The aim of this study is to determine the status of implementation of IPC measures in HCFs in Africa in the context of the COVID-19 pandemic. This culminated in WHO developing a rapid assessment scorecard to support Member States in routinely assessing and improving IPC measures in HCFs in the context of COVID-19. Transmission-based precautions for COVID-19 include contact and droplet precautions as well as airborne precautions during aerosol generating procedures. Standard precautions include hand hygiene, respiratory hygiene, use of personal protective equipment, environmental cleaning and disinfection and waste management. These guidelines emphasize the importance of implementing standard and transmission-based precautions at HCFs, to break the chain of transmission and suppress any further spread of COVID-19. WHO published guidelines for infection prevention and control (IPC) during health care, when COVID-19 was suspected or confirmed. To mitigate the spread of infection in the general population, personal protective and social measures, such as handwashing, mask wearing, and physical distancing were introduced. Preventive measures and other conventional procedures were needed to prevent the SARS-CoV-2 virus from passively being transmitted in both the clinical and community settings. The prevalence of SARS-CoV-2 infection among them was high, with most of them being asymptomatic carriers. Health workers caring for patients in health care facilities experienced a heavy COVID-19 burden and were disproportionately affected. In the African Region, 1.9% of the confirmed cases were among health workers (HW). Globally, on 16 November 2022, WHO reported a cumulative total of 632 953 782 confirmed cases of COVID-19, including 6 593 715 deaths and in Africa, 9 379 374 confirmed cases, including 175,031 deaths. This prompted the World Health Organization (WHO) to declare it a public health emergency of international concern (PHEIC) on 30 January 2020. SARS-CoV-2, initially detected in Wuhan, China, spread across borders more rapidly to all continents than the previous SARS-CoV. The SARS-CoV-2 is a positive-sense single-stranded RNA virus that causes severe respiratory infections in humans. In the absence of an epidemic, the general IPC standards in HCFs are low, as evidenced by the low scores in the non-COVID-19 treatment centres. In conclusion, a functional IPC programme with a dedicated focal person is a prerequisite for implementing improved IPC measures at the HCF level. On the components, there was a strong correlation between high IPC assessment scores and the presence of IPC focal points in HCFs, the availability of IPC guidelines in HCFs and HCFs that had all their health workers trained in basic IPC. HCFs dedicated to COVID-19 patients had the highest scores, with a median of 68.2%, followed by the mixed facilities that attended to both COVID-19 and non-COVID-19 patients, with 64.84%. Tertiary-level HCFs had a median score of 70%, secondary-level HCFs 62.3% and primary-level HCFs 56.8%. Tertiary HCFs and those dedicated to COVID-19 patients had the highest IPC scores. The baseline median score for the facility assessments was 60.2%. ResultsĪ total of 11 564 assessments were conducted in 5153 HCFs, giving an average of 2.2 assessments per HCF. Statistical analyses were done using R (version 4.2.0). The HCFs were assessed and scored each component of the tool. A total of 5168 primary, secondary and tertiary HCFs were assessed. MethodĪn observational study was conducted from April 2020 to November 2022 in 17 countries in the African Region to monitor the progress made in implementing IPC standard and transmission-based precautions in primary-, secondary- and tertiary-level HCFs. This study assessed the level of implementation of the IPC measures in HCFs across the African Region during the COVID-19 pandemic. Based on these IPC guidelines, a rapid assessment scorecard tool, with 14 components, to enhance assessment and improvement of IPC measures at HCFs was developed. IPC guidelines, with standard and transmission-based precautions to be put in place to prevent the spread of SARS-CoV-2 at these HCFs were developed. The declaration of SARS-CoV-2 as a public health emergency of international concern in January 2020 prompted the need to strengthen infection prevention and control (IPC) capacities within health care facilities (HCF).
