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Exclusive: Some monkeypox patients also have sexually transmitted diseases, CDC says



Some monkeypox patients also have sexually transmitted diseases, CDC says

#monkeypox #patients #sexually #transmitted #diseases #CDC

Some people recently diagnosed with sexually transmitted diseases may also have monkeypox, the Centers for Disease Control and Prevention said, warning physicians that they need to watch and test for both since monkeypox can look a lot like an STD.

CDC Director Rochelle Walensky said some patients with monkeypox also had syphilis, herpes, gonorrhea or chlamydia infections. The rash that characterizes monkeypox can resemble herpes or syphilis, Walensky said.

“It’s important to be aware that monkeypox cases may present similar to some sexually transmitted infections and could be mistaken for other diagnoses,” Walensky said in a call with reporters Friday. Patients who have symptoms should be evaluated for all sexually transmitted infections as well as monkeypox, she said.

“Health-care providers should not rule out monkeypox just because a patient has another diagnosis or another STI,” Walensky told reporters.

The U.S. has confirmed 45 monkeypox cases across 15 states and Washington D.C. as of Thursday, according to the CDC. No deaths have been reported. The current outbreak is unusual because the virus is spreading outside West and Central Africa, where the disease has been present for decades. More than 1,300 cases have been reported globally across 31 countries, according to the CDC.

Moneypox normally begins with symptoms similar to the flu, including fever, headache, muscle aches, chills, exhaustion and swollen lymph nodes. The disease then progresses to a painful rash that can spread all over the body. Most patients recover in two to four weeks without specific medical treatment, according to the CDC.

However, some patients during the current outbreak have developed a rash only on the genitals or anus before they experience any flulike symptoms, Walensky said. In some cases, patients developed a rash without any symptoms similar to the flu, she said. In many cases, the localized rash has not spread to other parts of the body or only to a few areas, the CDC director said.

People diagnosed with moneypox during the current outbreak have reported close physical contact with other people infected with the virus, Walensky said. The virus can spread through direct contact with sores, bodily fluids or materials such as clothes or bedsheets.

Walensky said it’s unclear whether the virus can spread through semen or vaginal fluid like a sexually transmitted disease. The CDC also does not know whether the virus can spread from people who are infected but have no symptoms or mild symptoms.


At least 75% of monkeypox patients in the U.S. have reported exposure to the virus during international travel, according to Dr. Jennifer McQuiston, a CDC official. The majority of the cases have been reported among men who have sex with men, according to the CDC.

A few patients are unsure how they caught monkeypox, which suggests the virus might be spreading within the U.S. at a low level, McQuiston said. However, the CDC has not identified any city or region in the U.S. where there is an outbreak, she said.

“There are just these occasional, sparse cases that are not sure how they acquired monkeypox,” McQuiston said. “In all likelihood, they acquired it from someone who recently traveled but they’re just not sure,” she said.

Montreal, Canada’s third-largest city, has reported an outbreak, McQuiston said. Montreal lies just across the border from New York state and New England.

Monkeypox can also spread through respiratory droplets when people have close, sustained face-to-face contact, Walensky said. The virus is not thought to linger in the air or transmit through short periods of shared airspace such as casual conversations at the grocery store, Walensky said. Monkeypox also isn’t thought to spread from briefly touching the same item such as a doorknob, she said.

Airborne transmission of mokeypox has not been reported, according to Dr. Raj Panjabi, who leads the White House pandemic preparedness office. The difference is respiratory droplets quickly fall to the ground while aerosol particles are much smaller can linger in the air for a longer period of time, Panjabi said. Covid-19, for example, spreads through aerosol particles, which is one of the reasons it’s so infectious.

The federal government has delivered 1,400 vaccine courses and 110 antiviral treatments for people who have had high-risk exposures or monkeypox infections, according to Panjabi. The U.S. has also performed 300 tests so far for orthopox, the family of viruses that includes monkeypox. When people test positive for orthopox, they are presumed to have monkeypox until the CDC in Atlanta confirms the diagnosis.

