Archive for the ‘Media Control’ Category

APIC Creates Emerging Infectious Disease ‘Playbooks’ – APIC

Concise, pathogen-specific roadmaps will help guide healthcare facilities in outbreak response

Arlington, Va., May 1, 2023 To help infection preventionists (IPs) and epidemiologists operationalize prevention efforts for emerging infectious disease threats, APIC is launching a series of Playbooks that can be downloaded and customized for use in individual healthcare facilities.

Created by APICs Emerging Infectious Diseases Task Force, each playbook serves as a fundamental roadmap to swiftly guide infection prevention and control (IPC) personnel through preparation for, and management of, potential infectious disease outbreaks. The pathogen-specific playbooks outline recommended practices for outbreak response starting with pathogen identification, prevention of transmission, safe work practices, considerations for providing patient care, patient discharge, occupational health, and outreach to healthcare stakeholders. Links to clinical guidance and references are included throughout.

We tapped our top infectious disease experts to develop these consolidated playbooks so that IPs and epidemiologists would have an advantage for future threats, said APIC 2023 President Patricia Jackson, RN, BSN, MA, CIC, FAPIC. We do not want to repeat the experience of COVID-19, where IPs lacked a set of standard instructions and had to search through numerous websites on a daily basis to find guidance. Its critical that we use what we learned during COVID-19 to improve infectious disease outbreak response to protect the patients and staff in our nations healthcare facilities.

Through use of the playbooks APIC is hopeful that facilities will be able to mobilize more quickly when faced with a novel, unidentified threat. Playbooks for invasive group A strep (iGAS) and Polio are now available on APICs Emerging Infectious Diseases webpage. All materials are open-access and available to the public.

Similar documents are being created for measles, Candida auris, highly pathogenic Avian Influenza, Marburg and Ebola Virus Disease, Diphtheria, norovirus, RSV, and COVID-19 surges. APICs EID Task Force can quickly create new playbooks when faced with a new infectious disease threat. In addition, best practice guidance will be created to help IPs and epidemiologists manage patient surges and prioritize the role of infection prevention in emergency management.

Founded in 1972, the Association for Professionals in Infection Control and Epidemiology (APIC) is the leading association for infection preventionists and epidemiologists. With more than 15,000 members, APIC advances the science and practice of infection prevention and control. APIC carries out its mission through research, advocacy, and patient safety; education, credentialing, and certification; and fostering development of the infection prevention and control workforce of the future. Together with our members and partners, we are working toward a safer world through the prevention of infection. Join us and learn more at apic.org.

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Media contacts: Liz Garman, egarman@apic.org, 202-365-7421; Aaron Cohen, aaroncohenpr@gmail.com, 301-633-6773

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APIC Creates Emerging Infectious Disease 'Playbooks' - APIC

Russian Offensive Campaign Assessment, May 1, 2023 – Critical Threats Project

May 1, 2023, 5pm ET

Click here to see ISWs interactive map of the Russian invasion of Ukraine. This map is updated daily alongside the static maps present in this report.

Click here to access ISWs archive of interactive time-lapse maps of the Russian invasion of Ukraine. These maps complement the static control-of-terrain map that ISW produces daily by showing a dynamic frontline. ISW will update this time-lapse map archive monthly.

Russian forces conducted another large-scale missile strike against Ukraine on the night of April 30 to May 1. Ukrainian sources reported that nine Tu-95 and two Tu-160 strategic bombers took off from Murmansk Oblast and near the Caspian Sea and launched 18 Kh-101/555 cruise missiles at Ukraine.[1] Ukrainian air defense shot down 15 of the missiles.[2] Geolocated footage from Pavlohrad, Dnipropetrovsk Oblast, shows that one of the missiles struck the Pavlohrad Chemical Plant and caused a massive explosion on impact.[3] The Russian Ministry of Defense (MoD) claimed on May 1 that the strikes targeted Ukrainian military-industrial objects and successfully disrupted the production of military resources.[4] The Russian MoD has recently shifted its rhetoric and is actively describing strike campaigns, likely in an effort to portray a proactive approach to growing concerns in the Russian information space regarding a Ukrainian counteroffensive. Russian milbloggers claimed that the missiles struck Ukrainian air defense systems and a transportation hub in Pavlohrad.[5] Ukrainian Air Force Spokesperson Yuriy Ihnat noted that the fact that both the Tu-95 and Tu-160s carried far fewer missiles than their maximum load suggests that Russia continues to struggle with adequate production of such munitions.[6]

