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The Development Council flagyl 400mg cost without insurance of the MidMichigan Health Foundation serving Alpena is offering scholarship opportunities for second year students enrolled in http://www.1eren.dk/buy-flagyl-for-dogs/ the field of health care. Scholarships are available to students whose primary flagyl 400mg cost without insurance residency is in Alcona, Alpena, Montmorency and Presque Isle counties. The application deadline is June 1, 2021, and flagyl 400mg cost without insurance applicants will be notified at the end of June. Scholarships available flagyl 400mg cost without insurance include. Dr.

Peter Aliferis Memorial Scholarship - The Medical Center Laboratory Department staff established this fund as a tribute to Dr. Peter Aliferis, a pathologist for 37 years. Dr. Aliferis passed away on March 13, 2002, and the scholarship fund is in memory of his many contributions to the Medical Center and community. This $1,000 scholarship is for a second-year student enrolled in clinical laboratory curriculum of study at an accredited school or enrolled in medical school.

William E. &. Mary C. DesOrmeau Scholarship - MidMichigan Medical Center – Alpena is not unlike other health care organizations when it comes to experiencing a shortage of nursing personnel. Former Chief Nursing Officer, Mary DesOrmeau, and her husband, Bill, established this $1,000 scholarship in direct response to that common issue.

The applicant must be a second-year student enrolled in a nursing program. Gerald L. Kramer Scholarship - This $500 scholarship has been made available by June Kramer in memory of her husband and community volunteer Gerald L. Kramer. Gerald spent hours at Tendercare and the Medical Center in Alpena brightening the lives of many with his infectious smile and laugh.

Gerald’s philosophy was always to help others and in keeping with that idea, June is offering this scholarship to students enrolled in the field of nursing or direct patient care. Hope Romel Memorial Scholarship - Hope Romel was an inspiration to all and in her short life achieved more than anyone ever expected. To honor her memory and encourage others to achieve their goals, this $500 scholarship is offered to residents pursuing a career in physical therapy, occupational therapy or as a physical therapy assistant.Those interested in more information or wishing to download an application may visit www.midmichigan.org/scholarships or call Ann Diamond, development director, at (989) 356-7738.Physicians and advanced practice providers at MidMichigan Health were recently recognized by national health care research leader Professional Research Consultants, Inc. (PRC), as 5-Star Performers.Physicians who were recognized include Odoma Achor, M.D., Miguel Alvelo-Rivera, M.D., Danielle Bennett, D.O., Paul Berg, M.D., Andrzej Boguszewski, M.D., Kristin Busch, M.D., David Buzanoski, M.D., Thomas Claringbold, II, D.O., Daniel Diaz, D.O., Jeanine Ernest, M.D., William Felten, M.D., Renee Fuller, M.D., Steven Gellman, M.D., Mark Goethe, M.D., Monika Herdzik, M.D., Kelly Hill, M.D., Nilofar Islam, M.D., Thomas Johnson, M.D., Egle Klugiene, M.D., Natalie Kroll, D.O., Shane Martin, D.O., Shannon Martin, D.O., M.P.H., Jeffrey Martindale, D.O., Kristalyn Mauch, M.D., Ben Mayne, III., M.D., Patrick Morse, M.D., John Murphy, D.O., Tammy Phillips, M.D., Robert Reichmann, M.D., M.P.H., Asma Saboor, M.D., Tannu Sahay, M.D., Susan Sallach, M.D., Sasha Savage, M.D., Michael Stack, M.D., Denise Stadelmaier, D.O., Jacob Trombley, D.O., M.P.H., Mark Weber, M.D, and Kyle Williams, M.D.In addition, there were advanced practice providers from MidMichigan Physicians Group recognized as 5-Star Performers. They are Vickie Bannister, M.S.N., W.H.N.P.-B.C., Stacy Carstensen, M.S.N., C.F.N.P., Trisha DesChamps, M.S.N., F.N.P., Devon Fenner, P.A.-C., Matthew Flegel, P.A.-C., Alison Funka, D.N.P., A.G.N.P.-.C., Jenifer Garcia, P.A.-C., Cynthia Lamb, P.A.-C., Brandi McConnell, M.S.N., F.N.P.-B.C., Crystal Morrissey, P.A.-C., Cora Pavlik, M.S.N., F.N.P.-B.C., Blaine Price, P.A.-C., Jennifer Schlitzkus, P.A.-C., and Kenneth VanSumeren, P.A.-C.“We are thrilled to see our medical staff recognized by PRC for providing top quality care to their patients,” said Paul Berg, M.D., president, MidMichigan Physicians Group.

€œIt’s our goal for all of our patients to receive excellent care each time they come through our doors, and this recognition is a testament that we’re working toward achieving that goal.”The Excellence in Healthcare Awards recognize organizations and individuals who achieve excellence throughout the year by improving patient experiences, health care employee engagement and/or physician alignment and engagement based on surveys of their patients, employees and physicians.“It is an honor to recognize MidMichigan’s physicians and advanced practice providers with these Excellence in Healthcare Awards for their deserving work,” said Joe M. Inguanzo, Ph.D., president and CEO of PRC. €œIt takes true dedication and determination to achieve this level of excellence in health care and MidMichigan has shown their commitment to making their hospital a better place to work, a better place to practice medicine and a better place for patients to be treated.”Those who would like to learn more about the 2021 Excellence in Healthcare Awards, including eligibility and criteria, may visit www.PRCCustomResearch.com.About PRCPRC, a leader in the healthcare intelligence space with the most comprehensive healthcare discovery platform, is taking surveys to a new level. PRC’s surveys and intuitive reporting focus on changing the way organizations manage and improve five key areas of the healthcare experience—patient, physician, employee, community, and brand. Over 2,800 healthcare organizations across the United States have used PRC to listen, understand, and take action to create cultures of excellence.

To ensure clients have access to leading practices, coaches, and learning resources, PRC is partnered with Healthcare Experience Foundation (HXF) to accelerate paths to excellence. The PRC healthcare discovery platform is a system designed to drive action, optimize engagement, and increase loyalty while building a positive culture across the healthcare ecosystem..

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NEW YORK, flagyl 400mg cost without insurance site here Nov. 18, 2020 /PRNewswire/ -- The Autoimmune Registry Inc (ARI) has published its flagyl 400mg cost without insurance first comprehensive List of Autoimmune Diseases. It includes over 150 diseases, 40 subtypes, and 60 synonyms. ARI created the list to provide patients and researchers easy access to flagyl 400mg cost without insurance the latest literature and information about autoimmune disease.

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Start Preamble Federal Transit Administration (FTA), does flagyl treat bv DOT. Notice of funding opportunity. The antibiotics Disease 2019 (buy antibiotics) public health emergency Start does flagyl treat bv Printed Page 63654has had a significant impact on transit operations. During a series of FTA listening sessions held over the last three months, transit agencies asked FTA to support research to identify solutions to address the operational challenges that they are facing as a result of buy antibiotics.

In response, FTA makes available through this Notice of Funding Opportunity (NOFO) funding to support research demonstration grants to public transit agencies to develop, deploy, and demonstrate innovative solutions that improve the operational efficiency of transit agencies, as well as enhance the mobility of transit users affected by the buy antibiotics public health emergency. Demonstration grants under this NOFO are authorized under FTA's Public Transportation Innovation Program (49 does flagyl treat bv U.S.C. 5312). Eligible projects will demonstrate innovative solutions to improve the operational efficiencies of transit systems and enhance mobility for their communities in four major areas.

(1) Vehicle, facility, equipment and infrastructure cleaning and dis does flagyl treat bv. (2) exposure mitigation measures. (3) innovative mobility such as contactless payments. And (4) measures does flagyl treat bv that strengthen public confidence in transit services.

The total funding available for awards under this NOFO is $10,000,000. FTA may supplement this amount if additional funding becomes does flagyl treat bv available. Applicants must submit completed proposals for funding opportunity FTA-2020-015-TRI through the GRANTS.GOV “APPLY” function by 11:59 p.m. Eastern Time on November 2, 2020.

Prospective applicants should register as soon does flagyl treat bv as possible on the GRANTS.GOV website to ensure they can complete the application process before the submission deadline. Application instructions are available on FTA's website at http://transit.dot.gov/​howtoapply and in the “FIND” module of GRANTS.GOV. FTA will not accept mail and fax submissions. Start Further Info Please send any questions on this notice to does flagyl treat bv Jamel El-Hamri email.

Jamel.El-Hamri@dot.gov phone. 2020-366-8985. A Telecommunication Device for the Deaf (TDD) is available for individuals who are does flagyl treat bv deaf or hard of hearing at 1-800-877-8339. End Further Info End Preamble Start Supplemental Information Table of Contents A.

Program Description B. Federal Award Information C does flagyl treat bv. Eligibility Information D. Application and does flagyl treat bv Submission Information E.

Application Review Information F. Federal Award Administration Information G. Federal Awarding Agency Contact does flagyl treat bv Information A. Program Description The Public Transportation buy antibiotics Research Demonstration Grant Program is funded through the Public Transportation Innovation Program (49 U.S.C.

5312), with the goal to develop, deploy, and demonstrate innovative solutions that improve the operational efficiency of transit agencies, as well as enhance the mobility of transit users affected by the buy antibiotics public health emergency. Eligible projects will propose to develop and deploy innovative solutions in four major does flagyl treat bv areas. (1) Vehicle, facility, equipment and infrastructure cleaning and dis. (2) exposure mitigation measures.

(3) innovative mobility such does flagyl treat bv as contactless payments. And (4) measures that strengthen public confidence in transit. As required does flagyl treat bv by 49 U.S.C. 5312(e)(4), projects funded under this NOFO must participate in an evaluation by an independent outside entity that will conduct a comprehensive evaluation of the success or failure of the projects funded under this subsection and any plan for broad-based implementation of the innovation promoted by successful projects.

B. Federal Award Information FTA does flagyl treat bv makes available $10,000,000 in fiscal year (FY) 2020 funds under the Public Transportation Innovation Program (49 U.S.C. 5312) to finance the Public Transportation buy antibiotics Research Demonstration Grant Program. FTA may supplement the total funds available if additional funding becomes available at the time project selections are made.

FTA will grant pre-award authority starting on the date of the project award announcement for selected does flagyl treat bv projects and should be completed within 24 months from the date of award. Funds are available only for eligible expenses incurred after the announcement of project selections. C. Eligibility Information (1) Eligible Applicants Eligible applicants include State and does flagyl treat bv local governmental authorities, direct recipients of Urbanized Area (49 U.S.C.

5307) and Rural Area (49 U.S.C. 5311) formula funds, and Indian tribes. Eligible applicants are limited to FTA grantees or subrecipients who would be the primary does flagyl treat bv beneficiaries of the innovative products and services that are developed—typically public transit agencies. Except for projects proposed by Indian tribes, proposals for projects in rural (non-urbanized) areas must be submitted as part of a consolidated State proposal.

States and other eligible applicants also may submit consolidated does flagyl treat bv proposals for projects in urbanized areas. The submission of the Statewide application will not preclude the submission and consideration of any application from other eligible recipients in an urbanized area in a State. Proposals may contain projects to be implemented by the recipient or its subrecipients. Eligible subrecipients include public does flagyl treat bv agencies, private nonprofit organizations, and private providers engaged in public transportation.

