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PACAC chairman, Sagay asks FG to adopt 1963 constitution

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PACAC chairman, Sagay asks FG to adopt 1963 constitution


Chairman of the Presidential Advisory Committee Against Corruption (PACAC), Itse Sagay has asked the federal government to adopt the 1963 constitution to address agitations in some parts of the country.

Under the 1963 republican constitution, Nigeria had four regions — east, north, west, and mid-west — with independent structures that reflected its peculiarities.

In recent times, there have been calls for restructuring and return to regional system of government.

Sagay while speaking on Monday in an interview on Channels Television said the 1999 constitution should be scrapped

He argued that the 1963 republican constitution will also address the concerns on the agitations for restructuring.

“My own personal preference is that we should scrap this constitution (referring to the 1999 constitution) and adopt the 1963 constitution that can contain everything that is being agitated for now,” he said.

“We adopt it, with amendments here and there, to make it accomodate states rather than regions, which we used to have.

“I think all these agitations will die down and everybody will be happy.”

He narrated how the regional government was in control when he was in secondary school, adding that he knew nothing about the federal government.

“When I was in secondary school, I knew nothing about the federal government, I only knew about Ibadan and Awolowo. The region controlled my life from A to Z,” he said.

“I knew nothing about the federal government. Everything worked perfectly, beautifully and happily. So, that is what we are missing.

“The regions competed. Nigeria developed fast. The regions kept what they produced, sent 20 percent to the federal level, and then 30 percent to a distributable level, which was then distributed to the regions, according to their needs.

“And everybody was happy. We just have to go back to that. Otherwise, Nigerians will not enjoy stability.”

 





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Dr. Jim free Cause Of Death Maker of Gatorade What Happened To Him Dies At 87

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Death news is coming that has brought a wave of mourning in the local area of Florida because a private doctor from Clearwater has died at the age of 87. He was a part of the first-ever graduating class at the University in Florida in the year 1960. Well, you must be thinking that if he was a private doctor then what is special in it. We would like to tell you that he was the one who worked on a solution that replaces sweat for athletes and later he named that solution Gatorade.

jim

Well, as per the reports it has been observed that his wife’s and his dedication and determination towards the medical school for the most part of primary care did inspire many of the people due to which their donation for the medical school’s education and construction helped them to arrange more facilities. However, as per the sources it has came into ears that the bulding built by the donation’s money will be named as per the dean Dr. George T. Harrell wish. Later, keeping an eye of the determination of couple’s commitment towards teh primary care. The building was estabilished and named James Free, MD, The Primary Care Education and Innovation Center.

However, the solution he made or was working on, is usualy for the athelts so that the athelets can put more effort in the race or whatever sports they are playing because the sweat is the thing which brings more tiredness in everyone’s life and his made solution shall help all the sports people who are putting a lot of efforts.

Well, the center of the establishing the Primary Care Education and Innovation Center is to appriciate Dr. Free’s passion and it will focus directly on encourging all the students to take the Primary Care as a career and to let them know that it is also a good field to make future and it will help the students to improving medical outcomes for disadvantaged groups and also to support to all of the students of Medical school’s fidelity to its higher standard of Edu and one of the finest graduate professional level to provide the best special patient care. Saying this won’t be bad that he was the one whose dedication will remain him alive always in medical field and all the students and co-doctors of him will always remeber him whenever they will graduate a best medical student. May his soul rest in peace.

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Pratiksha Ullu Web Series Episode, Review, Star Cast, Storyline, Actress Real Name, Images

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India’s popular streaming platform, ULLU is back with another web series to entertain the audience. The platform has been coming with back-to-back amazing web series for the fans and now, the series is all set to release one more web series for their viewers. Well, ULLU’s makers have brought some real-based story and again, they will release the real-based story on its platform.

Pratiksha Ullu Web Series

Pratiksha is new upcoming web series of ULLU’s platform and the trailer has been released on Youtube for all the fans. They can watch the trailer and leave their reviews in the comment section. For a very long time, the platform has released some amazing web series.

Palang Tod Anniversary Gift Ullu Web Series Episode Review Star Cast Actress Real Name Images

The trailer was released on October 19, 2021, on Youtube by the official ULLU platform and since then, the trailer has captured the attention of many fans and gained 32K views within 2 hours. Along with this, the trailer got 1.6K likes. Maybe, the popularity of the series is increasing and fans are attracting to the story.

The trailer just showed up a story of a suicide murder and fans always want to watch something thrilling and drama. This web series contains both things and definitely, the viewers will love this series as always. Now, we are going to share some important details of the web series.