“We are working to make testing through public health labs more convenient and expand testing beyond public health labs through commercial partners,” Panjabi told reporters on the call Friday.

The U.S. currently has 72,000 doses of the vaccine Jynneos, a small pox vaccine that’s also approved to fight monkeypox, immediately available in the strategic national stockpile, according to Dawn O’Connell, who leads the Health and Human Services office responsible for inventory. The manufacturer Bavarian Nordic is also sending another 300,000 doses to the U.S., O’Connell told reporters.

Jynneos is a two-dose vaccine approved by the Food and Drug Administration to prevent monkeypox in people ages 18 and older. The U.S. also has more than 100 million doses of an older generation smallpox vaccine, ACAM2000, that can also prevent monkeypox infection. Smallpox and monkeypox are in the same virus family, though moneypox is much milder.

The CDC generally recommends Jynneos over ACAM2000, because the latter vaccine can have severe side effects. The U.S. does not currently have enough Jynneos doses in the supply chain to vaccinate everyone in the U.S. in the event of a public health emergency, McQuiston said. As a consequence, the Jynneos vaccine is being given only to people who would benefit the most from it, she said. ACAM2000 has a role to play in vaccinating people who are not at risk of side effects from the vaccine to help maintain an adequate supply of Jynneos for those who need it, she said.



Exclusive: Leading With Transparency in Times of Uncertainty –




Leading With Transparency in Times of Uncertainty

#Leading #Transparency #Times #Uncertainty

Opinions expressed by Entrepreneur contributors are their own.

While not a new concept, the importance of transparency in the workplace took on more urgency during the pandemic as our daily lives, including our work environment, were upended. Worldwide, both within the workplace and outside of it, uncertainty became the norm rather than the exception across many influential sectors: geopolitical, natural and business. And there are no signs of things calming down anytime soon.

In a volatile climate, organizational transparency becomes more essential to your business success. As your employees cope — or attempt to cope — with constant upheaval and uncertainty, helping to foster stability toward mental health is of prime importance. Any reassurances you can offer your teams will go a long way in stabilizing their anxiety levels, at least regarding the workplace since external factors are most likely beyond your control.

Ask yourself: If your management team is not leading with transparency, what is your response to the uncertainty? Are you then leading with opaqueness? What does that mean for our employees?

Related: Six Strategies To Navigate Through Uncertainty

Transparency vs. opaqueness

Transparency facilitates a more open, less hierarchical approach to management and a culture that tilts toward learning and innovation. It assumes that data and information will be of value to people. A culture of transparency helps to decentralize information, and with the right information, we’ve witnessed individuals become leaders.

The more employees connect to your company’s overall business objectives, the more room is given for inspiration to arrive. Transparency allows for ownership and alignment, enabling the business to unlock growth. In addition, it encourages individuals to take ownership of problems and mistakes, solutions and their departments. It discourages finger-pointing. It is evidence of mutual respect between the organization and its employees.

In this environment, employees stay connected to what is happening within the organization and don’t have to spend valuable time questioning the company’s direction or plans. If a problem develops, the focus stays on solving the problem versus spiraling into a perceived cover-up and becoming part of the subsequent rumor mill churn.

Organizations led by transparency foster a culture that acknowledges we don’t have all the answers and are learning together as the business grows.


Related: Five Actions Leaders Should Take In Times Of Uncertainty

On the flip side, opaqueness assumes hierarchy. The lack of transparency permeates the organization, causing silos and territorial fiefdoms. Opaqueness facilitates a culture that guards information and knowledge and instructs people what to do instead of providing opportunities to lead. There’s no ownership by employees. There’s the leadership team and everyone else.

Here are some tactics your organization can leverage to foster a culture of transparency.