Eligible applicants may submit consolidated proposals for projects. (2) Cost Sharing or Matching The maximum Federal share of project costs is 100 percent. FTA may give additional consideration to applicants that propose a local share and may view does flagyl treat bv these applicants as more competitive. The applicant must document the source(s) of the local match, if any, in the grant application.

For any applicants proposing match, eligible local match sources include the following. Cash from non-Government sources does flagyl treat bv other than revenues from providing public transportation services. Revenues derived from the sale of advertising and concessions. Revenues generated from value capture financing mechanisms.

Funds from an undistributed cash surplus does flagyl treat bv. Replacement or depreciation cash fund or reserve. New capital does flagyl treat bv. Or in-kind contributions.

(3) Eligible Projects Eligible projects will propose innovative solutions to improve operational efficiencies of transit agencies and enhance the mobility of transit users, through projects that demonstrate innovative solutions for. Vehicle, facility, equipment and infrastructure cleaning and dis does flagyl treat bv. Exposure mitigation measures such a real-time notification of rail and bus passenger loads. New multi-modal payment innovative mobility systems such as contactless payments.

And measures that strengthen public confidence in does flagyl treat bv transit. Each applicant may only submit one proposal.Start Printed Page 63655 D. Application and Submission Information (1) Address and Form of Application Submission Applications must be submitted through GRANTS.GOV. Applicants can find general information for submitting does flagyl treat bv applications through GRANTS.GOV at www.fta.dot.gov/​howtoapply, along with specific instructions for the forms and attachments required for submission.

Mail and fax submissions will not be accepted. (2) Content and Form of Application Submission a. Proposal Submission A complete proposal submission consists of at least two does flagyl treat bv forms. 1.

The SF-424 Mandatory Form (downloadable from GRANTS.GOV) does flagyl treat bv and 2. The supplemental form for the FY 2020 buy antibiotics Demonstration Program (downloadable from GRANTS.GOV), which is available on FTA's website at (placeholder for FTA buy antibiotics Demonstration Program). The application must include responses to all sections of the SF-424 mandatory form and the supplemental form unless a section is indicated as optional. FTA will does flagyl treat bv use the information on the supplemental form to determine applicant and project eligibility for the program and to evaluate the proposal against the selection criteria described in part E of this notice.

FTA will accept only one supplemental form per SF-424 submission. FTA encourages applicants to consider submitting a single supplemental form that includes multiple activities to be evaluated as a consolidated proposal. Applicants may attach additional does flagyl treat bv supporting information to the SF-424 submission, including but not limited to letters of support, project budgets, or excerpts from relevant planning documents. Supporting documentation must be described and referenced by file name in the appropriate response section of the supplemental form, or it may not be reviewed.

Information such as applicant name, Federal amount requested, local match amount, description of areas served, etc., may be requested in varying degrees of detail on both the SF-424 form and supplemental form. Applicants must does flagyl treat bv fill in all fields unless stated otherwise on the forms. If applicants copy information into the supplemental form from another source, they should verify that the supplemental form has fully captured pasted text and that it has not truncated the text due to character limits built into the form. Applicants should use both the “Check Package for Errors” and the “Validate Form” validation does flagyl treat bv buttons on both forms to check all required fields.

Applicants should also ensure that the Federal and local amounts specified are consistent. Addressing the deteriorating conditions and disproportionately high fatality rates on our rural transportation infrastructure is of critical interest to the Department, as rural transportation networks face unique challenges in safety, infrastructure condition, and passenger and freight usage. Consistent with the R.O.U.T.E.S does flagyl treat bv. Initiative, the Department encourages applicants to consider how the project will address the challenges faced by rural areas.

B. Application Content The SF-424 Mandatory Form and the supplemental form will prompt applicants for the required information, including does flagyl treat bv. I. Applicant Name ii.

Dun and does flagyl treat bv Bradstreet (D&B) Data Universal Numbering System (DUNS) number iii. Key contact information (contact name, address, email address, and phone number) iv. Congressional district(s) where project will take place v. Project Information (title, executive summary, and type) does flagyl treat bv vi.

A detailed description of the need for the project vii. A detailed description of how the project does flagyl treat bv will support the Program objectives viii. Evidence that the applicant can provide the local cost shares ix. A description of the technical, legal, and financial capacity of the applicant x.

A detailed does flagyl treat bv project budget xi. Details on the local matching funds xii. A detailed project timeline xiii. Whether the project impacts an Opportunity Zone (3) Unique Entity Identifier and System for Award Management (SAM) Each does flagyl treat bv applicant is required to.

(1) Be registered in SAM before submitting an application. (2) provide a valid unique entity identifier in its application. And (3) continue to maintain an active SAM registration with current information at all times during which the applicant has an active Federal award or an application or plan under consideration by does flagyl treat bv FTA. These requirements do not apply if the applicant.

(1) Is excepted from the requirements under 2 CFR 25.110(b) or (c). Or (2) has does flagyl treat bv an exception approved by FTA under 2 CFR 25.110(d). FTA may not make an award until the applicant has complied with all applicable unique entity identifier and SAM requirements. If an applicant has not fully complied with the requirements by the time FTA is ready to make an award, FTA may determine that the applicant is not qualified to receive an award and use does flagyl treat bv that determination as a basis for making a Federal award to another applicant.

All applicants must provide a unique entity identifier provided by SAM. Registration in SAM may take as little as 3-5 business days, but there can be unexpected steps or delays. For example, the applicant may need does flagyl treat bv to obtain an Employer Identification Number. FTA recommends allowing ample time, up to several weeks, to complete all steps.

For additional information on obtaining a unique entity identifier, please visit www.sam.gov. (4) Submission Dates and Times Project proposals must be submitted electronically through does flagyl treat bv GRANTS.GOV by 11:59 p.m. Eastern on November 2, 2020. Mail and fax submissions will not be accepted.

FTA urges applicants to submit applications at least 72 hours prior to the due date to allow time to correct any problems that may have caused either GRANTS.GOV or FTA systems to does flagyl treat bv reject the submission. Proposals submitted after the deadline will only be considered under extraordinary circumstances not within the applicant's control. Deadlines will not be extended due to scheduled website does flagyl treat bv maintenance. GRANTS.GOV scheduled maintenance and outage times are announced on the GRANTS.GOV website.

Within 48 hours after submitting an electronic application, the applicant should receive two email messages from GRANTS.GOV. (1) Confirmation does flagyl treat bv of successful transmission to GRANTS.GOV. And (2) confirmation of successful validation by GRANTS.GOV. If the applicant does not receive confirmation of successful validation or receives a notice of failed validation or incomplete materials, the applicant must address the reason for the failed validation, as described in the email notice, and resubmit before the submission deadline.

If making a resubmission for any reason, applicants must include all original attachments regardless does flagyl treat bv of which attachments were updated and check the box on the supplemental form indicating this is a resubmission. Applicants are encouraged to begin the process of registration on the GRANTS.GOV site well in advance of the submission deadline. Registration is Start Printed Page 63656a multi-step process, which may take several weeks to complete before an application can be submitted. Registered applicants may still be required does flagyl treat bv to update their registration before submitting an application.

Registration in SAM is renewed annually and persons making submissions on behalf of the Authorized Organization Representative (AOR) must be authorized in GRANTS.GOV by the AOR to make submissions. (5) Funding Restrictions Funds may be used for post-award expenditures only. Funds under this NOFO cannot be used to reimburse does flagyl treat bv projects for otherwise eligible expenses incurred prior to the date of project award announcements. (6) Other Submission Requirements FTA encourages applicants to identify scaled funding options in case insufficient funding is available to fund a project at the full requested amount.

If an applicant indicates that a does flagyl treat bv project is scalable, the applicant must provide an appropriate minimum funding amount that will fund an eligible project that achieves the objectives of the program and meets all relevant program requirements. The applicant must provide a clear explanation of how a reduced award would affect the project budget and scope. FTA may award a lesser amount whether or not the applicant provides a scalable option. E.

Application Review Information (1) Project Evaluation Criteria Addressing the deteriorating conditions and disproportionately high fatality rates on our rural transportation infrastructure is of critical interest to the Department, as rural transportation networks face unique challenges in safety, infrastructure condition, and passenger and freight usage. Consistent with the R.O.U.T.E.S. Initiative, the Department will consider how the project will address the challenges faced by rural areas. In addition, the Department will review and consider applications for funding pursuant to this Notice in accordance with the President's September 2, 2020 memorandum, entitled Memorandum on Reviewing Funding to State and Local Government Recipients of Federal Funds that Are Permitting Anarchy, Violence, and Destruction in American Cities, consistent with guidance from the Office of Management and Budget and the Attorney General and with all applicable laws.

FTA will evaluate proposals submitted according to the following criteria. (a) Project Innovation and Impact. (b) Project Approach. (c) National Applicability.

(d) Commercialization and/or Knowledge Transfer. And (e) Technical, Legal and Financial Capacity. FTA encourages each applicant to demonstrate how a project supports all criteria with the most relevant information the applicant can provide, regardless of whether such information has been specifically requested or identified in this notice. A.

Project Innovation and Impact i. Effectiveness of the project in achieving and demonstrating the specific objectives of this program. Ii. Demonstration of benefits in addressing the needs of the transit agency and industry and impacts to infrastructure, equipment, transit workforce, and riders.

Iii. Degree of improvement over current and existing technologies, designs, and/or practices applicable to the transit industry. B. Project Approach i.

Quality of the project approach such as existing partnerships, collaboration strategies and level of commitment of the project partners. Ii. Proposal is realistic in its approach to fulfill the milestones/deliverables, schedule and goals. C.

National Applicability i. Degree to which the project could be replicated by other transit agencies regionally or nationally. Ii. Ability to evaluate technologies, designs and/or practices in a wide variety of conditions and locales.

Iii. Degree to which the technology, designs and/or practices can be replicated by other transportation modes. D. Commercialization and/or Knowledge Transfer i.

Demonstrates a realistic plan for moving the results of the project into the transit marketplace (patents, conferences, articles in trade magazines, webinar, site visits, etc.). Ii. How the project team plans to work with the industry on improving best practices, guidance and/or standards, if applicable. Iii.

Demonstrate a clear understanding and robust approach to data collection, access and management. E. Technical, Legal and Financial Capacity Capacity of the applicant and any partners to successfully execute the project effort. There should be no outstanding legal, technical, or financial issues with the applicant that would make this a high-risk project.

(2) Review and Selection Process An FTA technical evaluation committee will evaluate proposals based on the published project evaluation criteria. Members of the technical evaluation committee will rate the applications and may seek clarification about any statement in an application. The FTA Administrator will determine the final selection and amount of funding for each project after consideration of the findings of the technical evaluation committee. Geographic diversity, diversity of the project type, the amount of local match to be provided, and the applicant's receipt and management of other Federal transit funds may be considered in FTA's award decisions.

Prior fare payment innovation efforts may receive priority consideration. The FTA Administrator will consider the following key DOT objectives. A. Utilizing alternative funding sources and innovative financing models to attract non-Federal sources of investment.

B. Whether the project is located in or supports public transportation service in a qualified opportunity zone designated pursuant to 26.U.S.C. 1400Z-1. And c.