The White House assessed on May 1 that Russian forces have suffered 100,000 causalities80,000 wounded and 20,000 killedin fighting for Bakhmut since January 2023.[7] US National Security Council Spokesperson John Kirby announced that half of the 20,000 killed in action were Wagner Group fighters. Kirby also assessed that Russias offensive on Bakhmut has failed.[8]

Ukrainian officials continue to signal Ukraines readiness for potential counteroffensive operations. Ukrainian Defense Minister Oleksii Reznikov stated on May 1 that Ukraine is reaching the finish line in terms of when it will be ready to launch counteroffensive actions.[9] Reznikov noted that the ratio of available ammunition still does not favor Ukraine but stated that Russian capabilities continue to be limited.[10] Ukrainian Main Intelligence Directorate (GUR) Head Kyrylo Budanov emphasized on April 30 that the main goal of the Ukrainian counteroffensive remains the liberation of all Ukrainian territory and stated that he hopes Ukraine will be able to improve its positions along the entire frontline in order to effectively threaten Russian logistics in occupied Crimea and Donbas.[11]

Wagner Group financier Yevgeny Prigozhin is likely using his rehabilitated standing with Russian leadership to amplify his self-promotion efforts and his longstanding issues with the Russian Ministry of Defense (MoD). Russian sources began circulating an alleged letter from the MoD to Prigozhin on April 30 responding to Prigozhin's Apil 29 interview wherein he threatened to withdraw Wagner forces from Bakhmut if the Russian military fails to provide more ammunition to Wagner.[12] The letter, dated April 23, lists all the artillery ammunition and equipment that the Russian MoD provides to Wagner.[13] A Russian official may have released the letter to stop Prigozhin from using the issue of artillery shortages to criticize the MoD as he has done in the past.[14] Prigozhin responded by stating that the figures provided by the unverified document are still not sufficient for what Wagner needs to complete its assigned tasks.[15] Prigozhin then claimed on May 1 that Wagner is in possession of large stocks of weapons it captured from Ukrainian forces during the seizure of Soledar in January 2023, and Prigozhin rhetorically boasted that he has enough arms to support a million-strong army.[16] Prigozhin suggested that he would offer to exchange these stocks of weapons for the resources that Wagner requires.[17] Prigozhin will likely continue to rely on his existing informational lines of attack to promote himself and seek further privileges from the Russian military as he retains a rehabilitated standing with Russian leadership.[18]

The Russian MoD confirmed on April 30 the replacement of Russian Deputy Minister of Defense for Logistics Colonel General Mikhail Mizintsev with Colonel General Aleksey Kuzmenkov. The MoD provided no justification for the replacement nor did it specify whether Mizintsev has a new role. Russian milbloggers began speculating about the replacement of Mizintsev with Kuzmenkov, who was then Deputy Head of the Russian National Guard (Rosgvardia), on April 27.[19] Regular changes to the Russian military command have resulted in increasingly factionalized Russian military and disorganized command structures that degrade Russias military capability, as ISW has recently assessed.[20]

