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World Health Officials Describe Progress Against Tetanus, H.I.V. and Malaria

Infant and maternal tetanus was officially eliminated from the Americas this year, the Pan American Health Organization announced on Thursday. At one time, the infection killed about 10,000 newborns annually in the Western Hemisphere; tetanus still kills about 35,000 infants around the world. It was one of several significant global health advances, including new programs against malaria and H.I.V., announced last week in conjunction with the meeting of the United Nations General Assembly in New York.
Haiti was the last country in the Americas to eliminate neonatal tetanus. That does not mean complete eradication, because the bacteria that cause tetanus exist everywhere in soil and animal droppings. Rather, elimination means that thanks to vaccination of mothers and clean birth procedures — less than one case occurs per 1,000 live births.
The Americas have generally led the world in eliminating diseases for which vaccines exist. In this hemisphere, smallpox was eliminated in 1971, polio in 1994, rubella in 2015 and measles in 2016 (the diseases are sometimes reintroduced, as measles was at Disneyland in 2014, but outbreaks are usually brought quickly under control).
Also this week, the President’s Malaria Initiative said it would expand its work to new countries in West and Central Africa, protecting 90 million more people. The initiative, founded in 2005 as part of the United States Agency for International Development, has been a major force in driving down worldwide malaria deaths by about 40 percent in the past decade. The disease most often kills young children and pregnant women. The expansion in Cameroon, Ivory Coast, Niger, Sierra Leone and Burkina Faso was made possible because Congress increased funding for the initiative in fiscal year 2017, a representativ said
In his speech to the United Nations on Tuesday, President Trump praised the malaria initiative and the President’s Emergency Plan for AIDS Relief as examples of leadership in humanitarian assistance by the United States.
A combination of aid agencies, drug companies and g cocktail totreat H.I.V. would soon be available to 92 countries, including virtually all of Africa, for about $75 a year. The new AIDS cocktail is the first available in poor countries to contain dolutegravir, which is widely used in wealthy countries because it is highly effective and has few side effects. The pill also contains lamivudine, an older but still effective drug, and tenof disoproxil fumarate, another modern drug whose inclus effects and resistance.
Almost 37 million people in the world have H.I.V., according to Unaids, the U.N.’s AIDS-fighting agency, but fewer than 20 million are now on antiretroviral medicine, which not only saves their lives but prevents them from passing on the disease.

McNEIL Jr., Donald. Disponível em: < https://www.nytimes.com/2017/09/22/health/world-health-tetanus-infants.html?mcubz=1>. Acesso em: 22/09/2017.

T E X T

EL TIGRE, Venezuela — Thousands of workers are fleeing Venezuela’s state-owned oil company, abandoning once-coveted jobs made worthless by the worst inflation in the world. And now the hemorrhaging is threatening the nation’s chances of overcoming its long economic collapse.

Desperate oil workers and criminals are also stripping the oil company of vital equipment, vehicles, pumps and copper wiring, carrying off whatever they can to make money. The double drain — of people and hardware — is further crippling a company that has been teetering for years yet remains the country’s most important source of income.

The timing could not be worse for Venezuela’s increasingly authoritarian president, Nicolás Maduro, who was re-elected last month in a vote that has been widely condemned by leaders across the hemisphere. Prominent opposition politicians were either barred from competing in the election, imprisoned or in exile.

But while Mr. Maduro has firm control over the country, Venezuela is on its knees economically, buckled by hyperinflation and a history of mismanagement. Widespread hunger, political strife, devastating shortages of medicine and an exodus of well over a million people in recent years have turned this country, once the economic envy of many of its neighbors, into a crisis that is spilling over international borders.

If Mr. Maduro is going to find a way out of the mess, the key will be oil: virtually the only source of hard currency for a nation with the world’s largest estimated petroleum reserves. But each month Venezuela produces less of it. Offices at the state oil company are emptying out, crews in the field are at half strength, pickup trucks are stolen and vital materials vanish. All of this is adding to the severe problems at the company that were already acute because of corruption, poor maintenance, crippling debts, the loss of professionals and even a lack of spare parts.

Now workers at all levels are walking away in large numbers, sometimes literally taking piecesof the company with them, union leaders, oil executives and workers say.