  • Document your vision, strategy and goals. Openly state these north stars, even sharing them externally, instead of having people guess or make them up for you. This level of visibility will ensure the alignment of your go-to-market strategy with your vision, mission and goals.
  • Share internally how the business is meeting its goals. Measure how the business is performing monthly or quarterly against a transparent plan that you’ve put in place. Share OKR (objectives and key results) reporting of how the company is performing. Use this information to foster a culture of learning. At PandaDoc, we understand that some of these OKRs will fail, but we let everyone know it’s okay as long as we learn from our mistakes.
  • Regularly schedule all-hands meetings. Implement these meetings at the company and at departmental levels. Schedule “ask me anything” meets with leaders so employees can voice their questions or concerns. PandaDoc’s all-hands have a cadence to them. We publish a calendar of what we’re going to discuss; for example, a monthly or quarterly business review, an OKR review, show and tell and what’s happening in various departments. We also structure time to talk about things happening in the world that impact us.
  • Schedule sprint reviews. Have departments share their accomplishments within a designated time — for example, over the past month. Record and post these on your company website so everyone in the company has the opportunity to view them. At PandaDoc, we invite our entire company to join our weekly product and engineering sprint reviews.
  • Create a culture where your employees feel safe. Not every employee feels confident enough to ask leadership-related questions during an all-hands meeting. Provide structured ways to encourage the questions. Let your employees know that they can have one of their co-workers ask the question on their behalf. It’s a simple way of letting your employees know that you have their back, and it provides a way for all employees to have their concerns addressed.
  • Take note of what other companies are doing. Software developer GitHub, for example, is implementing some innovative ways to promote transparency. Two that come to mind: They publicly expose their employee onboarding and offer a two-week CEO shadowing opportunity for employees.
  • Understand that you don’t have to share everything in real-time. You might not want to share a new development in real time; some may require a well-thought-out plan. But you do want to get in front of the rumor mill before your employees start to have that nagging feeling that something is wrong. And definitely, before the information is available on the internet. Share as quickly as possible what’s happening, and what the plan is so your employees can decide their next steps. Sharing this information helps cultivate mutual respect.

As you think about leading with transparency, it’s critical to note that your business is already transparent, even if you don’t want it to be. There’s no point in hiding negative information. It’s going to come out. And you don’t want the information shared on Twitter before you’ve shared it with your employees. A better business practice is to embrace and lead with transparency to foster a more positive working environment for everyone.

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Exclusive: Airlines, FAA spar over flight delays as crucial Fourth of July weekend approaches –




Airlines, FAA spar over flight delays as crucial Fourth of July weekend approaches

#Airlines #FAA #spar #flight #delays #crucial #Fourth #July #weekend #approaches

Travelers wait to board a plane at Miami International Airport in Miami, Florida, on April 22, 2022.

Daniel Slim | AFP | Getty Images

Airlines and the Federal Aviation Administration are pointing the finger at each other over a rising rate of flight cancellations and delays, just as millions prepare for a July 4th travel weekend that officials expect to be among the busiest in three years.

On Friday, Airlines for America, which represents the country’s largest airlines, including Delta, American, United and Southwest, requested another meeting with Transportation Secretary Pete Buttigieg to discuss air traffic controller staffing for the summer and other potential obstacles like space launches and military exercises.

“The industry is actively and nimbly doing everything possible to create a positive customer experience since it is in an airline’s inherent interest to keep customers happy, so they return for future business,” Airlines for America CEO Nick Calio wrote in the letter.

Airlines have grappled with staffing shortages after travel demand bounced back faster than they were prepared for, despite government aid that prohibited them from laying off workers during the pandemic. Plus, the Covid-19 slowed training of air traffic controllers.

Both factors have made it difficult to navigate routine issues like thunderstorms during the spring and summer as Covid-19 infections continued to sideline employees and frustrate travelers eager to vacation.

U.S. airlines have reduced their June-August schedules by 15% compared with their original plans, the letter from Airlines for America said.