The Russian MoD opposition faction is likely attempting to remove select MoD officials by publicly criticizing their war efforts. Russian milbloggers complained that Deputy Defense Minister Colonel General Yunus-bek Yevkurov visited the Kherson direction months ago and did not fulfill his promise to allocate 140 to 150 boats to Russian forces to defend the islands in the Dnipro River Delta.[21] One milblogger claimed that the lack of watercraft prompted Kherson Oblast occupation head Vladimir Saldo to order his administration in mid-April to start commandeering civilian boats for Russian military use.[22] Milbloggers criticism of Yevkurov follows the dismissal of the Russian Deputy Defense Minister for Logistics Colonel General Mikhail Mizintsev on April 27.[23] Mizintsev was reportedly dismissed after Commander of the Russian Airborne (VDV) forces and Wagner affiliate Colonel General Mikhail Teplinskys inspection of the Northern Fleet troops revealed significant issues with supply provisions.[24] Teplinsky reportedly assumed command of Russian forces in southern Ukraine in mid-April and may be using his new appointment to remove Russian MoD officials with the justification that they are failing to adequately supply troops. ISW assessed on April 30 that Teplinsky likely gained Russian President Vladimir Putins favor in late March, and the milbloggers criticisms against Yevkurov is likely an ongoing effort to weaken or remove a group of Russian military commanders and officials who are loyal to Russian Chief of General Staff Army General Valery Gerasimov.[25]

Key Takeaways

We do not report in detail on Russian war crimes because these activities are well-covered in Western media and do not directly affect the military operations we are assessing and forecasting. We will continue to evaluate and report on the effects of these criminal activities on the Ukrainian military and the Ukrainian population and specifically on combat in Ukrainian urban areas. We utterly condemn these Russian violations of the laws of armed conflict, Geneva Conventions, and humanity even though we do not describe them in these reports.

Russian Main Effort Eastern Ukraine

Russian Subordinate Main Effort #1 Luhansk Oblast (Russian objective: Capture the remainder of Luhansk Oblast and push westward into eastern Kharkiv Oblast and northern Donetsk Oblast)

Russian forces continued routine fire and defensive operations in the Kupyansk direction on April 30 and May 1. The Russian Ministry of Defense (MoD) claimed on April 30 that elements of the Western Group of Forces (Western Military District) struck Ukrainian forces that were conducting troop rotations northeast of Kupyansk.[26] Ukrainian National Guard Spokesperson Ruslan Muzychuk stated on April 30 that Russian forces are conducting fewer assaults in the Kupyansk direction but are still heavily using artillery.[27]

Russian forces continued ground attacks along the Svatove-Kreminna line on April 30 and May 1. The Ukrainian General Staff reported that Russian troops conducted unsuccessful offensive operations in the direction of Novoselivske (15km northwest of Svatove) and Bilohorivka (10km south of Kreminna).[28] The Ukrainian commander of a UAV company, Yuriy Fedorenko, noted on April 30 that Russian forces have built three to four defensive lines within the city of Svatove itself.[29] Ukrainian Severodonetsk Military Administration Head Roman Vlasenko noted on April 25 that Chechen units have returned to Luhansk Oblast and that the heaviest fighting on this sector of the front is ongoing near Bilohorivka.[30] Russian milbloggers claimed on April 30 and May 1 that Russian forces unsuccessfully tried to advance south of Kreminna near Bilohorivka and the Serebrianske forest area (both about 10km south of Kreminna) and west of Kreminna near Torske (15km west) and Nevske (18km northwest).[31]

Russian Subordinate Main Effort #2 Donetsk Oblast (Russian Objective: Capture the entirety of Donetsk Oblast, the claimed territory of Russias proxies in Donbas)

Russian forces have continued to make gains in Bakhmut as of May 1. Geolocated footage posted on April 29 and 30 shows that Russian forces made marginal gains on the T0513 Bakhmut-Siversk highway just south of Sakko i Vanzetti (14km north of Bakhmut) and within western Bakhmut.[32] Russian milbloggers claimed on April 30 and May 1 that Wagner Group forces advanced in western and southwestern Bakhmut at a maximum pace of one or two blocks a day.[33] Wagner Group financier Yevgeny Prigozhin claimed that Wagner fighters advanced 230m in Bakhmut on April 30.[34] Russian milbloggers claimed on April 30 and May 1 that Russian and Ukrainian forces engaged in heavy fighting near Khromove.[35] The Ukrainian General Staff reported on April 30 and May 1 that Russian forces continued attacking in Bakhmut and conducted unsuccessful ground attacks near Bohdanivka (6km northwest of Bakhmut), Ivanivske (5km west of Bakhmut), Predtechyne (12km southwest of Bakhmut), and Oleksandro-Shultyne (14km southwest of Bakhmut).[36]

