Word: scaled
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Dates: during 2000-2009
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...number of staff added to FAS over the past six years is roughly on the same scale of the entire Harvard College Library staff, which actually shrank over the same period of time, according to English department chair James T. Engell ’73. This year alone, HCL reduced its workforce by roughly 100 employees, including several acquisition librarians...
...correlation between [housing and education] is not just theory—it’s practice,” Donovan said. “It’s time to bring that practice to scale at the neighborhood level...
...Part of its task will be to evaluate the government's response in tackling the disease, and draw up recommendations for future large-scale leptospirosis outbreaks, said Eric Tayag, head of the Department of Health's National Epidemiology Center. "They will also be looking at why there have been such high mortality rates" in the current outbreak, he said. Between 5 and 10% of the cases in this outbreak have been resulted in death - the highest level of mortality for leptospirosis by WHO's measures. (Read "The Manila Floods: Why Wasn't the City Prepared...
...Philippines' overstretched and underfunded public health system is poorly equipped to deal with large-scale disease outbreaks, even for diseases like leptospirosis that are seasonally common across the archipelago. Several large government hospitals were damaged in the flooding, and have struggled to cope with the influx of patients. A week after Ketsana, much of Pasig General Hospital was under water, including its laboratory. According to reports, staff initially only had dextrose to give flood victims seeking medical attention. In flood-ravaged Marikina, one of 16 cities that make up Metropolitan Manila, only four out of 21 public health facilities were...
...underwater for months due to still flood-swollen rivers and waterways, "the potential for more outbreaks is still there," warns Tayag. Last week the Philippine health authorities began distributing the antibiotic doxycycline in flooded communities, a procedure recommended by the WHO. Plans are now being readied for a large-scale spraying of saltwater into still-flooded areas to kill the leptospirosis bacterium, which only lives in freshwater. The timing to ask for help from the global health authorities - as well as other decisions such as the distributing of antibiotics and the saltwater spraying - were "judgment" calls, says Tayag...