United on Thursday announced it will cut 50 daily flights from its Newark Liberty International Airport hub in New Jersey starting next month in an attempt to ease congestion and delays there. Delta, JetBlue, Spirit and Frontier airlines have also trimmed schedules.

The FAA shot back at airlines for urging thousands of employees to take buyouts or leaves of absence during the pandemic, despite federal aid.

“People expect when they buy an airline ticket that they’ll get where they need to go safely, efficiently, reliably and affordably,” the agency said in response to A4A’s letter. “After receiving $54 billion in pandemic relief to help save the airlines from mass layoffs and bankruptcy, the American people deserve to have their expectations met.”

The FAA has said it has beefed up staffing at a key air traffic control center in Florida and that it added alternate routes to ease congestion.

Brett Snyder, founder of the Cranky Flier travel website, said: “It’s hard to assign fault because everyone’s at fault.”

“Because demand is so high, the airlines are trying to fly as much as they can,” Snyder said. “People think fares are high now, imagine if airlines flew less.”

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Exclusive: Why niche markets can be big business for accountants –




Why niche markets can be big business for accountants

#niche #markets #big #business #accountants

John O’Donnell, a practice consultant at ICAEW Members’ Department, explains what he sees as the many benefits of specialising as an accountant. 

Finding a niche is an excellent way for accountants to unlock new, profitable opportunities. 

So it’s no surprise to hear that more and more practices are identifying and focusing on niche markets as a way of optimising budgets and boosting internal efficiency.

Here’s what we cover in this article:

What do we mean by a niche market?

Many firms will say “I specialise in SME clients” without realising that most other practices will say the same thing.

As such, their clients have little to differentiate them from their competitors.

Defining yourself as a niche firm, servicing a niche market, is a way to help you stand out from the crowd.

While brand image, good marketing and so on can help you celebrate your unique selling points, perhaps one of the most effective ways is to focus on one or more niche markets, a move that brings additional advantages too.

What are the advantages of serving niche markets?

There are two fundamental advantages to serving niche markets and specialising as an accountant:

  • Optimised marketing
  • Internal efficiency.

From a marketing perspective, you can become one of the ‘go-to’ firms for clients in your sector and focus your marketing budget accordingly.

This will be more effective than a general ‘scatter-gun’ approach and should bring greater success.

Networking can be more targeted too. If the niche sector has conventions or meetings, you can attend these and expand your client base.

Marketing via publications (such as the magazines or articles your niche uses) can also be quite focused, to make the public aware of your firm and specialisation.

The second advantage is in the area of internal efficiency and will help improve profitability considerably.

If you’re processing accounts and tax returns for similar clients, you can use efficient processes.

This should be considered carefully in your staff recruitment, operational requirements and software choices, ideally prior to marketing yourself in this niche in the first place.

You should also consider informing clients in the sector of the way you want them to keep their records (to make both your and their job easier) and incorporate this into your engagement terms with them.

Are there other considerations?

If you focus on a transactional specialisation (such as corporate finance or strategic tax advice – as opposed to providing compliance advice), your income may not be recurring.

Therefore, you may need a good network of client providers who recognise your expertise so they provide clients referrals and ensure you have a continuing supply of new business.

Are there any disadvantages to tapping into a niche market as an accountant?

There may be, particularly with changes to tax and accounting requirements.

Concentrating all your efforts in one area may also leave you vulnerable to economic change – for example, if a particular sector is hit by a recession.


One particular specialisation years ago (dealing with small subcontract builders) was affected quite significantly by a change in tax laws.

So your niche may lead you to need to swiftly rethink your firm strategy.

How do I turn my practice into a niche firm?

Consider areas where you are technically competent or have an interest.

We also recommend that you plan carefully in terms of resource and put together a strategic plan for expanding your practice.

We have advised accountancy practices in this area in the past (from sole practitioners upwards) in order to ensure they plan for their futures.

So consider the following: will you need to recruit additional staff? How senior do they need to be? Are they available or close to you?

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