Ukrainian officials indicated that Wagner Group fighters and other Russian forces are struggling to maintain their pace of offensive operations in Bakhmut. Ukrainian Eastern Group of Forces Commander Colonel General Oleksandr Syrskyi stated that Russian forces in Bakhmut conducted numerous attacks but failed to advance, whereas Ukrainian forces conducted counterattacks and recaptured some Russian positions.[37] A local Ukrainian commander stated that Ukrainian forces have regained the battlefield initiative in some areas of Bakhmut, and Russian forces have failed to cut Ukrainian logistics lines into Bakhmut.[38] Ukrainian Eastern Group of Forces Spokesperson Colonel Serhiy Cherevaty stated that Russian snipers from an unspecified special counterterror service are operating in Bakhmut, suggesting that the Russian military command may be reallocating additional irregular military units to the Bakhmut front to compensate for overtired Wagner forces and ineffective Russian force organization in the area.[39]

Russian forces continued to conduct ground attacks along the Avdiivka-Donetsk City line on April 30 and May 1. The Ukrainian General Staff reported on April 30 and May 1 that Ukrainian forces repelled Russian ground attacks near Avdiivka, Pervomaiske (11km southwest of Avdiivka), Marinka (27km southwest of Avdiivka), and Novomykhailivka (10km southwest of Donetsk City).[40] Russian milbloggers claimed on April 30 and May 1 that Russian forces attacked Sieverne (5km west of Avdiivka) and southwest of Avdiivka.[41] Another Russian milblogger claimed that Russian forces attacked near Krasnohorivka (9km north of Avdiivka) and broke through Ukrainian defensive lines in western Marinka and that Ukrainian forces conducted counterattacks against Russian positions near Vodyane (7km southwest of Avdiivka).[42]

Russian forces did not conduct any confirmed or claimed ground attacks in western Donetsk Oblast on April 30 and May 1.[43] Geolocated footage shows that Russian forces have made a marginal advance on the eastern outskirts of Vuhledar as of April 29.[44]

Russian Supporting Effort Southern Axis (Russian objective: Maintain frontline positions and secure rear areas against Ukrainian strikes)

Russian sources are continuing to claim that Ukrainian forces are conducting raids across the Dnipro River. A Russian milblogger claimed that Ukrainian forces are trying to cross the Dnipro River to reach the left bank Kherson Oblast and claimed that Russian forces are repelling Ukrainian crossing attempts.[45] A Russian commander of an unspecified unit operating on the east (left) bank of Kherson Oblast claimed that Russian forces constructed a deeply echeloned defensive line on this bank and are regularly identifying and defeating Ukrainian forces.[46] Geolocated Russian footage published on April 30 showed Russian 126th Guards Coastal Defense Brigade of the 22nd Army Corps (Russian Black Sea Fleet) shelling Ukrainian forces on the Velykyi Potemkin island.[47]

Ukrainian officials reported that Ukrainian forces are continuing to engage Russian forces in a counter-battery fights in Kherson Oblast. Ukrainian Southern Operational Forces Spokesperson Nataliya Humenyuk stated on April 30 that Ukrainian counter-battery operations are forcing Russian forces to constantly maneuver on the east (left) bank of the Dnipro River.[48] Kherson Oblast Military Administration Advisor Serhiy Khlan reported on May 1 that Russian forces decreased the rate of artillery fire against west (right) bank Kherson Oblast over the past three days.[49]