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Saturday–Sunday, May 19–21, Galatyn Park Urban Center, 2351 Performance Dr., Richardson. New York singer-songwriter Gus Dapperton opens the show.Ħ p.m. For the EP, Hippo Campus shed its synths and keyboards in favor of classic indie band instrumentation plus a trumpet, showing that it doesn't need all the flash to make a good record. Hippo Campus released its third album, LP3, last February and its sixth EP, Wasteland, in April. With the lines "I am worried about Britney Spears / It's pretty fucked up how her dad runs her life," "Bad Dream Baby" became inextricably linked to the pop singer's struggle to end her father's conservatorship. In 2021, the band's single "Bad Dream Baby" from its Good Dog, Bad Dream EP became ubiquitous. Since then, the band has not let a year go by without introducing something new to independent radio stations. Indie-pop band Hippo Campus amassed a giant collection of singles since breaking through with its first full-length album, Landmark, in 2017. Thursday, May 18, South Side Ballroom, 1135 Botham Jean Blvd. On Wednesday, rest up because there's even more coming next week.Ĩ p.m. Tuesday brings with it the chance to let Dermot Kennedy's Irish folk pop send you to heaven from Irving, or you can take a trip to hell with Obituary at the Granada. On Monday, pop singer Tove Lo shows her softer side at South Side. Dave Matthews Band brings the jams to Fair Park on Saturday, and on Sunday, Rodrigo y Gabriela set Strauss Square ablaze with acoustic flamenco metal, and the Bouncing Souls bring a full night late-'80s pop punk to Greenville Avenue. On Friday, Richardson's Wildflower! festival kicks off a long weekend of great music, and fans are invited to spend An Evening With They Might Be Giants in Victory Park or An Evening With Kinky Friedman in Denton. Indie-pop Hippo Campus kicks things off in The Cedars Thursday night with a stripped-down sound. This week, we have great concerts nearly every day. Ĭheck out more from Hippo Campus and other artists like them by keeping tuned in to RSURadio.Recently, the week's 10 best concerts have been clustered around a couple of days. Maybe, you have everything you could ever want, right here in this moment. The first two tracks full of self-doubt and this track is realizing that maybe everything’s fine. The title track “Warm Glow” is self-contemplation epitomized. Have you ever just sat outside and looked at the sunset and felt truly at peace? That is this song. ♫ WARM GLOW MORNINGS SOAKED IN PASTEL TEA ♫ This is something I believe most people can relate to and is brilliantly depicted in the song. Your past mistakes are distant memories that you can never undo. The song seems to be about longing for stability, but knowing that it isn’t in your nature to stay. Every lyric has a story tied to it and all you can do is have empathy for the pain. 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You will have a more difficult time holding areas on your own. You can no longer spam rockets down chokepoints and have to put yourself out in the open to line up direct hits. However, rockets from the Direct Hit have an extremely small explosive radius. For example, you can instantly gib weaker classes like the Scout, more easily catch other rocket-jumping Soldiers in the air, or overpower immobile Sentry Guns. The Direct Hit's rockets are faster and deal more damage, which is great for dueling single enemies. The Direct Hit promotes landing direct hits instead of utilizing your splash damage. You can use the explosion from a rocket to rocket jump at the cost of health, a technique which is commonly used to approach enemies from unexpected angles or travel quickly across the map. If you run out of rockets, use the Shotgun to finish off weakened enemies, as reloading is slow. Using a rocket to bounce an enemy into the air makes them an easy target for a follow-up shot from either a rocket or your Shotgun. Lead your targets to account for the rockets' slow movement speed, and aim at their feet to damage them with the explosions. The Rocket Launcher only holds four rockets at a time, so make each shot count. The Rocket Launcher fires slow-moving rockets that deal heavy damage in a wide splash radius, with the most power at the center of the explosion. Ships appear in the order they are tagged.Primary weapons Rocket Launcher + reskins Language: English Words: 1,186 Chapters: 1/1 Comments: 4 Kudos: 19 Bookmarks: 1 Hits: 276 Spy is bad at understanding emotions but it all works out in the end. Language: English Words: 2,950 Chapters: 1/1 Comments: 12 Kudos: 55 Bookmarks: 3 Hits: 601Īfter BLU Spy and RED Soldier finish their second round of sexual intercourse for a night, Soldier gets another boner but this time he feels