A job with Petróleos de Venezuela, known as Pdvsa, used to be a ticket to the Venezuelan Dream. No more.

Inflation in Venezuela is projected to reach an astounding 13,000 percent this year, according to the International Monetary Fund. When The New York Times interviewed Mr. Navas in May, the monthly salary for a worker like him was barely enough to buy a whole chicken or two pounds of beef. But with prices going up so quickly, it buys even less now.

Junior Martínez, 28, who has worked in the oil industry for eight years, is assembling papers, including his diploma as a chemical engineer. His wife and her daughter left three months ago to earn money in Brazil. “I get 1,400,000 bolívars a week and it isn’t even enough to buy a carton of eggs or a tube of toothpaste,”Mr. Martínez said of his salary in bolívars, Venezuela’s currency.

Mr. Martínez’s father, Ovidio Martínez, 55, recalled growing up here when the oil boom began. He cried as he spoke of his son’s determination to leave the country. “You watch your children leave and you can’t stop them,” the elder Mr. Martínez said, fighting back tears. “In this country, they don’t have a future.”

In El Tigre, hundreds of people stood in line one recent morning outside a supermarket, many waiting since the evening before to buy whatever food they could.

From: www.nytimes.com/June 14, 2018. Adapted.

Opportunity Cost

This phenomenon goes by the name of ‘opportunity cost,’ since by not investing in more equipment and a more rigid production flow, the company is forgoing the opportunity to earn increased profits. These costs are every bite as real as the payment of dollars out-of-pocket.

This notion _______ opportunity cost can be reinforced _________a famous saying ______ Benjamin Franklin, no slouch himself _________ operations management. To make the point, however, we must make a brief excursion into logic. One truth of logic is the validity of the so-called contrapositive, which says simply that if the statement “If A, then B” is true, then it is also true that “If not B, then not A.” That is, of every time A occurs B follows, then we can be sure that if B does not occur, then A did not occur as well. Enough logic then, and back to Ben Franklin.

One of his Poor Richard sayings is that “A penny saved is a penny earned.” We have all recognized the truth of that since childhood, but I assert that by this saying Ben showed us he knows everything about opportunity cost. After all, what is the contrapositive of “A penny not earned is a penny not saved (i.e., a penny sent). All we are saying by this notion of opportunity cost is that “a penny not earned (an opportunity forgone) is a penny spent.” We shall often have occasion to consider opportunity costs, in analyzing and deciding various operations issues.

SCHMENNER, Roger W. Production/Operations Management. 5th Edition. Prentice-Hall, 1993.

Wood wide web: trees’ social networks are mapped

Research has shown that beneath every forest and wood there is a complex underground web of roots, fungi and bacteria helping to connect trees and plants to one another. This subterranean social network, nearly 500 million years old, has become known as the “wood wide web”. Now, an international study has produced the first global map of the “mycorrhizal fungi networks” dominating this secretive world.

Using machine-learning, researchers from the Crowther Lab at ETH Zurich, Switzerland, and Stanford University in the US used the database of the Global Forest Initiative, which covers 1.2 million forest tree plots with 28,000 species, from more than 70 countries. Using millions of direct observations of trees and their symbiotic associations on the ground, the researchers could build models from the bottom up to visualise these fungal networks for the first time. Prof Thomas Crowther, one of the authors of the report, told the BBC, “It’s the first time that we’ve been able to understand the world beneath our feet, but at a global scale.”

The research reveals how important mycorrhizal networks are to limiting climate change — and how vulnerable they are to the effects of it. “Just like an Magnetic Resonance Imaging scan of the brain helps us to understand how the brain works, this global map of the fungi beneath the soil helps us to understand how global ecosystems work,” said Prof Crowther. “What we find is that certain types of microorganisms live in certain parts of the world, and by understanding that we can figure out how to restore different types of ecosystems and also how the climate is changing.” Losing chunks of the wood wide web could well increase “the feedback loop of warming temperatures and carbon emissions.”

Mycorrhizal fungi are those that form a symbiotic relationship with plants. There are two main groups of mycorrhizal fungi: arbuscular fungi (AM) that penetrate the host’s roots, and ectomycorrhizal fungi (EM) which surround the tree’s roots without penetrating them.

(Claire Marshall. www.bbc.com, 15.05.2019. Adaptado.)