Pratiksha Ullu Web Series Episode, Review

As per the trailer, the story of the new web series is based on real-life and the story shows the life of Pratiksha Singh who is the star of the Bollywood industry. One day, suddenly, she committed suicide but during the investigation, it was found that it was not a suicide, it was a planned murder. Now, the web series will open new twists and turns. So, wait for the official release.

The web series is showing some popular cast but some new characters have not been identified yet and their name are still secret. But, we can recognize some more popular celebrities who have worked in various Bollywood movies.

Pratiksha ULLU’s Web Series: Cast

Indian actor Arya Babbar as Chirag and Manini Dey as Police Inspector will be seen in the web series. They both are playing important role in the series and before their official release, they are receiving some good responses from their fans.

Well, with the official trailer release, the makers also announced the release date of the series and you can watch this on the official release date. As per the sources, the web series will release on October 26, 2021, on the official ULLU app or website. Maybe, there is a single episode and the episode has a running time of 25 minutes. First of all, you need a subscription package of the platform to watch this series.



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Increased Incidence of Melioidosis in Far North Queensland, Queensland, Australia, 1998–2019 – The Maravi Post

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Disclaimer: Early release articles are not considered as final versions. Any changes will be reflected in the online version in the month the article is officially released.

Author affiliations: Cairns Hospital, Cairns, Queensland, Australia (S. Smith, J. Stewart, L. Fairhead, J. Hanson); Tropical Public Health Services, Cairns (P. Horne, S. Rubenach, R. Gair); University of New South Wales, Sydney, New South Wales, Australia (J. Hanson)

Burkholderia pseudomallei, an environmental gram-negative bacterium, causes the disease melioidosis. Although infection is frequently asymptomatic, melioidosis may be rapidly fatal for patients with underlying conditions that increase the risk for invasive disease. Modeling suggests that B. pseudomallei is ubiquitous in the tropics and that the global burden of disease is expected to rise (1). Indeed, increased melioidosis incidence has been documented in some countries (2). Although this increase may be associated with improved diagnostic capacity, it may also be explained by a growing burden of predisposing concurrent medical conditions or by greater B. pseudomallei exposure from environmental disruption (3,4). Changing weather patterns also have the potential to increase melioidosis incidence (5).

Figure 1

Cases of melioidosis in the Cairns area, Far North Queensland, Queensland, Australia, January 1998–December 2019. A) 1998–2002; B) 2003–2007; C) 2008–2011; D) 2012–2015; E) 2016–2019. Map shows location of Far North Queensland.

Figure 1. Cases of melioidosis in the Cairns area, Far North Queensland, Queensland, Australia, January 1998–December 2019. A) 1998–2002; B) 2003–2007; C) 2008–2011; D) 2012–2015; E) 2016–2019. Map shows location of Far…

B. pseudomallei is endemic to Far North Queensland (FNQ), a region in the northernmost part of the state of Queensland, Australia (Figure 1). Incidence of melioidosis in the Torres Strait Islands in the region’s north is among the highest reported in published series of melioidosis cases in Australia (4,6). During the past 20 years, the FNQ population has grown rapidly, predominantly in the city of Cairns, the region’s major industrial hub, and in the nearby towns (Cairns area, in and around Cairns). This growth has necessitated substantial expansion of local infrastructure, including 2-phase development of a large motorway on the city’s southern outskirts during 2011–2017. Surveillance data suggest that this development coincided with a marked increase in the local incidence of melioidosis, primarily in the Cairns area. We aimed to determine if there was any temporospatial association between the motorway construction and the increasing incidence of melioidosis in the region or if there were other possible explanations for any observed change, with a particular focus in the Cairns area.

The Study

Cairns Hospital is the sole public microbiological service provider for FNQ, a region of >380,000 km2 (7). We reviewed all culture-confirmed cases of B. pseudomallei infection identified in the hospital’s laboratory during January 1, 1998–December 31, 2019. Clinical details of each case were recorded as described by J.D. Stewart et al. (4); predisposing conditions were diabetes mellitus (glycated hemoglobin ≥6.5%), hazardous alcohol use, chronic lung disease, chronic renal disease, and immunosuppression. We used data from the Australian Bureau of Statistics to calculate disease incidence and from the Australian Bureau of Meteorology to record local climatic factors including rainfall, temperatures, cloud cover, dew points, and cyclones. For our analyses we used Stata version 14.2 statistical software (https://www.stata.com) and determined trends over time by using an extension of the Wilcoxon rank-sum test and using year of presentation as a continuous variable (8). We constructed maps by using MapInfo Pro 2019 Geographic Information System software (https://support.precisely.com); in the absence of a clear occupational or recreational exposure, we used participants’ residential addresses as the site of B. pseudomallei exposure. The study was approved by the Far North Queensland Human Research Ethics Committee (HREC/15/QCH/46-977).

