrophysics Data System (ADS)

Volgenau, Nikolaus; Boroson, Todd

2016-07-01

With 18 telescopes distributed over 6 sites, and more telescopes being added in 2016, Las Cumbres Observatory Global Telescope Network is a unique resource for timedomain astronomy. The Network's continuous coverage of the night sky, and the optimization of the observing schedule over all sites simultaneously, have enabled LCOGTusers to produce significant science results. However, practical challenges to maximizing the Network's science output remain. The Network began providing observations for members of its Science Collaboration and other partners in May 2014. In the two years since then, LCOGT has made a number of improvements to increase the Network's science yield. We also now have two years' experience monitoring observatory performance; effective monitoring of an observatory that spans the globe is a complex enterprise. Here, we describe some of LCOGT's efforts to monitor the Network, assess the quality of science data, and improve communication with our users.

Achieving Global Ocean Color Climate Data Records

NASA Technical Reports Server (NTRS)

Franz, Bryan

2010-01-01

Ocean color, or the spectral distribution of visible light upwelling from beneath the ocean surface, carries information on the composition and concentration of biological constituents within the water column. The CZCS mission in 1978 demonstrated that quantitative ocean color measurements could be. made from spaceborne sensors, given sufficient corrections for atmospheric effects and a rigorous calibration and validation program. The launch of SeaWiFS in 1997 represents the beginning of NASA's ongoing efforts to develop a continuous ocean color data record with sufficient coverage and fidelity for global change research. Achievements in establishing and maintaining the consistency of the time-series through multiple missions and varying instrument designs will be highlighted in this talk, including measurements from NASA'S MODIS instruments currently flying on the Terra and Aqua platforms, as well as the MERIS sensor flown by ESA and the OCM-2 sensor recently launched by ISRO.

Race/Ethnicity, Socioeconomic Status, and Satisfaction With Health Care

PubMed Central

Haviland, Mark G.; Morales, Leo S.; Dial, Thomas H.; Pincus, Harold Alan

2006-01-01

The purpose of the present study was to evaluate the effects of race/ethnicity and socioeconomic status on consumer health care satisfaction ratings. The authors analyzed national data from the 2001 National Research Corporation Healthcare Market Guide Survey (N = 99 102). Four global and 3 composite ratings were examined. In general, satisfaction ratings were high across all global and composite measures; however, Asian/Pacific Islanders and Hispanics gave lower ratings than did whites, and African Americans gave a mix of higher and lower ratings (vs whites). Among the lowest ratings were those given by American Indians/Alaska Natives living in poverty. Race/ethnicity effects were independent of education and income. These findings are consistent with reports of continuing racial/ethnic disparities in both coverage and care. Programs to improve quality of care must specifically address these well-documented, severe, and persistent disparities. PMID:16020676

On requirements for a satellite mission to measure tropical rainfall

NASA Technical Reports Server (NTRS)

Thiele, Otto W. (Editor)

1987-01-01

Tropical rainfall data are crucial in determining the role of tropical latent heating in driving the circulation of the global atmosphere. Also, the data are particularly important for testing the realism of climate models, and their ability to simulate and predict climate accurately on the seasonal time scale. Other scientific issues such as the effects of El Nino on climate could be addressed with a reliable, extended time series of tropical rainfall observations. A passive microwave sensor is planned to provide information on the integrated column precipitation content, its areal distribution, and its intensity. An active microwave sensor (radar) will define the layer depth of the precipitation and provide information about the intensity of rain reaching the surface, the key to determining the latent heat input to the atmosphere. A visible/infrared sensor will provide very high resolution information on cloud coverage, type, and top temperatures and also serve as the link between these data and the long and virtually continuous coverage by the geosynchronous meteorological satellites. The unique combination of sensor wavelengths, coverages, and resolving capabilities together with the low-altitude, non-Sun synchronous orbit provide a sampling capability that should yield monthly precipitation amounts to a reasonable accuracy over a 500- by 500-km grid.

Global yellow fever vaccination coverage from 1970 to 2016: an adjusted retrospective analysis.

PubMed

Shearer, Freya M; Moyes, Catherine L; Pigott, David M; Brady, Oliver J; Marinho, Fatima; Deshpande, Aniruddha; Longbottom, Joshua; Browne, Annie J; Kraemer, Moritz U G; O'Reilly, Kathleen M; Hombach, Joachim; Yactayo, Sergio; de Araújo, Valdelaine E M; da Nóbrega, Aglaêr A; Mosser, Jonathan F; Stanaway, Jeffrey D; Lim, Stephen S; Hay, Simon I; Golding, Nick; Reiner, Robert C

2017-11-01

Substantial outbreaks of yellow fever in Angola and Brazil in the past 2 years, combined with global shortages in vaccine stockpiles, highlight a pressing need to assess present control strategies. The aims of this study were to estimate global yellow fever vaccination coverage from 1970 through to 2016 at high spatial resolution and to calculate the number of individuals still requiring vaccination to reach population coverage thresholds for outbreak prevention. For this adjusted retrospective analysis, we compiled data from a range of sources (eg, WHO reports and health-service-provider registeries) reporting on yellow fever vaccination activities between May 1, 1939, and Oct 29, 2016. To account for uncertainty in how vaccine campaigns were targeted, we calculated three population coverage values to encompass alternative scenarios. We combined these data with demographic information and tracked vaccination coverage through time to estimate the proportion of the population who had ever received a yellow fever vaccine for each second level administrative division across countries at risk of yellow fever virus transmission from 1970 to 2016. Overall, substantial increases in vaccine coverage have occurred since 1970, but notable gaps still exist in contemporary coverage within yellow fever risk zones. We estimate that between 393·7 million and 472·9 million people still require vaccination in areas at risk of yellow fever virus transmission to achieve the 80% population coverage threshold recommended by WHO; this represents between 43% and 52% of the population within yellow fever risk zones, compared with between 66% and 76% of the population who would have required vaccination in 1970. Our results highlight important gaps in yellow fever vaccination coverage, can contribute to improved quantification of outbreak risk, and help to guide planning of future vaccination efforts and emergency stockpiling. The Rhodes Trust, Bill & Melinda Gates Foundation, the Wellcome Trust, the National Library of Medicine of the National Institutes of Health, the European Union's Horizon 2020 research and innovation programme. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

State of equity: childhood immunization in the World Health Organization African Region

PubMed Central

Casey, Rebecca Mary; Hampton, Lee McCalla; Anya, Blanche-philomene Melanga; Gacic-Dobo, Marta; Diallo, Mamadou Saliou; Wallace, Aaron Stuart

2017-01-01

Introduction In 2010, the Global Vaccine Action Plan called on all countries to reach and sustain 90% national coverage and 80% coverage in all districts for the third dose of diphtheria-tetanus-pertussis vaccine (DTP3) by 2015 and for all vaccines in national immunization schedules by 2020. The aims of this study are to analyze recent trends in national vaccination coverage in the World Health Organization African Region andto assess how these trends differ by country income category. Methods We compared national vaccination coverage estimates for DTP3 and the first dose of measles-containing vaccine (MCV) obtained from the World Health Organization (WHO)/United Nations Children’s Fund (UNICEF) joint estimates of national immunization coverage for all African Region countries. Using United Nations (UN) population estimates of surviving infants and country income category for the corresponding year, we calculated population-weighted average vaccination coverage by country income category (i.e., low, lower middle, and upper middle-income) for the years 2000, 2005, 2010 and 2015. Results DTP3 coverage in the African Region increased from 52% in 2000 to 76% in 2015,and MCV1 coverage increased from 53% to 74% during the same period, but with considerable differences among countries. Thirty-six African Region countries were low income in 2000 with an average DTP3 coverage of 50% while 26 were low income in 2015 with an average coverage of 80%. Five countries were lower middle-income in 2000 with an average DTP3 coverage of 84% while 12 were lower middle-income in 2015 with an average coverage of 69%. Five countries were upper middle-income in 2000 with an average DTP3 coverage of 73% and eight were upper middle-income in 2015 with an average coverage of 76%. Conclusion Disparities in vaccination coverage by country persist in the African Region, with countries that were lower middle-income having the lowest coverage on average in 2015. Monitoring and addressing these disparities is essential for meeting global immunization targets. PMID:29296140

Validity of vaccination cards and parental recall to estimate vaccination coverage: a systematic review of the literature.

PubMed

Miles, Melody; Ryman, Tove K; Dietz, Vance; Zell, Elizabeth; Luman, Elizabeth T

2013-03-15

Immunization programs frequently rely on household vaccination cards, parental recall, or both to calculate vaccination coverage. This information is used at both the global and national level for planning and allocating performance-based funds. However, the validity of household-derived coverage sources has not yet been widely assessed or discussed. To advance knowledge on the validity of different sources of immunization coverage, we undertook a global review of literature. We assessed concordance, sensitivity, specificity, positive and negative predictive value, and coverage percentage point difference when subtracting household vaccination source from a medical provider source. Median coverage difference per paper ranged from -61 to +1 percentage points between card versus provider sources and -58 to +45 percentage points between recall versus provider source. When card and recall sources were combined, median coverage difference ranged from -40 to +56 percentage points. Overall, concordance, sensitivity, specificity, positive and negative predictive value showed poor agreement, providing evidence that household vaccination information may not be reliable, and should be interpreted with care. While only 5 papers (11%) included in this review were from low-middle income countries, low-middle income countries often rely more heavily on household vaccination information for decision making. Recommended actions include strengthening quality of child-level data and increasing investments to improve vaccination card availability and card marking. There is also an urgent need for additional validation studies of vaccine coverage in low and middle income countries. Copyright © 2013. Published by Elsevier Ltd.

Health coverage of low-income citizen and noncitizen wage earners: sources and disparities.

PubMed

Ponce, Ninez A; Cochran, Susan D; Mays, Vickie M; Chia, Jenny; Brown, E Richard

2008-04-01

The health coverage of low-income workers represents an area of continuing disparities in the United States system of health insurance. Using the 2001 California Health Interview Survey, we estimate the effect of low-income wage earners' citizenship and gender on the odds of obtaining primary employment-based health insurance (EBHI), dependent EBHI, public program coverage, and coverage from any source. We find that noncitizen men and women who comprise 40% of California's low-income workforce, share the disadvantage of much lower rates of insurance coverage, compared to naturalized and U.S.-born citizens. However, poor coverage rates of noncitizen men, regardless of permanent residency status, result from the cumulative disadvantage in obtaining dependent EBHI and public insurance. If public policies designed to provide a health care safety net fail to address the health care coverage needs of low-wage noncitizens, health disparities will continue to increase in this group that contributes essentially to the U.S. economy.

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 4 2014-10-01 2014-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 4 2011-10-01 2011-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 4 2012-10-01 2012-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 4 2013-10-01 2013-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

5 CFR 875.413 - Is it possible to have coverage reinstated?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Is it possible to have coverage... SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Coverage § 875.413 Is it possible... Carrier will reinstate your coverage if it receives proof satisfactory to it, within 6 months from the...

29 CFR 801.3 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Coverage. 801.3 Section 801.3 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS APPLICATION OF THE EMPLOYEE POLYGRAPH PROTECTION ACT OF 1988 General § 801.3 Coverage. (a) The coverage of the Act extends to “any...

28 CFR 55.9 - Coverage of political units within a county.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Coverage of political units within a county. 55.9 Section 55.9 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) IMPLEMENTATION OF THE PROVISIONS OF THE VOTING RIGHTS ACT REGARDING LANGUAGE MINORITY GROUPS Nature of Coverage § 55.9 Coverage of...

28 CFR 55.9 - Coverage of political units within a county.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Coverage of political units within a county. 55.9 Section 55.9 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) IMPLEMENTATION OF THE PROVISIONS OF THE VOTING RIGHTS ACT REGARDING LANGUAGE MINORITY GROUPS Nature of Coverage § 55.9 Coverage of...

76 FR 4377 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Affordable...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-25

... Extension of Dependent Coverage ACTION: Notice. SUMMARY: The Department of Labor (DOL) hereby announces the... Coverage,'' to the Office of Management and Budget (OMB) for review and approval for continued use in... an enrollment opportunity to individuals whose coverage ended, or who were denied coverage (or were...

Health Care Coverage Decision Making in Low- and Middle-Income Countries: Experiences from 25 Coverage Schemes.

PubMed

Gutierrez, Hialy; Shewade, Ashwini; Dai, Minghan; Mendoza-Arana, Pedro; Gómez-Dantés, Octavio; Jain, Nishant; Khonelidze, Irma; Nabyonga-Orem, Juliet; Saleh, Karima; Teerawattananon, Yot; Nishtar, Sania; Hornberger, John

2015-08-01

Lessons learned by countries that have successfully implemented coverage schemes for health services may be valuable for other countries, especially low- and middle-income countries (LMICs), which likewise are seeking to provide/expand coverage. The research team surveyed experts in population health management from LMICs for information on characteristics of health care coverage schemes and factors that influenced decision-making processes. The level of coverage provided by the different schemes varied. Nearly all the health care coverage schemes involved various representatives and stakeholders in their decision-making processes. Maternal and child health, cardiovascular diseases, cancer, and HIV were among the highest priorities guiding coverage development decisions. Evidence used to inform coverage decisions included medical literature, regional and global epidemiology, and coverage policies of other coverage schemes. Funding was the most commonly reported reason for restricting coverage. This exploratory study provides an overview of health care coverage schemes from participating LMICs and contributes to the scarce evidence base on coverage decision making. Sharing knowledge and experiences among LMICs can support efforts to establish systems for accessible, affordable, and equitable health care.

Women In The United States Experience High Rates Of Coverage 'Churn' In Months Before And After Childbirth.

PubMed

Daw, Jamie R; Hatfield, Laura A; Swartz, Katherine; Sommers, Benjamin D

2017-04-01

Insurance transitions-sometimes referred to as "churn"-before and after childbirth can adversely affect the continuity and quality of care. Yet little is known about coverage patterns and changes for women giving birth in the United States. Using nationally representative survey data for the period 2005-13, we found high rates of insurance transitions before and after delivery. Half of women who were uninsured nine months before delivery had acquired Medicaid or CHIP coverage by the month of delivery, but 55 percent of women with that coverage at delivery experienced a coverage gap in the ensuing six months. Risk factors associated with insurance loss after delivery include not speaking English at home, being unmarried, having Medicaid or CHIP coverage at delivery, living in the South, and having a family income of 100-185 percent of the poverty level. To minimize the adverse effects of coverage disruptions, states should consider policies that promote the continuity of coverage for childbearing women, particularly those with pregnancy-related Medicaid eligibility. Project HOPE—The People-to-People Health Foundation, Inc.

Strengthening routine immunization systems to improve global vaccination coverage.

PubMed

Sodha, S V; Dietz, V

2015-03-01

Global coverage with the third dose of diphtheria-tetanus-pertussis vaccine among children under 1 year of age stagnated at ∼ 83-84% during 2008-13. Annual World Health Organization and UNICEF-derived national vaccination coverage estimates. Incomplete vaccination is associated with poor socioeconomic status, lower education, non-use of maternal-child health services, living in conflict-affected areas, missed immunization opportunities and cancelled vaccination sessions. Vaccination platforms must expand to include older ages including the second year of life. Immunization programmes, including eradication and elimination initiatives such as those for polio and measles, must integrate within the broader health system. The Global Vaccine Action Plan (GVAP) 2011-20 is a framework for strengthening immunization systems, emphasizing country ownership, shared responsibility, equity, integration, sustainability and innovation. Immunization programmes should identify, monitor and evaluate gaps and interventions within the GVAP framework. Published by Oxford University Press 2015. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Internationally coordinated glacier monitoring: strategy and datasets

NASA Astrophysics Data System (ADS)

Hoelzle, Martin; Armstrong, Richard; Fetterer, Florence; Gärtner-Roer, Isabelle; Haeberli, Wilfried; Kääb, Andreas; Kargel, Jeff; Nussbaumer, Samuel; Paul, Frank; Raup, Bruce; Zemp, Michael

2014-05-01

Internationally coordinated monitoring of long-term glacier changes provide key indicator data about global climate change and began in the year 1894 as an internationally coordinated effort to establish standardized observations. Today, world-wide monitoring of glaciers and ice caps is embedded within the Global Climate Observing System (GCOS) in support of the United Nations Framework Convention on Climate Change (UNFCCC) as an important Essential Climate Variable (ECV). The Global Terrestrial Network for Glaciers (GTN-G) was established in 1999 with the task of coordinating measurements and to ensure the continuous development and adaptation of the international strategies to the long-term needs of users in science and policy. The basic monitoring principles must be relevant, feasible, comprehensive and understandable to a wider scientific community as well as to policy makers and the general public. Data access has to be free and unrestricted, the quality of the standardized and calibrated data must be high and a combination of detailed process studies at selected field sites with global coverage by satellite remote sensing is envisaged. Recently a GTN-G Steering Committee was established to guide and advise the operational bodies responsible for the international glacier monitoring, which are the World Glacier Monitoring Service (WGMS), the US National Snow and Ice Data Center (NSIDC), and the Global Land Ice Measurements from Space (GLIMS) initiative. Several online databases containing a wealth of diverse data types having different levels of detail and global coverage provide fast access to continuously updated information on glacier fluctuation and inventory data. For world-wide inventories, data are now available through (a) the World Glacier Inventory containing tabular information of about 130,000 glaciers covering an area of around 240,000 km2, (b) the GLIMS-database containing digital outlines of around 118,000 glaciers with different time stamps and (c) the Randolph Glacier Inventory (RGI), a new and globally complete digital dataset of outlines from about 180,000 glaciers with some meta-information, which has been used for many applications relating to the IPCC AR5 report. Concerning glacier changes, a database (Fluctuations of Glaciers) exists containing information about mass balance, front variations including past reconstructed time series, geodetic changes and special events. Annual mass balance reporting contains information for about 125 glaciers with a subset of 37 glaciers with continuous observational series since 1980 or earlier. Front variation observations of around 1800 glaciers are available from most of the mountain ranges world-wide. This database was recently updated with 26 glaciers having an unprecedented dataset of length changes from from reconstructions of well-dated historical evidence going back as far as the 16th century. Geodetic observations of about 430 glaciers are available. The database is completed by a dataset containing information on special events including glacier surges, glacier lake outbursts, ice avalanches, eruptions of ice-clad volcanoes, etc. related to about 200 glaciers. A special database of glacier photographs contains 13,000 pictures from around 500 glaciers, some of them dating back to the 19th century. A key challenge is to combine and extend the traditional observations with fast evolving datasets from new technologies.

45 CFR 400.104 - Continued coverage of recipients who receive increased earnings from employment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Welfare OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM Refugee Medical Assistance Conditions of Eligibility for Refugee Medical Assistance § 400.104 Continued coverage of recipients who receive increased earnings from...

47 CFR 22.951 - Minimum coverage requirement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 2 2010-10-01 2010-10-01 false Minimum coverage requirement. 22.951 Section 22.951 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.951 Minimum coverage requirement. Applications for...

An analytic algorithm for global coverage of the revisiting orbit and its application to the CFOSAT satellite

NASA Astrophysics Data System (ADS)

Xu, Ming; Huang, Li

2014-08-01

This paper addresses a new analytic algorithm for global coverage of the revisiting orbit and its application to the mission revisiting the Earth within long periods of time, such as Chinese-French Oceanic Satellite (abbr., CFOSAT). In the first, it is presented that the traditional design methodology of the revisiting orbit for some imaging satellites only on the single (ascending or descending) pass, and the repeating orbit is employed to perform the global coverage within short periods of time. However, the selection of the repeating orbit is essentially to yield the suboptimum from the rare measure of rational numbers of passes per day, which will lose lots of available revisiting orbits. Thus, an innovative design scheme is proposed to check both rational and irrational passes per day to acquire the relationship between the coverage percentage and the altitude. To improve the traditional imaging only on the single pass, the proposed algorithm is mapping every pass into its ascending and descending nodes on the specified latitude circle, and then is accumulating the projected width on the circle by the field of view of the satellite. The ergodic geometry of coverage percentage produced from the algorithm is affecting the final scheme, such as the optimal one owning the largest percentage, and the balance one possessing the less gradient in its vicinity, and is guiding to heuristic design for the station-keeping control strategies. The application of CFOSAT validates the feasibility of the algorithm.

FLO1K, global maps of mean, maximum and minimum annual streamflow at 1 km resolution from 1960 through 2015

NASA Astrophysics Data System (ADS)

Barbarossa, Valerio; Huijbregts, Mark A. J.; Beusen, Arthur H. W.; Beck, Hylke E.; King, Henry; Schipper, Aafke M.

2018-03-01

Streamflow data is highly relevant for a variety of socio-economic as well as ecological analyses or applications, but a high-resolution global streamflow dataset is yet lacking. We created FLO1K, a consistent streamflow dataset at a resolution of 30 arc seconds (~1 km) and global coverage. FLO1K comprises mean, maximum and minimum annual flow for each year in the period 1960-2015, provided as spatially continuous gridded layers. We mapped streamflow by means of artificial neural networks (ANNs) regression. An ensemble of ANNs were fitted on monthly streamflow observations from 6600 monitoring stations worldwide, i.e., minimum and maximum annual flows represent the lowest and highest mean monthly flows for a given year. As covariates we used the upstream-catchment physiography (area, surface slope, elevation) and year-specific climatic variables (precipitation, temperature, potential evapotranspiration, aridity index and seasonality indices). Confronting the maps with independent data indicated good agreement (R2 values up to 91%). FLO1K delivers essential data for freshwater ecology and water resources analyses at a global scale and yet high spatial resolution.

Enhancing Political Will for Universal Health Coverage in Nigeria.

PubMed

Aregbeshola, Bolaji S

2017-01-01

Universal health coverage aims to increase equity in access to quality health care services and to reduce financial risk due to health care costs. It is a key component of international health agenda and has been a subject of worldwide debate. Despite differing views on its scope and pathways to reach it, there is a global consensus that all countries should work toward universal health coverage. The goal remains distant for many African countries, including Nigeria. This is mostly due to lack of political will and commitment among political actors and policymakers. Evidence from countries such as Ghana, Chile, Mexico, China, Thailand, Turkey, Rwanda, Vietnam and Indonesia, which have introduced at least some form of universal health coverage scheme, shows that political will and commitment are key to the adoption of new laws and regulations for reforming coverage. For Nigeria to improve people's health, reduce poverty and achieve prosperity, universal health coverage must be vigorously pursued at all levels. Political will and commitment to these goals must be expressed in legal mandates and be translated into policies that ensure increased public health care financing for the benefit of all Nigerians. Nigeria, as part of a global system, cannot afford to lag behind in striving for this overarching health goal.

From Low Altitude to High Altitude: Assimilating SAMPEX Data in Global Radiation Belt Models by Quantifying Precipitation and Loss

NASA Astrophysics Data System (ADS)

Tu, W.; Reeves, G. D.; Cunningham, G.; Selesnick, R. S.; Li, X.; Looper, M. D.

2012-12-01

Since its launch in 1992, SAMPEX has been continuously providing measurements of radiation belt electrons at low altitude, which are not only ideal for the direct quantification of the electron precipitation loss in the radiation belt, but also provide data coverage in a critical region for global radiation belt data assimilation models. However, quantitatively combining high-altitude and low-earth-orbit (LEO) measurements on the same L-shell is challenging because LEO measurements typically contain a dynamic mixture of trapped and precipitating populations. Specifically, the electrons measured by SAMPEX can be distinguished as trapped, quasi-trapped (in the drift loss cone), and precipitating (in the bounce loss cone). To simulate the low-altitude electron distribution observed by SAMPEX/PET, a drift-diffusion model has been developed that includes the effects of azimuthal drift and pitch angle diffusion. The simulation provides direct quantification of the rates and variations of electron loss to the atmosphere, a direct input to our Dynamic Radiation Environment Assimilation Model (DREAM) as the electron loss lifetimes. The current DREAM uses data assimilation to combine a 1D radial diffusion model with observational data of radiation belt electrons. In order to implement the mixed electron measurements from SAMPEX into DREAM, we need to map the SAMPEX data from low altitude to high altitudes. To perform the mapping, we will first examine the well-known 'global coherence' of radiation belt electrons by comparing SAMPEX electron fluxes with the energetic electron data from LANL GEO and GPS spacecraft. If the correlation is good, we can directly map the SAMPEX fluxes to high altitudes based on the global coherence; if not, we will use the derived pitch angle distribution from the drift-diffusion model to map up the field and test the mapping by comparing to the high-altitude flux measurements. Then the globally mapped electron fluxes can be assimilated into DREAM. This new implementation of SAMPEX data will greatly augment the data coverage of DREAM and contribute to the global specification of the radiation belt environment.

A comprehensive method for GNSS data quality determination to improve ionospheric data analysis.

PubMed

Kim, Minchan; Seo, Jiwon; Lee, Jiyun

2014-08-14

Global Navigation Satellite Systems (GNSS) are now recognized as cost-effective tools for ionospheric studies by providing the global coverage through worldwide networks of GNSS stations. While GNSS networks continue to expand to improve the observability of the ionosphere, the amount of poor quality GNSS observation data is also increasing and the use of poor-quality GNSS data degrades the accuracy of ionospheric measurements. This paper develops a comprehensive method to determine the quality of GNSS observations for the purpose of ionospheric studies. The algorithms are designed especially to compute key GNSS data quality parameters which affect the quality of ionospheric product. The quality of data collected from the Continuously Operating Reference Stations (CORS) network in the conterminous United States (CONUS) is analyzed. The resulting quality varies widely, depending on each station and the data quality of individual stations persists for an extended time period. When compared to conventional methods, the quality parameters obtained from the proposed method have a stronger correlation with the quality of ionospheric data. The results suggest that a set of data quality parameters when used in combination can effectively select stations with high-quality GNSS data and improve the performance of ionospheric data analysis.

A Comprehensive Method for GNSS Data Quality Determination to Improve Ionospheric Data Analysis

PubMed Central

Kim, Minchan; Seo, Jiwon; Lee, Jiyun

2014-01-01

Global Navigation Satellite Systems (GNSS) are now recognized as cost-effective tools for ionospheric studies by providing the global coverage through worldwide networks of GNSS stations. While GNSS networks continue to expand to improve the observability of the ionosphere, the amount of poor quality GNSS observation data is also increasing and the use of poor-quality GNSS data degrades the accuracy of ionospheric measurements. This paper develops a comprehensive method to determine the quality of GNSS observations for the purpose of ionospheric studies. The algorithms are designed especially to compute key GNSS data quality parameters which affect the quality of ionospheric product. The quality of data collected from the Continuously Operating Reference Stations (CORS) network in the conterminous United States (CONUS) is analyzed. The resulting quality varies widely, depending on each station and the data quality of individual stations persists for an extended time period. When compared to conventional methods, the quality parameters obtained from the proposed method have a stronger correlation with the quality of ionospheric data. The results suggest that a set of data quality parameters when used in combination can effectively select stations with high-quality GNSS data and improve the performance of ionospheric data analysis. PMID:25196005

MESSENGER at Mercury: Early Orbital Operations

NASA Technical Reports Server (NTRS)

McNutt, Ralph L., Jr; Solomon, Sean C.; Bedini, Peter D.; Anderson, Brian J.; Blewett, David T.; Evans, Larry G.; Gold, Robert E.; Krimigis, Stamatios M.; Murchie, Scott L.; Nittler, Larry R.;

MESSENGER at Mercury: Early Orbital Operations

NASA Technical Reports Server (NTRS)

McNutt, Ralph L., Jr.; Solomon, Sean C.; Bedini, Peter D.; Anderson, Brian J.; Blewett, David T.; Evans, Larry G.; Gold, Robert E.; Krimigis, Stamatios M.; Murchie, Scott L.; Nittler, Larry R.;

75 FR 26276 - Publication of Model Notices for Health Care Continuation Coverage Provided Pursuant to the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-11

... with the Secretaries of the Treasury and Health and Human Services, develop model notices. These models... DEPARTMENT OF LABOR Employee Benefits Security Administration Publication of Model Notices for... (COBRA) and Other Health Care Continuation Coverage, as Required by the American Recovery and...

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... the requirements for being considered a child who is a covered family member, unless it is terminated... the day before ceasing to meet the requirements for being considered children who are covered family members, were covered family members of a former employee receiving continued coverage under this subpart...

5 CFR 894.703 - How long does my coverage as an annuitant or compensationer last?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false How long does my coverage as an annuitant or compensationer last? 894.703 Section 894.703 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE...

5 CFR 894.703 - How long does my coverage as an annuitant or compensationer last?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false How long does my coverage as an annuitant or compensationer last? 894.703 Section 894.703 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE...

78 FR 59065 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-25

... for OMB Review; Comment Request; Notice Requirements of the Health Care Continuation Coverage... of the Health Care Continuation Coverage Provisions,'' to the Office of Management and Budget (OMB..., under certain circumstances, a group health plan participant or beneficiary who meets the COBRA...

26 CFR 54.4980B-8 - Paying for COBRA continuation coverage.

Code of Federal Regulations, 2010 CFR

2010-04-01

... employee's family are covered under the plan. The employee experiences a qualifying event that is the termination of the employee's employment. The employee's family qualifies for the disability extension because... with respect to the employee's family for the first 18 months of COBRA continuation coverage, and the...

Measuring Progress Toward Universal Health Coverage: Does the Monitoring Framework of Bangladesh Need Further Improvement?