The extent to which the project addresses challenges specific to the provision of rural public transportation. (3) FAPIIS Review Prior to making a grant award, FTA is required to review and consider any information about the applicant that is in the Federal Awardee Performance and Integrity Information System (FAPIIS) accessible through SAM. An applicant may review and comment on information about itself that a Federal awarding agency previously entered. FTA will consider any comments by the applicant, in addition to the other information in FAPIIS, in making a judgment about the applicant's integrity, business ethics, and record of performance under Federal awards when completing the review of risk posed by applicants as described in 2 CFR 200.205 Federal Awarding Agency Review of Risk Posed by Applicants.

F. Federal Award Administration Information (1) Federal Award Notices FTA will announce the final project selections on the FTA website. Project recipients should contact their FTA Regional Office for additional information regarding allocations for Start Printed Page 63657projects. At the time project selections are announced, FTA will extend pre-award authority for the selected projects.

There is no blanket pre-award authority for these projects before announcement. There is no minimum or maximum grant award amount, but FTA intends to fund as many meritorious projects as possible. FTA only will consider proposals from eligible recipients for eligible activities. Due to funding limitations, projects selected for funding may receive less than the amount originally requested.

In those cases, applicants must be able to demonstrate that the proposed projects are still viable and can be completed with the amount awarded. (2) Administrative and National Policy Requirements a. Pre-Award Authority FTA will issue specific guidance to recipients regarding pre-award authority at the time of selection. FTA does not provide pre-award authority for competitive funds until projects are selected, and there are Federal requirements that must be met before costs are incurred.

For more information about FTA's policy on pre-award authority, see the FY 2020 Apportionments Notice published on June 3, 2020, at https://www.govinfo.gov/​content/​pkg/​FR-2020-06-03/​pdf/​2020-11946.pdf. b. Grant Requirements Selected applicants will submit a grant application through FTA's electronic grant management system and adhere to the customary FTA grant requirements for research project (insert Circular name). All competitive grants, regardless of award amount, will be subject to the Congressional notification and release process.

FTA emphasizes that third-party procurement applies to all funding awards, as described in FTA Circular 4220.1F, “Third Party Contracting Guidance.” However, FTA may approve applications that include a specifically identified partnering organization(s) (2 CFR 200.302(f)). When included, the application, budget, and budget narrative should provide a clear understanding of how the selection of these organizations is critical for the project and give sufficient detail about the costs involved. C. Planning FTA encourages applicants to engage the appropriate State Departments of Transportation, Regional Transportation Planning Organizations, or Metropolitan Planning Organizations in areas to be served by the project funds available under this program.

D. Standard Assurances The applicant assures that it will comply with all applicable Federal statutes, regulations, executive orders, FTA circulars, and other Federal administrative requirements in carrying out any project supported by the FTA grant. The applicant acknowledges that it is under a continuing obligation to comply with the terms and conditions of the grant agreement issued for its project with FTA. The applicant understands that Federal laws, regulations, policies, and administrative practices might be modified from time to time and may affect the implementation of the project.

The applicant agrees that the most recent Federal requirements will apply to the project unless FTA issues a written determination otherwise. The applicant must submit the Certifications and Assurances before receiving a grant if it does not have current certifications on file. E. Free Speech and Religious Liberty In connection with any program or activity conducted with or benefiting from funds awarded under this notice, recipients of funds must comply with all applicable requirements of Federal law, including, without limitation, the Constitution of the United States.

Statutory, regulatory, and public policy requirements, including without limitation, those protecting free speech, religious liberty, public welfare, the environment, and prohibiting discrimination. The conditions of performance, non-discrimination requirements, and other assurances made applicable to the award of funds in accordance with regulations of the Department of Transportation. And applicable Federal financial assistance and contracting principles promulgated by the Office of Management and Budget. In complying with these requirements, recipients must ensure that no concession agreements are denied or other contracting decisions made on the basis of speech or other activities protected by the First Amendment.

If the Department determines that a recipient has failed to comply with applicable Federal requirements, the Department may terminate the award of funds and disallow previously incurred costs, requiring the recipient to reimburse any expended award funds. (3) Reporting The post-award reporting requirements include submission of the Federal Financial Report (FFR) and Milestone Progress Report in TrAMS. An evaluation of the grant will occur at various points in the demonstration process and at the end of the project. In addition, FTA is responsible for producing an Annual Report to Congress that compiles evaluation of selected projects, including an evaluation of the performance measures identified by the applicants.

All applicants must develop an evaluation plan to measure the success or failure of their projects and describe any plans for broad-based implementation of successful projects. FTA may request data and reports to support the evaluation and Annual Report. A. Independent Evaluation To achieve a comprehensive understanding of the impacts and implications of each proposed buy antibiotics Research Demonstration Program, projects funded under this announcement will require the recipient to conduct a third party independent evaluation of their project.

Recipients will be required to contract with a third party independent evaluator to assist in developing an evaluation plan, and collecting, storing and managing data required to fulfill the evaluation requirement. No more than 10 percent of the Federal share of the project may be used to hire the third-party independent evaluator and the inclusion of a third-party independent evaluation should be described in the grant application. If the project duration is more than two years, an interim evaluation report would need to be submitted to FTA, otherwise the evaluation report should be included as part of the final project report. B.

buy antibiotics Research Demonstration Grant Program Evaluation Projects funded under this announcement will be required to establish a set of performance metrics set by the third-party independent evaluator and shared with FTA. G. Federal Awarding Agency Contacts Information For questions about applying, please contact Jamel El-Hamri email. Jamel.El-Hamri@dot.gov phone.

202-366-8985. A TDD is available at 1-800-877-8339 (TDDFIRS). To ensure that applicants receive accurate information about eligibility or the program, applicants are encouraged to contact FTA directly with questions, rather than through intermediaries or third parties.Start Printed Page 63658 FTA staff also may conduct briefings on the competitive grants selection and award process upon request. Start Signature K.

Jane Williams, Deputy Administrator. End Signature End Supplemental Information [FR Doc. 2020-22316 Filed 10-7-20. 8:45 am]BILLING CODE 4910-57-PStart Preamble Office of the Secretary, Department of Health and Human Services.

Notice. The Department of Health and Human Services (HHS) Office of Infectious Disease and HIV/AIDS Policy (OIDP) in the Office of the Assistant Secretary for Health (OASH) announces the draft Viral Hepatitis National Strategic Plan. A Roadmap to Elimination (2021-2025) (Hepatitis Plan) available for public comment. The draft Hepatitis Plan may be reviewed at www.hhs.gov/​hepatitis.

All comments must be received by 5:00 p.m. ET on October 8, 2020 to ensure consideration. All comments must be submitted electronically to HepatitisPlanComments@hhs.gov. Start Further Info Carol Jimenez, OIDP, Carol.Jimenez@hhs.gov.

202-401-5131. End Further Info End Preamble Start Supplemental Information Viral hepatitis is a significant public health threat that puts people who are infected at increased risk for serious disease and death. In the United States, new hepatitis A and hepatitis C s have increased dramatically in recent years, little progress has been made on preventing hepatitis B s, and, as of 2016, an estimated 3.3 million people were chronically infected with hepatitis B and hepatitis C.1-3 Collectively, viral hepatitis costs people, health systems, states, and the federal government billions of dollars each year 4 5 and contributes to substantial health disparities, stigma, and discrimination. Reversing the rates of viral hepatitis, preventing new s, and improving care and treatment require a strategic and coordinated approach by federal partners in collaboration with state and local health departments, tribal communities, community-based organizations, and other nonfederal partners and stakeholders.

To spur action to reduce new viral hepatitis s and their adverse public health impact, OASH through OIDP, in collaboration with federal partners throughout HHS and other departments, led and coordinated development of the Hepatitis Plan. Opportunities for public input were provided, and public comments received were reviewed and analyzed and helped inform the components of the Hepatitis Plan. The Hepatitis Plan focuses on hepatitis A, hepatitis B, and hepatitis C—the hepatitis flagyles that most significantly affect the health of the nation. It is an elimination plan, with the overarching goal of eliminating viral hepatitis as a public health threat in the United States by 2030.

The Hepatitis Plan is intended to serve as a roadmap for all stakeholders at all levels to eliminate hepatitis in this nation. The Hepatitis Plan presents a strategic framework for integrating and leveraging synergistic policies, programs, and resources. It sets forth a vision and five goals for the nation, with objectives and strategies for each goal. The objectives and strategies offered in this plan are interrelated and may be used to make progress toward more than one goal.

The Hepatitis Plan identifies disproportionately impacted populations based on national hepatitis incidence, prevalence, and mortality data, to help federal and other stakeholders focus their efforts to realize the greatest impact. The Hepatitis Plan also includes indicators to measure progress and quantitative targets for each indicator. Although it is a 5-year plan, it sets 10-year quantitative targets for each indicator—reflecting the reality that it will take more than 5 years to eliminate viral hepatitis as a public health threat. The order in which the goals, objectives, strategies, and indicators are presented is not associated with any prioritization.

The following are the Hepatitis Plan's vision and goals. Vision. The United States will be a place where new viral hepatitis s are prevented, every person knows their status, and every person with viral hepatitis has high-quality health care and treatment and lives free from stigma and discrimination. This vision includes all people, regardless of age, sex, gender identity, sexual orientation, race, ethnicity, geographic location, or socioeconomic circumstance.

Goals. 1. Prevent New Viral Hepatitis s 2. Improve Viral Hepatitis—Related Health Outcomes of People with Viral Hepatitis 3.

Reduce Viral Hepatitis—Related Disparities and Health Inequities 4. Improve Viral Hepatitis Surveillance and Data Usage 5. Achieve Integrated, Coordinated Efforts That Address the Viral Hepatitis Epidemics among All Partners and Stakeholders A roadmap for stakeholders at all levels and sectors, the Hepatitis Plan envisions a whole-of-nation response to preventing and controlling viral hepatitis in the United States. The Hepatitis Plan assumes the active participation of state, local, and tribal health departments and organizations, health plans and health care providers, schools and other academic institutions, community- and faith-based organizations, scientists, researchers, and the public in this effort.

The priority populations, indicators, and quantitative targets, especially the methods used to determine them, are intended to help focus efforts and limited resources to realize the most impact. Stakeholders are encouraged to focus on activities that resonate the most with the needs of the populations they serve and services they provide, and, using the Hepatitis Plan as a framework, develop their own plans to eliminate viral hepatitis and improve the health of their communities, states, tribal nations, and the nation. Information Needs The draft Hepatitis Plan may be reviewed at. Www.hhs.gov/​hepatitis.

OIDP seeks to obtain feedback from external stakeholders on the following. 1. Do the draft plan's goals, objectives, and strategies appropriately address the viral hepatitis epidemics?. 2.

Are there any critical gaps in the Hepatitis Plan's goals, objectives, and strategies?. If so, please specify the gaps. 3. Do any of the Hepatitis Plan's goals, objectives and strategies cause concern?.

If so, please specify the goal, objective or strategy, and describe the concern regarding it. Each commenter is limited to a maximum of seven pages. Start Authority 77 FR 15761 (March 16, 2012). End Authority Start Signature Dated.

September 22, 2020. B. Kaye Hayes, Acting Director, Office of Infectious Disease and HIV/AIDS Policy. End Signature Footnotes 1.

Centers for Disease Control and Prevention. Viral Hepatitis Surveillance—Start Printed Page 60814United States, 2018. U.S. Department of Health and Human Services.