Russian sources said that the situation in western Zaporizhia Oblast did not change as of May 1, denying unspecified Ukrainian claims about Ukrainian advances.[50] A Kremlin-affiliated milblogger published video of himself claiming that he is located near the Hulyaipole area and stating that Ukrainian forces did not break through Russian defensive lines southeast of Hulyaipole.[51] The milblogger claimed that he observed Ukrainian reports that Ukrainian forces almost liberated Marfopil, Stepanivka, and Novoselivka all withing 15km southeast of Hulyaipole - which he claimed were not true. ISW has been unable to find such Ukrainian claims, however, and has observed nothing to confirm the milbloggers observations about Ukrainian activities in this area. The milblogger amplified an interview with a commander of the grenade launcher squad of the 503rd Guards Motorized Regiment of the 58th Combined Arms Army (Southern Military District) claiming that Ukrainian forces are conducting reconnaissance-in-force and artillery fire in Zaporizhia Oblast.[52] Geolocated Russian footage also showed that unspecified elements of the 58th Combined Arms Army shelled Ukrainian positions with Polish-language leaflets which called on Ukrainian forces to surrender southwest of Orikhiv.[53] Russian sources also claimed that Ukrainian forces shelled Tokmak, damaging a railway depot and a service station.[54] A Kremlin-affiliated source claimed that Russian air defenses shot down two drones in Enerhodar.[55] None of these reports suggest unusual activity in this area.

Geolocated footage posted on May 1 showed smoke over Sevastopol Bay reportedly caused by a drone.[56] Sevastopol Occupation Governor Mikhail Razvozhayev claimed that Russian air defense shot down a drone in Sevastopol Bay.[57]

Russian Mobilization and Force Generation Efforts (Russian objective: Expand combat power without conducting general mobilization)

The recent increased prevalence of Russian private military companies (PMCs) operating in Ukraine may be necessitating certain changes in the overall command structure. Ukrainian Main Military Intelligence Directorate (GUR) Head Kyrylo Budanov stated on April 30 that Russian forces are attempting to create a unified command structure for Russian paramilitary companies (PMCs) operating in Ukraine under the control of the Russian General Staff.[58] A reliable Ukrainian reserve officer reported on April 30 that the emergence of additional PMCs such as Potok, Veterany, Yenisey, Skif, Tigr, Ibris, Rys, and Wolves has exacerbated challenges with logistics, command and control, intelligence, and operational coordination.[59] ISW has not seen any claims that the Russian military intends to include the Wagner Group alongside these other PMCs in this reported single command structure, although efforts to do so would likely intensify Wagner Group financier Yevgeny Prigozhins conflict with the Russian Ministry of Defense (MoD), as Wagner has recently challenged other PMCs in the Bakhmut area[60]

The Russian MoD has reportedly intensified its prison recruitment campaign, although Wagner may still be benefiting from the effort. Head of the independent Russian human rights organization Rus Sidyashchaya (Russian Behind Bars) Olga Romanova stated on April 30 that the Russian MoD began increasing convict recruitment dramatically in April after barring Wagner from recruiting from prisons in February.[61] Romanova stated that the MoD is currently recruiting at a rate of roughly 10,000 convict recruits a month.[62] Romanova also stated that the MoD transfers surplus convict recruits to Wagner because many Russian commanders do not know how to command a contingent of convict recruits.[63] An alleged Russian convict recruit serving with the Russian military claimed that convicts sign six-month contracts with the MoD, the same contract periods that convict recruits served with Wagner.[64] The Russian convict recruit claimed that convict recruits form Storm-Z assault groups, further indicating that these irregular formations are likely meant to conduct attritional ground assaults.[65] The Ukrainian General Staff reported on May 1 that roughly 400 newly deployed Wagner convict recruits are training in Berdyansk Raion, Zaporizhia Oblast with another 200 training near Luhansk City.[66]

Cadets at command academies throughout Russia graduated several months ahead of schedule, and some Russian sources claimed that these graduates may be deploying to Ukraine. Russian sources reported that command cadets from the Ryazan Guards Higher Airborne Command School, the Novosibirsk Higher Military Command School, the Far Eastern Higher Combined Arms Command School, the Military University of the Russian MoD, the Military Medical Academy, and the Tyumen Higher Military Engineering Command School graduated on April 29, either two or three months ahead of schedule.[67] A Russian milblogger claimed that graduates from the Ryazan Guards Higher Airborne Command School immediately deployed to Ukraine and will likely participate in the Russian militarys effort to form new Airborne Forces (VDV) brigades.[68] ISW has not yet observed confirmation that recent graduates from Russian command schools are deploying to Ukraine. The Russian military is likely attempting to quickly generate a new pool of lower and mid-level commanders to address the degradation of the Russian command cadre in Ukraine.