PubMed

Gupta, Rajat Das; Shahabuddin, Asm

2018-01-08

This review aimed to compare Bangladesh's Universal Health Coverage (UHC) monitoring framework with the global-level recommendations and to find out the existing gaps of Bangladesh's UHC monitoring framework compared to the global recommendations. In order to reach the aims of the review, we systematically searched two electronic databases - PubMed and Google Scholar - by using appropriate keywords to select articles that describe issues related to UHC and the monitoring framework of UHC applied globally and particularly in Bangladesh. Four relevant documents were found and synthesized. The review found that Bangladesh incorporated all of the recommendations suggested by the global monitoring framework regarding mentoring the financial risk protection and equity perspective. However, a significant gap in the monitoring framework related to service coverage was observed. Although Bangladesh has a significant burden of mental illnesses, cataract, and neglected tropical diseases, indicators related to these issues were absent in Bangladesh's UHC framework. Moreover, palliative-care-related indicators were completely missing in the framework. The results of this review suggest that Bangladesh should incorporate these indicators in their UHC monitoring framework in order to track the progress of the country toward UHC more efficiently and in a robust way.

Experiencing Disasters Indirectly: How Traditional and New Media Disaster Coverage Impacts Youth

ERIC Educational Resources Information Center

Houston, J. Brian; Pfefferbaum, Betty; Reyes, Gilbert

2008-01-01

Media coverage of disasters is often pervasive, continuous, and intense. Because media use has been found to influence the way that individuals view the world, it is worth reviewing how such coverage affects children who do not directly experience a disaster. This article reviews what is known about how disaster coverage in traditional media…

42 CFR 423.566 - Coverage determinations.

Code of Federal Regulations, 2010 CFR

2010-10-01

... (CONTINUED) MEDICARE PROGRAM VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT Grievances, Coverage Determinations... sponsor. Each Part D plan sponsor must have a procedure for making timely coverage determinations in accordance with the requirements of this subpart regarding the prescription drug benefits an enrollee is...

The future of spaceborne altimetry. Oceans and climate change: A long-term strategy

NASA Technical Reports Server (NTRS)

Koblinsky, C. J. (Editor); Gaspar, P. (Editor); Lagerloef, G. (Editor)

1992-01-01

The ocean circulation and polar ice sheet volumes provide important memory and control functions in the global climate. Their long term variations are unknown and need to be understood before meaningful appraisals of climate change can be made. Satellite altimetry is the only method for providing global information on the ocean circulation and ice sheet volume. A robust altimeter measurement program is planned which will initiate global observations of the ocean circulation and polar ice sheets. In order to provide useful data about the climate, these measurements must be continued with unbroken coverage into the next century. Herein, past results of the role of the ocean in the climate system is summarized, near term goals are outlined, and requirements and options are presented for future altimeter missions. There are three basic scientific objectives for the program: ocean circulation; polar ice sheets; and mean sea level change. The greatest scientific benefit will be achieved with a series of dedicated high precision altimeter spacecraft, for which the choice of orbit parameters and system accuracy are unencumbered by requirements of companion instruments.

Community Health Center Utilization Following the 2008 Medicaid Expansion in Oregon: Implications for the Affordable Care Act.

PubMed

Hatch, Brigit; Bailey, Steffani R; Cowburn, Stuart; Marino, Miguel; Angier, Heather; DeVoe, Jennifer E

2016-04-01

To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon's 2008 Medicaid expansion (the Oregon Experiment). We conducted a retrospective cohort study with electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those who maintained (n = 788) or lost (n = 944) insurance coverage. We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period. Both newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage. Individuals who maintained coverage through Oregon's Medicaid expansion increased long-term utilization of CHCs, whereas those with unstable coverage did not. This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention.

Large Diffractive Optics for GEo-Based Earth Surveillance

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hyde, R A

2003-09-11

The natural vantage point for performing Earth-centric operations from space is geosynchronous orbit (GEO); a platform there moves at the same rate as the Earth's surface, so appears to continually ''hover'' over a fixed site on the Earth. Unlike spacecraft in other orbits, which rapidly fly-over targets, a GEO-based platform remains in-position all the time. In order to insure continual access to sites using low earth orbit (LEO) platforms, one needs a large enough constellation ({approx} 50) of spacecraft so that one is always overhead; in contrast, a single GEO platform provides continuous coverage over sites throughout Euro-Asia. This permanentmore » coverage comes, unfortunately, with a stiff price-tag; geosynchronous orbit is 36,000 km high, so space platforms there must operate at ranges roughly 100 times greater than ones located in LEO. For optical-based applications, this extreme range is difficult to deal with; for surveillance the price is a 100-fold loss of resolution, for laser weapons it is a 10,000-fold loss in flux-on-target. These huge performance penalties are almost always unacceptable, preventing us from successfully using GEO-based platforms. In practice, we are forced to either settle for brief, infrequent access to targets, or, if we demand continuous coverage, to invest in large, many-satellite, constellations. There is, fortunately, a way to use GEO-based optical platforms without incurring the huge, range-dependent, performance penalties; one must simply use bigger optics. As long as the aperture of a platform's optics increases as much as its operating range, then its performance (resolution and/or flux) does not suffer; the price for operating from GEO is simply 100-fold larger optics. This is, of course, a very stiff price; while meter-class optics may suffice for many low-earth-orbit applications, 100 meter apertures are needed in order to achieve similar performance from GEO. Since even the largest Earth-based telescope is only 10 meters in diameter, building ten-fold larger ones for GEO applications (let alone delivering and operating them there) presents major difficulties. However, since the challenges of fielding large platforms in GEO are matched by the benefits of continuous coverage, we propose a program to develop such optical platforms. In this section, we will examine a particular form of large aperture optic, using a flat diffractive lens instead of the more conventional curved reflectors considered elsewhere in this report. We will discuss both the development of this type of large aperture optics, as well as the steps necessary to use it for GEO-based Earth surveillance. In a later section of this report we will discuss another use for large diffractive optics, their application for global-reach laser weapons.« less

Constellation analysis of an integrated AIS/remote sensing spaceborne system for ship detection

NASA Astrophysics Data System (ADS)

Graziano, Maria Daniela; D'Errico, Marco; Razzano, Elena

2012-08-01

A future system integrating data from remote sensing and upcoming AIS satellites is analyzed through the development of a novel design method for global, discontinuous coverage constellations. It is shown that 8 AIS satellites suffice to guarantee global coverage and a ship location update of 50 min if the spaceborne AIS receiver has a swath of 2800 nm. Furthermore, synergic utilization of COSMO/SkyMed and Radarsat-C data would provide a mean revisit time of 7 h, with AIS information available within 25 min from SAR data acquisition.

Sources of health insurance and characteristics of the uninsured: analysis of the March 2011 current population survey.

PubMed

Fronstin, Paul

2011-09-01

LATEST CENSUS DATA: This Issue Brief provides historical data through 2010 on the number and percentage of nonelderly individuals with and without health insurance. Based on EBRI estimates from the U.S. Census Bureau's March 2011 Current Population Survey (CPS), it reflects 2010 data. It also discusses trends in coverage for the 1994-2010 period and highlights characteristics that typically indicate whether an individual is insured. HEALTH COVERAGE RATE CONTINUES TO DECREASE, UNINSURED INCREASE: The percentage of the nonelderly population (under age 65) with health insurance coverage decreased to 81.5 percent in 2010. Increases in health insurance coverage have been recorded in only three years since 1994, when 36.5 million nonelderly individuals were uninsured. The percentage of nonelderly individuals without health insurance coverage was 18.5 percent in 2010, up from 18.3 percent in 2009, and its highest level during the 1994-2010 period. EMPLOYMENT-BASED COVERAGE REMAINS DOMINANT SOURCE OF HEALTH COVERAGE, BUT CONTINUES TO ERODE: Employment-based health benefits remain the most common form of health coverage in the United States. In 2010, 58.7 percent of the nonelderly population had employment-based health benefits, down from 69.3 percent in 2000. SHIFTING COMPOSITION OF EMPLOYMENT-BASED COVERAGE: Between 2007 and 2010, the percentage of individuals under age 65 with employment-based coverage in their own name has dropped. In 2007, 54.2 percent had coverage in their own name. By 2010, it was down to 51.5 percent. Dependent coverage during this time period fell slightly from 17.5 percent to 17.1 percent, and increased slightly from 16.8 percent to 17.1 percent between 2009 and 2010. PUBLIC PROGRAM COVERAGE IS GROWING: Public program health coverage expanded as a percentage of the population in 2010, accounting for 21.6 percent of the nonelderly population. Enrollment in Medicaid and the State Children's Health Insurance Program increased, reaching a combined 45 million in 2010, and covering 16.9 percent of the nonelderly population, significantly above the 10.2 percent level of 1999. INDIVIDUAL COVERAGE STABLE: Individually purchased health coverage was unchanged in 2010 and has basically hovered in the 6-7 percent range since 1994. WHAT TO EXPECT IN 2011: 2010 is the most recent year for data on sources of health coverage. Unemployment in 2011 has been about 9 percent since the beginning of the year. While down from the 2010 average of 9.6 percent, it remains high and there is a continued threat of a double-dip recession increasing it even further. As a result, the nation is likely to see continued erosion of employment-based health benefits when the data for 2011 are released in 2012. Fewer working individuals translates into fewer individuals with access to health benefits in the work place, especially after COBRA subsidies have been exhausted.

Constellations of elliptical inclined lunar orbits providing polar and global coverage

NASA Technical Reports Server (NTRS)

Ely, Todd A.; Lieb, Erica

2005-01-01

Prior results have developed a methodology for selecting a long-lived constellation of 3 satellites that provide persistent, stable coverage to either the North or South Pole with no requirement for stationkeeping under the influence of only gravitational perturbations. In the present study, the sensitivity of this coverage in the presence of non-gravitational forces is determined, and a design strategy is formulated that minimizes any potential sensitivity to these accelerations.

Public health surveillance and infectious disease detection.

PubMed

Morse, Stephen S

2012-03-01

Emerging infectious diseases, such as HIV/AIDS, SARS, and pandemic influenza, and the anthrax attacks of 2001, have demonstrated that we remain vulnerable to health threats caused by infectious diseases. The importance of strengthening global public health surveillance to provide early warning has been the primary recommendation of expert groups for at least the past 2 decades. However, despite improvements in the past decade, public health surveillance capabilities remain limited and fragmented, with uneven global coverage. Recent initiatives provide hope of addressing this issue, and new technological and conceptual advances could, for the first time, place capability for global surveillance within reach. Such advances include the revised International Health Regulations (IHR 2005) and the use of new data sources and methods to improve global coverage, sensitivity, and timeliness, which show promise for providing capabilities to extend and complement the existing infrastructure. One example is syndromic surveillance, using nontraditional and often automated data sources. Over the past 20 years, other initiatives, including ProMED-mail, GPHIN, and HealthMap, have demonstrated new mechanisms for acquiring surveillance data. In 2009 the U.S. Agency for International Development (USAID) began the Emerging Pandemic Threats (EPT) program, which includes the PREDICT project, to build global capacity for surveillance of novel infections that have pandemic potential (originating in wildlife and at the animal-human interface) and to develop a framework for risk assessment. Improved understanding of factors driving infectious disease emergence and new technological capabilities in modeling, diagnostics and pathogen identification, and communications, such as using the increasing global coverage of cellphones for public health surveillance, can further enhance global surveillance.

The 5As: A practical taxonomy for the determinants of vaccine uptake.

PubMed

Thomson, Angus; Robinson, Karis; Vallée-Tourangeau, Gaëlle

2016-02-17

Suboptimal vaccine uptake in both childhood and adult immunisation programs limits their full potential impact on global health. A recent progress review of the Global Vaccine Action Plan stated that "countries should urgently identify barriers and bottlenecks and implement targeted approaches to increase and sustain coverage". However, vaccination coverage may be determined by a complex mix of demographic, structural, social and behavioral factors. To develop a practical taxonomy to organise the myriad possible root causes of a gap in vaccination coverage rates, we performed a narrative review of the literature and tested whether all non-socio-demographic determinants of coverage could be organised into 4 dimensions: Access, Affordability, Awareness and Acceptance. Forty-three studies were reviewed, from which we identified 23 primary determinants of vaccination uptake. We identified a fifth domain, Activation, which captured interventions such as SMS reminders which effectively nudge people towards getting vaccinated. The 5As taxonomy captured all identified determinants of vaccine uptake. This intuitive taxonomy has already facilitated mutual understanding of the primary determinants of suboptimal coverage within inter-sectorial working groups, a first step towards them developing targeted and effective solutions. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

5 CFR 890.806 - When can former spouses change enrollment or reenroll and what are the effective dates?

Code of Federal Regulations, 2014 CFR

2014-01-01

... § 890.804 loses coverage under another enrollment under this part or under another group health benefits... federally-sponsored health benefits program; (3) Loss of coverage due to the termination of membership in an... OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH...

5 CFR 890.806 - When can former spouses change enrollment or reenroll and what are the effective dates?

Code of Federal Regulations, 2013 CFR

2013-01-01

... § 890.804 loses coverage under another enrollment under this part or under another group health benefits... federally-sponsored health benefits program; (3) Loss of coverage due to the termination of membership in an... OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH...

5 CFR 890.806 - When can former spouses change enrollment or reenroll and what are the effective dates?

Code of Federal Regulations, 2011 CFR

2011-01-01

... § 890.804 loses coverage under another enrollment under this part or under another group health benefits... federally-sponsored health benefits program; (3) Loss of coverage due to the termination of membership in an... OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH...

5 CFR 890.306 - When can annuitants or survivor annuitants change enrollment or reenroll and what are the...

Code of Federal Regulations, 2013 CFR

2013-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL... (including the Uniformed Services Family Health Plan) or TRICARE-for-Life coverage instead of FEHB coverage... program; or to use Peace Corps or CHAMPVA or TRICARE (including the Uniformed Services Family Health Plan...

5 CFR 890.306 - When can annuitants or survivor annuitants change enrollment or reenroll and what are the...

Code of Federal Regulations, 2014 CFR

2014-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL... (including the Uniformed Services Family Health Plan) or TRICARE-for-Life coverage instead of FEHB coverage... program; or to use Peace Corps or CHAMPVA or TRICARE (including the Uniformed Services Family Health Plan...

StatisticAl Characteristics of Cloud over Beijing, China Obtained FRom Ka band Doppler Radar Observation

NASA Astrophysics Data System (ADS)

LIU, J.; Bi, Y.; Duan, S.; Lu, D.

2017-12-01

It is well-known that cloud characteristics, such as top and base heights and their layering structure of micro-physical parameters, spatial coverage and temporal duration are very important factors influencing both radiation budget and its vertical partitioning as well as hydrological cycle through precipitation data. Also, cloud structure and their statistical distribution and typical values will have respective characteristics with geographical and seasonal variation. Ka band radar is a powerful tool to obtain above parameters around the world, such as ARM cloud radar at the Oklahoma US, Since 2006, Cloudsat is one of NASA's A-Train satellite constellation, continuously observe the cloud structure with global coverage, but only twice a day it monitor clouds over same local site at same local time.By using IAP Ka band Doppler radar which has been operating continuously since early 2013 over the roof of IAP building in Beijing, we obtained the statistical characteristic of clouds, including cloud layering, cloud top and base heights, as well as the thickness of each cloud layer and their distribution, and were analyzed monthly and seasonal and diurnal variation, statistical analysis of cloud reflectivity profiles is also made. The analysis covers both non-precipitating clouds and precipitating clouds. Also, some preliminary comparison of the results with Cloudsat/Calipso products for same period and same area are made.

Are Alternative Strategies Required to Accelerate the Global Elimination of Lymphatic Filariasis? Insights From Mathematical Models

PubMed Central

Stolk, Wilma A; Prada, Joaquin M; Smith, Morgan E; Kontoroupis, Periklis; de Vos, Anneke S; Touloupou, Panayiota; Irvine, Michael A; Brown, Paul; Subramanian, Swaminathan; Kloek, Marielle; Michael, E; Hollingsworth, T Deirdre; de Vlas, Sake J

2018-01-01

Abstract Background With the 2020 target year for elimination of lymphatic filariasis (LF) approaching, there is an urgent need to assess how long mass drug administration (MDA) programs with annual ivermectin + albendazole (IA) or diethylcarbamazine + albendazole (DA) would still have to be continued, and how elimination can be accelerated. We addressed this using mathematical modeling. Methods We used 3 structurally different mathematical models for LF transmission (EPIFIL, LYMFASIM, TRANSFIL) to simulate trends in microfilariae (mf) prevalence for a range of endemic settings, both for the current annual MDA strategy and alternative strategies, assessing the required duration to bring mf prevalence below the critical threshold of 1%. Results Three annual MDA rounds with IA or DA and good coverage (≥65%) are sufficient to reach the threshold in settings that are currently at mf prevalence <4%, but the required duration increases with increasing mf prevalence. Switching to biannual MDA or employing triple-drug therapy (ivermectin, diethylcarbamazine, and albendazole [IDA]) could reduce program duration by about one-third. Optimization of coverage reduces the time to elimination and is particularly important for settings with a history of poorly implemented MDA (low coverage, high systematic noncompliance). Conclusions Modeling suggests that, in several settings, current annual MDA strategies will be insufficient to achieve the 2020 LF elimination targets, and programs could consider policy adjustment to accelerate, guided by recent monitoring and evaluation data. Biannual treatment and IDA hold promise in reducing program duration, provided that coverage is good, but their efficacy remains to be confirmed by more extensive field studies. PMID:29860286

Are Alternative Strategies Required to Accelerate the Global Elimination of Lymphatic Filariasis? Insights From Mathematical Models.

PubMed

Stolk, Wilma A; Prada, Joaquin M; Smith, Morgan E; Kontoroupis, Periklis; de Vos, Anneke S; Touloupou, Panayiota; Irvine, Michael A; Brown, Paul; Subramanian, Swaminathan; Kloek, Marielle; Michael, E; Hollingsworth, T Deirdre; de Vlas, Sake J

2018-06-01

With the 2020 target year for elimination of lymphatic filariasis (LF) approaching, there is an urgent need to assess how long mass drug administration (MDA) programs with annual ivermectin + albendazole (IA) or diethylcarbamazine + albendazole (DA) would still have to be continued, and how elimination can be accelerated. We addressed this using mathematical modeling. We used 3 structurally different mathematical models for LF transmission (EPIFIL, LYMFASIM, TRANSFIL) to simulate trends in microfilariae (mf) prevalence for a range of endemic settings, both for the current annual MDA strategy and alternative strategies, assessing the required duration to bring mf prevalence below the critical threshold of 1%. Three annual MDA rounds with IA or DA and good coverage (≥65%) are sufficient to reach the threshold in settings that are currently at mf prevalence <4%, but the required duration increases with increasing mf prevalence. Switching to biannual MDA or employing triple-drug therapy (ivermectin, diethylcarbamazine, and albendazole [IDA]) could reduce program duration by about one-third. Optimization of coverage reduces the time to elimination and is particularly important for settings with a history of poorly implemented MDA (low coverage, high systematic noncompliance). Modeling suggests that, in several settings, current annual MDA strategies will be insufficient to achieve the 2020 LF elimination targets, and programs could consider policy adjustment to accelerate, guided by recent monitoring and evaluation data. Biannual treatment and IDA hold promise in reducing program duration, provided that coverage is good, but their efficacy remains to be confirmed by more extensive field studies.

A developing country perspective on vaccine-associated paralytic poliomyelitis.

PubMed

John, T Jacob

2004-01-01

When the Expanded Programme on Immunization was established and oral poliovirus vaccine (OPV) was introduced for developing countries to use exclusively, national leaders of public health had no opportunity to make an informed choice between OPV and the inactivated poliovirus vaccine (IPV). Today, as progress is made towards the goal of global eradication of poliomyelitis attributable to wild polioviruses, all developing countries where OPV is used face the risk of vaccine-associated paralytic poliomyelitis (VAPP). Until recently, awareness of VAPP has been poor and quantitative risk analysis scanty but it is now well known that the continued use of OPV perpetuates the risk of VAPP. Discontinuation or declining immunization coverage of OPV will increase the risk of emergence of circulating vaccine-derived polioviruses (cVDPV) that re-acquire wild virus-like properties and may cause outbreaks of polio. To eliminate the risk of cVDPV, either very high immunization coverage must be maintained as long as OPV is in use, or IPV should replace OPV. Stopping OPV without first achieving high immunization coverage with IPV is unwise on account of the possibility of emergence of cVDPV. Increasing numbers of developed nations prefer IPV, and manufacturing capacities have not been scaled up, so its price remains prohibitively high and unaffordable by developing countries, where, in addition, large-scale field experience with IPV is lacking. Under these circumstances, a policy shift to increase the use of IPV in national immunization programmes in developing countries is a necessary first step; once IPV coverage reaches high levels (over 85%), the withdrawal of OPV may begin.

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 4 2014-10-01 2014-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 4 2012-10-01 2012-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

24 CFR 200.17 - Mortgage coverage.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Mortgage coverage. 200.17 Section 200.17 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... Eligibility Requirements for Existing Projects Eligible Mortgage § 200.17 Mortgage coverage. The mortgage...

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 4 2011-10-01 2011-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

24 CFR 200.17 - Mortgage coverage.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 24 Housing and Urban Development 2 2013-04-01 2013-04-01 false Mortgage coverage. 200.17 Section 200.17 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... Eligibility Requirements for Existing Projects Eligible Mortgage § 200.17 Mortgage coverage. The mortgage...

7 CFR 1735.11 - Area coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 11 2013-01-01 2013-01-01 false Area coverage. 1735.11 Section 1735.11 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE... Policies § 1735.11 Area coverage. Borrowers must make adequate telephone service available to the widest...

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 4 2013-10-01 2013-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

Carbon Monoxide Data Assimilation for Atmospheric Composition and Climate Science: Evaluating Performance with Current and Future Observations

NASA Astrophysics Data System (ADS)

Barre, J.; Edwards, D. P.; Gaubert, B.; Worden, H. M.; Arellano, A. F.; Anderson, J. L.

2015-12-01

Current satellite observations of tropospheric composition made from low Earth orbit provide at best one or two measurements each day at any given location. Comparisons of Terra/MOPITT carbon monoxide (CO) and IASI/Metop CO observation assimilations will be presented. We use the DART Ensemble Adjustment Kalman Filter to assimilate observations in the CAM-Chem global chemistry-climate model. Data assimilation impacts due to both different instrument capabilities (i.e. vertical sensitivity and global coverage) will be discussed. Coverage is global but sparse, often with large uncertainties in individual measurements that limit examination of local and regional atmospheric composition over short time periods. This has hindered the operational uptake of these data for monitoring air quality and population exposure, and for initializing and evaluating chemical weather forecasts. By the end of the current decade there are planned geostationary Earth orbit (GEO) satellite missions for atmospheric composition over North America, East Asia and Europe with additional missions proposed. Together, these present the possibility of a constellation of geostationary platforms to achieve continuous time-resolved high-density observations of continental domains for mapping pollutant sources and variability on diurnal and local scales. We describe Observing System Simulation Experiments (OSSEs) to evaluate the contributions of these GEO missions to improve knowledge of near-surface air pollution due to intercontinental long-range transport and quantify chemical precursor emissions. Our approach uses an efficient computational method to sample a high-resolution global GEOS-5 chemistry Nature Run over each geographical region of the GEO constellation. The demonstration carbon monoxide (CO) observation simulator, which will be expanded to other chemical pollutants, currently produces multispectral retrievals (MOPITT-like) and captures realistic scene-dependent variation in measurement vertical sensitivity and cloud cover. The impact of observing over each region is evaluated independently. Winter and summer cases studies are investigated i.e. where emissions, cloud cover and CO lifetime significantly change.

GARS O'Higgins as a core station for geodesy in Antarctica

NASA Astrophysics Data System (ADS)

Klügel, Thomas; Diedrich, Erhard; Falk, Reinhard; Hessels, Uwe; Höppner, Kathrin; Kühmstedt, Elke; Metzig, Robert; Plötz, Christian; Reinhold, Andreas; Schüler, Torben; Wojdziak, Reiner

2014-05-01

The German Antarctic Receiving Station GARS O'Higgins at the northern tip of the Antarctic Peninsula is a dual purpose facility for Earth observation since more than 20 years. It serves as a satellite ground station for payload data downlink and telecommanding of remote sensing satellites as well as a geodetic observatory for global reference frames and global change. Both applications use the same 9m diameter radio telescope. For space geodesy and astrometry the radio telescope significantly improves the coverage on the southern hemisphere and plays an essential role within the global Very Long Baseline Interferometry (VLBI) network. In particular the determination of the Earth Orientation Parameters (EOP) and the sky coverage of the International Celectial Reference Frame (ICRF) benefit from the location at high southern latitude. Further geodetic instrumentation includes different permanent GNSS receivers (since 1995), two SAR corner reflectors (since 2013) and in the past a PRARE system (1996 - 2004). In addition absolute gravity measurements were performed in 1997 and 2011. All geodetic reference points are tied together by a local survey network. The various geodetic instrumentation and the long time series at O'Higgins allow a reliable determination of crustal motions. VLBI station velocities, continuous GNSS time series and absolute gravity measurements consistently document an uplift rate of about 5 mm/a. A pressure gauge and a radar tide gauge being refererenced to space by a GNSS antenna on top allow the measurement of sea level changes independently from crustal motions, and the determination of the ellipsoidal height of the sea surface, which is, the geoid height plus the mean dynamic topography. The outstanding location on the Antarctic continent makes GARS O'Higgins also in future attractive for polar orbiting satellite missions and an essential station for the global VLBI network. Future plans envisage a development towards an observatory for environmentally relevant research.

A SmallSat constellation mission architecture for a GRACE-type mission design

NASA Astrophysics Data System (ADS)

Deccia, C. M. A.; Nerem, R. S.; Yunck, T.

2017-12-01

The Gravity Recovery and Climate Experiment (GRACE) launched in 2002 and has been providing invaluable information of Earth's time-varying gravity field and GRACE-FO will continue this time series. For this work, we focus on architectures of future post-GRACE-FO like missions. Single pairs of satellites like GRACE and GRACE-FO are inherently limited in their spatio-temporal coverage. Full global coverage for a single pair can take up to 30 days for spatial resolutions of a few hundred kilometers, thus a single satellite pair is unable to observe sub-monthly signals in the Earth's time varying gravity field (e.g. hydrologic signals, etc.). Small satellite systems are becoming increasingly affordable and will soon allow a constellation of GRACE-type satellites to be deployed, with the capability to range between multiple satellites. Here, using simulation studies, we investigate the performance of such a constellation for different numbers of satellites (N) and different orbital configurations, in order to understand the improved performance that might be gained from such future mission architectures.

Assessing Coverage of Population-Based and Targeted Fortification Programs with the Use of the Fortification Assessment Coverage Toolkit (FACT): Background, Toolkit Development, and Supplement Overview.

PubMed

Friesen, Valerie M; Aaron, Grant J; Myatt, Mark; Neufeld, Lynnette M

2017-05-01

Food fortification is a widely used approach to increase micronutrient intake in the diet. High coverage is essential for achieving impact. Data on coverage is limited in many countries, and tools to assess coverage of fortification programs have not been standardized. In 2013, the Global Alliance for Improved Nutrition developed the Fortification Assessment Coverage Toolkit (FACT) to carry out coverage assessments in both population-based (i.e., staple foods and/or condiments) and targeted (e.g., infant and young child) fortification programs. The toolkit was designed to generate evidence on program coverage and the use of fortified foods to provide timely and programmatically relevant information for decision making. This supplement presents results from FACT surveys that assessed the coverage of population-based and targeted food fortification programs across 14 countries. It then discusses the policy and program implications of the findings for the potential for impact and program improvement.

Regional to Global Biogenic Isoprene Emission Responses to Changes in Vegetation From 2000 to 2015

NASA Astrophysics Data System (ADS)

Chen, W. H.; Guenther, A. B.; Wang, X. M.; Chen, Y. H.; Gu, D. S.; Chang, M.; Zhou, S. Z.; Wu, L. L.; Zhang, Y. Q.

2018-04-01

Isoprene, a dominant biogenic volatile organic compound that is mainly emitted by trees, has a significant impact on the atmospheric chemistry. Regional to global changes in biogenic isoprene emission associated with vegetation variations between 2000 and 2015 were estimated using the MEGAN model with satellite land cover data for inputs in this study. The satellite data estimates of land cover changes were compared to results from previous investigators that have either conducted regional studies or have used lower resolution land cover data. The analysis indicates that tree coverage increases of >5% occurred in 13% of locations including in central China and Europe. In contrast, a decrease of >5% was observed in about 5% of locations, especially in tropical regions. The trends in global tree coverage from 2000 to 2015 resulted in a global isoprene emission decrease of only 1.5%, but there were significant regional variations. Obvious decreases in tree coverage in some tropical areas (e.g., Amazon Basin, Western Africa, Southeast Asia) resulted in a 10% reduction of regional isoprene emission due to agricultural expansion. Distinct increments of isoprene emission (5-10%) were mainly found in Northeast China and India and were associated with afforestation efforts. Deforestation and afforestation associated with managed plantations does not only affect the total forest coverage but also impacts average isoprene emission capacity, which can result in accelerated isoprene emission variations. Consequently, isoprene variation assessments are needed that not only account for changes in vegetation fractions but also consider the changes in plant species compositions of forests and other landscapes.

Universal Health Coverage - The Critical Importance of Global Solidarity and Good Governance Comment on "Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage".