gross about it. When he finds himself cornered by several of the ghoulish fiends, he waits for the end and hopes that they will go easy on him. There is no way to win, and nowhere left to hide from the undead. The BLUs have all been torn apart by the RED zombies, all but their Spy. Language: English Words: 127,265 Chapters: 10/10 Comments: 128 Kudos: 94 Bookmarks: 8 Hits: 4,037 Part 2 of All is Fair in Love, Sex, and War! STORY COMPLETE, subscribe to the series if you want to be alerted for the next stories and Series Two: All Is Fair in Love, Sex, and War. This story starts with Spy, but it does roam POV to every one of the RED mercenaries. I won't say who or how initially, but that's what you're looking at in this story. Think sex pollen, because that's about what is happening. If that squicks you, this entire story will, but if it does not, you may well be my target audience if you like filthy, increasingly raunchy and debauched sex starting with a train of men in Spy and ending only I know where. So does everyone else though, so he can't really be blamed.ĭub-con is listed and relevant for the entire story, due to drugging (that doesn't force sex, just lowers inhibitions) being a major plot point. Spy is not stronger than this, he does give in. Spy forgets to cook dinner ONE time and suddenly the entire team thinks he owes the men on RED a blowjob! Sure, he wouldn't mind giving one, or eight, under the right circumstances, but starting with Scout is definitely not the right circumstances for Spy, especially when the man is so arrogant and entitled and delicious-no! He is stronger than this! He will not give in! BLU Sniper/RED Soldier (Team Fortress 2).BLU Medic/RED Soldier (Team Fortress 2).BLU Scout/BLU Soldier/RED Soldier (Team Fortress 2).BLU Soldier/RED Soldier (Team Fortress 2).Language: English Words: 35,451 Chapters: 62/? Comments: 255 Kudos: 578 Bookmarks: 28 Hits: 13,118įor AndeliaMaddock Fandoms: Team Fortress 2 guess I should up this to a T rating now.sir hootsalot get injured but is gonna be okay.Spy's a bad dad but he does try to be not terrible sometimes.Engie feeling responsible for the teams's well being.Demoman/Engineer/Soldier (Team Fortress 2).Demoman/Engineer/Medic (Team Fortress 2).( A Freedom Fries romance -wo ) Language: English Words: 8,891 Chapters: 4/? Comments: 15 Kudos: 66 Bookmarks: 5 Hits: 451 Lapses in judgement and their consequences can sting worse than any frostbite. A sight that settles in his brain and confuses and persists A spark that threatens to melt carefully constructed icy walls and boundaries That pulls the attention of the one he is trying most to avoid. In the Winter the BLU Spy finds himself stumbling upon something he was not meant to see. enemies to enemies with benefits to lovers really.Creator Chose Not To Use Archive Warnings. 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The executive producers are Andrew Marlowe, Terri Edda Miller, Dana Owens (Queen Latifah), John Davis, John Fox, Debra Martin Chase, Richard Lindheim (co-creator of the 1980s series), Shakim Compere and Joseph C. Universal Television produces the series in association with CBS Studios. His character was written out of the show. The Equalizer earlier this season dropped Chris Noth from its cast after the actor was accused of sexual assault by two women (Noth has denied the allegations). Tory Kittles, Adam Goldberg, Liza Lapira, Laya DeLeon Hayes and Lorraine Toussaint also star. The series, an update of the 1980s CBS drama of the same title (later adapted for two feature films starring Denzel Washington), stars Queen Latifah as a former CIA operative who uses her skills to help people who have nowhere else to turn. 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Often the couple are business partners in this type of scenario, and several porn star marriages are also lucrative business partnerships.Īlthough it isn’t often a suggested career path for spouses, it seems that some pornstar couples have found the secret to a happy marriage. This is because they are able to control who they work with in the industry and the types of films and scenes that they perform in. Many of the most successful marriages in the porn industry occur when the porn stars not only work in porn together, but also operate production companies together. Yet, even with all of the partner swapping taking place, such as in marriages where one or both of the spouses are bisexual, they seem to have found a happy outlet for their sexual excursions both on and off screen. 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