Russian commanders are reportedly increasingly punishing Russian servicemen for insubordination in an effort to strengthen discipline. The United Kingdom Ministry of Defense (UK MoD) reported on April 30 that Russian commanders have started punishing breaches in discipline by detaining Russian servicemen in improvised cells made of holes in the ground c[69]overed with a metal grill.[70] The UK MoD reported that Russian commanders have been instituting increasingly draconian initiatives to improve discipline among Russian forces in Ukraine since Autumn 2022.[71]

Activities in Russian-occupied areas (Russian objective: Consolidate administrative control of annexed areas; forcibly integrate Ukrainian civilians into Russian sociocultural, economic, military, and governance systems)

Russian officials and occupation authorities continue efforts to integrate occupied territories into the Russian socio-economic system. Zaporizhia Oblast occupation head Yevgeny Balitsky stated on May 1 that he and Russian Labor Union Association Sergey Vostretsov discussed ways to develop labor unions in occupied Zaporizhia Oblast.[72] Representatives of occupied Kherson Oblast Ministry of Industry met with Vostretsov and Russian Minister of Industry and Trade Semyon Mashkautsan on April 27 to identify opportunities to develop labor unions and workers satisfaction in occupied Kherson Oblast.[73]

Russian occupation authorities continue to target Ukrainian children in an effort to consolidate societal control of occupied territories. Occupied Kherson Oblast Vice Governor Tatiana Kuzmich stated on April 29 that Russian occupation authorities plan to bring high school students from Kherson Oblast to Sevastopol, occupied Crimea, by Russias May 9th Victory Day holiday to promote Russian patriotism and historic education.[74]

Significant activity in Belarus (ISW assesses that a Russian or Belarusian attack into northern Ukraine in early 2023 is extraordinarily unlikely and has thus restructured this section of the update. It will no longer include counter-indicators for such an offensive.)

ISW will continue to report daily observed Russian and Belarusian military activity in Belarus, but these are not indicators that Russian and Belarusian forces are preparing for an imminent attack on Ukraine from Belarus. ISW will revise this text and its assessment if it observes any unambiguous indicators that Russia or Belarus is preparing to attack northern Ukraine.

Belarusian maneuver elements continue conducting exercises in Belarus.[75] The Belarusian Ministry of Defense (MoD) announced on May 1 that the final stage of the brigade tactical exercise is underway.[76]

Belarusian Security Council Secretary Lieutenant General Alexander Volfovich stated on April 29 that Belarusian brigades are training for offensive, defensive, and special operations and that a set of measures to transfer the brigades from peacetime to wartime has been underway for the last few weeks.[77] Volfovich claimed that it is necessary for all Belarusian forces to maintain combat readiness due to the current military-political situation on Belarus borders.[78]

Note: ISW does not receive any classified material from any source, uses only publicly available information, and draws extensively on Russian, Ukrainian, and Western reporting and social media as well as commercially available satellite imagery and other geospatial data as the basis for these reports. References to all sources used are provided in the endnotes of each update.

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Russian Offensive Campaign Assessment, May 1, 2023 - Critical Threats Project

Safety upgrades to be carried out on Narooma Bridge | Transport for … – Transport for NSW

Essential upgrades will be carried out on the Narooma Bridge this month to improve its safety and reliability for all road users.

A Transport for NSW spokesperson said the structure is a key link for locals and tourists, who use the Princes Highway on the South Coast each day.