PubMed

Reis, Andreas A

2016-06-07

This article provides a commentary to Ole Norheim' s editorial entitled "Ethical perspective: Five unacceptable trade-offs on the path to universal health coverage." It reinforces its message that an inclusive, participatory process is essential for ethical decision-making and underlines the crucial importance of good governance in setting fair priorities in healthcare. Solidarity on both national and international levels is needed to make progress towards the goal of universal health coverage (UHC). © 2016 by Kerman University of Medical Sciences.

14 CFR 198.5 - Types of insurance coverage available.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Types of insurance coverage available. 198.5 Section 198.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.5 Types of insurance coverage available. Application...

14 CFR 198.5 - Types of insurance coverage available.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Types of insurance coverage available. 198.5 Section 198.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.5 Types of insurance coverage available. Application...

47 CFR 80.771 - Method of computing coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 47 Telecommunication 5 2012-10-01 2012-10-01 false Method of computing coverage. 80.771 Section 80.771 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Standards for Computing Public Coast Station VHF Coverage § 80.771 Method...

43 CFR 3933.51 - Bond coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Bond coverage. 3933.51 Section 3933.51 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT... Assignments and Subleases § 3933.51 Bond coverage. Before the BLM will approve an assignment, the assignee...

7 CFR 275.8 - Review coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 4 2014-01-01 2014-01-01 false Review coverage. 275.8 Section 275.8 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE...) Reviews § 275.8 Review coverage. (a) During each review period, State agencies shall review the national...

7 CFR 1710.103 - Area coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 11 2013-01-01 2013-01-01 false Area coverage. 1710.103 Section 1710.103 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE... Basic Policies § 1710.103 Area coverage. (a) Borrowers shall make a diligent effort to extend electric...

43 CFR 3933.51 - Bond coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Bond coverage. 3933.51 Section 3933.51 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT... and Subleases § 3933.51 Bond coverage. Before the BLM will approve an assignment, the assignee must...

7 CFR 275.8 - Review coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 4 2012-01-01 2012-01-01 false Review coverage. 275.8 Section 275.8 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE...) Reviews § 275.8 Review coverage. (a) During each review period, State agencies shall review the national...

43 CFR 3933.51 - Bond coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Bond coverage. 3933.51 Section 3933.51 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT... Assignments and Subleases § 3933.51 Bond coverage. Before the BLM will approve an assignment, the assignee...

7 CFR 275.8 - Review coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 4 2011-01-01 2011-01-01 false Review coverage. 275.8 Section 275.8 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE...) Reviews § 275.8 Review coverage. (a) During each review period, State agencies shall review the national...

7 CFR 275.8 - Review coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 4 2013-01-01 2013-01-01 false Review coverage. 275.8 Section 275.8 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE...) Reviews § 275.8 Review coverage. (a) During each review period, State agencies shall review the national...

Greedy Sparse Approaches for Homological Coverage in Location Unaware Sensor Networks

DTIC Science & Technology

2017-12-08

GlobalSIP); 2013 Dec; Austin , TX . p. 595– 598. 33. Farah C, Schwaner F, Abedi A, Worboys M. Distributed homology algorithm to detect topological events...ARL-TR-8235•DEC 2017 US Army Research Laboratory Greedy Sparse Approaches for Homological Coverage in Location-Unaware Sensor Net- works by Terrence...8235•DEC 2017 US Army Research Laboratory Greedy Sparse Approaches for Homological Coverage in Location-Unaware Sensor Net- works by Terrence J Moore

Seeking consensus on universal health coverage indicators in the sustainable development goals.

PubMed

Reddock, Jennifer

2017-01-01

There is optimism that the inclusion of universal health coverage in the Sustainable Development Goals advances its prominence in global and national health policy. However, formulating indicators for Target 3.8 through the Inter-Agency Expert Group on Sustainable Development Indicators has been challenging. Achieving consensus on the conceptual and methodological aspects of universal health coverage is likely to take some time in multi-stakeholder fora compared with national efforts to select indicators.

Multiscale Drivers of Global Environmental Health

NASA Astrophysics Data System (ADS)

Desai, Manish Anil

In this dissertation, I motivate, develop, and demonstrate three such approaches for investigating multiscale drivers of global environmental health: (1) a metric for analyzing contributions and responses to climate change from global to sectoral scales, (2) a framework for unraveling the influence of environmental change on infectious diseases at regional to local scales, and (3) a model for informing the design and evaluation of clean cooking interventions at community to household scales. The full utility of climate debt as an analytical perspective will remain untapped without tools that can be manipulated by a wide range of analysts, including global environmental health researchers. Chapter 2 explains how international natural debt (IND) apportions global radiative forcing from fossil fuel carbon dioxide and methane, the two most significant climate altering pollutants, to individual entities -- primarily countries but also subnational states and economic sectors, with even finer scales possible -- as a function of unique trajectories of historical emissions, taking into account the quite different radiative efficiencies and atmospheric lifetimes of each pollutant. Owing to its straightforward and transparent derivation, IND can readily operationalize climate debt to consider issues of equity and efficiency and drive scenario exercises that explore the response to climate change at multiple scales. Collectively, the analyses presented in this chapter demonstrate how IND can inform a range of key question on climate change mitigation at multiple scales, compelling environmental health towards an appraisal of the causes and not just the consequences of climate change. The environmental change and infectious disease (EnvID) conceptual framework of Chapter 3 builds on a rich history of prior efforts in epidemiologic theory, environmental science, and mathematical modeling by: (1) articulating a flexible and logical system specification; (2) incorporating transmission groupings linked to public health intervention strategies; (3) emphasizing the intersection of proximal environmental characteristics and transmission cycles; (4) incorporating a matrix formulation to identify knowledge gaps and facilitate an integration of research; and (5) highlighting hypothesis generation amidst dynamic processes. A systems based approach leverages the reality that studies relevant to environmental change and infectious disease are embedded within a wider web of interactions. As scientific understanding advances, the EnvID framework can help integrate the various factors at play in determining environment-disease relationships and the connections between intrinsically multiscale causal networks. In Chapter 4, the coverage effect model functions primarily as a "proof of concept" analysis to address whether the efficacy of a clean cooking technology may be determined by the extent of not only household level use but also community level coverage. Such coverage dependent efficacy, or a "coverage effect," would transform how interventions are studied and deployed. Ensemble results are consistent with the concept that an appreciable coverage effect from clean cooking interventions can manifest within moderately dense communities. Benefits for users derive largely from direct effects; initially, at low coverage levels, almost exclusively so. Yet, as coverage expands within a user's community, a coverage effect becomes increasingly beneficial. In contrast, non users, despite also experiencing comparable exposure reductions from community-level intervention use, cannot proportionately benefit because their exposures remain overwhelmingly dominated by household-level use of traditional solid fuel cookstoves. The coverage effect model strengthens the rationale for public health programs and policies to encourage clean cooking technologies with an added incentive to realize high coverage within contiguous areas. The implications of the modeling exercise extend to priorities for data collection, underscoring the importance of outdoor pollution concentrations during, as well as before and/or after, community cooking windows and also routine measurement of ventilation, meteorology, time activity patterns, and cooking practices. The possibility of a coverage effect necessitates appropriate strategies to estimate not only direct effects but also coverage and total effects to avoid impaired conclusions. The specter of accelerating social and ecological change challenges efforts to respond to climate change, re/emerging infectious diseases, and household air pollution. Environmental health possesses a well-established and well-tested repertoire of methods but contending with multiscale drivers of risk requires complementary approaches, as well. Integrating metrics, frameworks, and models -- and their insights -- into its analytical arsenal can help global environmental health meet the challenges of today and tomorrow. (Abstract shortened by ProQuest.).

75 FR 13595 - Publication of Model Notices for Health Care Continuation Coverage Provided Pursuant to the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-22

... Reinvestment Act of 2009 (ARRA), as Further Amended by the Temporary Extension Act (TEA) of 2010, Notice AGENCY... Model Health Care Continuation Coverage Notices required by ARRA, as further amended by TEA. SUMMARY: On... notices required by ARRA, as further amended by TEA. FOR FURTHER INFORMATION CONTACT: Kevin Horahan or...

5 CFR 890.1209 - Responsibilities of the U.S. Department of State.

Code of Federal Regulations, 2010 CFR

2010-01-01

... (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Benefits for... of title 5 U.S. Code by reason of other health insurance coverage as provided in section 599C of... married or single for the purpose of coverage under a self only or a self and family enrollment as set...

Forecasted trends in vaccination coverage and correlations with socioeconomic factors: a global time-series analysis over 30 years.

PubMed

de Figueiredo, Alexandre; Johnston, Iain G; Smith, David M D; Agarwal, Sumeet; Larson, Heidi J; Jones, Nick S

2016-10-01

Incomplete immunisation coverage causes preventable illness and death in both developing and developed countries. Identification of factors that might modulate coverage could inform effective immunisation programmes and policies. We constructed a performance indicator that could quantitatively approximate measures of the susceptibility of immunisation programmes to coverage losses, with an aim to identify correlations between trends in vaccine coverage and socioeconomic factors. We undertook a data-driven time-series analysis to examine trends in coverage of diphtheria, tetanus, and pertussis (DTP) vaccination across 190 countries over the past 30 years. We grouped countries into six world regions according to WHO classifications. We used Gaussian process regression to forecast future coverage rates and provide a vaccine performance index: a summary measure of the strength of immunisation coverage in a country. Overall vaccine coverage increased in all six world regions between 1980 and 2010, with variation in volatility and trends. Our vaccine performance index identified that 53 countries had more than a 50% chance of missing the Global Vaccine Action Plan (GVAP) target of 90% worldwide coverage with three doses of DTP (DTP3) by 2015. These countries were mostly in sub-Saharan Africa and south Asia, but Austria and Ukraine also featured. Factors associated with DTP3 immunisation coverage varied by world region: personal income (Spearman's ρ=0·66, p=0·0011) and government health spending (0·66, p<0·0001) were informative of immunisation coverage in the Eastern Mediterranean between 1980 and 2010, whereas primary school completion was informative of coverage in Africa (0·56, p<0·0001) over the same period. The proportion of births attended by skilled health staff correlated significantly with immunisation coverage across many world regions. Our vaccine performance index highlighted countries at risk of failing to achieve the GVAP target of 90% coverage by 2015, and could aid policy makers' assessments of the strength and resilience of immunisation programmes. Weakening correlations with socioeconomic factors show a need to tackle vaccine confidence, whereas strengthening correlations point to clear factors to address. UK Engineering and Physical Sciences Research Council. Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license. Published by Elsevier Ltd.. All rights reserved.

Permafrost and lakes control river isotope composition across a boreal Arctic transect in the Western Siberian lowlands

NASA Astrophysics Data System (ADS)

Ala-aho, P.; Soulsby, C.; Pokrovsky, O. S.; Kirpotin, S. N.; Karlsson, J.; Serikova, S.; Manasypov, R.; Lim, A.; Krickov, I.; Kolesnichenko, L. G.; Laudon, H.; Tetzlaff, D.

2018-03-01

The Western Siberian Lowlands (WSL) store large quantities of organic carbon that will be exposed and mobilized by the thawing of permafrost. The fate of mobilized carbon, however, is not well understood, partly because of inadequate knowledge of hydrological controls in the region which has a vast low-relief surface area, extensive lake and wetland coverage and gradually increasing permafrost influence. We used stable water isotopes to improve our understanding of dominant landscape controls on the hydrology of the WSL. We sampled rivers along a 1700 km South-North transect from permafrost-free to continuous permafrost repeatedly over three years, and derived isotope proxies for catchment hydrological responsiveness and connectivity. We found correlations between the isotope proxies and catchment characteristics, suggesting that lakes and wetlands are intimately connected to rivers, and that permafrost increases the responsiveness of the catchment to rainfall and snowmelt events, reducing catchment mean transit times. Our work provides rare isotope-based field evidence that permafrost and lakes/wetlands influence hydrological pathways across a wide range of spatial scales (10-105 km2) and permafrost coverage (0%-70%). This has important implications, because both permafrost extent and lake/wetland coverage are affected by permafrost thaw in the changing climate. Changes in these hydrological landscape controls are likely to alter carbon export and emission via inland waters, which may be of global significance.

Measuring Progress Toward Universal Health Coverage: Does the Monitoring Framework of Bangladesh Need Further Improvement?

PubMed Central

Shahabuddin, ASM

2018-01-01

This review aimed to compare Bangladesh’s Universal Health Coverage (UHC) monitoring framework with the global-level recommendations and to find out the existing gaps of Bangladesh’s UHC monitoring framework compared to the global recommendations. In order to reach the aims of the review, we systematically searched two electronic databases - PubMed and Google Scholar - by using appropriate keywords to select articles that describe issues related to UHC and the monitoring framework of UHC applied globally and particularly in Bangladesh. Four relevant documents were found and synthesized. The review found that Bangladesh incorporated all of the recommendations suggested by the global monitoring framework regarding mentoring the financial risk protection and equity perspective. However, a significant gap in the monitoring framework related to service coverage was observed. Although Bangladesh has a significant burden of mental illnesses, cataract, and neglected tropical diseases, indicators related to these issues were absent in Bangladesh’s UHC framework. Moreover, palliative-care-related indicators were completely missing in the framework. The results of this review suggest that Bangladesh should incorporate these indicators in their UHC monitoring framework in order to track the progress of the country toward UHC more efficiently and in a robust way. PMID:29541562

Estimating Morning Change in Land Surface Temperature from MODIS Day/Night Observations: Applications for Surface Energy Balance Modeling.

PubMed

Hain, Christopher R; Anderson, Martha C

2017-10-16

Observations of land surface temperature (LST) are crucial for the monitoring of surface energy fluxes from satellite. Methods that require high temporal resolution LST observations (e.g., from geostationary orbit) can be difficult to apply globally because several geostationary sensors are required to attain near-global coverage (60°N to 60°S). While these LST observations are available from polar-orbiting sensors, providing global coverage at higher spatial resolutions, the temporal sampling (twice daily observations) can pose significant limitations. For example, the Atmosphere Land Exchange Inverse (ALEXI) surface energy balance model, used for monitoring evapotranspiration and drought, requires an observation of the morning change in LST - a quantity not directly observable from polar-orbiting sensors. Therefore, we have developed and evaluated a data-mining approach to estimate the mid-morning rise in LST from a single sensor (2 observations per day) of LST from the Moderate Resolution Imaging Spectroradiometer (MODIS) sensor on the Aqua platform. In general, the data-mining approach produced estimates with low relative error (5 to 10%) and statistically significant correlations when compared against geostationary observations. This approach will facilitate global, near real-time applications of ALEXI at higher spatial and temporal coverage from a single sensor than currently achievable with current geostationary datasets.

Determinants of antiretroviral therapy coverage in Sub-Saharan Africa

PubMed Central

Hoque, Mohammad Zahirul

2015-01-01

Among 35 million people living with the human immunodeficiency virus (HIV) in 2013, only 37% had access to antiretroviral therapy (ART). Despite global concerted efforts to provide the universal access to the ART treatment, the ART coverage varies among countries and regions. At present, there is a lack of systematic empirical analyses on factors that determine the ART coverage. Therefore, the current study aimed to identify the determinants of the ART coverage in 41 countries in Sub-Saharan Africa. It employed statistical analyses for this purpose. Four elements, namely, the HIV prevalence, the level of national income, the level of medical expenditure and the number of nurses, were hypothesised to determine the ART coverage. The findings revealed that among the four proposed determinants only the HIV prevalence had a statistically significant impact on the ART coverage. In other words, the HIV prevalence was the sole determinant of the ART coverage in Sub-Saharan Africa. PMID:26664812

Global threshold dynamics of an SIVS model with waning vaccine-induced immunity and nonlinear incidence.

PubMed

Yang, Junyuan; Martcheva, Maia; Wang, Lin

2015-10-01

Vaccination is the most effective method of preventing the spread of infectious diseases. For many diseases, vaccine-induced immunity is not life long and the duration of immunity is not always fixed. In this paper, we propose an SIVS model taking the waning of vaccine-induced immunity and general nonlinear incidence into consideration. Our analysis shows that the model exhibits global threshold dynamics in the sense that if the basic reproduction number is less than 1, then the disease-free equilibrium is globally asymptotically stable implying the disease dies out; while if the basic reproduction number is larger than 1, then the endemic equilibrium is globally asymptotically stable indicating that the disease persists. This global threshold result indicates that if the vaccination coverage rate is below a critical value, then the disease always persists and only if the vaccination coverage rate is above the critical value, the disease can be eradicated. Copyright © 2015 Elsevier Inc. All rights reserved.

Geology of the Icy Galilean Satellites: Understanding Crustal Processes and Geologic Histories Through the JIMO Mission

NASA Technical Reports Server (NTRS)

Figueredo, P. H.; Tanaka, K.; Senske, D.; Greeley, R.

2003-01-01

Knowledge of the geology, style and time history of crustal processes on the icy Galilean satellites is necessary to understanding how these bodies formed and evolved. Data from the Galileo mission have provided a basis for detailed geologic and geo- physical analysis. Due to constrained downlink, Galileo Solid State Imaging (SSI) data consisted of global coverage at a -1 km/pixel ground sampling and representative, widely spaced regional maps at -200 m/pixel. These two data sets provide a general means to extrapolate units identified at higher resolution to lower resolution data. A sampling of key sites at much higher resolution (10s of m/pixel) allows evaluation of processes on local scales. We are currently producing the first global geological map of Europa using Galileo global and regional-scale data. This work is demonstrating the necessity and utility of planet-wide contiguous image coverage at global, regional, and local scales.

14 CFR 198.7 - Amount of insurance coverage available.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Amount of insurance coverage available. 198.7 Section 198.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.7 Amount of insurance coverage available. (a) For...

14 CFR 198.7 - Amount of insurance coverage available.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Amount of insurance coverage available. 198.7 Section 198.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.7 Amount of insurance coverage available. (a) For...

5 CFR 890.302 - Coverage of family members.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage of family members. 890.302... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Enrollment § 890.302 Coverage of family members. (a)(1) An enrollment for self and family includes all family members who are eligible to be...

5 CFR 890.302 - Coverage of family members.

Code of Federal Regulations, 2012 CFR

2012-01-01

... the marriage, an employee or annuitant may enroll in his or her own right in a self and family... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage of family members. 890.302... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Enrollment § 890.302 Coverage of family...

NOAA Weather Radio

Science.gov Websites

Questions NOAA WEATHER RADIO Marine Coverage The NOAA Weather Radio network provides near continuous coverage of the coastal U.S, Great Lakes, Hawaii, and populated Alaska coastline. Typical coverage is 25 Transmitter frequency, call sign and power; and remarks (if any.) Atlantic Gulf of Mexico Great Lakes West

42 CFR 486.102 - Condition for coverage: Supervision by a qualified physician.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Condition for coverage: Supervision by a qualified physician. 486.102 Section 486.102 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF SPECIALIZED...

29 CFR 2590.701-4 - Rules relating to creditable coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 2590.701-4 Labor Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Health Coverage... I of the Act, and without regard to whether the coverage is offered in the group market, the...

29 CFR 2590.701-4 - Rules relating to creditable coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 2590.701-4 Labor Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Health Coverage... I of the Act, and without regard to whether the coverage is offered in the group market, the...

29 CFR 2590.701-4 - Rules relating to creditable coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 2590.701-4 Labor Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Health Coverage... I of the Act, and without regard to whether the coverage is offered in the group market, the...

75 FR 33303 - Comment Sought on Measurement of Mobile Broadband Network Performance and Coverage

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-11

...; DA 10-988] Comment Sought on Measurement of Mobile Broadband Network Performance and Coverage AGENCY... broadband services. The Bureau seeks comment on whether and how to pursue a measurement program for mobile... and coverage, and continue to work with measurement companies, application designers, device...

14 CFR 198.17 - Ground support and other coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Ground support and other coverage. 198.17 Section 198.17 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.17 Ground support and other coverage. An aircraft...

14 CFR 198.17 - Ground support and other coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Ground support and other coverage. 198.17 Section 198.17 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.17 Ground support and other coverage. An aircraft...

7 CFR 457.102 - Wheat or barley winter coverage endorsement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 6 2010-01-01 2010-01-01 false Wheat or barley winter coverage endorsement. 457.102... INSURANCE CORPORATION, DEPARTMENT OF AGRICULTURE COMMON CROP INSURANCE REGULATIONS § 457.102 Wheat or barley... Wheat or Barley Winter Coverage Endorsement (This is a continuous endorsement) 1. In return for payment...

29 CFR 2590.606-4 - Notice requirements for plan administrators.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Coverage, Qualified Medical Child Support Orders, Coverage for Adopted Children § 2590.606-4 Notice... child; (v) An explanation of the plan's procedures for electing continuation coverage, including an... the Social Security Administration, under title II or XVI of the Social Security Act (42 U.S.C. 401 et...

India in search of right Universal Health Coverage (UHC) model: The risks of implementing UHC in the absence of political demand by the citizen.

PubMed

Kumar, Raman; Roy, Pritam

2016-01-01

Amid the global push for Universal Health Coverage (UHC), the agenda is being set for India's health care. In the absence of a constitutional mandate, a national policy and citizen-led political demand for UHC, there exist specific risks in rushing toward its implementation in India. As the debate of UHC continues, the health-care delivery system in India is at cross roads. UHC in India could take two different trajectories. The first one takes India toward becoming "Global Bazaar" of morbidity and ill health, founded on the pillars of a vibrant rapidly multiplying healthcare industry. The other path takes India on a course of preventing wasteful, expensive health-care expenditure by maintaining healthy populations. A poor professional blood donor cannot become rich by selling his or her own blood beyond medically permissible levels; similarly, India cannot become a developed economy by merely allowing exploitation of disease, illness, and morbidity of her citizen. It is the duty of the state and governments to protect individual citizen, population under consideration, as well as country's economy from wasteful and potentially harmful expenditure incurred to address ill health. In the economic sense, any sensible UHC implementation mechanism would seek to regulate wasteful preventable health-care expenditure for the purpose of future economic stability and growth of the country. Due diligence toward safeguarding "public health in public interest," during the process of UHC implementation, is the need of the hour.

Community Health Center Utilization Following the 2008 Medicaid Expansion in Oregon: Implications for the Affordable Care Act

PubMed Central

Bailey, Steffani R.; Cowburn, Stuart; Marino, Miguel; Angier, Heather; DeVoe, Jennifer E.

2016-01-01

Objectives. To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon’s 2008 Medicaid expansion (the Oregon Experiment). Methods. We conducted a retrospective cohort study with electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those who maintained (n = 788) or lost (n = 944) insurance coverage. We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period. Results. Both newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage. Conclusions. Individuals who maintained coverage through Oregon’s Medicaid expansion increased long-term utilization of CHCs, whereas those with unstable coverage did not. Policy implications. This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention. PMID:26890164

Quantifying Globalization in Social Work Research: A 10-Year Review of American Social Work Journals

ERIC Educational Resources Information Center

Agbényiga, DeBrenna L.; Huang, Lihua

2014-01-01

Measured by the prevalence of journal article contributions, geographic coverage, and international collaboration, this literature review found an increasing level of globalization with respect to American social work research and contribution to the social work profession from 2000-2009. Findings suggest changes are needed in global awareness and…

A Global Map of Thermal Inertia from Mars Global Surveyor Mapping-Mission Data

NASA Technical Reports Server (NTRS)

Mellon, M. T.; Kretke, K. A.; Smith, M. D.; Pelkey, S. M.

2002-01-01

TES (thermal emission spectrometry) has obtained high spatial resolution surface temperature observations from which thermal inertia has been derived. Seasonal coverage of these data now provides a nearly global view of Mars, including the polar regions, at high resolution. Additional information is contained in the original extended abstract.

Self-enforcing regional vaccination agreements

PubMed Central

Klepac, Petra; Grenfell, Bryan T.; Laxminarayan, Ramanan

2016-01-01

In a highly interconnected world, immunizing infections are a transboundary problem, and their control and elimination require international cooperation and coordination. In the absence of a global or regional body that can impose a universal vaccination strategy, each individual country sets its own strategy. Mobility of populations across borders can promote free-riding, because a country can benefit from the vaccination efforts of its neighbours, which can result in vaccination coverage lower than the global optimum. Here we explore whether voluntary coalitions that reward countries that join by cooperatively increasing vaccination coverage can solve this problem. We use dynamic epidemiological models embedded in a game-theoretic framework in order to identify conditions in which coalitions are self-enforcing and therefore stable, and thus successful at promoting a cooperative vaccination strategy. We find that countries can achieve significantly greater vaccination coverage at a lower cost by forming coalitions than when acting independently, provided a coalition has the tools to deter free-riding. Furthermore, when economically or epidemiologically asymmetric countries form coalitions, realized coverage is regionally more consistent than in the absence of coalitions. PMID:26790996

Universal Health Coverage – The Critical Importance of Global Solidarity and Good Governance

PubMed Central

Reis, Andreas A.

2016-01-01

This article provides a commentary to Ole Norheim’ s editorial entitled "Ethical perspective: Five unacceptable trade-offs on the path to universal health coverage." It reinforces its message that an inclusive, participatory process is essential for ethical decision-making and underlines the crucial importance of good governance in setting fair priorities in healthcare. Solidarity on both national and international levels is needed to make progress towards the goal of universal health coverage (UHC). PMID:27694683

Architecture Study on Telemetry Coverage for Immediate Post-Separation Phase

NASA Technical Reports Server (NTRS)

Cheung, Kar-Ming; Lee, Charles; Kellogg, Kent; Stocklin, Frank; Zillig, David; Fielhauer, Karl

2008-01-01

This document is the viewgraphs that accompanies a paper that presents the preliminary results of an architecture study that provides continuous telemetry coverage for NASA missions for immediate post-separation phase. After launch when the spacecraft separated from the upper stage, the spacecraft typically executes a number of mission-critical operations prior to the deployment of solar panels and the activation of the primary communication subsystem. JPL, GSFC, and APL have similar design principle statements that require continuous coverage of mission-critical telemetry during the immediate post-separation phase. To conform to these design principles, an architecture that consists of a separate spacecraft transmitter and a robust communication network capable of tracking the spacecraft signals is needed. The main results of this study are as follows: 1) At low altitude (< 10000 km) when most post-separation critical operations are executed, Earth-based network (e.g. Deep Space Network (DSN)) can only provide limited coverage, whereas space-based network (e.g. Space Network (SN)) can provide continuous coverage. 2) Commercial-off-the-shelf SN compatible transmitters are available for small satellite applications. In this paper we present the detailed coverage analysis of Earth-based and Space-based networks. We identify the key functional and performance requirements of the architecture, and describe the proposed selection criteria of the spacecraft transmitter. We conclude the paper with a proposed forward plan.

COMPASS Final Report: Lunar Network Satellite-High Rate (LNS-HR)

NASA Technical Reports Server (NTRS)

oleson, Steven R.; McGuire, Melissa L.

2012-01-01

Two design options were explored to address the requirement to provide lunar piloted missions with continuous communications for outpost and sortie missions. Two unique orbits were assessed, along with the appropriate spacecraft (S/C) to address these requirements. Both constellations (with only two S/C each) provide full time coverage (24 hr/7 d) for a south polar base and also provide continuous 7 day coverage for sorties for specified sites and periodic windows. Thus a two-satellite system can provide full coverage for sorties for selected windows of opportunity without reconfiguring the constellation.

20 CFR 1002.171 - How does the continuation of health plan benefits apply to a multiemployer plan that provides...

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false How does the continuation of health plan benefits apply to a multiemployer plan that provides health plan coverage through a health benefits account... benefits apply to a multiemployer plan that provides health plan coverage through a health benefits account...

20 CFR 1002.171 - How does the continuation of health plan benefits apply to a multiemployer plan that provides...

Code of Federal Regulations, 2013 CFR

2013-04-01

... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false How does the continuation of health plan benefits apply to a multiemployer plan that provides health plan coverage through a health benefits account... benefits apply to a multiemployer plan that provides health plan coverage through a health benefits account...

20 CFR 1002.171 - How does the continuation of health plan benefits apply to a multiemployer plan that provides...

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false How does the continuation of health plan benefits apply to a multiemployer plan that provides health plan coverage through a health benefits account... benefits apply to a multiemployer plan that provides health plan coverage through a health benefits account...

20 CFR 1002.171 - How does the continuation of health plan benefits apply to a multiemployer plan that provides...

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false How does the continuation of health plan benefits apply to a multiemployer plan that provides health plan coverage through a health benefits account... benefits apply to a multiemployer plan that provides health plan coverage through a health benefits account...