A total of 297 cases of melioidosis were diagnosed during the study period, of which 284 were acquired from FNQ and included in our analysis. The mean annual incidence in FNQ increased from 4.0 (95% CI 2.7–5.2) cases/100,000 population during 1998–2002 to 9.9 (95% CI 4.9–14.9) cases/100,000 population during 2016–2019 (p<0.001) (Table 1). In the Cairns area, incidence rose from 0.6 (95% CI 0.1–1.1) cases/100,000 population during 1998–2002 to 6.6 (95% CI 3.0–10.2) cases/100,000 population during 2016–2019 (p<0.001) (Table 2; Figure 1).

During the study period, the proportion of patients in FNQ with different predisposing conditions for melioidosis did not change. The proportion of bacteremic patients also remained stable (Table 1). The case-fatality rate declined during the study period (Table 1).

In the Cairns area, where increased incidence was more marked, the small increases in mean temperature, cloud cover, and dew points in the final period of the study did not reach statistical significance. During the study period, 14 cyclones came within 200 km of Cairns, but only 1 occurred during 2016–2019 (p = 0.86) (Appendix).

Figure 2

Cases of melioidosis occurring near to a motorway upgrade in southern Cairns, Far North Queensland, Queensland, Australia, 1998–2019.

Figure 2. Cases of melioidosis occurring near to a motorway upgrade in southern Cairns, Far North Queensland, Queensland, Australia, 1998–2019.

Of the 284 cases included in the study, 111 (39%) were in the Cairns area; only 3 of these patients reported having an occupation in construction. Before commencement of the southern motorway expansion in the Cairns area in 2011, only 1/19 (5%) cases in the Cairns area were within 1,000 m of the existing road and 2/19 (11%) were within 2,000 m. However, after January 2012, a total of 92/168 (55%) cases occurred in the Cairns area, of which 15/92 (16%) were within 1,000 m of the highway construction and 27/92 (29%) within 2,000 m (Figure 2).

Conclusions

The incidence of melioidosis in FNQ is rising, increasing during the study period by ≈10-fold in the Cairns area. The proportion of bacteremic patients has not changed, suggesting improved diagnosis. Similarly, we found no statistically significant change in climate or frequency of cyclones. The proportion of patients who had the common predisposing conditions remained similar. However, urban expansion may be contributing because almost a third of cases in the past 8 years of the study period occurred within 2,000 m of development of a large motorway. Of note, the motorway is built predominantly through alluvial plain soils with moderate clay content and poor drainage, which favor B. pseudomallei growth (9).

Increased rainfall, dew points, cloud cover, and temperatures have been associated with increased melioidosis cases; however, these climatic factors were stable over our study period (5). Cyclones have been linked to increased melioidosis cases; however, we did not observe that association in FNQ (10). Indeed, since 2015 when melioidosis incidence in the Cairns area sharply increased, there has been only 1 cyclone within 200 km of the area.

Why the rates of bacteremic melioidosis remain higher in FNQ than in other parts of Australia remains unclear (11). The higher rates may be partly explained by fewer diagnoses of cutaneous disease in rural and remote communities; however, skin swab samples are frequently taken to identify other pathogens, and skin and soft tissue B. pseudomallei infections are uncommon in urban areas, where most new cases have been identified (12). Virulence factors in local B. pseudomallei strains may contribute (13). Despite the increasing incidence, the overall case-fatality rate from melioidosis in FNQ decreased significantly during the study period, which can probably be explained by early recognition and prompt access to multimodal intensive care unit support.

Among the limitations of our study, data collection was predominantly retrospective; in addition, in the absence of clear inoculation with B. pseudomallei, we assumed residential addresses to be the sites of exposure. Domestic gardens are a source of melioidosis in Australia, but it is possible that unrecorded patient movements may have resulted in exposure to B. pseudomallei elsewhere (14). Additional confounding factors that increase the risk for melioidosis (e.g., socioeconomic disadvantage) may help explain regional variations in incidence, although the local geographic distribution of this socioeconomic disadvantage has not substantially changed in the past 20 years (15). In conclusion, although host factors and climate continue to influence the risk of acquiring melioidosis, we hypothesize that urban expansion and construction in soils harboring B. pseudomallei may explain the recent rapid increase in Far North Queensland, Australia.

Dr. Smith is an infectious diseases and general internal medicine physician in Cairns, Queensland, Australia. His research interests include melioidosis, leptospirosis, and management of severe clinical manifestations of tropical diseases.

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