Upgrades to the Narooma Bridge include improving the safety barriers on the northern approach and the relocation of traffic lights to improve visibility in both directions, the spokesperson said.

Work will start on Monday 15 May 2023, with the pilling work around the bridge to be completed in the first two weeks. The upgrade is expected to take 10 weeks to complete, weather permitting.

To minimise the impact on road users and the community, work will be carried out at night from 7pm to 4am. Transport for NSW aims to complete the noisy component of work before 11pm each night.

During work hours, there will be traffic control, reduced speed to 40 km/h and intermittent single lane closures to ensure the safety of all those in the area.

Transport for NSW is contacting nearby residents to provide information about the work and discuss how it can help reduce the impacts where possible.

Transport for NSW appreciates the patience of the community and motorists during this time.

Community members are encouraged to send any feedback or questions they may have regarding this work to Transport for NSW at southprojects@transport.nsw.gov.au

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Safety upgrades to be carried out on Narooma Bridge | Transport for ... - Transport for NSW

COVID-19 Masking: Hundreds of Thousands of Russian Social … – Infection Control Today

Kevin Kavanagh, MD, discusses how Russian bots have tried to convince the United States public that masking is unnecessary. What do the latest studies say?

The conversation about permanently requiring universal masking in health care facilities must happen. Returning to normal is not an option since normal does not provide adequate safeguards. Mitigating exposure of high-risk patients to COVID-19 is of utmost importance, but so is preventing exposure to the human respiratory syncytial virus (RSV), influenza, and even the common cold.

On September 23, 2022, the CDC revised its masking guidance to allow hospitals to opt out of universal masking when community transmission levels were not high. Masking is still required for staff taking care of COVID-19 patients or patients having exposure within 10 days previously.

N95 masks should be used. According to the CDC, cloth masks block large particles (including droplets) and in some cases filtering nearly 50% of fine particles less than 1 micron. This level of mask effectiveness may help reduce the spread in the community but does not provide the needed level of personal protection to prevent infections with the Omicron variant. Omicron is highly infectious, and the viral dosage required for infection is presumably much lower than other variants. N95 masks are needed for optimal prevention of COVID-19 in health care personnel and patients. The public should also be strongly encouraged to adopt their usage.

Graham Snyder, MD, MS, et al recently reported survey results from 35 health care epidemiologists. Most (26) represented large multiple acute-care hospital systems. 90% responded that maintenance of masking requirements was essential to prevent influenza transmission, and 73% felt masking requirements were critical to preventing infections in staff and patients. However, less than 10% felt that staff and patients would favor this policy. Despite this, 97% reported that their facilities had no immediate plans to discontinue universal masking requirements. (Watch Snyders interview with ICT about hospitals returning-to-work policies.)

Fake news and disinformation may significantly inhibit the adoption of masking by the public. The WashingtonPost reports that recently leaked national security documents indicate the Russians boasted that less than 1% of their sham social media profiles and bots have been caught. One of their propaganda campaigns spread the conspiracy theory that the United States was hiding the side effects of vaccines. A network of hundreds of thousands of social media bots emulate(ed) users and was intended to divide the West, and apparently was very successful. One could argue that this has led to a loss of confidence in public health authorities, adversely impacting adopting of COVID-19 mitigation strategies. This Post report bolsters a Reutersarticle which reported that according to a European Union document, the Russian media have deployed a significant disinformation campaign against the West to worsen the coronavirus's impact, generating panic and sow distrust.

Further adding to public confusion, the lead author of the recent Cochrane meta-analysis regarding the effectiveness of masking appeared to have spun the results in an interview with Maryanne Demasi, PhD, by stating, Theres still no evidence that masks are effective during a pandemic and that N95 masks make no difference. However, the Cochrane meta-analysis clearly stated, The low to moderate certainty of evidence means our confidence in the effect estimate is limited, and that the true effect may be different from the observed estimate of the effect. In addition, the Editor-in-Chief of the Cochrane Library, Karla Soares-Weister, felt that many commentators of the meta-analysis have misrepresented and inaccurately interpreted the study as showing that masks dont work.