Estimating Benzathine Penicillin Need for the Treatment of Pregnant Women Diagnosed with Syphilis during Antenatal Care in High-Morbidity Countries

PubMed Central

Taylor, Melanie M.; Nurse-Findlay, Stephen; Zhang, Xiulei; Hedman, Lisa; Kamb, Mary L.; Broutet, Nathalie; Kiarie, James

2016-01-01

Background Congenital syphilis continues to be a preventable cause of global stillbirth and neonatal morbidity and mortality. Shortages of injectable penicillin, the only recommended treatment for pregnant women and infants with syphilis, have been reported by high-morbidity countries. We sought to estimate current and projected annual needs for benzathine penicillin in antenatal care settings for 30 high morbidity countries that account for approximately 33% of the global burden of congenital syphilis. Methods Proportions of antenatal care attendance, syphilis screening coverage in pregnancy, syphilis prevalence among pregnant women, and adverse pregnancy outcomes due to untreated maternal syphilis reported to WHO were applied to 2012 birth estimates for 30 high syphilis burden countries to estimate current and projected benzathine penicillin need for prevention of congenital syphilis. Results Using current antenatal care syphilis screening coverage and seroprevalence, we estimated the total number of women requiring treatment with at least one injection of 2.4 MU of benzathine penicillin in these 30 countries to be 351,016. Syphilis screening coverage at or above 95% for all 30 countries would increase the number of women requiring treatment with benzathine penicillin to 712,030. Based on WHO management guidelines, 351,016 doses of weight-based benzathine penicillin would also be needed for the live-born infants of mothers who test positive and are treated for syphilis in pregnancy. Assuming availability of penicillin and provision of treatment for all mothers diagnosed with syphilis, an estimated 95,938 adverse birth outcomes overall would be prevented including 37,822 stillbirths, 15,814 neonatal deaths, and 34,088 other congenital syphilis cases. Conclusion Penicillin need for maternal and infant syphilis treatment is high among this group of syphilis burdened countries. Initiatives to ensure a stable and adequate supply of benzathine penicillin for treatment of maternal syphilis are important for congenital syphilis prevention, and will be increasingly critical in the future as more countries move toward elimination targets. PMID:27434236

Estimating Benzathine Penicillin Need for the Treatment of Pregnant Women Diagnosed with Syphilis during Antenatal Care in High-Morbidity Countries.

PubMed

Taylor, Melanie M; Nurse-Findlay, Stephen; Zhang, Xiulei; Hedman, Lisa; Kamb, Mary L; Broutet, Nathalie; Kiarie, James

2016-01-01

Congenital syphilis continues to be a preventable cause of global stillbirth and neonatal morbidity and mortality. Shortages of injectable penicillin, the only recommended treatment for pregnant women and infants with syphilis, have been reported by high-morbidity countries. We sought to estimate current and projected annual needs for benzathine penicillin in antenatal care settings for 30 high morbidity countries that account for approximately 33% of the global burden of congenital syphilis. Proportions of antenatal care attendance, syphilis screening coverage in pregnancy, syphilis prevalence among pregnant women, and adverse pregnancy outcomes due to untreated maternal syphilis reported to WHO were applied to 2012 birth estimates for 30 high syphilis burden countries to estimate current and projected benzathine penicillin need for prevention of congenital syphilis. Using current antenatal care syphilis screening coverage and seroprevalence, we estimated the total number of women requiring treatment with at least one injection of 2.4 MU of benzathine penicillin in these 30 countries to be 351,016. Syphilis screening coverage at or above 95% for all 30 countries would increase the number of women requiring treatment with benzathine penicillin to 712,030. Based on WHO management guidelines, 351,016 doses of weight-based benzathine penicillin would also be needed for the live-born infants of mothers who test positive and are treated for syphilis in pregnancy. Assuming availability of penicillin and provision of treatment for all mothers diagnosed with syphilis, an estimated 95,938 adverse birth outcomes overall would be prevented including 37,822 stillbirths, 15,814 neonatal deaths, and 34,088 other congenital syphilis cases. Penicillin need for maternal and infant syphilis treatment is high among this group of syphilis burdened countries. Initiatives to ensure a stable and adequate supply of benzathine penicillin for treatment of maternal syphilis are important for congenital syphilis prevention, and will be increasingly critical in the future as more countries move toward elimination targets.

Global Lidar Measurements of Clouds and Aerosols from Space Using the Geoscience Laser Altimeter System (GLAS)

NASA Technical Reports Server (NTRS)

Hlavka, Dennis L.; Palm, S. P.; Welton, E. J.; Hart, W. D.; Spinhirne, J. D.; McGill, M.; Mahesh, A.; Starr, David OC. (Technical Monitor)

2001-01-01

The Geoscience Laser Altimeter System (GLAS) is scheduled for launch on the ICESat satellite as part of the NASA EOS mission in 2002. GLAS will be used to perform high resolution surface altimetry and will also provide a continuously operating atmospheric lidar to profile clouds, aerosols, and the planetary boundary layer with horizontal and vertical resolution of 175 and 76.8 m, respectively. GLAS is the first active satellite atmospheric profiler to provide global coverage. Data products include direct measurements of the heights of aerosol and cloud layers, and the optical depth of transmissive layers. In this poster we provide an overview of the GLAS atmospheric data products, present a simulated GLAS data set, and show results from the simulated data set using the GLAS data processing algorithm. Optical results from the ER-2 Cloud Physics Lidar (CPL), which uses many of the same processing algorithms as GLAS, show algorithm performance with real atmospheric conditions during the Southern African Regional Science Initiative (SAFARI 2000).

Whole-genome sequencing of giant pandas provides insights into demographic history and local adaptation.

PubMed

Zhao, Shancen; Zheng, Pingping; Dong, Shanshan; Zhan, Xiangjiang; Wu, Qi; Guo, Xiaosen; Hu, Yibo; He, Weiming; Zhang, Shanning; Fan, Wei; Zhu, Lifeng; Li, Dong; Zhang, Xuemei; Chen, Quan; Zhang, Hemin; Zhang, Zhihe; Jin, Xuelin; Zhang, Jinguo; Yang, Huanming; Wang, Jian; Wang, Jun; Wei, Fuwen

2013-01-01

The panda lineage dates back to the late Miocene and ultimately leads to only one extant species, the giant panda (Ailuropoda melanoleuca). Although global climate change and anthropogenic disturbances are recognized to shape animal population demography their contribution to panda population dynamics remains largely unknown. We sequenced the whole genomes of 34 pandas at an average 4.7-fold coverage and used this data set together with the previously deep-sequenced panda genome to reconstruct a continuous demographic history of pandas from their origin to the present. We identify two population expansions, two bottlenecks and two divergences. Evidence indicated that, whereas global changes in climate were the primary drivers of population fluctuation for millions of years, human activities likely underlie recent population divergence and serious decline. We identified three distinct panda populations that show genetic adaptation to their environments. However, in all three populations, anthropogenic activities have negatively affected pandas for 3,000 years.

Magellan radar to reveal secrets of enshrouded Venus

NASA Technical Reports Server (NTRS)

Saunders, R. Stephen

1990-01-01

Imaging Venus with a synthetic aperture radar (SAR) with 70 percent global coverage at 1-km optical line-pair resolution to provide a detailed global characterization of the volcanic land-forms on Venus by an integration of image data with altimetry is discussed. The Magellan radar system uses navigation predictions to preset the radar data collection parameters. The data are collected in such a way as to preserve the Doppler signature of surface elements and later they are transmitted to the earth for processing into high-resolution radar images. To maintain high accuracy, a complex on-board filter algorithm allows the altitude control logic to respond only to a narrow range of expected photon intensity levels and only to signals that occur within a small predicted interval of time. Each mapping pass images a swath of the planet that varies in width from 20 to 25 km. Since the orbital plane of the spacecraft remains fixed in the inertial space, the slow rotation of Venus continually brings new areas into view of the spacecraft.

Architecture Study on Telemetry Coverage for Immediate Post-Separation Phase

NASA Technical Reports Server (NTRS)

Cheung, Kar-Ming; Lee, Charles H.; Kellogg, Kent H.; Stocklin, Frank J.; Zillig, David J.; Fielhauer, Karl B.

2008-01-01

This paper presents the preliminary results of an architecture study that provides continuous telemetry coverage for NASA missions for immediate post-separation phase. This study is a collaboration effort between Jet Propulsion Laboratory (JPL), Goddard Space Flight Center (GSFC), and Applied Physics Laboratory (APL). After launch when the spacecraft separated from the upper stage, the spacecraft typically executes a number of mission-critical operations prior to the deployment of solar panels and the activation of the primary communication subsystem. JPL, GSFC, and APL have similar design principle statements that require continuous coverage of mission-critical telemetry during the immediate post-separation phase. To conform to these design principles, an architecture that consists of a separate spacecraft transmitter and a robust communication network capable of tracking the spacecraft signals is needed.This paper presents the preliminary results of an architecture study that provides continuous telemetry coverage for NASA missions for immediate post-separation phase. This study is a collaboration effort between Jet Propulsion Laboratory (JPL), Goddard Space Flight Center (GSFC), and Applied Physics Laboratory (APL). After launch when the spacecraft separated from the upper stage, the spacecraft typically executes a number of mission-critical operations prior to the deployment of solar panels and the activation of the primary communication subsystem. JPL, GSFC, and APL have similar design principle statements that require continuous coverage of mission-critical telemetry during the immediate post-separation phase. To conform to these design principles, an architecture that consists of a separate spacecraft transmitter and a robust communication network capable of tracking the spacecraft signals is needed. The main results of this study are as follows: 1) At low altitude (< 10000 km) when most post-separation critical operations are executed, Earth-based network (e.g. Deep Space Network (DSN)) can only provide limited coverage, whereas space-based network (e.g. Space Network (SN)) can provide continuous coverage. 2) Commercial-off-the-shelf SN compatible transmitters are available for small satellite applications. In this paper we present the detailed coverage analysis of Earth-based and Space-based networks. We identify the key functional and performance requirements of the architecture, and describe the proposed selection criteria of the spacecraft transmitter. We conclude the paper with a proposed forward plan.

Global dynamics of a mathematical model for the possible re-emergence of polio.

PubMed

Dénes, Attila; Székely, László

2017-11-01

Motivated by studies warning about a possible re-emergence of poliomyelitis in Europe, we analyse a compartmental model for the transmission of polio describing the possible effect of unvaccinated people arriving to a region with low vaccination coverage. We calculate the basic reproduction number, and determine the global dynamics of the system: we show that, depending on the parameters, one of the two equilibria is globally asymptotically stable. The main tools applied are Lyapunov functions and persistence theory. We illustrate the analytic results by numerical examples, which also suggest that in order to avoid the risk of polio re-emergence, vaccinating the immigrant population might result insufficient, and also the vaccination coverage of countries with low rates should be increased. Copyright © 2017 Elsevier Inc. All rights reserved.

The HYSPIRI Decadal Survey Mission: Update on the Mission Concept and Science Objectives for Global Imaging Spectroscopy and Multi-Spectral Thermal Measurements

NASA Technical Reports Server (NTRS)

Green, Robert O.; Hook, Simon J.; Middleton, Elizabeth; Turner, Woody; Ungar, Stephen; Knox, Robert

2012-01-01

The NASA HyspIRI mission is planned to provide global solar reflected energy spectroscopic measurement of the terrestrial and shallow water regions of the Earth every 19 days will all measurements downlinked. In addition, HyspIRI will provide multi-spectral thermal measurements with a single band in the 4 micron region and seven bands in the 8 to 12 micron region with 5 day day/night coverage. A direct broadcast capability for measurement subsets is also planned. This HyspIRI mission is one of those designated in the 2007 National Research Council (NRC) Decadal Survey: Earth Science and Applications from Space. In the Decadal Survey, HyspIRI was recognized as relevant to a range of Earth science and science applications, including climate: "A hyperspectral sensor (e.g., FLORA) combined with a multispectral thermal sensor (e.g., SAVII) in low Earth orbit (LEO) is part of an integrated mission concept [described in Parts I and II] that is relevant to several panels, especially the climate variability panel." The HyspIRI science study group was formed in 2008 to evaluate and refine the mission concept. This group has developed a series of HyspIRI science objectives: (1) Climate: Ecosystem biochemistry, condition & feedback; spectral albedo; carbon/dust on snow/ice; biomass burning; evapotranspiration (2) Ecosystems: Global plant functional types, physiological condition, and biochemistry including agricultural lands (3) Fires: Fuel status, fire frequency, severity, emissions, and patterns of recovery globally (4) Coral reef and coastal habitats: Global composition and status (5) Volcanoes: Eruptions, emissions, regional and global impact (6) Geology and resources: Global distributions of surface mineral resources and improved understanding of geology and related hazards These objectives are achieved with the following measurement capabilities. The HyspIRI imaging spectrometer provides: full spectral coverage from 380 to 2500 at 10 nm sampling; 60 m spatial sampling with a 150 km swath; and fully downlinked coverage of the Earth's terrestrial and shallow water regions every 19 days to provide seasonal cloud-free coverage of the terrestrial surface. The HyspIRI Multi-Spectral Thermal instrument provides: 8 spectral bands from 4 to 12 microns; 60 m spatial sampling with a 600 km swath; and fully downlinked coverage of the Earth's terrestrial shallow water regions every 5 days (day/night) to provide nominally cloud-free monthly coverage. The HyspIRI mission also includes an on-board processing and direct broadcast capability, referred to as the Intelligent Payload Module (IPM), which will allow users with the appropriate antenna to download a subset of the HyspIRI data stream to a local ground station. These science and science application objectives are critical today and uniquely addressed by the combined imaging spectroscopy, thermal infrared measurements, and IPM direct broadcast capability of HyspIRI. Two key objectives are: (1) The global HyspIRI spectroscopic measurements of the terrestrial biosphere including vegetation composition and function to constrain and reduce the uncertainty in climate-carbon interactions and terrestrial biosphere feedback. (2) The global 8 band thermal measurements to provide improved constraint of fire related emissions. In this paper the current HyspIRI mission concept that has been reviewed and refined to its current level of maturity with a Data Products Symposium, Science Workshop and NASA HWorkshop is presented including traceability between the measurements and the science and science application objectives.

Measuring impact of protected area management interventions: current and future use of the Global Database of Protected Area Management Effectiveness

PubMed Central

Coad, Lauren; Leverington, Fiona; Knights, Kathryn; Geldmann, Jonas; Eassom, April; Kapos, Valerie; Kingston, Naomi; de Lima, Marcelo; Zamora, Camilo; Cuardros, Ivon; Nolte, Christoph; Burgess, Neil D.; Hockings, Marc

2015-01-01

Protected areas (PAs) are at the forefront of conservation efforts, and yet despite considerable progress towards the global target of having 17% of the world's land area within protected areas by 2020, biodiversity continues to decline. The discrepancy between increasing PA coverage and negative biodiversity trends has resulted in renewed efforts to enhance PA effectiveness. The global conservation community has conducted thousands of assessments of protected area management effectiveness (PAME), and interest in the use of these data to help measure the conservation impact of PA management interventions is high. Here, we summarize the status of PAME assessment, review the published evidence for a link between PAME assessment results and the conservation impacts of PAs, and discuss the limitations and future use of PAME data in measuring the impact of PA management interventions on conservation outcomes. We conclude that PAME data, while designed as a tool for local adaptive management, may also help to provide insights into the impact of PA management interventions from the local-to-global scale. However, the subjective and ordinal characteristics of the data present significant limitations for their application in rigorous scientific impact evaluations, a problem that should be recognized and mitigated where possible. PMID:26460133

Global Ocean Phytoplankton

NASA Technical Reports Server (NTRS)

Franz, B. A.; Behrenfeld, M. J.; Siegel, D. A.; Werdell, P. J.

2014-01-01

Marine phytoplankton are responsible for roughly half the net primary production (NPP) on Earth, fixing atmospheric CO2 into food that fuels global ocean ecosystems and drives the ocean's biogeochemical cycles. Phytoplankton growth is highly sensitive to variations in ocean physical properties, such as upper ocean stratification and light availability within this mixed layer. Satellite ocean color sensors, such as the Sea-viewing Wide Field-of-view Sensor (SeaWiFS; McClain 2009) and Moderate Resolution Imaging Spectroradiometer (MODIS; Esaias 1998), provide observations of sufficient frequency and geographic coverage to globally monitor physically-driven changes in phytoplankton distributions. In practice, ocean color sensors retrieve the spectral distribution of visible solar radiation reflected upward from beneath the ocean surface, which can then be related to changes in the photosynthetic phytoplankton pigment, chlorophyll- a (Chla; measured in mg m-3). Here, global Chla data for 2013 are evaluated within the context of the 16-year continuous record provided through the combined observations of SeaWiFS (1997-2010) and MODIS on Aqua (MODISA; 2002-present). Ocean color measurements from the recently launched Visible and Infrared Imaging Radiometer Suite (VIIRS; 2011-present) are also considered, but results suggest that the temporal calibration of the VIIRS sensor is not yet sufficiently stable for quantitative global change studies. All MODISA (version 2013.1), SeaWiFS (version 2010.0), and VIIRS (version 2013.1) data presented here were produced by NASA using consistent Chla algorithms.

42 CFR 486.106 - Condition for coverage: Referral for service and preservation of records.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Condition for coverage: Referral for service and preservation of records. 486.106 Section 486.106 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF...

29 CFR 1620.7 - “Enterprise” coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false âEnterpriseâ coverage. 1620.7 Section 1620.7 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.7 “Enterprise” coverage. (a) The terms “enterprise” and “enterprise engaged in commerce or in the production of...

5 CFR 875.408 - What is the significance of incontestability?

Code of Federal Regulations, 2010 CFR

2010-01-01

... SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Coverage § 875.408 What is the... coverage is different from what is shown in your medical records. (2) If your coverage has been in force... is shown in your medical records and pertains to the condition for which benefits are sought. (3...

5 CFR 875.408 - What is the significance of incontestability?

Code of Federal Regulations, 2011 CFR

2011-01-01

... SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Coverage § 875.408 What is the... coverage is different from what is shown in your medical records. (2) If your coverage has been in force... is shown in your medical records and pertains to the condition for which benefits are sought. (3...

Satellite Remote Sensing of Cirrus: An Overview

NASA Technical Reports Server (NTRS)

Minnis, Patrick

1998-01-01

The determination of cirrus properties over relatively large spatial and temporal scales will, in most instances, require the use of satellite data. Global coverage, at resolutions as high as several meters are attainable with Landsat, while temporal coverage at 1-min intervals is now available with the latest Geostationary Operational Environmental Satellite (GOES) imagers. Cirrus can be analyzed via interpretation of the radiation that they reflect or emit over a wide range of the electromagnetic spectrum. Many of these spectra and high-resolution satellite data can be used to understand certain aspects of cirrus clouds in particular situations. Production of a global climatology of cirrus clouds, however, requires compromises in spatial, temporal, and spectral coverage. This paper summarizes the state of the art and the potential for future passive remote sensing systems for both understanding cirrus formation and acquiring sufficient statistics to constrain and refine weather and climate models.

Leveraging paraprofessionals and family strengths to improve coverage and penetration of nutrition and early child development services.

PubMed

Tomlinson, Mark; Rahman, Atif; Sanders, David; Maselko, Joanna; Rotheram-Borus, Mary Jane

2014-01-01

Children need to be protected in intergenerational networks, with parents who have positive mood, resources to feed their children, and skills to promote early childhood development (ECD). Globally, more than 200 million children are raised annually without these resources. This article reviews the potential contributions of increasing coverage and penetration of services for these children, challenges to achieving penetration of services in high-risk families, opportunities created by bundling multiple services within one provider, potential leveraging of paraprofessionals to deliver care, and mobilizing communities to support children in households at high risk for negative outcomes. We end with a number of suggestions for how to ensure the equitable scale-up of integrated ECD and nutrition services that take into account current global priorities, as well as coverage and penetration of services. © 2013 New York Academy of Sciences.

Progress in global measles control, 2000-2010.

PubMed

2012-02-03

In 1980, before widespread global use of measles vaccine, an estimated 2.6 million measles deaths occurred worldwide. In 2001, to accelerate the reduction in measles cases achieved by vaccination, the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) developed a strategy to deliver 2 doses of measles-containing vaccine (MCV) to all children through routine services and supplementary immunization activities (SIAs) and improved disease surveillance. After implementation of this strategy, the estimated number of annual measles deaths worldwide decreased from 733,000 in 2000 to 164,000 in 2008. In 2010, the World Health Assembly endorsed the following measles objectives for 2015: 1) raise routine coverage with the first dose of MCV (MCV1) for children aged 1 year to ≥90% nationally and ≥80% in every district or equivalent administrative unit, 2) reduce and maintain annual measles incidence at <5 cases per million, and 3) reduce measles mortality by ≥95% from the 2000 estimate. During 2000-2010, global MCV1 coverage increased from 72% to 85% with approximately 1 billion children vaccinated during measles SIAs. Reported measles cases decreased from 2000 to 2008, remained stable in 2009, and increased in 2010. By the end of 2010, 40% of countries still had not met the incidence target of <5 cases per million. Key challenges must be overcome to meet the 2015 objectives, including 1) declining political and financial commitments to measles control, 2) failure to reach uniform high coverage with 2 doses of MCV through routine services or SIAs, and 3) inadequate monitoring subnationally of coverage with the first and second dose of MCV to guide interventions to increase coverage.

Space-Based Lidar Systems

NASA Technical Reports Server (NTRS)

Sun, Xiaoli

2012-01-01

An overview of space-based lidar systems is presented. from the first laser altimeter on APOLLO 15 mission in 1971 to the Mercury Laser Altimeter on MESSENGER mission currently in orbit, and those currently under development. Lidar, which stands for Light Detection And Ranging, is a powerful tool in remote sensing from space. Compared to radars, lidars operate at a much shorter wavelength with a much narrower beam and much smaller transmitter and receiver. Compared to passive remote sensing instruments. lidars carry their own light sources and can continue measuring day and night. and over polar regions. There are mainly two types of lidars depending on the types of measurements. lidars that are designed to measure the distance and properties of hard targets are often called laser rangers or laser altimeters. They are used to obtain the surface elevation and global shape of a planet from the laser pulse time-of-night and the spacecraft orbit position. lidars that are designed to measure the backscattering and absorption of a volume scatter, such as clouds and aerosols, are often just called lidars and categorized by their measurements. such as cloud and aerosol lidar, wind lidar, CO2 lidar, and so on. The advantages of space-based lidar systems over ground based lidars are the abilities of global coverage and continuous measurements.

Sources of health insurance and characteristics of the uninsured: analysis of the March 2007 Current Population Survey.

PubMed

Fronstin, Paul

2007-10-01

This Issue Brief provides historic data through 2006 on the number and percentage of nonelderly individuals with and without health insurance. Based on EBRI estimates from the U.S. Census Bureau's March 2007 Current Population Survey (CPS), it reflects 2006 data. It also discusses trends in coverage for the 1994-2006 period and highlights characteristics that typically indicate whether an individual is insured. HEALTH COVERAGE CONTINUES DECLINE: The percentage of the nonelderly population (under age 65) with health insurance coverage continued to decline, reaching to a post-1994 low of 82.1 percent in 2006. Declines in health insurance coverage have been recorded in all but four years since 1994, when 36.5 million nonelderly individuals were uninsured; in 2006, the uninsured population was 46.5 million. EMPLOYMENT-BASED COVERAGE REMAINS DOMINANT SOURCE OF HEALTH COVERAGE: Employment-based health benefits remain by far the most common form of health coverage in the United States, consistently covering 60-70 percent of nonelderly individuals. In 2006, 62.2 percent of the nonelderly population had employment-based health benefits, as compared with 64.4 percent in 1994. Between 1994 and 2000, the percentage of the nonelderly population with employment-based coverage expanded. Since 2000, the percentage has declined. PUBLIC PROGRAM COVERAGE IS STABLE: Public-sector health coverage was slightly lower as a percentage of the population in 2006, accounting for 17.5 percent of the nonelderly population. The decline was due to a drop in the percentage of the population covered by the Tricare/CHAMPVA program. Enrollment in Medicaid and the State Children's Health Insurance Program increased, reaching 34.9 million in 2006, and covering 13.4 percent of the nonelderly population, which is significantly above the 10.5 percent level of 1999, but not far above the 12.7 percent level of 1994. INDIVIDUAL COVERAGE STABLE: Individually purchased health coverage was unchanged in 2006 and has basically hovered in the high 6 and low 7 percent range since 1994. PRIVATE- VS. PUBLIC-COVERAGE TRENDS REVERSING: Health insurance coverage generally has not sustained unbroken trends since 1994. There were crosscurrents: Employment-based coverage expanded significantly in the 1994-2000 period to exceed the growth in public programs. Subsequently, the dynamic reversed, as public programs expanded while employment-based coverage declined. It appears that 2005 might be the beginning of a new trend, where the erosion in employment-based coverage is not being offset by expansions in public programs. This may be due to the fact that, while unemployment is relatively low, the cost of providing health benefits continues to increase faster than inflation.

26 CFR 1.420-1 - Significant reduction in retiree health coverage during the cost maintenance period.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 5 2010-04-01 2010-04-01 false Significant reduction in retiree health coverage during the cost maintenance period. 1.420-1 Section 1.420-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Pension, Profit-Sharing, Stock Bonus Plans, Etc. § 1.420-1 Significant...

Synthesis in land change science: methodological patterns, challenges, and guidelines.

PubMed

Magliocca, Nicholas R; Rudel, Thomas K; Verburg, Peter H; McConnell, William J; Mertz, Ole; Gerstner, Katharina; Heinimann, Andreas; Ellis, Erle C

Global and regional economic and environmental changes are increasingly influencing local land-use, livelihoods, and ecosystems. At the same time, cumulative local land changes are driving global and regional changes in biodiversity and the environment. To understand the causes and consequences of these changes, land change science (LCS) draws on a wide array synthetic and meta-study techniques to generate global and regional knowledge from local case studies of land change. Here, we review the characteristics and applications of synthesis methods in LCS and assess the current state of synthetic research based on a meta-analysis of synthesis studies from 1995 to 2012. Publication of synthesis research is accelerating, with a clear trend toward increasingly sophisticated and quantitative methods, including meta-analysis. Detailed trends in synthesis objectives, methods, and land change phenomena and world regions most commonly studied are presented. Significant challenges to successful synthesis research in LCS are also identified, including issues of interpretability and comparability across case-studies and the limits of and biases in the geographic coverage of case studies. Nevertheless, synthesis methods based on local case studies will remain essential for generating systematic global and regional understanding of local land change for the foreseeable future, and multiple opportunities exist to accelerate and enhance the reliability of synthetic LCS research in the future. Demand for global and regional knowledge generation will continue to grow to support adaptation and mitigation policies consistent with both the local realities and regional and global environmental and economic contexts of land change.

Contribution of polio eradication initiative to strengthening routine immunization: Lessons learnt in the WHO African region.

PubMed

Anya, Blanche-Philomene Melanga; Moturi, Edna; Aschalew, Teka; Carole Tevi-Benissan, Mable; Akanmori, Bartholomew Dicky; Poy, Alain Nyembo; Mbulu, Kinuam Leon; Okeibunor, Joseph; Mihigo, Richard; Zawaira, Felicitas

2016-10-10

Important investments were made in countries for the polio eradication initiative. On 25 September 2015, a major milestone was achieved when Nigeria was removed from the list of polio-endemic countries. Routine Immunization, being a key pillar of polio eradication initiative needs to be strengthened to sustain the gains made in countries. For this, there is a huge potential on building on the use of polio infrastructure to contribute to RI strengthening. We reviewed estimates of immunization coverage as reported by the countries to WHO and UNICEF for three vaccines: BCG, DTP3 (third dose of diphtheria-tetanus toxoid- pertussis), and the first dose of measles-containing vaccine (MCV1).We conducted a systematic review of best practices documents from eight countries which had significant polio eradication activities. Immunization programmes have improved significantly in the African Region. Regional coverage for DTP3 vaccine increased from 51% in 1996 to 77% in 2014. DTP3 coverage increased >3 folds in DRC (18-80%) and Nigeria from 21% to 66%; and >2 folds in Angola (41-87%), Chad (24-46%), and Togo (42-87%). Coverage for BCG and MCV1 increased in all countries. Of the 47 countries in the region, 18 (38%) achieved a national coverage for DTP3 ⩾90% for 2years meeting the Global Vaccine Action (GVAP) target. A decrease was noted in the Ebola-affected countries i.e., Guinea, Liberia and Sierra Leone. PEI has been associated with increased spending on immunization and the related improvements, especially in the areas of micro planning, service delivery, program management and capacity building. Continued efforts are needed to mobilize international and domestic support to strengthen and sustain high-quality immunization services in African countries. Strengthening RI will in turn sustain the gains made to eradicate poliovirus in the region. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

GPS meteorology - Remote sensing of atmospheric water vapor using the Global Positioning System

NASA Technical Reports Server (NTRS)

Bevis, Michael; Businger, Steven; Herring, Thomas A.; Rocken, Christian; Anthes, Richard A.; Ware, Randolph H.

1992-01-01

We present a new approach to remote sensing of water vapor based on the Global Positioning System (GPS). Geodesists and geophysicists have devised methods for estimating the extent to which signals propagating from GPS satellites to ground-based GPS receivers are delayed by atmospheric water vapor. This delay is parameterized in terms of a time-varying zenith wet delay (ZWD) which is retrieved by stochastic filtering of the GPS data. Given surface temperature and pressure readings at the GPS receiver, the retrieved ZWD can be transformed with very little additional uncertainty into an estimate of the integrated water vapor (IWV) overlying that receiver. Networks of continuously operating GPS receivers are being constructed by geodesists, geophysicists, and government and military agencies, in order to implement a wide range of positioning capabilities. These emerging GPS networks offer the possibility of observing the horizontal distribution of IWV or, equivalently, precipitate water with unprecedented coverage and a temporal resolution of the order of 10 min. These measurements could be utilized in operational weather forecasting and in fundamental research into atmospheric storm systems, the hydrologic cycle, atmospheric chemistry, and global climate change.

An Overview of SIMBIOS Program Activities and Accomplishments. Chapter 1

NASA Technical Reports Server (NTRS)

Fargion, Giulietta S.; McClain, Charles R.