2020. Accessed August 9, 2020. Https://www.cdc.gov/​hepatitis/​statistics/​2018surveillance/​index.htm. 2.

Hofmeister MG, Rosenthal EM, Barker LK, et al. Estimating prevalence of hepatitis C flagyl in the United States, 2013-2016. Hepatology. 2019 Mar;69(3):1020-1031.

Screening for hepatitis B flagyl in nonpregnant adolescents and adults. US Preventive Services Task Force recommendation statement. Annals Internal Med. 2014;161(1):58-66.

4. Morey RJ, Collier MG, Nelson NP. The financial burden of public health responses to hepatitis A cases among food handlers, 2012-2014. Public Health Rep.

2017;132(4):443-447. Doi:10.1177/0033354917710947. 5. Wittenborn J, Brady J, Dougherty M, Rein D.

Potential epidemiologic, economic, and budgetary impacts of current rates of hepatitis C treatment in Medicare and non-Medicare populations. Hepatol Commun. 2017;1(2):99-109. Doi:10.1002/hep4.1031.

End Supplemental Information [FR Doc. 2020-21288 Filed 9-25-20. 8:45 am]BILLING CODE 4150-43-P.

Start Preamble Federal Transit Administration (FTA), DOT flagyl 400mg cost without insurance http://crossfitvtg.com/uncategorized/tuesday-200721/. Notice of funding opportunity. The antibiotics Disease 2019 (buy antibiotics) public flagyl 400mg cost without insurance health emergency Start Printed Page 63654has had a significant impact on transit operations. During a series of FTA listening sessions held over the last three months, transit agencies asked FTA to support research to identify solutions to address the operational challenges that they are facing as a result of buy antibiotics.

In response, FTA makes available through this Notice of Funding Opportunity (NOFO) funding to support research demonstration grants to public transit agencies to develop, deploy, and demonstrate innovative solutions that improve the operational efficiency of transit agencies, as well as enhance the mobility of transit users affected by the buy antibiotics public health emergency. Demonstration grants under this NOFO are authorized under FTA's flagyl 400mg cost without insurance Public Transportation Innovation Program (49 U.S.C. 5312). Eligible projects will demonstrate innovative solutions to improve the operational efficiencies of transit systems and enhance mobility for their communities in four major areas.

(1) Vehicle, flagyl 400mg cost without insurance facility, equipment and infrastructure cleaning and dis. (2) exposure mitigation measures. (3) innovative mobility such as contactless payments. And (4) measures that strengthen public confidence in transit services flagyl 400mg cost without insurance.

The total funding available for awards under this NOFO is $10,000,000. FTA may supplement this amount if additional funding flagyl 400mg cost without insurance becomes available. Applicants must submit completed proposals for funding opportunity FTA-2020-015-TRI through the GRANTS.GOV “APPLY” function by 11:59 p.m. Eastern Time on November 2, 2020.

Prospective applicants should register as soon as possible on the GRANTS.GOV website to ensure flagyl 400mg cost without insurance they can complete the application process before the submission deadline. Application instructions are available on FTA's website at http://transit.dot.gov/​howtoapply and in the “FIND” module of GRANTS.GOV. FTA will not accept mail and fax submissions. Start Further flagyl 400mg cost without insurance Info Please send any questions on this notice to Jamel El-Hamri email.

Jamel.El-Hamri@dot.gov phone. 2020-366-8985. A Telecommunication Device for the Deaf (TDD) is available for individuals who are deaf or flagyl 400mg cost without insurance hard of hearing at 1-800-877-8339. End Further Info End Preamble Start Supplemental Information Table of Contents A.

Program Description B. Federal Award Information flagyl 400mg cost without insurance C. Eligibility Information D. Application and Submission flagyl 400mg cost without insurance Information E.

Application Review Information F. Federal Award Administration Information G. Federal Awarding Agency Contact flagyl 400mg cost without insurance Information A. Program Description The Public Transportation buy antibiotics Research Demonstration Grant Program is funded through the Public Transportation Innovation Program (49 U.S.C.

5312), with the goal to develop, deploy, and demonstrate innovative solutions that improve the operational efficiency of transit agencies, as well as enhance the mobility of transit users affected by the buy antibiotics public health emergency. Eligible projects will propose to flagyl 400mg cost without insurance develop and deploy innovative solutions in four major areas. (1) Vehicle, facility, equipment and infrastructure cleaning and dis. (2) exposure mitigation measures.

(3) innovative mobility such as contactless payments flagyl 400mg cost without insurance. And (4) measures that strengthen public confidence in transit. As required by 49 U.S.C flagyl 400mg cost without insurance. 5312(e)(4), projects funded under this NOFO must participate in an evaluation by an independent outside entity that will conduct a comprehensive evaluation of the success or failure of the projects funded under this subsection and any plan for broad-based implementation of the innovation promoted by successful projects.

B. Federal Award Information FTA makes available $10,000,000 in fiscal year (FY) 2020 funds under the Public Transportation Innovation Program flagyl 400mg cost without insurance (49 U.S.C. 5312) to finance the Public Transportation buy antibiotics Research Demonstration Grant Program. FTA may supplement the total funds available if additional funding becomes available at the time project selections are made.

FTA will grant pre-award authority starting on the date of the project award announcement for selected projects and should flagyl 400mg cost without insurance be completed within 24 months from the date of award. Funds are available only for eligible expenses incurred after the announcement of project selections. C. Eligibility Information (1) Eligible Applicants Eligible applicants include State and local governmental authorities, direct recipients of Urbanized Area (49 flagyl 400mg cost without insurance U.S.C.

5307) and Rural Area (49 U.S.C. 5311) formula funds, and Indian tribes. Eligible applicants are limited to FTA grantees or subrecipients who would be the primary beneficiaries of the innovative products and services that are developed—typically public transit agencies flagyl 400mg cost without insurance. Except for projects proposed by Indian tribes, proposals for projects in rural (non-urbanized) areas must be submitted as part of a consolidated State proposal.

States and other eligible applicants also may submit consolidated proposals flagyl 400mg cost without insurance for projects in urbanized areas. The submission of the Statewide application will not preclude the submission and consideration of any application from other eligible recipients in an urbanized area in a State. Proposals may contain projects to be implemented by the recipient or its subrecipients. Eligible subrecipients include public agencies, private flagyl 400mg cost without insurance nonprofit organizations, and private providers engaged in public transportation.

Eligible applicants may submit consolidated proposals for projects. (2) Cost Sharing or Matching The maximum Federal share of project costs is 100 percent. FTA may give additional consideration to applicants that propose flagyl 400mg cost without insurance a local share and may view these applicants as more competitive. The applicant must document the source(s) of the local match, if any, in the grant application.

For any applicants proposing match, eligible local match sources include the following. Cash from non-Government sources other flagyl 400mg cost without insurance than revenues from providing public transportation services. Revenues derived from the sale of advertising and concessions. Revenues generated from value capture financing mechanisms.

Funds from an undistributed cash flagyl 400mg cost without insurance surplus. Replacement or depreciation cash fund or reserve. New capital flagyl 400mg cost without insurance. Or in-kind contributions.

(3) Eligible Projects Eligible projects will propose innovative solutions to improve operational efficiencies of transit agencies and enhance the mobility of transit users, through projects that demonstrate innovative solutions for. Vehicle, facility, equipment and infrastructure flagyl 400mg cost without insurance cleaning and dis. Exposure mitigation measures such a real-time notification of rail and bus passenger loads. New multi-modal payment innovative mobility systems such as contactless payments.

And measures that strengthen public confidence flagyl 400mg cost without insurance in transit. Each applicant may only submit one proposal.Start Printed Page 63655 D. Application and Submission Information (1) Address and Form of Application Submission Applications must be submitted through GRANTS.GOV. Applicants can flagyl 400mg cost without insurance find general information for submitting applications through GRANTS.GOV at www.fta.dot.gov/​howtoapply, along with specific instructions for the forms and attachments required for submission.

Mail and fax submissions will not be accepted. (2) Content and Form of Application Submission a. Proposal Submission A complete proposal submission consists of at least two forms flagyl 400mg cost without insurance. 1.

The SF-424 Mandatory flagyl 400mg cost without insurance Form (downloadable from GRANTS.GOV) and 2. The supplemental form for the FY 2020 buy antibiotics Demonstration Program (downloadable from GRANTS.GOV), which is available on FTA's website at (placeholder for FTA buy antibiotics Demonstration Program). The application must include responses to all sections of the SF-424 mandatory form and the supplemental form unless a section is indicated as optional. FTA will use flagyl 400mg cost without insurance the information on the supplemental form to determine applicant and project eligibility for the program and to evaluate the proposal against the selection criteria described in part E of this notice.

FTA will accept only one supplemental form per SF-424 submission. FTA encourages applicants to consider submitting a single supplemental form that includes multiple activities to be evaluated as a consolidated proposal. Applicants may attach additional supporting information to the SF-424 submission, including but not limited to letters flagyl 400mg cost without insurance of support, project budgets, or excerpts from relevant planning documents. Supporting documentation must be described and referenced by file name in the appropriate response section of the supplemental form, or it may not be reviewed.

Information such as applicant name, Federal amount requested, local match amount, description of areas served, etc., may be requested in varying degrees of detail on both the SF-424 form and supplemental form. Applicants must fill in all fields flagyl 400mg cost without insurance unless stated otherwise on the forms. If applicants copy information into the supplemental form from another source, they should verify that the supplemental form has fully captured pasted text and that it has not truncated the text due to character limits built into the form. Applicants should use both the “Check Package for Errors” and the “Validate Form” validation buttons on flagyl 400mg cost without insurance both forms to check all required fields.

Applicants should also ensure that the Federal and local amounts specified are consistent. Addressing the deteriorating conditions and disproportionately high fatality rates on our rural transportation infrastructure is of critical interest to the Department, as rural transportation networks face unique challenges in safety, infrastructure condition, and passenger and freight usage. Consistent with the flagyl 400mg cost without insurance R.O.U.T.E.S. Initiative, the Department encourages applicants to consider how the project will address the challenges faced by rural areas.

B. Application Content The SF-424 Mandatory Form and the flagyl 400mg cost without insurance supplemental form will prompt applicants for the required information, including. I. Applicant Name ii.

Dun and flagyl 400mg cost without insurance Bradstreet (D&B) Data Universal Numbering System (DUNS) number iii. Key contact information (contact name, address, email address, and phone number) iv. Congressional district(s) where project will take place v. Project Information (title, flagyl 400mg cost without insurance executive summary, and type) vi.

A detailed description of the need for the project vii. A detailed description of how the project will support the Program objectives viii flagyl 400mg cost without insurance. Evidence that the applicant can provide the local cost shares ix. A description of the technical, legal, and financial capacity of the applicant x.

A detailed flagyl 400mg cost without insurance project budget xi. Details on the local matching funds xii. A detailed project timeline xiii. Whether the project impacts an Opportunity Zone (3) Unique Entity Identifier and System for Award Management flagyl 400mg cost without insurance (SAM) Each applicant is required to.

(1) Be registered in SAM before submitting an application. (2) provide a valid unique entity identifier in its application. And (3) continue to maintain flagyl 400mg cost without insurance an active SAM registration with current information at all times during which the applicant has an active Federal award or an application or plan under consideration by FTA. These requirements do not apply if the applicant.