Overall, the Cochrane meta-analysis was plagued by incorporating studies having poor and intermittent masking adherence, and all but 2 studied influenza-like illnesses, not COVID-19. The 2 studies which evaluated SARS-CoV-2 infections studied masking education and availability. Both studies had positive results, one reaching statistical significance.

Many other researchers have reported positive effects from masking, including one studying the Massachusetts School system, which reported that lifting of masking mandates accounted for 40% of the SARS-CoV-2 infections. In the British Medical Journal, Stella Talic, PhD, et al. reported a meta-analysis of six research studies that indicated that masking reduced the incidence of SARS-CoV-2 infections by almost 50%.All of this is occurring as the United States is dealing with a surge in various infectious diseases. In addition, we are facing a growing XBB threat. The XBB.1.1.6 variant is causing a significant surge in India. This variant currently comprises 7.2% of the SARS-CoV-2 isolates in the United States and has almost doubled from the previous week. Because the United States experienced a significant number of XBB.1.5 cases, a large surge may not occur. However, this is not comforting for high-risk populations such as the elderly, obese, and immunocompromised. Public masking, especially when sick, has been integral to Southeast Asian culture. This region has had a long history of dealing with epidemics and was the origin of SARS-1. As a hyper-traveling world society has emerged, dangerous pathogens spread almost instantaneously. The United States needs to adapt. As a first step, health care facilities should require universal masking to protect patients and staff.

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COVID-19 Masking: Hundreds of Thousands of Russian Social ... - Infection Control Today

Clinch Announces Series of New Senior-level Recruits to Support … – PR Newswire

Executive-level Additions Across the US, Europe, and Latin America with SaaS Expertise

NEW YORK, April 19, 2023 /PRNewswire/ --Clinch, the leader in dynamic ad serving and personalization and creator of Flight Control, the Omnichannel Campaign Activation Platform, announced today a series of new hires across the US, EMEA, and LATAM. The new additions will serve Clinch's expanding sales, ad operations, strategy, and business development teams.

Here is a summary of new hires:

Clinch's team continues to service some of the largest US and international brands, such as Albertsons, AB Inbev, Stellantis, Carrefour, Nespresso, and Iberia. In addition to continued company growth, throughout 2023 Clinch has announced several new strategic partnerships and integrations, including Figma for ad creation within Clinch's Flight Control platform and certification across Samsung Ads' global inventory. Additionally, Clinch has established itself as a leading technology solution for independent and multinational agencies alike, recently announcing its status as primary ad serving and omnichannel DCO partner for Tombras, which is now utilizing Clinch's Flight Control in a fully self-serve capacity.

"At Clinch, we're incredibly grateful to continue on our upward trajectory amidst such turbulent economic times," said Oz Etzioni, CEO of Clinch. "In 2022, we have grown the team by over 50% globally and are on track to increase headcount by 25% by the end of Q2 2023. Our rapid expansion is a byproduct of the high quality work our team continues to produce, delivering value and results to our clients."

In January, Clinch opened a new office in London's Soho region, with plans to open additional satellite offices throughout Europe and North America by the end of the year.

About Clinch

Clinch is the recognized leader in omnichannel ad serving. The company's AI-driven dynamic personalization technology delivers custom-tailored ad experiences across all channels, driving best-in-class performance and ROI. Flight Control, Clinch's Omnichannel Campaign Activation Platform, enables agencies and brands to manage the entire campaign lifecycle, from strategy through activation and measurement, on a single platform that makes them massively more productive, efficient, and profitable. In everything Clinch does, it automates workflows and leverages data to personalize and optimize display and video ad experiences at scale, across programmatic, CTV, social media, in-app, native, and Digital Out of Home (DOOH). For more information visit: http://www.clinch.

Media ContactSofya Epelman[emailprotected]718-614-1184

SOURCE Clinch

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Clinch Announces Series of New Senior-level Recruits to Support ... - PR Newswire