2003-01-01

The SIMBIOS Program was conceived in 1994 as a result of a NASA management review of the agency's strategy for monitoring the bio-optical properties of the global ocean through space-based ocean color remote sensing. At that time, the NASA ocean color flight manifest included two data buy missions, the Sea-viewing Wide Field-of-view Sensor (SeaWiFS) and Earth Observing System (EOS) Color, and three sensors, two Moderate Resolution Imaging Spectroradiometers (MODIS) and the Multi-angle Imaging Spectro-Radiometer (MISR), scheduled for flight on the EOS-Terra and EOS-Aqua satellites. The review led to a decision that the international assemblage of ocean color satellite systems provided ample redundancy to assure continuous global coverage, with no need for the EOS Color mission. At the same time, it was noted that non-trivial technical difficulties attended the challenge (and opportunity) of combining ocean color data from this array of independent satellite systems to form consistent and accurate global bio-optical time series products. Thus, it was announced at the October 1994 EOS Interdisciplinary Working Group meeting that some of the resources budgeted for EOS Color should be redirected into an intercalibration and validation program (McClain et al., 2002).

Progress toward poliomyelitis eradication--Nigeria, January 2013-September 2014.

PubMed

Etsano, Andrew; Gunnala, Rajni; Shuaib, Faisal; Damisa, Eunice; Mkanda, Pascal; Banda, Richard; Korir, Charles; Enemaku, Ogu; Corkum, Melissa; Usman, Samuel; Davis, Lora B; Nganda, Gatei wa; Burns, Cara C; Mahoney, Frank; Vertefeuille, John F

2014-11-21

In 1988, the World Health Assembly resolved to interrupt wild poliovirus (WPV) transmission worldwide. By 2013, only three countries remained that had never interrupted WPV transmission: Afghanistan, Nigeria, and Pakistan. Since 2003, northern Nigeria has been a reservoir for WPV reintroduction into 26 previously polio-free countries. In May 2014, the World Health Organization declared the international spread of polio a Public Health Emergency of International Concern. Nigeria's main strategic goal is to interrupt WPV type 1 (WPV1) transmission by the end of 2014, which is also a main objective of the Global Polio Eradication Initiative's Polio Eradication and Endgame Strategic Plan for 2013-2018. This report updates previous reports (4-6) and describes polio eradication activities and progress in Nigeria during January 2013-September 30, 2014. Only six WPV cases had been reported in 2014 through September 30 compared with 49 reported cases during the same period in 2013. The quality of supplemental immunization activities (SIAs) improved during this period; the proportion of local government areas (LGAs) within 11 high-risk states with estimated oral poliovirus vaccine (OPV) campaign coverage at or above the 90% threshold increased from 36% to 67%. However, the number of reported circulating vaccine-derived poliovirus type 2 (cVDPV2) cases increased from four in 2013 to 21 to date in 2014, and surveillance gaps are suggested by genomic sequence analysis and continued detection of WPV1 by environmental surveillance. Interrupting all poliovirus circulation in Nigeria is achievable with continued attention to stopping cVDPV2 transmission, improving the quality of acute flaccid paralysis (AFP) surveillance, increasing vaccination coverage by strengthened routine immunization services, continuing support from all levels of government, and undertaking special initiatives to provide vaccination to children in conflict-affected areas in northeastern Nigeria.

South Polar Cryptic Region Revisited: THEMIS Observations

NASA Technical Reports Server (NTRS)

Titus, T. N.; Kieffer, H. H.; Plaut, J. J.; Christensen, P. R.; Ivanov, A. B.

2003-01-01

The early part of the Mars Global Surveyor mission provided good TES coverage of the Mars south polar region. These data allow mapping of the polar cap recession, surface and atmospheric temperatures, and albedo features found within the seasonal cap itself over Ls = 180 - 270 deg. During this period, the seasonal south polar cap retreated continuously and asymmetrically around the geographic pole, similar to the observations of Viking in 1976- 1977 [3]. A prominent albedo feature on the seasonal cap is a region that appears almost as dark as bare ground, yet remains cold. We refer to this region, generally located between latitudes 85 deg. S and 75 deg. S and longitudes 150 deg. W and 310 deg. W, as the Cryptic region.

29 CFR 1620.6 - Coverage is not based on amount of covered activity.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Coverage is not based on amount of covered activity. 1620.6 Section 1620.6 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.6 Coverage is not based on amount of covered activity. The FLSA makes no...

Karstic water storage response to the recent droughts in Southwest China estimated from satellite gravimetry

NASA Astrophysics Data System (ADS)

Yao, Chaolong; Luo, Zhicai

2015-12-01

The water resources crisis is intensifying in Southwest China (SWC), which includes the world's largest continuous coverage of karst landforms, due to recent severe drought events. However, because of the special properties of karstic water system, such as strong heterogeneity, monitoring the variation of karstic water resources at large scales remains still difficult. Satellite gravimetry has emerged as an effective tool for investigating the global and regional water cycles. In this study, we used GRACE (Gravity Recovery and Climate Experiment) data from January 2003 to January 2013 to investigate karstic water storage variability over the karst region of SWC. We assessed the impacts of the recent severe droughts on karst water resources, including two heavy droughts in September 2010 to May 2010 and August 2011 to January 2012. Results show a slightly water increase tend during the studied period, but these two severe droughts have resulted in significant water depletion in the studied karst region. The latter drought during 2011 and 2012 caused more water deficits than that of the drought in 2010. Strong correlation between the variations of GRACE-based total water storage and precipitation suggests that climate change is the main driving force for the significant water absent over the studied karst region. As the world's largest continuous coverage karst aquifer, the karst region of SWC offers an example of GRACE applications to a karst system incisively and will benefit for water management from a long-term perspective in karst systems throughout the world.

In need of combined topography and bathymetry DEM

NASA Astrophysics Data System (ADS)

Kisimoto, K.; Hilde, T.

2003-04-01

In many geoscience applications, digital elevation models (DEMs) are now more commonly used at different scales and greater resolution due to the great advancement in computer technology. Increasing the accuracy/resolution of the model and the coverage of the terrain (global model) has been the goal of users as mapping technology has improved and computers get faster and cheaper. The ETOPO5 (5 arc minutes spatial resolution land and seafloor model), initially developed in 1988 by Margo Edwards, then at Washington University, St. Louis, MO, has been the only global terrain model for a long time, and it is now being replaced by three new topographic and bathymetric DEMs, i.e.; the ETOPO2 (2 arc minutes spatial resolution land and seafloor model), the GTOPO30 land model with a spatial resolution of 30 arc seconds (c.a. 1km at equator) and the 'GEBCO 1-MINUTE GLOBAL BATHYMETRIC GRID' ocean floor model with a spatial resolution of 1 arc minute (c.a. 2 km at equator). These DEMs are products of projects through which compilation and reprocessing of existing and/or new datasets were made to meet user's new requirements. These ongoing efforts are valuable and support should be continued to refine and update these DEMs. On the other hand, a different approach to create a global bathymetric (seafloor) database exists. A method to estimate the seafloor topography from satellite altimetry combined with existing ships' conventional sounding data was devised and a beautiful global seafloor database created and made public by W.H. Smith and D.T. Sandwell in 1997. The big advantage of this database is the uniformity of coverage, i.e. there is no large area where depths are missing. It has a spatial resolution of 2 arc minute. Another important effort is found in making regional, not global, seafloor databases with much finer resolutions in many countries. The Japan Hydrographic Department has compiled and released a 500m-grid topography database around Japan, J-EGG500, in 1999. Although the coverage of this database is only a small portion of the Earth, the database has been highly appreciated in the academic community, and accepted in surprise by the general public when the database was displayed in 3D imagery to show its quality. This database could be rather smoothly combined with the finer land DEM of 250m spatial resolution (Japan250m.grd, K. Kisimoto, 2000). One of the most important applications of this combined DEM of topography and bathymetry is tsunami modeling. Understanding of the coastal environment, management and development of the coastal region are other fields in need of these data. There is, however, an important issue to consider when we create a combined DEM of topography and bathymetry in finer resolutions. The problem arises from the discrepancy of the standard datum planes or reference levels used for topographic leveling and bathymetric sounding. Land topography (altitude) is defined by leveling from the single reference point determined by average mean sea level, in other words, land height is measured from the geoid. On the other hand, depth charts are made based on depth measured from locally determined reference sea surface level, and this value of sea surface level is taken from the long term average of the lowest tidal height. So, to create a combined DEM of topography and bathymetry in very fine scale, we need to avoid this inconsistency between height and depth across the coastal region. Height and depth should be physically continuous relative to a single reference datum across the coast within such new high resolution DEMs. (N.B. Coast line is not equal to 'altitude-zero line' nor 'depth-zero line'. It is defined locally as the long term average of the highest tide level.) All of this said, we still need a lot of work on the ocean side. Global coverage with detailed bathymetric mapping is still poor. Seafloor imaging and other geophysical measurements/experiments should be organized and conducted internationally and interdisciplinary ways more than ever. We always need greater technological advancement and application of this technology in marine sciences, and more enthusiastic minds of seagoing researchers as well. Recent seafloor mapping technology/quality both in bathymetry and imagery is very promising and even favorably compared with the terrain mapping. We discuss and present on recent achievement and needs on the seafloor mapping using several most up-to-date global- and regional- DEMs available for science community at the poster session.

An Optimized Hidden Node Detection Paradigm for Improving the Coverage and Network Efficiency in Wireless Multimedia Sensor Networks

PubMed Central

Alanazi, Adwan; Elleithy, Khaled

2016-01-01

Successful transmission of online multimedia streams in wireless multimedia sensor networks (WMSNs) is a big challenge due to their limited bandwidth and power resources. The existing WSN protocols are not completely appropriate for multimedia communication. The effectiveness of WMSNs varies, and it depends on the correct location of its sensor nodes in the field. Thus, maximizing the multimedia coverage is the most important issue in the delivery of multimedia contents. The nodes in WMSNs are either static or mobile. Thus, the node connections change continuously due to the mobility in wireless multimedia communication that causes an additional energy consumption, and synchronization loss between neighboring nodes. In this paper, we introduce an Optimized Hidden Node Detection (OHND) paradigm. The OHND consists of three phases: hidden node detection, message exchange, and location detection. These three phases aim to maximize the multimedia node coverage, and improve energy efficiency, hidden node detection capacity, and packet delivery ratio. OHND helps multimedia sensor nodes to compute the directional coverage. Furthermore, an OHND is used to maintain a continuous node– continuous neighbor discovery process in order to handle the mobility of the nodes. We implement our proposed algorithms by using a network simulator (NS2). The simulation results demonstrate that nodes are capable of maintaining direct coverage and detecting hidden nodes in order to maximize coverage and multimedia node mobility. To evaluate the performance of our proposed algorithms, we compared our results with other known approaches. PMID:27618048

An Optimized Hidden Node Detection Paradigm for Improving the Coverage and Network Efficiency in Wireless Multimedia Sensor Networks.

PubMed

Alanazi, Adwan; Elleithy, Khaled

2016-09-07

Successful transmission of online multimedia streams in wireless multimedia sensor networks (WMSNs) is a big challenge due to their limited bandwidth and power resources. The existing WSN protocols are not completely appropriate for multimedia communication. The effectiveness of WMSNs varies, and it depends on the correct location of its sensor nodes in the field. Thus, maximizing the multimedia coverage is the most important issue in the delivery of multimedia contents. The nodes in WMSNs are either static or mobile. Thus, the node connections change continuously due to the mobility in wireless multimedia communication that causes an additional energy consumption, and synchronization loss between neighboring nodes. In this paper, we introduce an Optimized Hidden Node Detection (OHND) paradigm. The OHND consists of three phases: hidden node detection, message exchange, and location detection. These three phases aim to maximize the multimedia node coverage, and improve energy efficiency, hidden node detection capacity, and packet delivery ratio. OHND helps multimedia sensor nodes to compute the directional coverage. Furthermore, an OHND is used to maintain a continuous node- continuous neighbor discovery process in order to handle the mobility of the nodes. We implement our proposed algorithms by using a network simulator (NS2). The simulation results demonstrate that nodes are capable of maintaining direct coverage and detecting hidden nodes in order to maximize coverage and multimedia node mobility. To evaluate the performance of our proposed algorithms, we compared our results with other known approaches.

Quad-Tree Visual-Calculus Analysis of Satellite Coverage

NASA Technical Reports Server (NTRS)

Lo, Martin W.; Hockney, George; Kwan, Bruce

2003-01-01

An improved method of analysis of coverage of areas of the Earth by a constellation of radio-communication or scientific-observation satellites has been developed. This method is intended to supplant an older method in which the global-coverage-analysis problem is solved from a ground-to-satellite perspective. The present method provides for rapid and efficient analysis. This method is derived from a satellite-to-ground perspective and involves a unique combination of two techniques for multiresolution representation of map features on the surface of a sphere.

AVHRR for monitoring global tropical deforestation

NASA Technical Reports Server (NTRS)

Malingreau, J. P.; Laporte, N.; Tucker, C. J.

1989-01-01

Advanced Very High Resolution Radiometer (AVHRR) data have been used to assess the dynamics of forest trnsformations in three parts of the tropical belt. A large portion of the Amazon Basin has been systematically covered by Local Area Coverage (LAC) data in the 1985-1987 period. The analysis of the vegetation index and thermal data led to the identification and measurement of large areas of active deforestation. The Kalimantan/Borneo forest fires were monitored and their impact was evaluated using the Global Area Coverage (GAC) 4 km resolution data. Finally, High Resolution Picture Transmission (HRPT) data have provided preliminary information on current activities taking place at the boundary between the savanna and the forest in the Southern part of West Africa. The AVHRR approach is found to be a highly valuable means for carrying out deforestation assessments in regional and global perspectives.

International Satellite Cloud Climatology Project (ISCCP) Ice Snow Product in Native (NAT) Format (ISCCP_ICESNOW_NAT)

NASA Technical Reports Server (NTRS)

Rossow, William B. (Principal Investigator)

Since 1983 an international group of institutions has collected and analyzed satellite radiance measurements from up to five geostationary and two polar orbiting satellites to infer the global distribution of cloud properties and their diurnal, seasonal and interannual variations. The primary focus of the first phase of the project (1983-1995) was the elucidation of the role of clouds in the radiation budget (top of the atmosphere and surface). In the second phase of the project (1995 onwards) the analysis also concerns improving understanding of clouds in the global hydrological cycle. [Location=GLOBAL] [Temporal_Coverage: Start_Date=1983-07-01; Stop_Date=] [Spatial_Coverage: Southernmost_Latitude=-90; Northernmost_Latitude=90; Westernmost_Longitude=-180; Easternmost_Longitude=180] [Data_Resolution: Latitude_Resolution=112 Km; Longitude_Resolution=112 Km; Temporal_Resolution=5-day].

5 CFR 892.211 - What options are available to me if I go on a period of leave without pay (LWOP) or other types...

Code of Federal Regulations, 2010 CFR

2010-01-01

... will continue FEHB coverage while on LWOP; your employer will advance your share of your FEHB premium during your LWOP period; and you will repay the advanced amounts when you return from LWOP. (Described in... you now waive). (b)(1) You may continue your FEHB coverage by agreeing in advance of LWOP to one of...

Insurance coverage and financial burden for families of children with special health care needs.

PubMed

Chen, Alex Y; Newacheck, Paul W

2006-01-01

To examine the role of insurance coverage in protecting families of children with special health care needs (CSHCN) from the financial burden associated with care. Data from the 2001 National Survey of Children with Special Health Care Needs were analyzed. We built 2 multivariate regression models by using "work loss/cut back" and "experiencing financial problems" as the dependent variables, and insurance status as the primary independent variable of interest while adjusting for income, race/ethnicity, functional limitation/severity, and other sociodemographic predictors. Approximately 29.9% of CSHCN live in families where their condition led parents to report cutting back on work or stopping work completely. Families of 20.9% of CSHCN reported experiencing financial difficulties due to the child's condition. Insurance coverage significantly reduced the likelihood of financial problems for families at every income level. The proportion of families experiencing financial problems was reduced from 35.7% to 23.0% for the poor and 44.9% to 24.5% for low-income families with continuous insurance coverage (P < .01 for both comparisons). Similarly, the proportion of parents having to cut back or stop work was reduced from 42.8% to 35.9% for the poor (P < .05) and 43.5% to 33.9% for low-income families (P < .01). Continuous health insurance coverage provides protection from financial burden and hardship for families of CSHCN in all income groups. This evidence is supportive of policies designed to promote universal coverage for CSHCN. However, many poor and low-income families continue to experience work loss and financial problems despite insurance coverage. Hence, health insurance should not be viewed as a solution in itself, but instead as one element of a comprehensive strategy to provide financial safety for families with CSHCN.

Right Technology, Right Now: An Evaluation Methodology for Rapidly Deployable Information and Communications Technologies in Humanitarian Assistance/Disaster Relief

DTIC Science & Technology

2012-03-01

30  c.  IEEE 802.16/WiMAX .............................................................31  4.  Broadband Global Area Network...Space Agency, 2006) ...........................34  Figure 19.  Global BGAN Coverage (From Inmarsat, 2009...BGAN Broadband Global Area Network C2 Command and Control CHSC California Homeland Security Consortium CIE Collaborative Information Environment CJCS

Industrial application for global quantum communication

NASA Astrophysics Data System (ADS)

Mirza, A.; Petruccione, F.

2012-09-01

In the last decade the quantum communication community has witnessed great advances in photonic quantum cryptography technology with the research, development and commercialization of automated Quantum Key Distribution (QKD) devices. These first generation devices are however bottlenecked by the achievable spatial coverage. This is due to the intrinsic absorption of the quantum particle into the communication medium. As QKD is of paramount importance in the future ICT landscape, various innovative solutions have been developed and tested to expand the spatial coverage of these networks such as the Quantum City initiative in Durban, South Africa. To expand this further into a global QKD-secured network, recent efforts have focussed on high-altitude free-space techniques through the use of satellites. This couples the QKD-secured Metropolitan Area Networks (MANs) with secured ground-tosatellite links as access points to a global network. Such a solution, however, has critical limitations that reduce its commercial feasibility. As parallel step to the development of satellitebased global QKD networks, we investigate the use of the commercial aircrafts' network as secure transport mechanisms in a global QKD network. This QKD-secured global network will provide a robust infrastructure to create, distribute and manage encryption keys between the MANs of the participating cities.

Shifts in global immunisation goals (1984-2004): unfinished agendas and mixed results.

PubMed

Hardon, Anita; Blume, Stuart

2005-01-01

The turn of the millennium has been marked by a large-scale mobilisation of resources for immunisation programmes in developing countries. The resources have been generated by public and private sector parties collaborating in the Global Alliance for Vaccines and Immunization (GAVI). GAVI was formed in response to deteriorating immunisation coverage rates occurring in the late 1990s. GAVI is the latest in a line of vaccine initiatives, which have operated over the past 20 years. This article reviews the five most important global immunisation initiatives that have taken place over those past 20 years. It analyses their origins, shifts in global immunisation goals, identifies key actors, assesses the initiatives' capacity to mobilise resources and increase immunisation coverage, and points to possible unintended effects of the initiatives. The study argues that shifts in global immunisation goals lead to fragmentation in the implementation of vaccine programmes at the local level in developing countries. It also suggests that global actors involved in the formulation of these initiatives appear to miss opportunities to build on past experiences and fail to learn from previous mistakes. This raises questions about the initiatives' sustainability and relevance to the overall objective of preventing vaccine-preventable deaths.

The use of PROBA-V data for Global Agricultural Monitoring

NASA Astrophysics Data System (ADS)

Bydekerke, Lieven; Gilliams, Sven; Kempeneers, Pieter; Piccard, Isabelle; Deronde, Bart; Eerens, Herman; Gobin, Anne

2015-04-01

Land conversion, forest cutting, urban growth, agricultural expansion, take place at an unprecedented rate and scale such that they have a strong economic and environmental impact. Understanding and measuring dynamics becomes a prerequisite for companies, governments, agencies, NGO's, research institutes and society in general. In many cases the temporal frequency of the information is a requirement to detect phenomena that can occur within a few days and at a certain geographic scale. For example frequent updates on crop condition and projected production are needed to stabilise agricultural markets. Large initiatives such as the GEOGLAM AMIS (Group on Earth Observations Global Agricultural Monitoring - Agricultural Market Information System) respond to this increased need. Observations over large areas are available through satellites, however, the following challenges remain: • obtaining frequent and consistent observations at sufficient level of detail to identify spatial phenomena. At present, no single mission is capable of providing near daily information of any place in the world at scales appropriate to detect land cover/use changes in a consistent manner. • the need for a historical reference. For agricultural monitoring and early warning purposes the comparison of the actual data with a historical reference is of the utmost importance. The PROBA-V mission is an important attempt to overcome these challenges. From its design and within the GIO-Global Land component a lot of work has been done to ensure the consistency between the PROBA-V data and the 15 years historical archive of SPOT-VEGETATION. In this respect PROBA-V observations are comparable with the SPOT-VEGETATION historical baseline and will therefore ensure the continuation of the standard agricultural monitoring products. Next to this integration with the historical archive, PROBA -V also provides an increase in spatial resolution from 1km to 300m and even 100m. The latter ensures a global coverage every 5 days, while daily global coverage is provided at 1 km and 300 m. Within the framework of the FP7 SIGMA project (Stimulating Innovation for Global Monitoring of Agriculture), currently Europe's largest contribution to the abovementioned GEOGLAM initiative, the use of the 100m data set for agricultural monitoring is investigated. To overcome the problem of the reduced revisit time of the 100 m data, the SIGMA projects foresees in a data assimilation of the 100 m and 300 m products. The data assimilation is based on a Kalman filter approach developed by Sedano et al. (2014). As an output, a cloud free composite is produced every ten days at a spatial resolution of 100 m. References Sedano, Fernando, Pieter Kempeneers, and George Hurtt. "A Kalman Filter-Based Method to Generate Continuous Time Series of Medium-Resolution NDVI Images." Remote Sensing 6.12 (2014): 12381-12408. http://proba-v.vgt.vito.be/ http://www.geoglam-sigma.info/

Analysis of newspaper coverage of active aging through the lens of the 2002 World Health Organization Active Ageing Report: A Policy Framework and the 2010 Toronto Charter for Physical Activity: A Global Call for Action.

PubMed

Abdullah, Boushra; Wolbring, Gregor

2013-12-05

As populations continue to grow older, efforts to support the process of aging well are important goals. Various synonyms are used to cover aging well, such as active aging. The World Health Organization published in 2002 the report Active Ageing: A Policy Framework that according to the call for papers, has brought active ageing to the forefront of international public health awareness. The 2010 Toronto Charter for Physical Activity: A Global Call for Action was singled out in the call for papers as a key document promoting physical activity one goal of the 2002 WHO active aging policy framework. Media are to report to the public topics of importance to them. We investigated the newspaper coverage of aging well and synonymous terms such as active aging through the lens of the 2002 WHO active aging policy framework and the 2010 Toronto Charter for Physical Activity. As sources we used the following newspapers: China Daily, The Star (Malaysia), two UK newspapers (The Guardian, The Times), a database of 300 Canadian newspapers (Canadian Newsstand) and a US newspaper (The New York Times). The study generated data answering the following four research questions: (1) how often are the 2002 WHO active aging policy framework and the 2010 Toronto Charter for Physical Activity mentioned; (2) how often is the topic of active aging and terms conveying similar content (aging well, healthy aging, natural aging and successful aging) discussed; (3) which of the issues flagged as important in the 2002 WHO active aging policy framework and the 2010 Toronto Charter for Physical Activity are covered in the newspaper coverage of active aging and synonymous terms; (4) which social groups were mentioned in the newspapers covered. The study found a total absence of mentioning of the two key documents and a low level of coverage of "active aging" and terms conveying similar content. It found further a lack of engagement with the issues raised in the two key documents and a low level of mentioning of socially disadvantages groups. We posit that reading the newspapers we covered will not expose the reader to the two key documents and the issues linked to aging well including the need to increase physical activity.

Analysis of Newspaper Coverage of Active Aging through the Lens of the 2002 World Health Organization Active Ageing Report: A Policy Framework and the 2010 Toronto Charter for Physical Activity: A Global Call for Action

PubMed Central

Abdullah, Boushra; Wolbring, Gregor

2013-01-01

As populations continue to grow older, efforts to support the process of aging well are important goals. Various synonyms are used to cover aging well, such as active aging. The World Health Organization published in 2002 the report Active Ageing: A Policy Framework that according to the call for papers, has brought active ageing to the forefront of international public health awareness. The 2010 Toronto Charter for Physical Activity: A Global Call for Action was singled out in the call for papers as a key document promoting physical activity one goal of the 2002 WHO active aging policy framework. Media are to report to the public topics of importance to them. We investigated the newspaper coverage of aging well and synonymous terms such as active aging through the lens of the 2002 WHO active aging policy framework and the 2010 Toronto Charter for Physical Activity. As sources we used the following newspapers: China Daily, The Star (Malaysia), two UK newspapers (The Guardian, The Times), a database of 300 Canadian newspapers (Canadian Newsstand) and a US newspaper (The New York Times). The study generated data answering the following four research questions: (1) how often are the 2002 WHO active aging policy framework and the 2010 Toronto Charter for Physical Activity mentioned; (2) how often is the topic of active aging and terms conveying similar content (aging well, healthy aging, natural aging and successful aging) discussed; (3) which of the issues flagged as important in the 2002 WHO active aging policy framework and the 2010 Toronto Charter for Physical Activity are covered in the newspaper coverage of active aging and synonymous terms; (4) which social groups were mentioned in the newspapers covered. The study found a total absence of mentioning of the two key documents and a low level of coverage of “active aging” and terms conveying similar content. It found further a lack of engagement with the issues raised in the two key documents and a low level of mentioning of socially disadvantages groups. We posit that reading the newspapers we covered will not expose the reader to the two key documents and the issues linked to aging well including the need to increase physical activity. PMID:24317386

Health status and health systems financing in the MENA region: roadmap to universal health coverage.

PubMed

Asbu, Eyob Zere; Masri, Maysoun Dimachkie; Kaissi, Amer

2017-01-01

Since the declaration of the Millennium Development Goals (MDGs) in 1990, many countries of the Middle East and North Africa (MENA) region made some improvements in maternal and child health and in tackling communicable diseases. The transition to the global agenda of Sustainable Development Goals brings new opportunities for countries to move forward toward achieving progress for better health, well-being, and universal health coverage. This study provides a profile of health status and health financing approaches in the MENA region and their implications on universal health coverage. Time-series data on socioeconomics, health expenditures, and health outcomes were extracted from databases and reports of the World Health Organization, the World Bank and the United Nations Development Program and analyzed using Stata 12 statistical software. Countries were grouped according to the World Bank income categories. Descriptive statistics, tables and charts were used to analyze temporal changes and compare the key variables with global averages. Non-communicable diseases (NCDs) and injuries account for more than three quarters of the disability-adjusted life years in all but two lower middle-income countries (Sudan and Yemen). Prevalence of risk factors (raised blood glucose, raised blood pressure, obesity and smoking) is higher than global averages and counterparts by income group. Total health expenditure (THE) per capita in most of the countries falls short of global averages for countries under similar income category. Furthermore, growth rate of THE per capita has not kept pace with the growth rate of GDP per capita. Out-of-pocket spending (OOPS) in all but the high-income countries in the group exceeds the threshold for catastrophic spending implying that there is a high risk of households getting poorer as a result of paying for health care. The alarmingly high prevalence of NCDs and injuries and associated risk factors, health spending falling short of the GDP and GDP growth rate, and high OOPS pose serious challenges for universal health coverage. Using multi-sector interventions, countries should develop and implement evidence-informed health system financing roadmaps to address these obstacles and move forward toward universal health coverage.

Changes in Arctic and Antarctic Sea Ice as a Microcosm of Global Climate Change

NASA Technical Reports Server (NTRS)

Parkinson, Claire L.

2014-01-01

Polar sea ice is a key element of the climate system and has now been monitored through satellite observations for over three and a half decades. The satellite observations reveal considerable information about polar ice and its changes since the late 1970s, including a prominent downward trend in Arctic sea ice coverage and a much lesser upward trend in Antarctic sea ice coverage, illustrative of the important fact that climate change entails spatial contrasts. The decreasing ice coverage in the Arctic corresponds well with contemporaneous Arctic warming and exhibits particularly large decreases in the summers of 2007 and 2012, influenced by both preconditioning and atmospheric conditions. The increasing ice coverage in the Antarctic is not as readily explained, but spatial differences in the Antarctic trends suggest a possible connection with atmospheric circulation changes that have perhaps been influenced by the Antarctic ozone hole. The changes in the polar ice covers and the issues surrounding those changes have many commonalities with broader climate changes and their surrounding issues, allowing the sea ice changes to be viewed in some important ways as a microcosm of global climate change.

29 CFR 1620.3 - General coverage of employees “engaged in * * * the production of goods for commerce.”

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false General coverage of employees âengaged in * * * the production of goods for commerce.â 1620.3 Section 1620.3 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.3 General coverage of employees...

29 CFR 1620.2 - General coverage of employees “engaged in commerce.”

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false General coverage of employees âengaged in commerce.â 1620.2 Section 1620.2 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.2 General coverage of employees “engaged in commerce.” (a) Like the FLSA, the EPA...

Plant phenology in western Canada: trends and links to the view from space.