(1) Is excepted from the requirements under 2 CFR 25.110(b) or (c). Or (2) has an exception flagyl 400mg cost without insurance approved by FTA under 2 CFR 25.110(d). FTA may not make an award until the applicant has complied with all applicable unique entity identifier and SAM requirements. If an applicant has not fully complied with the requirements by the time FTA is ready to make an award, FTA may determine that the applicant is not qualified to receive an award and use that determination as a basis for making a Federal flagyl 400mg cost without insurance award to another applicant.

All applicants must provide a unique entity identifier provided by SAM. Registration in SAM may take as little as 3-5 business days, but there can be unexpected steps or delays. For example, flagyl 400mg cost without insurance the applicant may need to obtain an Employer Identification Number. FTA recommends allowing ample time, up to several weeks, to complete all steps.

For additional information on obtaining a unique entity identifier, please visit www.sam.gov. (4) flagyl 400mg cost without insurance Submission Dates and Times Project proposals must be submitted electronically through GRANTS.GOV by 11:59 p.m. Eastern on November 2, 2020. Mail and fax submissions will not be accepted.

FTA urges applicants to flagyl 400mg cost without insurance submit applications at least 72 hours prior to the due date to allow time to correct any problems that may have caused either GRANTS.GOV or FTA systems to reject the submission. Proposals submitted after the deadline will only be considered under extraordinary circumstances not within the applicant's control. Deadlines will not be extended due flagyl 400mg cost without insurance to scheduled website maintenance. GRANTS.GOV scheduled maintenance and outage times are announced on the GRANTS.GOV website.

Within 48 hours after submitting an electronic application, the applicant should receive two email messages from GRANTS.GOV. (1) Confirmation flagyl 400mg cost without insurance of successful transmission to GRANTS.GOV. And (2) confirmation of successful validation by GRANTS.GOV. If the applicant does not receive confirmation of successful validation or receives a notice of failed validation or incomplete materials, the applicant must address the reason for the failed validation, as described in the email notice, and resubmit before the submission deadline.

If making flagyl 400mg cost without insurance a resubmission for any reason, applicants must include all original attachments regardless of which attachments were updated and check the box on the supplemental form indicating this is a resubmission. Applicants are encouraged to begin the process of registration on the GRANTS.GOV site well in advance of the submission deadline. Registration is Start Printed Page 63656a multi-step process, which may take several weeks to complete before an application can be submitted. Registered applicants may flagyl 400mg cost without insurance still be required to update their registration before submitting an application.

Registration in SAM is renewed annually and persons making submissions on behalf of the Authorized Organization Representative (AOR) must be authorized in GRANTS.GOV by the AOR to make submissions. (5) Funding Restrictions Funds may be used for post-award expenditures only. Funds under this NOFO cannot be used to reimburse flagyl 400mg cost without insurance projects for otherwise eligible expenses incurred prior to the date of project award announcements. (6) Other Submission Requirements FTA encourages applicants to identify scaled funding options in case insufficient funding is available to fund a project at the full requested amount.

If an applicant indicates that a project is scalable, the applicant must provide an appropriate flagyl 400mg cost without insurance minimum funding amount that will fund an eligible project that achieves the objectives of the program and meets all relevant program requirements. The applicant must provide a clear explanation of how a reduced award would affect the project budget and scope. FTA may award a lesser amount whether or not the applicant provides a scalable option. E.

Application Review Information (1) Project Evaluation Criteria Addressing the deteriorating conditions and disproportionately high fatality rates on our rural transportation infrastructure is of critical interest to the Department, as rural transportation networks face unique challenges in safety, infrastructure condition, and passenger and freight usage. Consistent with the R.O.U.T.E.S. Initiative, the Department will consider how the project will address the challenges faced by rural areas. In addition, the Department will review and consider applications for funding pursuant to this Notice in accordance with the President's September 2, 2020 memorandum, entitled Memorandum on Reviewing Funding to State and Local Government Recipients of Federal Funds that Are Permitting Anarchy, Violence, and Destruction in American Cities, consistent with guidance from the Office of Management and Budget and the Attorney General and with all applicable laws.

FTA will evaluate proposals submitted according to the following criteria. (a) Project Innovation and Impact. (b) Project Approach. (c) National Applicability.

(d) Commercialization and/or Knowledge Transfer. And (e) Technical, Legal and Financial Capacity. FTA encourages each applicant to demonstrate how a project supports all criteria with the most relevant information the applicant can provide, regardless of whether such information has been specifically requested or identified in this notice. A.

Project Innovation and Impact i. Effectiveness of the project in achieving and demonstrating the specific objectives of this program. Ii. Demonstration of benefits in addressing the needs of the transit agency and industry and impacts to infrastructure, equipment, transit workforce, and riders.

Iii. Degree of improvement over current and existing technologies, designs, and/or practices applicable to the transit industry. B. Project Approach i.

Quality of the project approach such as existing partnerships, collaboration strategies and level of commitment of the project partners. Ii. Proposal is realistic in its approach to fulfill the milestones/deliverables, schedule and goals. C.

National Applicability i. Degree to which the project could be replicated by other transit agencies regionally or nationally. Ii. Ability to evaluate technologies, designs and/or practices in a wide variety of conditions and locales.

Iii. Degree to which the technology, designs and/or practices can be replicated by other transportation modes. D. Commercialization and/or Knowledge Transfer i.

Demonstrates a realistic plan for moving the results of the project into the transit marketplace (patents, conferences, articles in trade magazines, webinar, site visits, etc.). Ii. How the project team plans to work with the industry on improving best practices, guidance and/or standards, if applicable. Iii.

Demonstrate a clear understanding and robust approach to data collection, access and management. E. Technical, Legal and Financial Capacity Capacity of the applicant and any partners to successfully execute the project effort. There should be no outstanding legal, technical, or financial issues with the applicant that would make this a high-risk project.

(2) Review and Selection Process An FTA technical evaluation committee will evaluate proposals based on the published project evaluation criteria. Members of the technical evaluation committee will rate the applications and may seek clarification about any statement in an application. The FTA Administrator will determine the final selection and amount of funding for each project after consideration of the findings of the technical evaluation committee. Geographic diversity, diversity of the project type, the amount of local match to be provided, and the applicant's receipt and management of other Federal transit funds may be considered in FTA's award decisions.

Prior fare payment innovation efforts may receive priority consideration. The FTA Administrator will consider the following key DOT objectives. A. Utilizing alternative funding sources and innovative financing models to attract non-Federal sources of investment.

B. Whether the project is located in or supports public transportation service in a qualified opportunity zone designated pursuant to 26.U.S.C. 1400Z-1. And c.

The extent to which the project addresses challenges specific to the provision of rural public transportation. (3) FAPIIS Review Prior to making a grant award, FTA is required to review and consider any information about the applicant that is in the Federal Awardee Performance and Integrity Information System (FAPIIS) accessible through SAM. An applicant may review and comment on information about itself that a Federal awarding agency previously entered. FTA will consider any comments by the applicant, in addition to the other information in FAPIIS, in making a judgment about the applicant's integrity, business ethics, and record of performance under Federal awards when completing the review of risk posed by applicants as described in 2 CFR 200.205 Federal Awarding Agency Review of Risk Posed by Applicants.

F. Federal Award Administration Information (1) Federal Award Notices FTA will announce the final project selections on the FTA website. Project recipients should contact their FTA Regional Office for additional information regarding allocations for Start Printed Page 63657projects. At the time project selections are announced, FTA will extend pre-award authority for the selected projects.

There is no blanket pre-award authority for these projects before announcement. There is no minimum or maximum grant award amount, but FTA intends to fund as many meritorious projects as possible. FTA only will consider proposals from eligible recipients for eligible activities. Due to funding limitations, projects selected for funding may receive less than the amount originally requested.

In those cases, applicants must be able to demonstrate that the proposed projects are still viable and can be completed with the amount awarded. (2) Administrative and National Policy Requirements a. Pre-Award Authority FTA will issue specific guidance to recipients regarding pre-award authority at the time of selection. FTA does not provide pre-award authority for competitive funds until projects are selected, and there are Federal requirements that must be met before costs are incurred.

For more information about FTA's policy on pre-award authority, see the FY 2020 Apportionments Notice published on June 3, 2020, at https://www.govinfo.gov/​content/​pkg/​FR-2020-06-03/​pdf/​2020-11946.pdf. b. Grant Requirements Selected applicants will submit a grant application through FTA's electronic grant management system and adhere to the customary FTA grant requirements for research project (insert Circular name). All competitive grants, regardless of award amount, will be subject to the Congressional notification and release process.

FTA emphasizes that third-party procurement applies to all funding awards, as described in FTA Circular 4220.1F, “Third Party Contracting Guidance.” However, FTA may approve applications that include a specifically identified partnering organization(s) (2 CFR 200.302(f)). When included, the application, budget, and budget narrative should provide a clear understanding of how the selection of these organizations is critical for the project and give sufficient detail about the costs involved. C. Planning FTA encourages applicants to engage the appropriate State Departments of Transportation, Regional Transportation Planning Organizations, or Metropolitan Planning Organizations in areas to be served by the project funds available under this program.

D. Standard Assurances The applicant assures that it will comply with all applicable Federal statutes, regulations, executive orders, FTA circulars, and other Federal administrative requirements in carrying out any project supported by the FTA grant. The applicant acknowledges that it is under a continuing obligation to comply with the terms and conditions of the grant agreement issued for its project with FTA. The applicant understands that Federal laws, regulations, policies, and administrative practices might be modified from time to time and may affect the implementation of the project.

The applicant agrees that the most recent Federal requirements will apply to the project unless FTA issues a written determination otherwise. The applicant must submit the Certifications and Assurances before receiving a grant if it does not have current certifications on file. E. Free Speech and Religious Liberty In connection with any program or activity conducted with or benefiting from funds awarded under this notice, recipients of funds must comply with all applicable requirements of Federal law, including, without limitation, the Constitution of the United States.

Statutory, regulatory, and public policy requirements, including without limitation, those protecting free speech, religious liberty, public welfare, the environment, and prohibiting discrimination. The conditions of performance, non-discrimination requirements, and other assurances made applicable to the award of funds in accordance with regulations of the Department of Transportation. And applicable Federal financial assistance and contracting principles promulgated by the Office of Management and Budget. In complying with these requirements, recipients must ensure that no concession agreements are denied or other contracting decisions made on the basis of speech or other activities protected by the First Amendment.

If the Department determines that a recipient has failed to comply with applicable Federal requirements, the Department may terminate the award of funds and disallow previously incurred costs, requiring the recipient to reimburse any expended award funds. (3) Reporting The post-award reporting requirements include submission of the Federal Financial Report (FFR) and Milestone Progress Report in TrAMS. An evaluation of the grant will occur at various points in the demonstration process and at the end of the project. In addition, FTA is responsible for producing an Annual Report to Congress that compiles evaluation of selected projects, including an evaluation of the performance measures identified by the applicants.

All applicants must develop an evaluation plan to measure the success or failure of their projects and describe any plans for broad-based implementation of successful projects. FTA may request data and reports to support the evaluation and Annual Report. A. Independent Evaluation To achieve a comprehensive understanding of the impacts and implications of each proposed buy antibiotics Research Demonstration Program, projects funded under this announcement will require the recipient to conduct a third party independent evaluation of their project.