PubMed

Beaubien, Elisabeth G; Hall-Beyer, Mryka

2003-01-01

One feature of climate change is the trends to earlier spring onset in many north temperate areas of the world. The timing of spring flowering and leafing of perennial plants is largely controlled by temperature accumulation; both temperature and phenological records illustrate changes in recent decades. Phenology studies date back over a century, with extensive databases existing for western Canada. Earlier spring flowering has been noted for many woody plants, with larger trends seen for species that develop at spring's start. Implications for ecosystems of trends to earlier spring arrival include changes in plant species composition, changes in timing and distribution of pests and disease, and potentially disrupted ecological interactions. While Alberta has extensive phenology databases (for species, years, and geographic coverage) for recent decades, these data cannot provide continuous ground coverage. There is great potential for phenological data to provide ground validation for satellite imagery interpretation, especially as new remote sensors are becoming available. Phenological networks are experiencing a resurgence of interest in Canada (www.plantwatch.ca) and globally, and linking these ground-based observations with the view from space will greatly enhance our capacity to track the biotic response to climate changes.

Developing spectral, structural, and phenological diversity proxies for monitoring biodiversity change across space and time using ESA's Sentinel satellites

NASA Astrophysics Data System (ADS)

Ma, X.; Mahecha, M. D.; Migliavacca, M.; Luo, Y.; Urban, M.; Bohn, F. J.; Huth, A.; Reichstein, M.

2017-12-01

A key challenge for monitoring biodiversity change is the lack of consistent measures of biodiversity across space and time. This challenge may be addressed by exploring the potentials provided by novel remote sensing observations. By continuously observing broad-scale patterns of vegetation and land surface parameters, remote sensing can complement the restricted coverage afforded by field measurements. Here we develop methods to infer spatial patterns of biodiversity at ecosystem level from ESA's next-generation Sentinel sensors (Sentinel-1: C-band radar & Sentinel-2: multispectral). Both satellites offer very high spatial (10 m) and temporal resolutions (5 days) measurements with global coverage. We propose and test several ecosystem biodiversity proxies, including landscape spectral diversity, phenological diversity, and canopy structural diversity. These diversity proxies are highly related to some key aspects of essential biodiversity variables (EBVs) as defined by GEO-BON, such as habitat structure, community composition, ecosystem function and structure. We verify spaceborne retrievals of these biodiversity proxies with in situ measurements from drone (spectral diversity), phenocam (phenological diversity), and airborne LiDAR (canopy structural diversity) over multiple flux tower sites within the Mediterranean region. We further compare our remote sensing retrievals of biodiversity proxies against several biodiversity indices as derived from field measurements (incl. ⍺-/β- diversity and Shannon-index) to explore the limitations and potentials of extending the RS proxies to a greater spatial extent. We expect the new concept as to maximize the potential of remote sensing information might help to monitor key aspects of EBVs on a global scale.

Feasibility of using global system for mobile communication (GSM)-based tracking for vaccinators to improve oral poliomyelitis vaccine campaign coverage in rural Pakistan.

PubMed

Chandir, Subhash; Dharma, Vijay Kumar; Siddiqi, Danya Arif; Khan, Aamir Javed

2017-09-05

Despite multiple rounds of immunization campaigns, it has not been possible to achieve optimum immunization coverage for poliovirus in Pakistan. Supplementary activities to improve coverage of immunization, such as door-to-door campaigns are constrained by several factors including inaccurate hand-drawn maps and a lack of means to objectively monitor field teams in real time, resulting in suboptimal vaccine coverage during campaigns. Global System for Mobile Communications (GSM) - based tracking of mobile subscriber identity modules (SIMs) of vaccinators provides a low-cost solution to identify missed areas and ensure effective immunization coverage. We conducted a pilot study to investigate the feasibility of using GSM technology to track vaccinators through observing indicators including acceptability, ease of implementation, costs and scalability as well as the likelihood of ownership by District Health Officials. The real-time location of the field teams was displayed on a GSM tracking web dashboard accessible by supervisors and managers for effective monitoring of workforce attendance including 'time in-time out', and discerning if all target areas - specifically remote and high-risk locations - had been reached. Direct access to this information by supervisors eliminated the possibility of data fudging and inaccurate reporting by workers regarding their mobility. The tracking cost per vaccinator was USD 0.26/month. Our study shows that GSM-based tracking is potentially a cost-efficient approach, results in better monitoring and accountability, is scalable and provides the potential for improved geographic coverage of health services. Copyright © 2017 Elsevier Ltd. All rights reserved.

Dental care coverage and income-related inequalities in foregone dental care in Europe during the great recession.

PubMed

Elstad, Jon Ivar

2017-08-01

This study examines income inequalities in foregone dental care in 23 European countries during the years with global economic crisis. Associations between dental care coverage from public health budgets or social insurance, and income-related inequalities in perceived access to dental care, are analysed. Survey data 2008-2013 from 23 countries were combined with country data on macro-economic conditions and coverage for dental care. Foregone dental care was defined as self-reported abstentions from needed dental care because of costs or other crisis-related reasons. Age-standardized percentages reporting foregone dental care were estimated for respondents, age 20-74, in the lowest and highest income quartile. Associations between dental care coverage and income inequalities in foregone dental care, adjusted for macro-economic indicators, were examined by country-level regression models. In all 23 countries, respondents in the lowest income quartile reported significantly higher levels of foregone dental care than respondents in the highest quartile. During 2008-2013, income inequalities in foregone dental care widened significantly in 13 of 23 countries, but decreased in only three countries. Adjusted for countries' macro-economic situation and severity of the economic crisis, higher dental care coverage was significantly associated with smaller income inequalities in foregone dental care and less widening of these inequalities. Income-related inequalities in dental care have widened in Europe during the years with global economic crisis. Higher dental care coverage corresponded to less income-related inequalities in foregone dental care and less widening of these inequalities. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Determinants of apparent rural-urban differentials in measles vaccination uptake in Indonesia.

PubMed

Fernandez, Renae C; Awofeso, Niyi; Rammohan, Anu

2011-01-01

Regional differences in vaccination uptake are common in both developed and developing countries, and are often linked to the availability of healthcare services and socioeconomic factors. In 2007, 0.9 million eligible Indonesian children missed measles vaccination, and 19 456 cases of measles were documented among Indonesian children. The authors investigated rural-urban differentials in measles vaccination coverage among young Indonesian children, and sought to identify key factors influencing the probability of a child receiving the first dose of measles vaccination in Indonesia. Data used in the analyses were sourced from the nationally representative Indonesia Demographic and Health Survey 2007. The influence of location of residence, household wealth, maternal and paternal education, total children ever born and use of skilled birth attendants on measles vaccination coverage was investigated using bivariate analysis and chi-square tests. The independent effects of these variables were established using binomial logistic regression analysis. Indonesia's 2007 first-dose measles national vaccination coverage was, at 72.8%, lower than the 2008 global first-dose measles vaccination average coverage of 82%. Bivariate analysis revealed that the first-dose measles vaccination coverage in rural areas of Indonesia was 68.5%, compared with 80.1% in urban regions (p < 0.001). The apparent significance of rural residence in impairing vaccination coverage was marginal after controlling for the sex of the child, maternal age, maternal and paternal education, wealth, and access to skilled health workers. Apart from sustainable initiatives to increase measles vaccination coverage globally, it is important to close the rural-urban gap in Indonesia's measles vaccination uptake. Addressing critical determinants of inferior measles vaccination coverage in Indonesia's rural regions will facilitate major improvements in Indonesia's child health trends. This article suggests initiatives for addressing three of such determinants in Indonesia's rural areas: poverty, parental education and access to skilled health workers.

Make Your Good Publicity Work Marketing Magic.

ERIC Educational Resources Information Center

Wassom, Julie

1988-01-01

Stresses the importance of positive public opinion and media coverage for the successful continuity of day care centers. Suggests a variety of alternatives for maximizing the longevity and galvanizing the impact of positive media attention and coverage. (RWB)

How ground-based observations can support satellite greenhouse gas retrievals

NASA Astrophysics Data System (ADS)

Butler, J. H.; Tans, P. P.; Sweeney, C.; Dlugokencky, E. J.

2012-04-01

Global society will eventually accelerate efforts to reduce greenhouse gas emissions in a variety of ways. These would likely involve international treaties, national policies, and regional strategies that will affect a number of economic, social, and environmental sectors. Some strategies will work better than others and some will not work at all. Because trillions of dollars will be involved in pursuing greenhouse gas emission reductions - through realignment of energy production, improvement of efficiencies, institution of taxes, implementation of carbon trading markets, and use of offsets - it is imperative that society be given all the tools at its disposal to ensure the ultimate success of these efforts. Providing independent, globally coherent information on the success of these efforts will give considerable strength to treaties, policies, and strategies. Doing this will require greenhouse gas observations greatly expanded from what we have today. Satellite measurements may ultimately be indispensable in achieving global coverage, but the requirements for accuracy and continuity of measurements over time are demanding if the data are to be relevant. Issues such as those associated with sensor drift, aging electronics, and retrieval artifacts present challenges that can be addressed in part by close coordination with ground-based and in situ systems. This presentation identifies the information that ground-based systems provide very well, but it also looks at what would be deficient even in a greatly expanded surface system, where satellites can fill these gaps, and how on-going, ground and in situ measurements can aid in addressing issues associated with accuracy, long-term continuity, and retrieval artifacts.

Global continental and ocean basin reconstructions since 200 Ma

NASA Astrophysics Data System (ADS)

Seton, M.; Müller, R. D.; Zahirovic, S.; Gaina, C.; Torsvik, T.; Shephard, G.; Talsma, A.; Gurnis, M.; Turner, M.; Maus, S.; Chandler, M.

2012-07-01

Global plate motion models provide a spatial and temporal framework for geological data and have been effective tools for exploring processes occurring at the earth's surface. However, published models either have insufficient temporal coverage or fail to treat tectonic plates in a self-consistent manner. They usually consider the motions of selected features attached to tectonic plates, such as continents, but generally do not explicitly account for the continuous evolution of plate boundaries through time. In order to explore the coupling between the surface and mantle, plate models are required that extend over at least a few hundred million years and treat plates as dynamic features with dynamically evolving plate boundaries. We have constructed a new type of global plate motion model consisting of a set of continuously-closing topological plate polygons with associated plate boundaries and plate velocities since the break-up of the supercontinent Pangea. Our model is underpinned by plate motions derived from reconstructing the seafloor-spreading history of the ocean basins and motions of the continents and utilizes a hybrid absolute reference frame, based on a moving hotspot model for the last 100 Ma, and a true-polar wander corrected paleomagnetic model for 200 to 100 Ma. Detailed regional geological and geophysical observations constrain plate boundary inception or cessation, and time-dependent geometry. Although our plate model is primarily designed as a reference model for a new generation of geodynamic studies by providing the surface boundary conditions for the deep earth, it is also useful for studies in disparate fields when a framework is needed for analyzing and interpreting spatio-temporal data.

Orbit dynamics and geographical coverage capabilities of satellite-based solar occultation experiments for global monitoring of stratospheric constituents

NASA Technical Reports Server (NTRS)

Brooks, D. R.

1980-01-01

Orbit dynamics of the solar occultation technique for satellite measurements of the Earth's atmosphere are described. A one-year mission is simulated and the orbit and mission design implications are discussed in detail. Geographical coverage capabilities are examined parametrically for a range of orbit conditions. The hypothetical mission is used to produce a simulated one-year data base of solar occultation measurements; each occultation event is assumed to produce a single number, or 'measurement' and some statistical properties of the data set are examined. A simple model is fitted to the data to demonstrate a procedure for examining global distributions of atmospheric constitutents with the solar occultation technique.

CarbonSat -Quantification of natural and man-made greenhouse gas surface fluxes from satellite observations of atmospheric CO2 and CH4 column amounts

NASA Astrophysics Data System (ADS)

Bovensmann, Heinrich; Buchwitz, M.; Burrows, J. P.; Notholt, J.; Bovensmann, H.; Reuter, M.; Trautmann, T.; Ehret, G.; Heimann, M.; Monks, P.; B&Ü, H.; Sch; Harding, R.; Quegan, S.; Rayner, P.; Breon, F. M.; Bergam-O Aschi, P.; Dittus, H. J.; Erzinger, J.; Crisp, D.

Surprisingly and in spite of their exceptional driving role in climate change, our knowledge about the variable sources and sinks of the greenhouse gases CO2 and CH4 is currently inadequate. For example, the ability of the Earth-atmosphere system to buffer increasing anthropogenic emissions into the atmosphere has large uncertainties and emissions from many sources (geo-logic, anthropogenic, biogenic) are to a large degree uncertain. An adequate knowledge of the sources and sinks of CO2 and CH4 and their response to a changing climate is a pre-requisite for the accurate prediction of the regional variation of the climate of our planet. CarbonSat is a new mission concept to quantify and monitor CO2 and CH4 sources and sinks at the regional to local scale. The data will allow a better understanding of the processes that control the Carbon Cycle dynamics and an independent estimate of local greenhouse gas emissions (fossil fuel, geological CO2 and CH4, etc.). This will be achieved by a unique combination of high spatial resolution passive and active compact remote sensing with inverse modeling techniques. CarbonSat will accurately measure column-averaged mixing ratios of CO2 and CH4, i.e., XCO2 and XCH4, at a spatial resolution of 2 x 2 km2 (500 km continuous swath) with 0.5 percent goal (1 percent threshold) single measurement precision and global coverage within 3-6 days. Beside the quantification of sources and sinks on the regional scale, one key and innovative aim of the CarbonSat mission is to go a step forward towards quantifying local emission hot spots (fossil fuel emissions by power plants, gas/oil production, geological sources etc.). The core sensor will be a compact Imaging NIR/SWIR spectrometer (SCIAMACHY, OCO her-itage) whose measurements yield global data sets of XCO2 and XCH4 with at least one order of magnitude higher number of cloud free measurements than GOSAT and OCO and one order of magnitude better spatial coverage than OCO, due to CarbonSat's 500 km swath continuous across track coverage with 2 x 2 km2 spatial resolution. Ideally, the imaging spectrometer will be accompanied by a compact CH4 Lidar, to derive complementary accurate XCH4 -especially in high northern latitudes -as well as information on clouds and vegetation height. The overall mission concept will be presented.

CarbonSat - Quantification of natural and man-made greenhouse gas surface fluxes from satellite observations of atmospheric CO2 and CH4 column amounts

NASA Astrophysics Data System (ADS)

Bovensmann, Heinrich; Buchwitz, Michael

2010-05-01

Surprisingly and in spite of their exceptional driving role in climate change, our knowledge about the variable sources and sinks of the greenhouse gases CO2 and CH4 is currently inadequate. For example, the ability of the Earth-atmosphere system to buffer increasing anthropogenic emissions into the atmosphere has large uncertainties and emissions from many sources (geologic, anthropogenic, biogenic) are to a large degree uncertain. An adequate knowledge of the sources and sinks of CO2 and CH4 and their response to a changing climate is a pre-requisite for the accurate prediction of the regional variation of the climate of our planet. CarbonSat is a new mission concept to quantify and monitor CO2 and CH4 sources and sinks at the regional to local scale. The data will allow a better understanding of the processes that control the Carbon Cycle dynamics and an independent estimate of local greenhouse gas emissions (fossil fuel, geological CO2 and CH4, etc.). This will be achieved by a unique combination of high spatial resolution passive and active compact remote sensing with inverse modeling techniques. CarbonSat will accurately measure column-averaged mixing ratios of CO2 and CH4, i.e., XCO2 and XCH4, at a spatial resolution of 2 x 2 km2 (500 km continuous swath) with 0.5% goal (1%, threshold) single measurement precision and global coverage within 3-6 days. Beside the quantification of sources and sinks on the regional scale, one key and innovative aim of the CarbonSat mission is to go a step forward towards quantifying local emission hot spots (fossil fuel emissions by power plants, gas/oil production, geological sources etc.). The core sensor will be a compact Imaging NIR/SWIR spectrometer (SCIAMACHY, OCO heritage) whose measurements yield global data sets of XCO2 and XCH4 with at least one order of magnitude higher number of cloud free measurements than GOSAT and OCO and one order of magnitude better spatial coverage than OCO, due to CarbonSat's 500 km swath continuous across track coverage with 2 x 2 km2 spatial resolution. Ideally, the imaging spectrometer will be accompanied by a compact CH4 Lidar, to derive complementary accurate XCH4 - especially in high northern latitudes - as well as information on clouds and vegetation height. The overall mission concept, the expected data quality and selected application areas will be presented.

Mars Global Coverage by Context Camera on MRO

NASA Image and Video Library

2017-03-29

In early 2017, after more than a decade of observing Mars, the Context Camera (CTX) on NASA's Mars Reconnaissance Orbiter (MRO) surpassed 99 percent coverage of the entire planet. This mosaic shows that global coverage. No other camera has ever imaged so much of Mars in such high resolution. The mosaic offers a resolution that enables zooming in for more detail of any region of Mars. It is still far from the full resolution of individual CTX observations, which can reveal the shapes of features smaller than the size of a tennis court. As of March 2017, the Context Camera has taken about 90,000 images since the spacecraft began examining Mars from orbit in late 2006. In addition to covering 99.1 percent of the surface of Mars at least once, this camera has observed more than 60 percent of Mars more than once, checking for changes over time and providing stereo pairs for 3-D modeling of the surface. http://photojournal.jpl.nasa.gov/catalog/PIA21488

Population-based HPV vaccination programmes are safe and effective: 2017 update and the impetus for achieving better global coverage.

PubMed

Brotherton, Julia M L; Bloem, Paul N

2018-02-01

Persistent oncogenic human papillomavirus (HPV) is the cause of cervical cancer, as well as cancers of the anus, penis, vulva, vagina and oropharynx. There is good evidence that prophylactic HPV vaccines are immunogenic and effective against targeted-type HPV infections and type-specific genital lesions, including high-grade cervical intraepithelial neoplasia (CIN), when administered prior to HPV infection. There is good evidence that HPV vaccines are safe in population usage, with the most frequent adverse event being injection-site reactions. There is evidence to support some cross-protection against non-targeted types occurring following the administration of HPV vaccines. There is limited evidence suggesting that HPV vaccines may be beneficial in preventing future disease in women treated for high-grade CIN. This chapter focuses on the accumulated evidence regarding the global use of the three licensed HPV vaccines including safety, immunogenicity, duration of protection, effectiveness, coverage to date and barriers to higher coverage. Copyright © 2018 Elsevier Ltd. All rights reserved.

Sources of health insurance and characteristics of the uninsured: analysis of the March 2009 Current Population Survey.

PubMed

Fronstin, Paul

2009-09-01

This Issue Brief provides historical data through 2008 on the number and percentage of nonelderly individuals with and without health insurance. Based on EBRI estimates from the U.S. Census Bureau's March 2009 Current Population Survey (CPS), it reflects 2008 data. It also discusses trends in coverage for the 1994-2008 period and highlights characteristics that typically indicate whether an individual is insured. HEALTH COVERAGE RATE CONTINUES TO DECREASE: The percentage of the nonelderly population (under age 65) with health insurance coverage decreased to 82.6 percent in 2008. Increases in health insurance coverage have been recorded in only four years since 1994, when 36.5 million nonelderly individuals were uninsured; in 2008, the uninsured population was 45.7 million. EMPLOYMENT-BASED COVERAGE REMAINS DOMINANT SOURCE OF HEALTH COVERAGE, BUT CONTINUES TO SLOWLY ERODE: Employment-based health benefits remain the most common form of health coverage in the United States. In 2008, 61.1 percent of the nonelderly population had employment-based health benefits, down from 68.4 percent in 2000. Between 1994 and 2000, the percentage of the nonelderly population with employment-based coverage expanded. PUBLIC PROGRAM COVERAGE IS GROWING: Public program health coverage expanded as a percentage of the population in 2008, accounting for 19.4 percent of the nonelderly population. Enrollment in Medicaid and the State Children's Health Insurance Program increased, reaching a combined 39.2 million in 2008, and covering 14.9 percent of the nonelderly population, significantly above the 10.5 percent level of 1999. INDIVIDUAL COVERAGE STABLE: Individually purchased health coverage was unchanged in 2008 and has basically hovered in the 6-7 percent range since 1994. MOST/LEAST LIKELY TO HAVE HEALTH INSURANCE: Full-time, full-year workers, public-sector workers, workers employed in manufacturing, managerial and professional workers, and individuals living in high-income families are most likely to have employment-based health benefits. Poor families are most likely to be covered by public coverage programs such as Medicaid or S-CHIP. RETHINKING THE VALUE OF OFFERING HEALTH INSURANCE: Research illustrates the advantages to consumers of having health insurance and the benefits to employers of offering it. In general, the availability of health insurance allows consumers to avoid unnecessary pain and suffering and improves the quality of life, and employers report that offering benefits has a positive impact on worker recruitment, retention, health status, and productivity. Employers may believe in the business case for providing health benefits today, but in the future they may rethink the value that offering coverage provides, especially if health costs continue to escalate sharply or if health reform changes the value proposition.

Satellite orbit considerations for a global change technology architecture trade study

NASA Technical Reports Server (NTRS)

Harrison, Edwin F.; Gibson, Gary G.; Suttles, John T.; Buglia, James J.; Taback, Israel

1991-01-01

A study was conducted to determine satellite orbits for earth observation missions aimed at obtaining data for assessing data global climate change. A multisatellite system is required to meet the scientific requirements for temporal coverage over the globe. The best system consists of four sun-synchronous satellites equally spaced in local time of equatorial crossing. This system can obtain data every three hours for all regions. Several other satellite systems consisting of combinations of sun-synchronous orbits and either the Space Station Freedom or a mid-altitude equatorial satellite can provide three to six hour temporal coverage, which is sufficient for measuring many of the parameters required for the global change monitoring mission. Geosynchronous satellites are required to study atmospheric and surface processes involving variations on the order of a few minutes to an hour. One or two geosynchronous satellites can be relocated in longitude to study processes over selected regions of earth.

Nobel prize for the artemisinin and ivermectin discoveries: a great boost towards elimination of the global infectious diseases of poverty.

PubMed

Tambo, Ernest; Khater, Emad I M; Chen, Jun-Hu; Bergquist, Robert; Zhou, Xiao-Nong

2015-12-28

The Millennium Development Goals (MDGs) made a marked transformation for neglected and vulnerable communities in the developing countries from the start, but infectious diseases of poverty (IDoPs) continue to inflict a disproportionate global public health burden with associated consequences, thereby contributing to the vicious cycle of poverty and inequity. However, the effectiveness and large-scale coverage of artemisinin combination therapy (ACT) have revolutionized malaria treatment just as the control of lymphatic filariasis (LF) and onchocerciasis have benefitted from harnessing the broad-spectrum effect of avermectin-based derivatives. The paradigm shift in therapeutic approach, effected by these two drugs and their impact on community-based interventions of parasitic diseases plaguing the endemic low- and middle-income countries (LIMCs), led to the Nobel Prize in Physiology or Medicine in 2015. However, the story would not be complete without mentioning praziquantel. The huge contribution of this drug in modernizing the control of schistosomiasis and also some intestinal helminth infections had already shifted the focus from control to potential elimination of this disease. Together, these new drugs have provided humankind with powerful new tools for the alleviation of infectious diseases that humans have lived with since time immemorial. These drugs all have broad-spectrum effects, yet they are very safe and can even be packaged together in various combinations. The strong effect on so many of the great infectious scourges in the developing countries has not only had a remarkable influence on many endemic diseases, but also contributed to improving the cost structure of healthcare. Significant benefits include improved quality of preventive and curative medicine, promotion of community-based interventions, universal health coverage and the fostering of global partnerships. The laudable progress and benefits achieved are indispensable in championing, strengthening and moving forward elimination of the IDoPs. However, there is an urgent need for further innovative, contextual and integrated approaches along with the advent of the Sustainable Development Goals (SDGs), replacing the MDGs in ensuring global health security, well-being and economic prosperity for all.

Double-Difference Global Adjoint Tomography

NASA Astrophysics Data System (ADS)

Orsvuran, R.; Bozdag, E.; Lei, W.; Tromp, J.

2017-12-01

The adjoint method allows us to incorporate full waveform simulations in inverse problems. Misfit functions play an important role in extracting the relevant information from seismic waveforms. In this study, our goal is to apply the Double-Difference (DD) methodology proposed by Yuan et al. (2016) to global adjoint tomography. Dense seismic networks, such as USArray, lead to higher-resolution seismic images underneath continents. However, the imbalanced distribution of stations and sources poses challenges in global ray coverage. We adapt double-difference multitaper measurements to global adjoint tomography. We normalize each DD measurement by its number of pairs, and if a measurement has no pair, as may frequently happen for data recorded at oceanic stations, classical multitaper measurements are used. As a result, the differential measurements and pair-wise weighting strategy help balance uneven global kernel coverage. Our initial experiments with minor- and major-arc surface waves show promising results, revealing more pronounced structure near dense networks while reducing the prominence of paths towards cluster of stations. We have started using this new measurement in global adjoint inversions, addressing azimuthal anisotropy in upper mantle. Meanwhile, we are working on combining the double-difference approach with instantaneous phase measurements to emphasize contributions of scattered waves in global inversions and extending it to body waves. We will present our results and discuss challenges and future directions in the context of global tomographic inversions.

Faculty Sufficiency and AACSB Accreditation Compliance within a Global University: A Mathematical Modeling Approach

ERIC Educational Resources Information Center

Boronico, Jess; Murdy, Jim; Kong, Xinlu

2014-01-01

This manuscript proposes a mathematical model to address faculty sufficiency requirements towards assuring overall high quality management education at a global university. Constraining elements include full-time faculty coverage by discipline, location, and program, across multiple campus locations subject to stated service quality standards of…

Global Precipitation Measurement Poster

NASA Technical Reports Server (NTRS)

Azarbarzin, Art

2010-01-01

This poster presents an overview of the Global Precipitation Measurement (GPM) constellation of satellites which are designed to measure the Earth's precipitation. It includes the schedule of launches for the various satellites in the constellation, and the coverage of the constellation, It also reviews the mission capabilities, and the mission science objectives.

Beyond health aid: would an international equalization scheme for universal health coverage serve the international collective interest?

PubMed Central

2014-01-01

It has been argued that the international community is moving ‘beyond aid’. International co-financing in the international collective interest is expected to replace altruistically motivated foreign aid. The World Health Organization promotes ‘universal health coverage’ as the overarching health goal for the next phase of the Millennium Development Goals. In order to provide a basic level of health care coverage, at least some countries will need foreign aid for decades to come. If international co-financing of global public goods is replacing foreign aid, is universal health coverage a hopeless endeavor? Or would universal health coverage somehow serve the international collective interest? Using the Sustainable Development Solutions Network proposal to finance universal health coverage as a test case, we examined the hypothesis that national social policies face the threat of a ‘race to the bottom’ due to global economic integration and that this threat could be mitigated through international social protection policies that include international cross-subsidies – a kind of ‘equalization’ at the international level. The evidence for the race to the bottom theory is inconclusive. We seem to be witnessing a ‘convergence to the middle’. However, the ‘middle’ where ‘convergence’ of national social policies is likely to occur may not be high enough to keep income inequality in check. The implementation of the international equalization scheme proposed by the Sustainable Development Solutions Network would allow to ensure universal health coverage at a cost of US$55 in low income countries-the minimum cost estimated by the World Health Organization. The domestic efforts expected from low and middle countries are far more substantial than the international co-financing efforts expected from high income countries. This would contribute to ‘convergence’ of national social policies at a higher level. We therefore submit that the proposed international equalization scheme should not be considered as foreign aid, but rather as an international collective effort to protect and promote national social policy in times of global economic integration: thus serving the international collective interest. PMID:24886583

Survey of distribution of seasonal influenza vaccine doses in 201 countries (2004-2015): The 2003 World Health Assembly resolution on seasonal influenza vaccination coverage and the 2009 influenza pandemic have had very little impact on improving influenza control and pandemic preparedness.

PubMed

Palache, A; Abelin, A; Hollingsworth, R; Cracknell, W; Jacobs, C; Tsai, T; Barbosa, P

2017-08-24

There is no global monitoring system for influenza vaccination coverage, making it difficult to assess progress towards the 2003 World Health Assembly (WHA) vaccination coverage target. In 2008, the IFPMA Influenza Vaccine Supply International Task Force (IVS) developed a survey method to assess the global distribution of influenza vaccine doses as a proxy for vaccination coverage rates. The latest dose distribution data for 2014 and 2015 was used to update previous analyses. Data were confidentially collected and aggregated by the IFPMA Secretariat, and combined with previous IFPMA IVS survey data (2004-2013). Data were available from 201 countries over the 2004-2015 period. A "hurdle" rate was defined as the number of doses required to reach 15.9% of the population in 2008. Overall, the number of distributed doses progressively increased between 2004 and 2011, driven by a 150% increase in AMRO, then plateaued. One percent fewer doses were distributed in 2015 than in 2011. Twenty-three countries were above the hurdle rate in 2015, compared to 15 in 2004, but distribution was highly uneven in and across all WHO regions. Three WHO regions (AMRO, EURO and WPRO) accounted for about 95% of doses distributed. But in EURO and WPRO, distribution rates in 2015 were only marginally higher than in 2004, and in EURO there was an overall downward trend in dose distribution. The vast majority of countries cannot meet the 2003WHA coverage targets and are inadequately prepared for a global influenza pandemic. With only 5% of influenza vaccine doses being distributed to 50% of the world's population, there is urgency to redress the gross inequities in disease prevention and in pandemic preparedness. The 2003WHA resolution must be reviewed and revised and a call issued for the renewed commitment of Member States to influenza vaccination coverage targets. Copyright © 2017. Published by Elsevier Ltd.

Near Real Time Vertical Profiles of Clouds and Aerosols from the Cloud-Aerosol Transport System (CATS) on the International Space Station

NASA Astrophysics Data System (ADS)

Yorks, J. E.; McGill, M. J.; Nowottnick, E. P.