Recipients will be required to contract with a third party independent evaluator to assist in developing an evaluation plan, and collecting, storing and managing data required to fulfill the evaluation requirement. No more than 10 percent of the Federal share of the project may be used to hire the third-party independent evaluator and the inclusion of a third-party independent evaluation should be described in the grant application. If the project duration is more than two years, an interim evaluation report would need to be submitted to FTA, otherwise the evaluation report should be included as part of the final project report. B.

buy antibiotics Research Demonstration Grant Program Evaluation Projects funded under this announcement will be required to establish a set of performance metrics set by the third-party independent evaluator and shared with FTA. G. Federal Awarding Agency Contacts Information For questions about applying, please contact Jamel El-Hamri email. Jamel.El-Hamri@dot.gov phone.

202-366-8985. A TDD is available at 1-800-877-8339 (TDDFIRS). To ensure that applicants receive accurate information about eligibility or the program, applicants are encouraged to contact FTA directly with questions, rather than through intermediaries or third parties.Start Printed Page 63658 FTA staff also may conduct briefings on the competitive grants selection and award process upon request. Start Signature K.

Jane Williams, Deputy Administrator. End Signature End Supplemental Information [FR Doc. 2020-22316 Filed 10-7-20. 8:45 am]BILLING CODE 4910-57-PStart Preamble Office of the Secretary, Department of Health and Human Services.

Notice. The Department of Health and Human Services (HHS) Office of Infectious Disease and HIV/AIDS Policy (OIDP) in the Office of the Assistant Secretary for Health (OASH) announces the draft Viral Hepatitis National Strategic Plan. A Roadmap to Elimination (2021-2025) (Hepatitis Plan) available for public comment. The draft Hepatitis Plan may be reviewed at www.hhs.gov/​hepatitis.

All comments must be received by 5:00 p.m. ET on October 8, 2020 to ensure consideration. All comments must be submitted electronically to HepatitisPlanComments@hhs.gov. Start Further Info Carol Jimenez, OIDP, Carol.Jimenez@hhs.gov.

202-401-5131. End Further Info End Preamble Start Supplemental Information Viral hepatitis is a significant public health threat that puts people who are infected at increased risk for serious disease and death. In the United States, new hepatitis A and hepatitis C s have increased dramatically in recent years, little progress has been made on preventing hepatitis B s, and, as of 2016, an estimated 3.3 million people were chronically infected with hepatitis B and hepatitis C.1-3 Collectively, viral hepatitis costs people, health systems, states, and the federal government billions of dollars each year 4 5 and contributes to substantial health disparities, stigma, and discrimination. Reversing the rates of viral hepatitis, preventing new s, and improving care and treatment require a strategic and coordinated approach by federal partners in collaboration with state and local health departments, tribal communities, community-based organizations, and other nonfederal partners and stakeholders.

To spur action to reduce new viral hepatitis s and their adverse public health impact, OASH through OIDP, in collaboration with federal partners throughout HHS and other departments, led and coordinated development of the Hepatitis Plan. Opportunities for public input were provided, and public comments received were reviewed and analyzed and helped inform the components of the Hepatitis Plan. The Hepatitis Plan focuses on hepatitis A, hepatitis B, and hepatitis C—the hepatitis flagyles that most significantly affect the health of the nation. It is an elimination plan, with the overarching goal of eliminating viral hepatitis as a public health threat in the United States by 2030.

The Hepatitis Plan is intended to serve as a roadmap for all stakeholders at all levels to eliminate hepatitis in this nation. The Hepatitis Plan presents a strategic framework for integrating and leveraging synergistic policies, programs, and resources. It sets forth a vision and five goals for the nation, with objectives and strategies for each goal. The objectives and strategies offered in this plan are interrelated and may be used to make progress toward more than one goal.

The Hepatitis Plan identifies disproportionately impacted populations based on national hepatitis incidence, prevalence, and mortality data, to help federal and other stakeholders focus their efforts to realize the greatest impact. The Hepatitis Plan also includes indicators to measure progress and quantitative targets for each indicator. Although it is a 5-year plan, it sets 10-year quantitative targets for each indicator—reflecting the reality that it will take more than 5 years to eliminate viral hepatitis as a public health threat. The order in which the goals, objectives, strategies, and indicators are presented is not associated with any prioritization.

The following are the Hepatitis Plan's vision and goals. Vision. The United States will be a place where new viral hepatitis s are prevented, every person knows their status, and every person with viral hepatitis has high-quality health care and treatment and lives free from stigma and discrimination. This vision includes all people, regardless of age, sex, gender identity, sexual orientation, race, ethnicity, geographic location, or socioeconomic circumstance.

Goals. 1. Prevent New Viral Hepatitis s 2. Improve Viral Hepatitis—Related Health Outcomes of People with Viral Hepatitis 3.

Reduce Viral Hepatitis—Related Disparities and Health Inequities 4. Improve Viral Hepatitis Surveillance and Data Usage 5. Achieve Integrated, Coordinated Efforts That Address the Viral Hepatitis Epidemics among All Partners and Stakeholders A roadmap for stakeholders at all levels and sectors, the Hepatitis Plan envisions a whole-of-nation response to preventing and controlling viral hepatitis in the United States. The Hepatitis Plan assumes the active participation of state, local, and tribal health departments and organizations, health plans and health care providers, schools and other academic institutions, community- and faith-based organizations, scientists, researchers, and the public in this effort.

The priority populations, indicators, and quantitative targets, especially the methods used to determine them, are intended to help focus efforts and limited resources to realize the most impact. Stakeholders are encouraged to focus on activities that resonate the most with the needs of the populations they serve and services they provide, and, using the Hepatitis Plan as a framework, develop their own plans to eliminate viral hepatitis and improve the health of their communities, states, tribal nations, and the nation. Information Needs The draft Hepatitis Plan may be reviewed at. Www.hhs.gov/​hepatitis.

OIDP seeks to obtain feedback from external stakeholders on the following. 1. Do the draft plan's goals, objectives, and strategies appropriately address the viral hepatitis epidemics?. 2.

Are there any critical gaps in the Hepatitis Plan's goals, objectives, and strategies?. If so, please specify the gaps. 3. Do any of the Hepatitis Plan's goals, objectives and strategies cause concern?.

If so, please specify the goal, objective or strategy, and describe the concern regarding it. Each commenter is limited to a maximum of seven pages. Start Authority 77 FR 15761 (March 16, 2012). End Authority Start Signature Dated.

September 22, 2020. B. Kaye Hayes, Acting Director, Office of Infectious Disease and HIV/AIDS Policy. End Signature Footnotes 1.

Centers for Disease Control and Prevention. Viral Hepatitis Surveillance—Start Printed Page 60814United States, 2018. U.S. Department of Health and Human Services.

2020. Accessed August 9, 2020. Https://www.cdc.gov/​hepatitis/​statistics/​2018surveillance/​index.htm. 2.

Hofmeister MG, Rosenthal EM, Barker LK, et al. Estimating prevalence of hepatitis C flagyl in the United States, 2013-2016. Hepatology. 2019 Mar;69(3):1020-1031.

Screening for hepatitis B flagyl in nonpregnant adolescents and adults. US Preventive Services Task Force recommendation statement. Annals Internal Med. 2014;161(1):58-66.

4. Morey RJ, Collier MG, Nelson NP. The financial burden of public health responses to hepatitis A cases among food handlers, 2012-2014. Public Health Rep.

2017;132(4):443-447. Doi:10.1177/0033354917710947. 5. Wittenborn J, Brady J, Dougherty M, Rein D.

Potential epidemiologic, economic, and budgetary impacts of current rates of hepatitis C treatment in Medicare and non-Medicare populations. Hepatol Commun. 2017;1(2):99-109. Doi:10.1002/hep4.1031.

End Supplemental Information [FR Doc. 2020-21288 Filed 9-25-20. 8:45 am]BILLING CODE 4150-43-P.

Diarrhea after flagyl

Lauren Gambill, MDPediatrician, AustinMember, Texas Medical Association (TMA) Committee on Child and Adolescent http://saiautomationsystem.com/where-to-get-lasix/ HealthExecutive Board Member, Texas Pediatric SocietyDoctors are diarrhea after flagyl community leaders. This role has become even more important during the buy antibiotics flagyl. As patients navigate our new reality, they are looking to us to determine what is safe, how to protect their families, diarrhea after flagyl and the future of their health care. As more Texans lose their jobs, their health insurance, or even their homes, it is crucial that Texas receives the resources it needs to uphold our social safety net.

The U.S. Census helps determine diarrhea after flagyl funding for those resources, and that is why it is of the upmost importance that each and every Texan, no matter address, immigration status, or age, respond to the 2020 U.S. Census. The deadline has been cut short one month and now diarrhea after flagyl closes Sept.

30.buy antibiotics has only increased the importance of completing the census to help our local communities and economies recover. The novel antibiotics has inflicted unprecedented strain on patients and exacerbated inequality as more people are out of work and are many in need of help with food, health care, housing, and more. Schools also have been diarrhea after flagyl stretched thin, with teachers scrambling to teach students online. Yet, the amount of federal funding Texas has available today to help weather this emergency was driven in part by the census responses made a decade ago.

Getting an accurate count in 2020 will help Texans prepare for the decade to follow, the first few years of which most certainly will be spent rebuilding from the flagyl’s fallout. Therefore, it diarrhea after flagyl is vital that all Texans be counted.The federal dollars Texas receives generally depends on our population. A George Washington University study recently found that even a 1% undercount can lead to a $300 million loss in funding.Take Medicaid, for example. Federal funds diarrhea after flagyl pay for 60% of the state’s program, which provides health coverage for two out of five Texas children, one in three individuals with disabilities, and 53% of all births.

The complicated formula used to calculate the federal portion of this funding depends on accurate census data. If Texas’ population is undercounted, Texans may appear better off financially than they really are, resulting in Texas getting fewer federal Medicaid dollars. If that happens, lawmakers will have to make up the difference, with cuts in services, program eligibility, or physician and provider payments, any of which are potentially detrimental.The census data also is key to funding other aspects of a community’s social safety net:Health careThe Children’s Health Insurance Program (CHIP) provides low-cost diarrhea after flagyl health insurance to children whose parents make too much to qualify for Medicaid, but not enough to afford quality coverage. Like Medicaid, how much money the federal government reimburses the state for the program depends in part on the census.Maternal and child health programs that promote public health and help ensure children are vaccinated relies on data from the census.

Texas also uses this federal funding to study and respond to maternal mortality and perinatal depression.Food and housing As unemployment rises and families struggle financially, many live with uncertainty as to where they will find their diarrhea after flagyl next meal. Already, one in seven Texans experiences food insecurity, and 20% of Texas children experience hunger. Food insecurity is rising in Texas as the flagyl continues. The Central Texas Food Bank saw a 206% rise in clients in March diarrhea after flagyl.

Funding for the Supplemental Nutrition Assistance Program and school lunch programs are both determined by the census. Funding for local housing programs also is calculated via the census. An accurate count will help ensure that people who lose their homes during this economic crisis diarrhea after flagyl have better hope of finding shelter while our communities recover. Homelessness is closely connected with declines in overall physical and mental health.Childcare and educationAs we navigate the new reality brought on by antibiotics, more parents are taking on roles as breadwinner, parent, teacher, and caretaker.

This stress highlights the diarrhea after flagyl desperate need for affordable childcare. The census determines funding for programs like Head Start that provide comprehensive early childhood education to low-income families. The good news is you still have time to complete the census. Visit 2020census.gov to take diarrhea after flagyl it.

It takes less than five minutes to complete. Then talk diarrhea after flagyl to your family, neighbors, and colleagues about doing the same. If you are wondering who counts, the answer is everyone, whether it’s a newborn baby, child in foster care, undocumented immigrant, or an individual experiencing homelessness.Completing the census is one of the best things that you can do for the health of your community, especially during the flagyl. Thank you for helping Texas heal and for supporting these essential safety net programs.(L to R).

UTHSA medical diarrhea after flagyl students Swetha Maddipudi, Brittany Hansen, Charles Wang, Carson Cortino, faculty advisor Kaparaboyna Kumar, MD, Ryan Wealther, Sidney Akabogu, Irma Ruiz, and Frank Jung pose with the TMA Be Wise Immunize banner. Photo courtesy by Ryan WealtherRyan WealtherMedical Student, UT Health San Antonio Long School of MedicineStudent Member, Texas Medical AssociationEditor’s Note. August is National Immunization Awareness Month. This article is part of a diarrhea after flagyl Me&My Doctor series highlighting and promoting the use of vaccinations.“Can the flu shot give you the flu?.

€â€œIs it dangerous for pregnant women to get a flu shot?. €â€œCan treatments cause diarrhea after flagyl autism?. €These were questions women at Alpha Home, a residential substance abuse rehabilitation center in San Antonio, asked my fellow medical students and me during a flu treatment discussion. It is easy to see why these questions were asked, as treatment misinformation is common today.UTHSA medical student Frank Jing (left) gets a treatment fromKaparaboyna Kumar, MD, (right).Photo courtesy of Ryan Wealther“No” is the answer to all the questions.

These were exactly the types of myths we set out to dispel at our vaccination drive.UT Health San Antonio Long School of Medicine medical students (under the supervision of Kaparaboyna Ashok Kumar, MD, faculty advisor for the Texas Medical Association Medical Student Section at UT Health San Antonio) hosted the treatment drive at Alpha Home with the support of TMA’s Be Wise – Immunize℠ program, a public health initiative that aims to increase vaccinations diarrhea after flagyl and treatment awareness through shot clinics and education. Our program consisted of a vaccination drive and an interactive, educational presentation that addressed influenza, common flu shot questions, and general treatment myths. The Alpha Home residents could ask us questions during the program.We were diarrhea after flagyl interested to see if our educational program could answer Alpha Home residents’ questions about vaccinations and allay their hesitations about getting a flu vaccination. To gauge this, we created a brief survey.(Before I discuss the results of the survey, I should define treatment hesitancy.

treatment hesitancy is a concept defined by the World Health Organization. It relates to when patients do not vaccinate despite having access to diarrhea after flagyl treatments. treatment hesitancy is a problem because it prevents individuals from receiving their vaccinations. That makes them more susceptible to getting sick from treatment-preventable diseases.)We surveyed the residents’ opinions about vaccinations before and after our educational program.

While opinions about shots improved with each survey question, we saw the most significant attitude change reflected in answers to the questions “I am concerned that vaccinations diarrhea after flagyl might not be safe,” and “How likely are you to receive a flu shot today?. € We had informed the residents and improved their understanding and acceptance of immunizations.Post-survey results show more residents at the Alpha Home shifted to more positive attitudes about treatments, after learning more about their effectiveness by trusted members of the medical community. Graph by Ryan diarrhea after flagyl WealtherWhy is this important?. First, our findings confirm what we already knew.

Education by a trusted member of the medical community can effect change. In fact, it is widely known that physician diarrhea after flagyl recommendation of vaccination is one of the most critical factors affecting whether patients receive an influenza vaccination. Perhaps some added proof to this is that a few of the Alpha Home residents were calling me “Dr. Truth” by the end of the evening.Second, diarrhea after flagyl our findings add to our understanding of adult treatment hesitancy.

This is significant because most of what we know about treatment hesitancy is limited to parental attitudes toward their children’s vaccinations. Some parents question shots for their children, and many of the most deadly diseases we vaccinate against are given in childhood, including polio, tetanus, measles, and whooping cough shots. However, adults need diarrhea after flagyl some vaccinations as well, like the yearly influenza treatment. After taking part in the UTHSA educational program, more residents at the Alpha Home shared more willingness to receive the flu treatment.

Graph by Ryan WealtherAnother reason improving attitudes is important is that receiving a flu shot is even more timely during the buy antibiotics flagyl because it decreases illnesses and conserves health care resources. Thousands of people each year are hospitalized from the flu, and with hospitals filling up with antibiotics diarrhea after flagyl patients, we could avoid adding dangerously ill flu patients to the mix. Lastly, these findings are important because once a buy antibiotics vaccination becomes available, more people might be willing to receive it if their overall attitude toward immunizations is positive. Though the buy antibiotics treatment diarrhea after flagyl is still in development, it is not immune to treatment hesitancy.

Recent polls have indicated up to one-third of Americans would not receive a buy antibiotics treatment even if it were accessible and affordable. Work is already being done to try to raise awareness and acceptance. In addition, misinformation diarrhea after flagyl about the buy antibiotics treatment is circulating widely. (Someone recently asked me if the buy antibiotics treatment will implant a microchip in people, and I have seen the same myth circulating on social media.

It will not.) This myth, however, illustrates the need for health care professionals to answer patients’ questions and to assuage their concerns.treatments work best when many people in a community receive them, and treatment hesitancy diarrhea after flagyl can diminish vaccination rates, leaving people who can't get certain treatments susceptible to these treatment-preventable diseases. For example, babies under 6 months of age should not receive a flu shot, so high community vaccination rates protect these babies from getting sick with the flu. Our educational program at Alpha Home is just one example of how health care professionals can increase awareness and acceptance of shots. As the buy antibiotics flagyl progresses, we need to ensure children and adults receive their vaccinations as recommended by diarrhea after flagyl their physician and the Centers for Disease Control and Prevention.

I encourage readers who have questions about the vaccinations they or their child may need to talk with their physician. As health care professionals, we’re more than happy to answer your questions..

Lauren Gambill, MDPediatrician, AustinMember, Texas Medical Association (TMA) Committee on Child and Adolescent HealthExecutive Board Member, flagyl 400mg cost without insurance Texas Pediatric SocietyDoctors are community leaders. This role has become even more important during the buy antibiotics flagyl. As patients navigate our new reality, they are looking to us to determine what is safe, how to protect their families, and the future of their health flagyl 400mg cost without insurance care. As more Texans lose their jobs, their health insurance, or even their homes, it is crucial that Texas receives the resources it needs to uphold our social safety net. The U.S.

Census helps determine funding for those resources, and that is why it is of the upmost importance that each and every Texan, no matter address, immigration flagyl 400mg cost without insurance status, or age, respond to the 2020 U.S. Census. The deadline has been cut short one month flagyl 400mg cost without insurance and now closes Sept. 30.buy antibiotics has only increased the importance of completing the census to help our local communities and economies recover. The novel antibiotics has inflicted unprecedented strain on patients and exacerbated inequality as more people are out of work and are many in need of help with food, health care, housing, and more.

Schools also have been stretched thin, with teachers scrambling to teach flagyl 400mg cost without insurance students online. Yet, the amount of federal funding Texas has available today to help weather this emergency was driven in part by the census responses made a decade ago. Getting an accurate count in 2020 will help Texans prepare for the decade to follow, the first few years of which most certainly will be spent rebuilding from the flagyl’s fallout. Therefore, it is flagyl 400mg cost without insurance vital that all Texans be counted.The federal dollars Texas receives generally depends on our population. A George Washington University study recently found that even a 1% undercount can lead to a $300 million loss in funding.Take Medicaid, for example.

Federal funds pay for 60% of the state’s program, which provides health coverage for two out of five Texas children, one in three individuals with disabilities, and 53% flagyl 400mg cost without insurance of all births. The complicated formula used to calculate the federal portion of this funding depends on accurate census data. If Texas’ population is undercounted, Texans may appear better off financially than they really are, resulting in Texas getting fewer federal Medicaid dollars. If that happens, lawmakers will have to make up the difference, with cuts in services, program eligibility, or physician and provider payments, any of which are potentially detrimental.The census data also is key to funding flagyl 400mg cost without insurance other aspects of a community’s social safety net:Health careThe Children’s Health Insurance Program (CHIP) provides low-cost health insurance to children whose parents make too much to qualify for Medicaid, but not enough to afford quality coverage. Like Medicaid, how much money the federal government reimburses the state for the program depends in part on the census.Maternal and child health programs that promote public health and help ensure children are vaccinated relies on data from the census.

Texas also uses this federal funding to study and respond to maternal mortality and flagyl 400mg cost without insurance perinatal depression.Food and housing As unemployment rises and families struggle financially, many live with uncertainty as to where they will find their next meal. Already, one in seven Texans experiences food insecurity, and 20% of Texas children experience hunger. Food insecurity is rising in Texas as the flagyl continues. The Central flagyl 400mg cost without insurance Texas Food Bank saw a 206% rise in clients in March. Funding for the Supplemental Nutrition Assistance Program and school lunch programs are both determined by the census.

Funding for local housing programs also is calculated via the census. An accurate count will help flagyl 400mg cost without insurance ensure that people who lose their homes during this economic crisis have better hope of finding shelter while our communities recover. Homelessness is closely connected with declines in overall physical and mental health.Childcare and educationAs we navigate the new reality brought on by antibiotics, more parents are taking on roles as breadwinner, parent, teacher, and caretaker. This stress highlights the desperate need for affordable childcare flagyl 400mg cost without insurance. The census determines funding for programs like Head Start that provide comprehensive early childhood education to low-income families.

The good news is you still have time to complete the census. Visit 2020census.gov flagyl 400mg cost without insurance to take it. It takes less than five minutes to complete. Then talk to your family, neighbors, and colleagues about doing the flagyl 400mg cost without insurance same. If you are wondering who counts, the answer is everyone, whether it’s a newborn baby, child in foster care, undocumented immigrant, or an individual experiencing homelessness.Completing the census is one of the best things that you can do for the health of your community, especially during the flagyl.

Thank you for helping Texas heal and for supporting these essential safety net programs.(L to R). UTHSA medical students Swetha Maddipudi, Brittany Hansen, Charles Wang, Carson Cortino, flagyl 400mg cost without insurance faculty advisor Kaparaboyna Kumar, MD, Ryan Wealther, Sidney Akabogu, Irma Ruiz, and Frank Jung pose with the TMA Be Wise Immunize banner. Photo courtesy by Ryan WealtherRyan WealtherMedical Student, UT Health San Antonio Long School of MedicineStudent Member, Texas Medical AssociationEditor’s Note. August is National Immunization Awareness Month. This article is part of a Me&My Doctor series highlighting and promoting the flagyl 400mg cost without insurance use of vaccinations.“Can the flu shot give you the flu?.

€â€œIs it dangerous for pregnant women to get a flu shot?. €â€œCan treatments flagyl 400mg cost without insurance cause autism?. €These were questions women at Alpha Home, a residential substance abuse rehabilitation center in San Antonio, asked my fellow medical students and me during a flu treatment discussion. It is easy to see why these questions were asked, as treatment misinformation is common today.UTHSA medical student Frank Jing (left) gets a treatment fromKaparaboyna Kumar, MD, (right).Photo courtesy of Ryan Wealther“No” is the answer to all the questions. These were exactly the types of myths we set out to dispel at our vaccination drive.UT Health San Antonio Long School of Medicine medical students (under the supervision of Kaparaboyna Ashok Kumar, MD, faculty advisor for the Texas Medical Association Medical Student Section at UT Health San Antonio) hosted flagyl 400mg cost without insurance the treatment drive at Alpha Home with the support of TMA’s Be Wise – Immunize℠ program, a public health initiative that aims to increase vaccinations and treatment awareness through shot clinics and education.