2015-12-01

Plumes from hazardous events, such as ash from volcanic eruptions and smoke from wildfires, can have a profound impact on the climate system, human health and the economy. Global aerosol transport models are very useful for tracking hazardous plumes and predicting the transport of these plumes. However aerosol vertical distributions and optical properties are a major weakness of global aerosol transport models, yet a key component of tracking and forecasting smoke and ash. The Cloud-Aerosol Transport System (CATS) is an elastic backscatter lidar designed to provide vertical profiles of clouds and aerosols while also demonstrating new in-space technologies for future Earth Science missions. CATS has been operating on the Japanese Experiment Module - Exposed Facility (JEM-EF) of the International Space Station (ISS) since early February 2015. The ISS orbit provides more comprehensive coverage of the tropics and mid-latitudes than sun-synchronous orbiting sensors, with nearly a three-day repeat cycle. The ISS orbit also provides CATS with excellent coverage over the primary aerosol transport tracks, mid-latitude storm tracks, and tropical convection. Data from CATS is used to derive properties of clouds and aerosols including: layer height, layer thickness, backscatter, optical depth, extinction, and depolarization-based discrimination of particle type. The measurements of atmospheric clouds and aerosols provided by the CATS payload have demonstrated several science benefits. CATS provides near-real-time observations of cloud and aerosol vertical distributions that can be used as inputs to global models. The infrastructure of the ISS allows CATS data to be captured, transmitted, and received at the CATS ground station within several minutes of data collection. The CATS backscatter and vertical feature mask are part of a customized near real time (NRT) product that the CATS processing team produces within 6 hours of collection. The continuous near real time CATS data availability is an extraordinary capability and permits vertical profiles of aerosols to flow directly into any aerosol transport model.

Dissemination of satellite-based river discharge and flood data

NASA Astrophysics Data System (ADS)

Kettner, A. J.; Brakenridge, G. R.; van Praag, E.; de Groeve, T.; Slayback, D. A.; Cohen, S.

2014-12-01

In collaboration with NASA Goddard Spaceflight Center and the European Commission Joint Research Centre, the Dartmouth Flood Observatory (DFO) daily measures and distributes: 1) river discharges, and 2) near real-time flood extents with a global coverage. Satellite-based passive microwave sensors and hydrological modeling are utilized to establish 'remote-sensing based discharge stations', and observed time series cover 1998 to the present. The advantages over in-situ gauged discharges are: a) easy access to remote or due to political reasons isolated locations, b) relatively low maintenance costs to maintain a continuous observational record, and c) the capability to obtain measurements during floods, hazardous conditions that often impair or destroy in-situ stations. Two MODIS instruments aboard the NASA Terra and Aqua satellites provide global flood extent coverage at a spatial resolution of 250m. Cloud cover hampers flood extent detection; therefore we ingest 6 images (the Terra and Aqua images of each day, for three days), in combination with a cloud shadow filter, to provide daily global flood extent updates. The Flood Observatory has always made it a high priority to visualize and share its data and products through its website. Recent collaborative efforts with e.g. GeoSUR have enhanced accessibility of DFO data. A web map service has been implemented to automatically disseminate geo-referenced flood extent products into client-side GIS software. For example, for Latin America and the Caribbean region, the GeoSUR portal now displays current flood extent maps, which can be integrated and visualized with other relevant geographical data. Furthermore, the flood state of satellite-observed river discharge sites are displayed through the portal as well. Additional efforts include implementing Open Geospatial Consortium (OGC) standards to incorporate Water Markup Language (WaterML) data exchange mechanisms to further facilitate the distribution of the satellite gauged river discharge time series.

Modeling the Global Coronal Field with Simulated Synoptic Magnetograms from Earth and the Lagrange Points L3, L4, and L5

NASA Astrophysics Data System (ADS)

Petrie, Gordon; Pevtsov, Alexei; Schwarz, Andrew; DeRosa, Marc

2018-06-01

The solar photospheric magnetic flux distribution is key to structuring the global solar corona and heliosphere. Regular full-disk photospheric magnetogram data are therefore essential to our ability to model and forecast heliospheric phenomena such as space weather. However, our spatio-temporal coverage of the photospheric field is currently limited by our single vantage point at/near Earth. In particular, the polar fields play a leading role in structuring the large-scale corona and heliosphere, but each pole is unobservable for {>} 6 months per year. Here we model the possible effect of full-disk magnetogram data from the Lagrange points L4 and L5, each extending longitude coverage by 60°. Adding data also from the more distant point L3 extends the longitudinal coverage much further. The additional vantage points also improve the visibility of the globally influential polar fields. Using a flux-transport model for the solar photospheric field, we model full-disk observations from Earth/L1, L3, L4, and L5 over a solar cycle, construct synoptic maps using a novel weighting scheme adapted for merging magnetogram data from multiple viewpoints, and compute potential-field models for the global coronal field. Each additional viewpoint brings the maps and models into closer agreement with the reference field from the flux-transport simulation, with particular improvement at polar latitudes, the main source of the fast solar wind.

The Global Precipitation Climatology Project: First Algorithm Intercomparison Project

NASA Technical Reports Server (NTRS)

Arkin, Phillip A.; Xie, Pingping

1994-01-01

The Global Precipitation Climatology Project (GPCP) was established by the World Climate Research Program to produce global analyses of the area- and time-averaged precipitation for use in climate research. To achieve the required spatial coverage, the GPCP uses simple rainfall estimates derived from IR and microwave satellite observations. In this paper, we describe the GPCP and its first Algorithm Intercomparison Project (AIP/1), which compared a variety of rainfall estimates derived from Geostationary Meteorological Satellite visible and IR observations and Special Sensor Microwave/Imager (SSM/I) microwave observations with rainfall derived from a combination of radar and raingage data over the Japanese islands and the adjacent ocean regions during the June and mid-July through mid-August periods of 1989. To investigate potential improvements in the use of satellite IR data for the estimation of large-scale rainfall for the GPCP, the relationship between rainfall and the fractional coverage of cold clouds in the AIP/1 dataset is examined. Linear regressions between fractional coverage and rainfall are analyzed for a number of latitude-longitude areas and for a range of averaging times. The results show distinct differences in the character of the relationship for different portions of the area. These results suggest that the simple IR-based estimation technique currently used in the GPCP can be used to estimate rainfall for global tropical and subtropical areas, provided that a method for adjusting the proportional coefficient for varying areas and seasons can be determined.

Assessment of the 2010 global measles mortality reduction goal: results from a model of surveillance data.

PubMed

Simons, Emily; Ferrari, Matthew; Fricks, John; Wannemuehler, Kathleen; Anand, Abhijeet; Burton, Anthony; Strebel, Peter

2012-06-09

In 2008 all WHO member states endorsed a target of 90% reduction in measles mortality by 2010 over 2000 levels. We developed a model to estimate progress made towards this goal. We constructed a state-space model with population and immunisation coverage estimates and reported surveillance data to estimate annual national measles cases, distributed across age classes. We estimated deaths by applying age-specific and country-specific case-fatality ratios to estimated cases in each age-country class. Estimated global measles mortality decreased 74% from 535,300 deaths (95% CI 347,200-976,400) in 2000 to 139,300 (71,200-447,800) in 2010. Measles mortality was reduced by more than three-quarters in all WHO regions except the WHO southeast Asia region. India accounted for 47% of estimated measles mortality in 2010, and the WHO African region accounted for 36%. Despite rapid progress in measles control from 2000 to 2007, delayed implementation of accelerated disease control in India and continued outbreaks in Africa stalled momentum towards the 2010 global measles mortality reduction goal. Intensified control measures and renewed political and financial commitment are needed to achieve mortality reduction targets and lay the foundation for future global eradication of measles. US Centers for Disease Control and Prevention (PMS 5U66/IP000161). Copyright © 2012 Elsevier Ltd. All rights reserved.

[Responses of plant community structure and species composition to warming and N addition in an alpine meadow, northern Tibetan Plateau, China].

PubMed

Zong, Ning; Chai, Xi; Shi, Pei Li; Jiang, Jing; Niu, Ben; Zhang, Xian Zhou; He, Yong Tao

2016-12-01

Global climate warming and increasing nitrogen (N) deposition, as controversial global environmental issues, may distinctly affect the functions and processes of terrestrial ecosystems. It has been reported that the Qinghai-Tibet Plateau has been experiencing significant warming in recent decades, especially in winter. Previous studies have mainly focused on the effects of warming all the year round; however, few studies have tested the effects of winter warming. To investigate the effects of winter warming and N addition on plant community structure and species composition of alpine meadow, long-term N addition and simulated warming experiment was conducted in alpine meadow from 2010 in Damxung, northern Tibet. The experiment consisted of three warming patterns: Year-round warming (YW), winter warming (WW) and control (NW), crossed respectively with five N gradients: 0, 10, 20, 40, 80 kg N·hm -2 ·a -1 . From 2012 to 2014, both warming and N addition significantly affected the total coverage of plant community. Specifically, YW significantly decreased the total coverage of plant community. Without N addition, WW remarkably reduced the vegetation coverage. However, with N addition, the total vegetation coverage gradually increased with the increase of N level. Warming and N addition had different effects on plants from different functional groups. Warming significantly reduced the plant coverage of grasses and sedges, while N addition significantly enhanced the plant coverage of grasses. Regression analyses showed that the total coverage of plant community was positively related to soil water content in vigorous growth stages, indicating that the decrease in soil water content resulted from warming during dry seasons might be the main reason for the decline of total community coverage. As soil moisture in semi-arid alpine meadow is mainly regulated by rainfalls, our results indicated that changes in spatial and temporal patterns of rainfalls under the future climate change scenarios would dramatically influence the vegetation coverage and species composition. Additionally, the effects of increasing atmospheric N deposition on vegetation community might also depend on the change of rainfall patterns.

Deep Space Network and Lunar Network Communication Coverage of the Moon

NASA Technical Reports Server (NTRS)

Lee, Charles H.; Cheung, Kar-Ming

2006-01-01

In this article, we describe the communication coverage analysis for the lunar network and the Earth ground stations. The first part of this article focuses on the direct communication coverage of the Moon from the Earth's ground stations. In particular, we assess the coverage performance of the Moon based on the existing Deep Space Network (DSN) antennas and the complimentary coverage of other potential stations at Hartebeesthoek, South Africa and at Santiago, Chile. We also address the coverage sensitivity based on different DSN antenna scenarios and their capability to provide single and redundant coverage of the Moon. The second part of this article focuses on the framework of the constrained optimization scheme to seek a stable constellation six relay satellites in two planes that not only can provide continuous communication coverage to any users on the Moon surface, but can also deliver data throughput in a highly efficient manner.

Aligning US health and immigration policy to reduce the incidence of tuberculosis.

PubMed

Blewett, L A; Marmor, S; Pintor, J K; Boudreaux, M

2014-04-01

Tuberculosis (TB) is a significant public health issue, claiming 1.4 million lives worldwide in 2011. Using data from the 2009-2010 National Health Interview Survey, we examine variation in 'having heard of TB' (HTB) by global region of birth and health insurance status. Cross-sectional analysis with bivariate comparisons and multivariate logistic regression to evaluate how adults differed in reported HTB, controlling for global region of birth. HTB rates ranged from 63.4% of adults born in Asia to 88.6% born in Europe. Uninsured immigrants had the lowest rate of HTB, ranging from a low of 50.1% of uninsured adults born in Asia to 77.6% born in Europe and 90.8% of US-born uninsured adults. Longer length of time in the United States (>5 years) was significantly associated with increased likelihood of HTB, as did being of Asian race/ethnicity and being male. Those with private health insurance coverage had the highest rates of HTB. To reduce persistent TB, public health program directors and policy makers must 1) recognize the variation in HTB by global region of birth and prioritize areas with the lowest HTB rates, and 2) reduce barriers to health insurance coverage by eliminating the 5-year ban for public program coverage for new immigrants.

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 4 2012-07-01 2012-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 4 2014-07-01 2014-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 4 2013-07-01 2013-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 4 2011-07-01 2011-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

76 FR 21265 - Interest on Deposits; Deposit Insurance Coverage

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-15

... of interest on demand deposits, effective one year from the date of the DFA's enactment, July 21... COVERAGE 2. The authority for part 330 continues to read as follows: 12 U.S.C. 1813(l), 1813(m), 1817(i...

Employer-sponsored health insurance coverage continues to decline in a new decade.

PubMed

Gould, Elise

2013-01-01

Most Americans, particularly those under age 65, rely on health insurance offered through the workplace. Given continuing high unemployment, it comes as no surprise that the share of Americans under age 65 covered by employer-sponsored health insurance (ESI) eroded for the 11th year in a row in 2011, falling from 58.6 percent in 2010 to 58.3 percent. The situation started deteriorating long before the Great Recession: the share of Americans under age 65 covered by ESI eroded every year from 2000 to 2011, decreasing by a total of 10.9 percentage points. As many as 29 million more people under age 65 would have had ESI in 2011 if the coverage rate had remained at the 2000 level. The decline in ESI coverage has been accompanied by an overall decline in health insurance coverage. The number of uninsured non-elderly Americans was 47.9 million in 2011--11.7 million higher than in 2000. Increasing public insurance coverage, particularly among children, is the only reason the uninsured rate did not rise one-for-one with losses in ESI. In addition, key components in the Patient Protection and Affordable Care Act took effect in 2010, shielding young adults from further coverage losses.

Understanding the impact of global trade liberalization on health systems pursuing universal health coverage.

PubMed

Missoni, Eduardo

2013-01-01

In the context of reemerging universalistic approaches to health care, the objective of this article was to contribute to the discussion by highlighting the potential influence of global trade liberalization on the balance between health demand and the capacity of health systems pursuing universal health coverage (UHC) to supply adequate health care. Being identified as a defining feature of globalization affecting health, trade liberalization is analyzed as a complex and multidimensional influence on the implementation of UHC. The analysis adopts a systems-thinking approach and refers to the six building blocks of World Health Organization's current "framework for action," emphasizing their interconnectedness. While offering new opportunities to increase access to health information and care, in the absence of global governance mechanisms ensuring adequate health protection and promotion, global trade tends to have negative effects on health systems' capacity to ensure UHC, both by causing higher demand and by interfering with the interconnected functioning of health systems' building blocks. The prevention of such an impact and the effective implementation of UHC would highly benefit from a more consistent commitment and stronger leadership by the World Health Organization in protecting health in global policymaking fora in all sectors. Copyright © 2013 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Spatial assessment of land degradation through key ecosystem services: The role of globally available data.

PubMed

Cerretelli, Stefania; Poggio, Laura; Gimona, Alessandro; Yakob, Getahun; Boke, Shiferaw; Habte, Mulugeta; Coull, Malcolm; Peressotti, Alessandro; Black, Helaina

2018-07-01

Land degradation is a serious issue especially in dry and developing countries leading to ecosystem services (ESS) degradation due to soil functions' depletion. Reliably mapping land degradation spatial distribution is therefore important for policy decisions. The main objectives of this paper were to infer land degradation through ESS assessment and compare the modelling results obtained using different sets of data. We modelled important physical processes (sediment erosion and nutrient export) and the equivalent ecosystem services (sediment and nutrient retention) to infer land degradation in an area in the Ethiopian Great Rift Valley. To model soil erosion/retention capability, and nitrogen export/retention capability, two datasets were used: a 'global' dataset derived from existing global-coverage data and a hybrid dataset where global data were integrated with data from local surveys. The results showed that ESS assessments can be used to infer land degradation and identify priority areas for interventions. The comparison between the modelling results of the two different input datasets showed that caution is necessary if only global-coverage data are used at a local scale. In remote and data-poor areas, an approach that integrates global data with targeted local sampling campaigns might be a good compromise to use ecosystem services in decision-making. Copyright © 2018. Published by Elsevier B.V.

Feasibility Study For A Spaceborne Ozone/Aerosol Lidar System

NASA Technical Reports Server (NTRS)

Campbell, Richard E.; Browell, Edward V.; Ismail, Syed; Dudelzak, Alexander E.; Carswell, Allan I.; Ulitsky, Arkady

1997-01-01

Because ozone provides a shield against harmful ultraviolet radiation, determines the temperature profile in the stratosphere, plays important roles in tropospheric chemistry and climate, and is a health risk near the surface, changes in natural ozone layers at different altitudes and their global impact are being intensively researched. Global ozone coverage is currently provided by passive optical and microwave satellite sensors that cannot deliver high spatial resolution measurements and have particular limitations in the troposphere. Vertical profiling DIfferential Absorption Lidars (DIAL) have shown excellent range-resolved capabilities, but these systems have been large, inefficient, and have required continuous technical attention for long term operations. Recently, successful, autonomous DIAL measurements have been performed from a high-altitude aircraft (LASE - Lidar Atmospheric Sensing Experiment), and a space-qualified aerosol lidar system (LITE - Laser In-space Technology Experiment) has performed well on Shuttle. Based on the above successes, NASA and the Canadian Space Agency are jointly studying the feasibility of developing ORACLE (Ozone Research with Advanced Cooperative Lidar Experiments), an autonomously operated, compact DIAL instrument to be placed in orbit using a Pegasus class launch vehicle.

SAR (Synthetic Aperture Radar). Earth observing system. Volume 2F: Instrument panel report

NASA Technical Reports Server (NTRS)

1987-01-01

The scientific and engineering requirements for the Earth Observing System (EOS) imaging radar are provided. The radar is based on Shuttle Imaging Radar-C (SIR-C), and would include three frequencies: 1.25 GHz, 5.3 GHz, and 9.6 GHz; selectable polarizations for both transmit and receive channels; and selectable incidence angles from 15 to 55 deg. There would be three main viewing modes: a local high-resolution mode with typically 25 m resolution and 50 km swath width; a regional mapping mode with 100 m resolution and up to 200 km swath width; and a global mapping mode with typically 500 m resolution and up to 700 km swath width. The last mode allows global coverage in three days. The EOS SAR will be the first orbital imaging radar to provide multifrequency, multipolarization, multiple incidence angle observations of the entire Earth. Combined with Canadian and Japanese satellites, continuous radar observation capability will be possible. Major applications in the areas of glaciology, hydrology, vegetation science, oceanography, geology, and data and information systems are described.

2007 costs and coverage of antiretrovirals under Medicare Part D for people with HIV/AIDS living in North Carolina.

PubMed

Sengupta, Sohini

2008-01-01

Effective January 1, 2006 Medicare Part D became a new source of prescription drug coverage for people with HIV/AIDS in the United States. The implementation of Part D has affected access to antiretrovirals for people with HIV/AIDS. In North Carolina, access can be difficult because of the state's struggling safety net programs and the growing HIV-infected populations among Blacks and in poor rural counties. This analysis examines Medicare Part D antiretroviral coverage in 2007 for beneficiaries with HIV/AIDS in North Carolina, particularly those who did not qualify as dual eligibles or for a full low-income subsidy. Data describing program coverage were obtained from the Web site www.medicare.gov and descriptive analyses were performed to assess changes in antiretroviral coverage in Part D prescription drug plans in North Carolina. Most of the 26 antiretrovirals are covered in some way by 76 North Carolina prescription drug plans. There may be variability in coverage however associated with (a) antiretroviral classification within formularies; (b) drug premiums; (c) whether premiums can be waived; (d) annual deductibles; and (e) whether coverage is provided in the "doughnut hole." The data may not reflect actual patterns of drug use and realized access to the drugs. The findings are limited to antiretroviral coverage in North Carolina's Part D offerings but could be generalized to other states with similar prescription drug plan costs and coverage. These concerns continue to pose significant challenges to accessing antiretrovirals for Part D beneficiaries with HIV/AIDS in North Carolina. Variability demonstrated within prescription drug plans will continue, and beneficiaries with HIV/AIDS who do not qualify as dual eligibles or for low-income subsidies will need to evaluate these issues when selecting a prescription drug plan in future enrollment periods.

Analysis on the Change of Grassland Coverage in the Source Region of Three Rivers during 2000-2012

NASA Astrophysics Data System (ADS)

Luo, Chengfeng; Wang, Jiao; Liu, Meilin; Liu, Zhengjun

2014-03-01

The Source Region of Three Rivers (SRTR) has very important ecological functions which form an ecological security barrier for China's Qinghai-Tibet plateau. As the biggest nationally occuring nature reserve region in China, the ecological environment here is very fragile. In SRTR the grassland coverage is an effective detector to reflect the ecological environment condition, because it records the changing process of climatic and environmental sensitively. In recent years SRTR has been suffering pressures from both nature and social pressures. With MODIS data the study monitored the grassland coverage continuously in SRTR from 2000 to 2012. The density-model was adapted to estimate grassland coverage degree firstly. Then the degree of change and the change intensity, change type were used to judge the grassland coverage change trend comprehensively. For grassland coverage there was natural change annual or within the year, and the degree of change was used to judge if there was change or not. The grassland has another important characteristic, annual fluctuation, and it can be differed from sustained changes with change type. For grassland coverage, such continuous change, like improvement or degradation, and to what extent, has more guidance sense on specific production practice. On the base of change type and degree of change, change intensity was used to identify the change trend of the grassland coverage. The analysis results from our study show that steady state and fluctuation are two main change trends for the vegetation coverage in SRTR from 2000 to 2012. The conclusion of this paper can provide references in response to environment change research and in the regional ecological environmental protection project in SRTR.

The Role of Sea Ice in 2 x CO2 Climate Model Sensitivity. Part 2; Hemispheric Dependencies

NASA Technical Reports Server (NTRS)

Rind, D.; Healy, R.; Parkinson, C.; Martinson, D.

1997-01-01

How sensitive are doubled CO2 simulations to GCM control-run sea ice thickness and extent? This issue is examined in a series of 10 control-run simulations with different sea ice and corresponding doubled CO2 simulations. Results show that with increased control-run sea ice coverage in the Southern Hemisphere, temperature sensitivity with climate change is enhanced, while there is little effect on temperature sensitivity of (reasonable) variations in control-run sea ice thickness. In the Northern Hemisphere the situation is reversed: sea ice thickness is the key parameter, while (reasonable) variations in control-run sea ice coverage are of less importance. In both cases, the quantity of sea ice that can be removed in the warmer climate is the determining factor. Overall, the Southern Hemisphere sea ice coverage change had a larger impact on global temperature, because Northern Hemisphere sea ice was sufficiently thick to limit its response to doubled CO2, and sea ice changes generally occurred at higher latitudes, reducing the sea ice-albedo feedback. In both these experiments and earlier ones in which sea ice was not allowed to change, the model displayed a sensitivity of -0.02 C global warming per percent change in Southern Hemisphere sea ice coverage.

Mobile phone-delivered reminders and incentives to improve childhood immunisation coverage and timeliness in Kenya (M-SIMU): a cluster randomised controlled trial.

PubMed

Gibson, Dustin G; Ochieng, Benard; Kagucia, E Wangeci; Were, Joyce; Hayford, Kyla; Moulton, Lawrence H; Levine, Orin S; Odhiambo, Frank; O'Brien, Katherine L; Feikin, Daniel R

2017-04-01

As mobile phone access continues to expand globally, opportunities exist to leverage these technologies to support demand for immunisation services and improve vaccine coverage. We aimed to assess whether short message service (SMS) reminders and monetary incentives can improve immunisation uptake in Kenya. In this cluster-randomised controlled trial, villages were randomly and evenly allocated to four groups: control, SMS only, SMS plus a 75 Kenya Shilling (KES) incentive, and SMS plus 200 KES (85 KES = USD$1). Caregivers were eligible if they had a child younger than 5 weeks who had not yet received a first dose of pentavalent vaccine. Participants in the intervention groups received SMS reminders before scheduled pentavalent and measles immunisation visits. Participants in incentive groups, additionally, received money if their child was timely immunised (immunisation within 2 weeks of the due date). Caregivers and interviewers were not masked. The proportion of fully immunised children (receiving BCG, three doses of polio vaccine, three doses of pentavalent vaccine, and measles vaccine) by 12 months of age constituted the primary outcome and was analysed with log-binomial regression and General Estimating Equations to account for correlation within clusters. This trial is registered with ClinicalTrials.gov, number NCT01878435. Between Oct 14, 2013, and Oct 17, 2014, we enrolled 2018 caregivers and their infants from 152 villages into the following four groups: control (n=489), SMS only (n=476), SMS plus 75 KES (n=562), and SMS plus 200 KES (n=491). Overall, 1375 (86%) of 1600 children who were successfully followed up achieved the primary outcome, full immunisation by 12 months of age (296 [82%] of 360 control participants, 332 [86%] of 388 SMS only participants, 383 [86%] of 446 SMS plus 75 KES participants, and 364 [90%] of 406 SMS plus 200 KES participants). Children in the SMS plus 200 KES group were significantly more likely to achieve full immunisation at 12 months of age (relative risk 1·09, 95% CI 1·02-1·16, p=0·014) than children in the control group. In a setting with high baseline immunisation coverage levels, SMS reminders coupled with incentives significantly improved immunisation coverage and timeliness. Given that global immunisation coverage levels have stagnated around 85%, the use of incentives might be one option to reach the remaining 15%. Bill & Melinda Gates Foundation. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license. Published by Elsevier Ltd.. All rights reserved.

42 CFR 600.405 - Standard health plan coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 5 2014-10-01 2014-10-01 false Standard health plan coverage. 600.405 Section 600.405 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BASIC HEALTH PROGRAM ADMINISTRATION, ELIGIBILITY, ESSENTIAL HEALTH BENEFITS, PERFORMANCE...

45 CFR 1150.20 - What debts are included or excluded from coverage of these regulations on salary offset?

Code of Federal Regulations, 2011 CFR

2011-10-01

... Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS COLLECTION OF CLAIMS Salary Offset § 1150.20 What debts are included or excluded from coverage of...

45 CFR 1150.20 - What debts are included or excluded from coverage of these regulations on salary offset?

Code of Federal Regulations, 2010 CFR

2010-10-01

... Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS COLLECTION OF CLAIMS Salary Offset § 1150.20 What debts are included or excluded from coverage of...

Observing the Anthropocene from Space

NASA Astrophysics Data System (ADS)

Dittus, Hansjörg

2016-07-01

Influence of mankind on Earth's climate is evident. The growing population using the resources available, especially by burning goal, oil and gas, changes the composition of the Earth's atmosphere with the result of a continuously increasing temperature. Effects are not limited to the regional scale but are evident on the whole planet, meanwhile named Anthropocene. According to this global influence, it's necessary to also extend monitoring to the entire planet. Space-based observation systems are not limited by any artificial borders and are in principle able, to cover the whole Earth. In principle, two different ways of observation can be selected: Either a dedicated spacecraft will be send into low earth orbit (LEO) or existing platforms are used. Advantages of satellites are the more or less freely selectable orbit (with orbits covering also the polar regions) and the possible adaption of spacecraft platform for the dedicated instrument. On the other hand platforms like the ISS space station enable continuous long term coverage with different instruments. The drawback of an only limited coverage based on the orbit inclination is made up by the possibility to service systems on the station. Furthermore different generations of sensors can be run in parallel and therefore cross calibrated if needed. This paper reviews the currently available sensors types and discusses potential future needs. Included in this discussion is the international space station as an already available platform for earth observation. Furthermore, discussion should also take into account, that an increasing number of constellations with dozens or even thousand satellites are planned. Are these constellations also an option for an increased temporal and spatial monitoring of the Earth?

Bhutan's National ECCD Impact Evaluation: Local, National, and Global Perspectives

ERIC Educational Resources Information Center

Pisani, Lauren; Dyenka, Karma; Sharma, Parvati; Chhetri, Nar; Dang, Sara; Gayleg, Karma; Wangdi, Chencho

2017-01-01

Early childhood care and development (ECCD) services have been steadily expanding with structures on the community, national, and international levels. However, many low- and middle-income countries still have very limited ECCD coverage, and there is a lack of global guidance on best practices for effectively expanding pre-primary education. In…

The Role of Discrete Global Grid Systems in the Global Statistical Geospatial Framework

NASA Astrophysics Data System (ADS)

Purss, M. B. J.; Peterson, P.; Minchin, S. A.; Bermudez, L. E.

2016-12-01

The United Nations Committee of Experts on Global Geospatial Information Management (UN-GGIM) has proposed the development of a Global Statistical Geospatial Framework (GSGF) as a mechanism for the establishment of common analytical systems that enable the integration of statistical and geospatial information. Conventional coordinate reference systems address the globe with a continuous field of points suitable for repeatable navigation and analytical geometry. While this continuous field is represented on a computer in a digitized and discrete fashion by tuples of fixed-precision floating point values, it is a non-trivial exercise to relate point observations spatially referenced in this way to areal coverages on the surface of the Earth. The GSGF states the need to move to gridded data delivery and the importance of using common geographies and geocoding. The challenges associated with meeting these goals are not new and there has been a significant effort within the geospatial community to develop nested gridding standards to tackle these issues over many years. These efforts have recently culminated in the development of a Discrete Global Grid Systems (DGGS) standard which has been developed under the auspices of Open Geospatial Consortium (OGC). DGGS provide a fixed areal based geospatial reference frame for the persistent location of measured Earth observations, feature interpretations, and modelled predictions. DGGS address the entire planet by partitioning it into a discrete hierarchical tessellation of progressively finer resolution cells, which are referenced by a unique index that facilitates rapid computation, query and analysis. The geometry and location of the cell is the principle aspect of a DGGS. Data integration, decomposition, and aggregation is optimised in the DGGS hierarchical structure and can be exploited for efficient multi-source data processing, storage, discovery, transmission, visualization, computation, analysis, and modelling. During the 6th Session of the UN-GGIM in August 2016 the role of DGGS in the context of the GSGF was formally acknowledged. This paper proposes to highlight the synergies and role of DGGS in the Global Statistical Geospatial Framework and to show examples of the use of DGGS to combine geospatial statistics with traditional geoscientific data.

Measuring the extent and effectiveness of protected areas as an indicator for meeting global biodiversity targets

PubMed Central

Chape, S; Harrison, J; Spalding, M; Lysenko, I

2005-01-01

There are now over 100 000 protected areas worldwide, covering over 12% of the Earth's land surface. These areas represent one of the most significant human resource use allocations on the planet. The importance of protected areas is reflected in their widely accepted role as an indicator for global targets and environmental assessments. However, measuring the number and extent of protected areas only provides a unidimensional indicator of political commitment to biodiversity conservation. Data on the geographic location and spatial extent of protected areas will not provide information on a key determinant for meeting global biodiversity targets: ‘effectiveness’ in conserving biodiversity. Although tools are being devised to assess management effectiveness, there is no globally accepted metric. Nevertheless, the numerical, spatial and geographic attributes of protected areas can be further enhanced by investigation of the biodiversity coverage of these protected areas, using species, habitats or biogeographic classifications. This paper reviews the current global extent of protected areas in terms of geopolitical and habitat coverage, and considers their value as a global indicator of conservation action or response. The paper discusses the role of the World Database on Protected Areas and collection and quality control issues, and identifies areas for improvement, including how conservation effectiveness indicators may be included in the database to improve the value of protected areas data as an indicator for meeting global biodiversity targets. PMID:15814356

A global Fine-Root Ecology Database to address below-ground challenges in plant ecology

DOE PAGES

Iversen, Colleen M.; McCormack, M. Luke; Powell, A. Shafer; ...

2017-02-28

Variation and tradeoffs within and among plant traits are increasingly being harnessed by empiricists and modelers to understand and predict ecosystem processes under changing environmental conditions. And while fine roots play an important role in ecosystem functioning, fine-root traits are underrepresented in global trait databases. This has hindered efforts to analyze fine-root trait variation and link it with plant function and environmental conditions at a global scale. This Viewpoint addresses the need for a centralized fine-root trait database, and introduces the Fine-Root Ecology Database (FRED, http://roots.ornl.gov) which so far includes > 70 000 observations encompassing a broad range of rootmore » traits and also includes associated environmental data. FRED represents a critical step toward improving our understanding of below-ground plant ecology. For example, FRED facilitates the quantification of variation in fine-root traits across root orders, species, biomes, and environmental gradients while also providing a platform for assessments of covariation among root, leaf, and wood traits, the role of fine roots in ecosystem functioning, and the representation of fine roots in terrestrial biosphere models. There has been a continued input of observations into FRED to fill gaps in trait coverage will improve our understanding of changes in fine-root traits across space and time.« less

The global reproductive health market: U.S. media framings and public discourses about transnational surrogacy.

PubMed

Markens, Susan

2012-06-01

During the first decade of the 21st century a new "dramatic story" about the growing global surrogacy industry brought renewed attention to surrogacy as a social problem and a health policy issue. This paper asks: What cultural assumptions about gender, family and the global reproductive health market are revealed in current U.S. media coverage of and public discourses about surrogacy? From a qualitative analysis of prominent news accounts of surrogacy that were published in 2008, New York Times articles and blogs published on the topic between 2006 and 2010, and over 1000 online reader comments to these articles, I identify key frames used to discursively construct and debate the international surrogacy market. This study reveals the distinct contrast between the occasions when reproductive labor is rhetorically distanced from commodification processes and when it is linked to those processes. The findings contribute to intersectional analyses of assisted reproductive practices and women's health/bodies/gametes. In particular, this study's analysis of recent media framings of and public discourses about surrogacy across the globe serves as another illustration that national/classed/racialized bodies continue to be reproductively stratified via differently gendered discourses about women, motherhood and family. Copyright © 2011 Elsevier Ltd. All rights reserved.

A global Fine-Root Ecology Database to address below-ground challenges in plant ecology

DOE Office of Scientific and Technical Information (OSTI.GOV)

Iversen, Colleen M.; McCormack, M. Luke; Powell, A. Shafer

Variation and tradeoffs within and among plant traits are increasingly being harnessed by empiricists and modelers to understand and predict ecosystem processes under changing environmental conditions. And while fine roots play an important role in ecosystem functioning, fine-root traits are underrepresented in global trait databases. This has hindered efforts to analyze fine-root trait variation and link it with plant function and environmental conditions at a global scale. This Viewpoint addresses the need for a centralized fine-root trait database, and introduces the Fine-Root Ecology Database (FRED, http://roots.ornl.gov) which so far includes > 70 000 observations encompassing a broad range of rootmore » traits and also includes associated environmental data. FRED represents a critical step toward improving our understanding of below-ground plant ecology. For example, FRED facilitates the quantification of variation in fine-root traits across root orders, species, biomes, and environmental gradients while also providing a platform for assessments of covariation among root, leaf, and wood traits, the role of fine roots in ecosystem functioning, and the representation of fine roots in terrestrial biosphere models. There has been a continued input of observations into FRED to fill gaps in trait coverage will improve our understanding of changes in fine-root traits across space and time.« less

Funding, coverage, and access under Thailand's universal health insurance program: an update after ten years.

PubMed

Damrongplasit, Kannika; Melnick, Glenn

2015-04-01

In 2001, Thailand implemented a universal coverage program by expanding government-funded health coverage to uninsured citizens and limited their out-of-pocket payments to 30 Baht per encounter and, in 2006, eliminated out-of-pocket payments entirely. Prior research covering the early years of the program showed that the program effectively expanded coverage while a more recent paper of the early effects of the program found that improved access from the program led to a reduction in infant mortality. We expand and update previous analyses of the effects of the 30 Baht program on access and out-of-pocket payments. We analyze national survey and governmental budgeting data through 2011 to examine trends in health care financing, coverage and access, including out-of-pocket payments. By 2011, only 1.64 % of the population remained uninsured in Thailand (down from 2.61 % in 2009). While government funding increased 75 % between 2005 and 2010, budgetary requests by health care providers exceeded approved amounts in many years. The 30 Baht program beneficiaries paid zero out-of-pocket payments for both outpatient and inpatient care. Inpatient and outpatient contact rates across all insurance categories fell slightly over time. Overall, the statistical results suggest that the program is continuing to achieve its goals after 10 years of operation. Insurance coverage is now virtually universal, access has been more or less maintained, government funding has continued to grow, though at rates below requested levels and 30 Baht patients are still guaranteed access to care with limited or no out-of-pocket costs. Important issues going forward are the ability of the government to sustain continued funding increases while minimizing cost sharing.

A 30-year bibliometric analysis of research coverage on HIV and AIDS in Lesotho.

PubMed

Mugomeri, Eltony; Bekele, Bisrat S; Mafaesa, Mamajoin; Maibvise, Charles; Tarirai, Clemence; Aiyuk, Sunny E

2017-03-21

Given the well documented undesired impacts of HIV/AIDS globally, there is a need to create a statistical inventory of research output on HIV/AIDS. This need is particularly important for a country such as Lesotho, whose HIV/AIDS prevalence is one of the highest globally. Research on HIV/AIDS in sub-Saharan Africa continues to trail behind that of other regions, especially those of the developed countries. Lesotho, a sub-Saharan country, is a developing country with lower research output in this area when longitudinally compared to other countries. This study reviewed the volume and scope of the general research output on HIV/AIDS in Lesotho and assessed the coverage of the national research agenda on HIV/AIDS, making recourse to statistical principles. A bibliometric review of studies on HIV/AIDS retrieved from the SCOPUS and PubMed databases, published within the 30-year period between 1985 and 2016, was conducted. The focus of each of the studies was analysed and the studies were cross-matched with the national research agenda in accordance with bibliometric methodologies. In total, 1280 studies comprising 1181 (92.3%) journal articles, 91 (7.1%) books and 8 (0.6%) conference proceedings were retrieved. By proportion, estimation of burden of infection (40.7%) had the highest research volume, while basic (5.5%) and preventive measures (24.4%) and national planning (29.4%) had the lowest. Out of the total studies retrieved, only 516 (40.3%) matched the national research agenda. Research on maternal and child health quality of care, viral load point-of-care devices, and infant point-of-care diagnosis had hardly any publications in the high priority research category of the agenda. Notwithstanding a considerable research output on HIV/AIDS for Lesotho, there is insufficient coverage of the national research agenda in this research area. The major research gaps on general research output are in basic and preventive measures as well as national planning. There is also a need to increase targeted funding for HIV/AIDS research to appropriately address the most compelling gaps and national needs.

5 CFR 890.1103 - Eligibility.

Code of Federal Regulations, 2013 CFR

2013-01-01

... involuntary separation for gross misconduct. (2) Individuals whose coverage as children under the family... under a family enrollment of an employee or annuitant at the time of the qualifying event. (3) Former spouses of employees, of former employees having continued family coverage under this subpart, or of...

5 CFR 890.1103 - Eligibility.

Code of Federal Regulations, 2012 CFR

2012-01-01

... involuntary separation for gross misconduct. (2) Individuals whose coverage as children under the family... under a family enrollment of an employee or annuitant at the time of the qualifying event. (3) Former spouses of employees, of former employees having continued family coverage under this subpart, or of...

5 CFR 890.1103 - Eligibility.

Code of Federal Regulations, 2011 CFR

2011-01-01

... involuntary separation for gross misconduct. (2) Individuals whose coverage as children under the family... under a family enrollment of an employee or annuitant at the time of the qualifying event. (3) Former spouses of employees, of former employees having continued family coverage under this subpart, or of...

5 CFR 890.1103 - Eligibility.

Code of Federal Regulations, 2010 CFR

2010-01-01

... involuntary separation for gross misconduct. (2) Individuals whose coverage as children under the family... under a family enrollment of an employee or annuitant at the time of the qualifying event. (3) Former spouses of employees, of former employees having continued family coverage under this subpart, or of...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

Simulation Facilities and Test Beds for Galileo

NASA Astrophysics Data System (ADS)

Schlarmann, Bernhard Kl.; Leonard, Arian

2002-01-01

Galileo is the European satellite navigation system, financed by the European Space Agency (ESA) and the European Commission (EC). The Galileo System, currently under definition phase, will offer seamless global coverage, providing state-of-the-art positioning and timing services. Galileo services will include a standard service targeted at mass market users, an augmented integrity service, providing integrity warnings when fault occur and Public Regulated Services (ensuring a continuity of service for the public users). Other services are under consideration (SAR and integrated communications). Galileo will be interoperable with GPS, and will be complemented by local elements that will enhance the services for specific local users. In the frame of the Galileo definition phase, several system design and simulation facilities and test beds have been defined and developed for the coming phases of the project, respectively they are currently under development. These are mainly the following tools: Galileo Mission Analysis Simulator to design the Space Segment, especially to support constellation design, deployment and replacement. Galileo Service Volume Simulator to analyse the global performance requirements based on a coverage analysis for different service levels and degrades modes. Galileo System Simulation Facility is a sophisticated end-to-end simulation tool to assess the navigation performances for a complete variety of users under different operating conditions and different modes. Galileo Signal Validation Facility to evaluate signal and message structures for Galileo. Galileo System Test Bed (Version 1) to assess and refine the Orbit Determination &Time Synchronisation and Integrity algorithms, through experiments relying on GPS space infrastructure. This paper presents an overview on the so called "G-Facilities" and describes the use of the different system design tools during the project life cycle in order to design the system with respect to availability, continuity and integrity requirements. It gives more details on two of these system design tools: the Galileo Signal Validation Facility (GSVF) and the Galileo System Simulation Facility (GSSF). It will describe the operational use of these facilities within the complete set of design tools and especially the combined use of GSVF and GSSF will be described. Finally, this paper presents also examples and results obtained with these tools.

State trends in premiums and deductibles, 2003-2011: eroding protection and rising costs underscore need for action.

PubMed

Schoen, Cathy; Lippa, Jacob; Collins, Sara; Radley, David

2012-12-01

Rapidly rising health insurance premiums and higher cost-sharing continue to strain the budgets of U.S. working families and employers. Analysis of state trends in private employer-based health insurance from 2003 to 2011 reveals that premiums for family coverage increased 62 percent across states--rising far faster than income for middle- and low-income families. At the same time, deductibles more than doubled in large and small firms. Workers are thus paying more but getting less-protective benefits. If trends continue at their historical rate, the average premium for family coverage will reach nearly $25,000 by 2020. The Affordable Care Act's reforms should begin to moderate costs while improving coverage. But with private insurance costs projected to increase faster than incomes over the next decade, further efforts are needed. If annual premium growth slowed by one percentage point, by 2020 employers and families would save $2,029 annually for family coverage.

A new role for primary care teams in the United States after “Obamacare:” Track and improve health insurance coverage rates

PubMed Central

DeVoe, Jennifer; Angier, Heather; Hoopes, Megan; Gold, Rachel

2017-01-01

Maintaining continuous health insurance coverage is important. With recent expansions in access to coverage in the United States after “Obamacare,” primary care teams have a new role in helping to track and improve coverage rates and to provide outreach to patients. We describe efforts to longitudinally track health insurance rates using data from the electronic health record (EHR) of a primary care network and to use these data to support practice-based insurance outreach and assistance. Although we highlight a few examples from one network, we believe there is great potential for doing this type of work in a broad range of family medicine and community health clinics that provide continuity of care. By partnering with researchers through practice-based research networks and other similar collaboratives, primary care practices can greatly expand the use of EHR data and EHR-based tools targeting improvements in health insurance and quality health care. PMID:28966926

Inferior rabies vaccine quality and low immunization coverage in dogs (Canis familiaris) in China

PubMed Central

HU, R. L.; FOOKS, A. R.; ZHANG, S. F.; LIU, Y.; ZHANG, F.

2008-01-01

SUMMARY Human rabies in China continues to increase exponentially, largely due to an inadequate veterinary infrastructure and poor vaccine coverage of naive dogs. We performed an epidemiological survey of rabies both in humans and animals, examined vaccine quality for animal use, evaluated the vaccination coverage in dogs, and checked the dog samples for the presence of rabies virus. The lack of surveillance in dog rabies, together with the low immunization coverage (up to 2·8% in rural areas) and the high percentage of rabies virus prevalence (up to 6·4%) in dogs, suggests that the dog population is a continual threat for rabies transmission from dogs to humans in China. Results also indicated that the quality of rabies vaccines for animal use did not satisfy all of the requirements for an efficacious vaccine capable of fully eliminating rabies. These data suggest that the factors noted above are highly correlated with the high incidence of human rabies in China. PMID:18177524

BRICS countries and the global movement for universal health coverage.

PubMed

Tediosi, Fabrizio; Finch, Aureliano; Procacci, Christina; Marten, Robert; Missoni, Eduardo

2016-07-01

This article explores BRICS' engagement in the global movement for Universal Health Coverage (UHC) and the implications for global health governance. It is based on primary data collected from 43 key informant interviews, complemented by a review of BRICS' global commitments supporting UHC. Interviews were conducted using a semi-structured questionnaire that included both closed- and open-ended questions. Question development was informed by insights from the literature on UHC, Cox's framework for action, and Kingdon's multiple-stream theory of policy formation. The closed questions were analysed with simple descriptive statistics and the open-ended questions using grounded theory approach. The analysis demonstrates that most BRICS countries implicitly supported the global movement for UHC, and that they share an active engagement in promoting UHC. However, only Brazil, China and to some extent South Africa, were recognized as proactively pushing UHC in the global agenda. In addition, despite some concerted actions, BRICS countries seem to act more as individual countries rather that as an allied group. These findings suggest that BRICS are unlikely to be a unified political block that will transform global health governance. Yet the documented involvement of BRICS in the global movement supporting UHC, and their focus on domestic challenges, shows that BRICS individually are increasingly influential players in global health. So if BRICS countries should probably not be portrayed as the centre of future political community that will transform global health governance, their individual involvement in global health, and their documented concerted actions, may give greater voice to low- and middle-income countries supporting the emergence of multiple centres of powers in global health. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Circulating vaccine-derived polioviruses: current state of knowledge.

PubMed Central

Kew, Olen M.; Wright, Peter F.; Agol, Vadim I.; Delpeyroux, Francis; Shimizu, Hiroyuki; Nathanson, Neal; Pallansch, Mark A.

2004-01-01

Within the past 4 years, poliomyelitis outbreaks associated with circulating vaccine-derived polioviruses (cVDPVs) have occurred in Hispaniola (2000-01), the Philippines (2001), and Madagascar (2001-02). Retrospective studies have also detected the circulation of endemic cVDPV in Egypt (1988-93) and the likely localized spread of oral poliovirus vaccine (OPV)-derived virus in Belarus (1965-66). Gaps in OPV coverage and the previous eradication of the corresponding serotype of indigenous wild poliovirus were the critical risk factors for all cVDPV outbreaks. The cVDPV outbreaks were stopped by mass immunization campaigns using OPV. To increase sensitivity for detecting vaccine-derived polioviruses (VDPVs), in 2001 the Global Polio Laboratory Network implemented additional testing requirements for all poliovirus isolates under investigation. This approach quickly led to the recognition of the Philippines and Madagascar cVDPV outbreaks, but of no other current outbreaks. The potential risk of cVDPV emergence has increased dramatically in recent years as wild poliovirus circulation has ceased in most of the world. The risk appears highest for the type 2 OPV strain because of its greater tendency to spread to contacts. The emergence of cVDPVs underscores the critical importance of eliminating the last pockets of wild poliovirus circulation, maintaining universally high levels of polio vaccine coverage, stopping OPV use as soon as it is safely possible to do so, and continuing sensitive poliovirus surveillance into the foreseeable future. Particular attention must be given to areas where the risks for wild poliovirus circulation have been highest, and where the highest rates of polio vaccine coverage must be maintained to suppress cVDPV emergence. PMID:15106296

Health reform: setting the agenda for long term care.

PubMed

Hatch, O G; Wofford, H; Willging, P R; Pomeroy, E

1993-06-01

The White House Task Force on National Health Care Reform, headed by First Lady Hillary Rodham Clinton, is expected to release its prescription for health care reform this month. From the outset, Clinton's mandate was clear: to provide universal coverage while reining in costs for delivering quality health care. Before President Clinton was even sworn into office, he had outlined the major principles that would shape the health reform debate. Global budgeting would establish limits on all health care expenditures, thereby containing health costs. Under a system of managed competition, employers would form health alliances for consumers to negotiate for cost-effective health care at the community level. So far, a basic approach to health care reform has emerged. A key element is universal coverage--with an emphasis on acute, preventive, and mental health care. Other likely pieces are employer-employee contributions to health care plans, laws that guarantee continued coverage if an individual changes jobs or becomes ill, and health insurance alliances that would help assure individual access to low-cost health care. What still is not clear is the extent to which long term care will be included in the basic benefits package. A confidential report circulated by the task force last month includes four options for long term care: incremental Medicaid reform; a new federal/state program to replace Medicaid; a social insurance program for home and community-based services; or full social insurance for long term care. Some work group members have identified an additional option: prefunded long term care insurance.(ABSTRACT TRUNCATED AT 250 WORDS)

Combining XCO2 Measurements Derived from SCIAMACHY and GOSAT for Potentially Generating Global CO2 Maps with High Spatiotemporal Resolution

PubMed Central

Wang, Tianxing; Shi, Jiancheng; Jing, Yingying; Zhao, Tianjie; Ji, Dabin; Xiong, Chuan

2014-01-01

Global warming induced by atmospheric CO2 has attracted increasing attention of researchers all over the world. Although space-based technology provides the ability to map atmospheric CO2 globally, the number of valid CO2 measurements is generally limited for certain instruments owing to the presence of clouds, which in turn constrain the studies of global CO2 sources and sinks. Thus, it is a potentially promising work to combine the currently available CO2 measurements. In this study, a strategy for fusing SCIAMACHY and GOSAT CO2 measurements is proposed by fully considering the CO2 global bias, averaging kernel, and spatiotemporal variations as well as the CO2 retrieval errors. Based on this method, a global CO2 map with certain UTC time can also be generated by employing the pattern of the CO2 daily cycle reflected by Carbon Tracker (CT) data. The results reveal that relative to GOSAT, the global spatial coverage of the combined CO2 map increased by 41.3% and 47.7% on a daily and monthly scale, respectively, and even higher when compared with that relative to SCIAMACHY. The findings in this paper prove the effectiveness of the combination method in supporting the generation of global full-coverage XCO2 maps with higher temporal and spatial sampling by jointly using these two space-based XCO2 datasets. PMID:25119468

Hospital emergency on-call coverage: is there a doctor in the house?

PubMed

O'Malley, Ann S; Draper, Debra A; Felland, Laurie E

2007-11-01

The nation's community hospitals face increasing problems obtaining emergency on-call coverage from specialist physicians, according to findings from the Center for Studying Health System Change's (HSC) 2007 site visits to 12 nationally representative metropolitan communities. The diminished willingness of specialist physicians to provide on-call coverage is occurring as hospital emergency departments confront an ever-increasing demand for services. Factors influencing physician reluctance to provide on-call coverage include decreased dependence on hospital admitting privileges as more services shift to non-hospital settings; payment for emergency care, especially for uninsured patients; and medical liability concerns. Hospital strategies to secure on-call coverage include enforcing hospital medical staff bylaws that require physicians to take call, contracting with physicians to provide coverage, paying physicians stipends, and employing physicians. Nonetheless, many hospitals continue to struggle with inadequate on-call coverage, which threatens patients' timely access to high-quality emergency care and may raise health care costs.

Terahertz quantum-cascade lasers as high-power and wideband, gapless sources for spectroscopy.

PubMed

Röben, Benjamin; Lü, Xiang; Hempel, Martin; Biermann, Klaus; Schrottke, Lutz; Grahn, Holger T

2017-07-10

Terahertz (THz) quantum-cascade lasers (QCLs) are powerful radiation sources for high-resolution and high-sensitivity spectroscopy with a discrete spectrum between 2 and 5 THz as well as a continuous coverage of several GHz. However, for many applications, a radiation source with a continuous coverage of a substantially larger frequency range is required. We employed a multi-mode THz QCL operated with a fast ramped injection current, which leads to a collective tuning of equally-spaced Fabry-Pérot laser modes exceeding their separation. A continuous coverage over 72 GHz at about 4.7 THz was achieved. We demonstrate that the QCL is superior to conventional sources used in Fourier transform infrared spectroscopy in terms of the signal-to-noise ratio as well as the dynamic range by one to two orders of magnitude. Our results pave the way for versatile THz spectroscopic systems with unprecedented resolution and sensitivity across a wide frequency range.

Massachusetts health reform: employer coverage from employees' perspective.

PubMed

Long, Sharon K; Stockley, Karen

2009-01-01

The national health reform debate continues to draw on Massachusetts' 2006 reform initiative, with a focus on sustaining employer-sponsored insurance. This study provides an update on employers' responses under health reform in fall 2008, using data from surveys of working-age adults. Results show that concerns about employers' dropping coverage or scaling back benefits under health reform have not been realized. Access to employer coverage has increased, as has the scope and quality of their coverage as assessed by workers. However, premiums and out-of-pocket costs have become more of an issue for employees in small firms.

Effect of the Medicare Part D coverage gap on medication use among patients with hypertension and hyperlipidemia.

PubMed

Li, Pengxiang; McElligott, Sean; Bergquist, Henry; Schwartz, J Sanford; Doshi, Jalpa A

2012-06-05

Prior studies of the Medicare Part D coverage gap are limited in generalizability and scope. To determine the effect of the coverage gap on drugs used for asymptomatic (antihypertensive and lipid-lowering drugs) and symptomatic (pain relievers, acid suppressants, and antidepressants) conditions in elderly patients with hypertension and hyperlipidemia. Quasi-experimental study using pre-post design and contemporaneous control group. Medicare claims files from 2005 and 2006 for 5% random sample of Medicare beneficiaries. Part D plan enrollees with hypertension or hyperlipidemia aged 65 years or older who had no coverage, generic-only coverage, or both brand-name and generic coverage during the gap in 2006. Patients who were fully eligible for the low-income subsidy served as the control group. Monthly 30-day supply prescriptions available, medication adherence, and continuous medication gaps of 30 days or more for antihypertensive or lipid-lowering drugs; monthly 30-day supply prescriptions available for pain relievers, acid suppressants, or antidepressants before and after coverage gap entry. Patients with no gap coverage had a decrease in monthly antihypertensive and lipid-lowering drug prescriptions during the coverage gap. Nonadherence also increased in this group (antihypertensives: odds ratio [OR], 1.60 [95% CI, 1.50 to 1.71]; lipid-lowering drugs: OR, 1.59 [CI, 1.50 to 1.68]). The proportion of patients with no gap coverage who had continuous medication gaps in lipid-lowering medication use and antihypertensive use increased by an absolute 7.3% (OR, 1.38 [CI, 1.29 to 1.46]) and 3.2% (OR, 1.35 [CI, 1.25 to 1.45]), respectively, because of the coverage gap. Decreases in use were smaller for pain relievers and antidepressants and larger for acid suppressants in patients with no gap coverage. Patients with generic-only coverage had decreased use of cardiovascular medications but no change in use of drugs for symptomatic conditions. No measures changed in the brand-name and generic coverage groups. Results of sensitivity analyses were consistent with the main findings. Because this study was nonrandomized, unobserved differences may still exist between study groups. The Part D coverage gap was associated with decreased use of medications for hypertension and hyperlipidemia in patients with no gap coverage and generic-only gap coverage. The proposed phasing out of the gap by 2020 will benefit such patients; however, use of low-value medications may also increase. Penn-Pfizer Alliance and American Heart Association.

NASA Near Earth Network (NEN) Support for Lunar and L1/L2 CubeSats

NASA Technical Reports Server (NTRS)

Schaire, Scott; Altunc, Serhat; Wong, Yen; Shelton, Marta; Celeste, Peter; Anderson, Michael; Perrotto, Trish

2017-01-01

The NASA Near Earth Network (NEN) consists of globally distributed tracking stations, including NASA, commercial, and partner ground stations, that are strategically located to maximize the coverage provided to a variety of orbital and suborbital missions, including those in LEO, GEO, HEO, lunar and L1/L2 orbits. The NENs future mission set includes and will continue to include CubeSat missions. The majority of the CubeSat missions destined to fly on EM-1, launching in late 2018, many in a lunar orbit, will communicate with ground based stations via X-band and will utilize the NASA Jet Propulsion Laboratory (JPL) developed IRIS radio. The NEN recognizes the important role CubeSats are beginning to play in carrying out NASAs mission and is therefore investigating the modifications needed to provide IRIS radio compatibility. With modification, the NEN could potentially expand support to the EM-1 lunar CubeSats.The NEN could begin providing significant coverage to lunar CubeSat missions utilizing three to four of the NENs mid-latitude sites. This coverage would supplement coverage provided by the JPL Deep Space Network (DSN). The NEN, with smaller apertures than DSN, provides the benefit of a larger beamwidth that could be beneficial in the event of uncertain ephemeris data. In order to realize these benefits the NEN would need to upgrade stations targeted based on coverage ability and current configuration/ease of upgrade, to ensure compatibility with the IRIS radio. In addition, the NEN is working with CubeSat radio developers to ensure NEN compatibility with alternative CubeSat radios for Lunar and L1/L2 CubeSats. The NEN has provided NEN compatibility requirements to several radio developers who are developing radios that offer lower cost and, in some cases, more capabilities with fewer constraints. The NEN is ready to begin supporting CubeSat missions. The NEN is considering network upgrades to broaden the types of CubeSat missions that can be supported and is supporting both the CubeSat community and radio developers to ensure future CubeSat missions have multiple options when choosing a network for their communications support.

Global income-related inequalities in HIV testing.

PubMed

Larose, Auburn; Moore, Spencer; Harper, Sam; Lynch, John

2011-09-01

Voluntary counseling and testing (VCT) is an important prevention initiative in reducing HIV/AIDS transmission. Despite current global prevention efforts, many low- and middle-income countries continue reporting low VCT levels. Little is known about the association of within- and between-country socioeconomic inequalities and VCT. Based on the 'inverse equity hypothesis,' this study examines the degree to which low socioeconomic groups in developing countries are disadvantaged in VCT. Using recently released data from the 2002 to 2003 World Health Survey (WHS) for 106 705 individuals in 49 countries, this study used multilevel logistic regression to examine the association of individual- and national-level factors with VCT, and whether national economic development moderated the association between individual income and VCT. Individual income was based on country-specific income quintiles. National economic development was based on national gross domestic product per capita (GDP/c). Effect modification was evaluated with the likelihood ratio test (G(2)). Individuals eligible for the VCT question of the WHS were adults between the ages of 18-49 years; women who had given birth in the last 2 years were excluded from this question. VCT was more likely among higher income quintiles and in countries with higher GDP/c. GDP/c moderated the association between individual income and VCT whereby relative income differences in VCT were greater in countries with lower GDP/c (G(2)= 9.21; P= 0.002). Individual socio-demographic characteristics were also associated with the likelihood of a person having VCT. Relative socioeconomic inequalities in VCT coverage appear to decline when higher SES groups reach a certain level of coverage. These findings suggest that changes to international VCT programs may be necessary to moderate the relative VCT differences between high- and low-income individuals in lower GDP/c nations.