Our program consisted of a vaccination drive and an interactive, educational presentation that addressed influenza, common flu shot questions, and general treatment myths. The Alpha Home residents could ask us questions during the program.We were interested to see if our educational program could answer Alpha Home residents’ questions about vaccinations and flagyl 400mg cost without insurance allay their hesitations about getting a flu vaccination. To gauge this, we created a brief survey.(Before I discuss the results of the survey, I should define treatment hesitancy. treatment hesitancy is a concept defined by the World Health Organization. It relates flagyl 400mg cost without insurance to when patients do not vaccinate despite having access to treatments.

treatment hesitancy is a problem because it prevents individuals from receiving their vaccinations. That makes them more susceptible to getting sick from treatment-preventable diseases.)We surveyed the residents’ opinions about vaccinations before and after our educational program. While opinions about shots improved with each survey question, we saw the most significant attitude change reflected in answers to the questions “I am concerned that vaccinations might not be safe,” and “How likely flagyl 400mg cost without insurance are you to receive a flu shot today?. € We had informed the residents and improved their understanding and acceptance of immunizations.Post-survey results show more residents at the Alpha Home shifted to more positive attitudes about treatments, after learning more about their effectiveness by trusted members of the medical community. Graph by Ryan WealtherWhy is flagyl 400mg cost without insurance this important?.

First, our findings confirm what we already knew. Education by a trusted member of the medical community can effect change. In fact, it is widely known that physician recommendation of vaccination is one of the most critical factors affecting whether patients receive an influenza vaccination flagyl 400mg cost without insurance. Perhaps some added proof to this is that a few of the Alpha Home residents were calling me “Dr. Truth” by the end of the evening.Second, our findings add to our understanding flagyl 400mg cost without insurance of adult treatment hesitancy.

This is significant because most of what we know about treatment hesitancy is limited to parental attitudes toward their children’s vaccinations. Some parents question shots for their children, and many of the most deadly diseases we vaccinate against are given in childhood, including polio, tetanus, measles, and whooping cough shots. However, adults need some vaccinations as well, like the yearly flagyl 400mg cost without insurance influenza treatment. After taking part in the UTHSA educational program, more residents at the Alpha Home shared more willingness to receive the flu treatment. Graph by Ryan WealtherAnother reason improving attitudes is important is that receiving a flu shot is even more timely during the buy antibiotics flagyl because it decreases illnesses and conserves health care resources.

Thousands of people each year are hospitalized from the flu, and with hospitals filling up with antibiotics patients, we could flagyl 400mg cost without insurance avoid adding dangerously ill flu patients to the mix. Lastly, these findings are important because once a buy antibiotics vaccination becomes available, more people might be willing to receive it if their overall attitude toward immunizations is positive. Though the buy antibiotics treatment is still in development, it is not immune flagyl 400mg cost without insurance to treatment hesitancy. Recent polls have indicated up to one-third of Americans would not receive a buy antibiotics treatment even if it were accessible and affordable. Work is already being done to try to raise awareness and acceptance.

In addition, flagyl 400mg cost without insurance misinformation about the buy antibiotics treatment is circulating widely. (Someone recently asked me if the buy antibiotics treatment will implant a microchip in people, and I have seen the same myth circulating on social media. It will not.) This myth, however, illustrates the need for health care professionals to answer patients’ questions and to assuage their concerns.treatments work best when many people in a community receive flagyl 400mg cost without insurance them, and treatment hesitancy can diminish vaccination rates, leaving people who can't get certain treatments susceptible to these treatment-preventable diseases. For example, babies under 6 months of age should not receive a flu shot, so high community vaccination rates protect these babies from getting sick with the flu. Our educational program at Alpha Home is just one example of how health care professionals can increase awareness and acceptance of shots.

As the buy antibiotics flagyl progresses, we need to ensure children and adults receive their vaccinations as flagyl 400mg cost without insurance recommended by their physician and the Centers for Disease Control and Prevention. I encourage readers who have questions about the vaccinations they or their child may need to talk with their physician. As health care professionals, we’re more than happy to answer your questions..

How long does flagyl stay in your system

Lisa Taylor receives a buy antibiotics vaccination from RN Jose Muniz as she takes part in a treatment study at Research Centers of America on August 07, 2020 in Hollywood, Florida.Joe Raedle | Getty ImagesA group of drugmakers competing to bring a how long does flagyl stay in your system antibiotics treatment to market plan to issue a public statement as soon as next week that says they will not seek government approval until enough data has been collected to ensure the drugs are safe and effective, CNBC confirmed Saturday.An early draft of the joint statement promises to prioritize the safety of vaccinated people, according to The Wall Street Journal, which first reported the plans to issue a statement. Pfizer, Johnson & how long does flagyl stay in your system. Johnson and Moderna are expected to participate in the pledge, the Journal reported. CNBC has confirmed that Sanofi also plans to participate.The pledge comes as scientists and public health specialists express concern that the Trump administration how long does flagyl stay in your system is exerting pressure on regulators, especially the Food and Drug Administration, to authorize a treatment before the Nov. 3 presidential election.

"We believe this pledge will help ensure public confidence in the buy antibiotics treatments that may ultimately be approved and adherence to the rigorous scientific and regulatory process by which they are evaluated," a draft of the statement says, according to the Journal.The Journal added that the statement how long does flagyl stay in your system says the companies would only seek an emergency use authorization or government licensure based on "substantial evidence of safety and efficacy" from phase three clinical trials. However, top how long does flagyl stay in your system U.S. Health officials, including FDA Commissioner Dr. Stephen Hahn and Director of the National Institute of Allergy and Infectious Diseases how long does flagyl stay in your system Dr. Anthony Fauci, have recently said a phase three trial could be ended early if a treatment yields strong evidence quickly.

An emergency authorization by the FDA would come as public health specialists how long does flagyl stay in your system express concern that the agency has previously yielded to political pressure. The agency issued an emergency how long does flagyl stay in your system authorization in March for the use of Trump-backed anti-malarial drugs chloroquine and hydroxychloroquine in treating buy antibiotics patients. But the agency revoked the authorization in June based on emerging evidence that the drugs could cause cardiac complications and increase the risk of death in some buy antibiotics patients. And last month, Hahn how long does flagyl stay in your system walked back comments he made on the benefits of convalescent plasma at a White House press conference in which the emergency authorization of the buy antibiotics treatment was announced. Scientists criticized Hahn for overselling the benefits of the treatment, which data suggests are more modest, in remarks that were repeated by administration officials, including President Donald Trump.

"Political considerations should be put aside by Republicans and Democrats," the treatment manufacturers' draft statement says, according to the Journal.Regulators and drug companies have been moving at a record pace to how long does flagyl stay in your system bring a treatment to market that effectively and safely combats the antibiotics, which has infected more than 26.6 million people and killed at least 875,400 people around the world. The stakes are high, as forecasters and epidemiologists warn that the winter could prove to be even how long does flagyl stay in your system more deadly. The U.S. Has invested more than how long does flagyl stay in your system $10 billion in six different treatment efforts through Operation Warp Speed, the Trump administration's effort to rapidly bring buy antibiotics treatments and treatments to market. Three companies, Moderna, Pfizer and AstraZeneca, are already testing their treatment candidates in phase three trials.It's unclear if AstraZeneca plans to participate in the joint pledge, but the company previously released a statement committing to “follow the science” and “put patients first.”Democratic vice presidential candidate Kamala Harris suggested in an excerpt of an interview with CNN broadcast on Saturday that President Donald Trump might use a treatment to bolster his appeal heading into the election."He's looking at an election coming up in less than 60 days and he's grasping for whatever he can get to pretend he can be a leader on this issue when he's not," she told CNN.

She added that she "would not trust Donald Trump" and that she would only be convinced by an outside evaluation of public data on a treatment's safety and efficacy.Judd Deere, spokesman for the White House, said in a statement to CNBC that every decision the FDA has made has maintained the agency's "gold standard for safety and been data-driven." He how long does flagyl stay in your system added that it's a "false narrative... That politics is influencing approvals.""President Trump believes all Americans should have access to proven, safe, how long does flagyl stay in your system and affordable treatment options and the rapid research, development, trials, and scientific approvals are emblematic of President Trump's highest priority. The health and safety of the American people," he said.Concerns that the political calendar could affect regulatory scrutiny of potential treatments in the U.S. Were heightened after the Centers how long does flagyl stay in your system for Disease Control and Prevention sent a letter to state health officials directing them to expedite the approval process for medical supply company McKesson so it can set up antibiotics vaccination sites by Nov. 1.

Health and Human how long does flagyl stay in your system Services Secretary Alex Azar quickly defended the move, saying it had nothing to do with the Nov. 3 presidential election.Dr how long does flagyl stay in your system. Moncef Slaoui, who is leading Operation War Speed, said last week that the CDC directive was for planning purposes and a treatment is "extremely unlikely" to be ready for public distribution by November. "There is a very, very low chance that the trials that are running as we speak" could how long does flagyl stay in your system be ready before the end of October, Slaoui told NPR. "And therefore, there could be — if all other conditions required for an Emergency Use Authorization are met — an approval.

I think it's extremely unlikely but not impossible."He said he "firmly" believes a treatment will be available before the end how long does flagyl stay in your system of the year and "in quantities that can immunize patients at the highest risk, which means very old people, 70 years and older, and maybe people that are highly exposed on the first line."— CNBC's Berkeley Lovelace contributed to this report.Lisa Taylor receives a buy antibiotics vaccination from RN Jose Muniz as she takes part in a treatment study at Research Centers of America on August 07, 2020 in Hollywood, Florida.Joe Raedle | Getty ImagesA group of drugmakers competing to bring a antibiotics treatment to market plan to issue a public statement as soon as next week that says they will not seek government approval until enough data has been collected to ensure the drugs are safe and effective, CNBC confirmed Saturday.An early draft of the joint statement promises to prioritize the safety of vaccinated people, according to The Wall Street Journal, which first reported the plans to issue a statement. Pfizer, Johnson & how long does flagyl stay in your system. Johnson and Moderna are expected to participate in the pledge, the Journal reported. CNBC has confirmed that Sanofi also plans to participate.The pledge comes as scientists and how long does flagyl stay in your system public health specialists express concern that the Trump administration is exerting pressure on regulators, especially the Food and Drug Administration, to authorize a treatment before the Nov. 3 presidential election.

"We believe this pledge will help ensure public confidence in the buy antibiotics treatments that may ultimately be approved and adherence to the rigorous scientific and regulatory process by which they are evaluated," a draft of the how long does flagyl stay in your system statement says, according to the Journal.The Journal added that the statement says the companies would only seek an emergency use authorization or government licensure based on "substantial evidence of safety and efficacy" from phase three clinical trials. However, top U.S. Health officials, how long does flagyl stay in your system including FDA Commissioner Dr. Stephen Hahn and Director of the National Institute of Allergy how long does flagyl stay in your system and Infectious Diseases Dr. Anthony Fauci, have recently said a phase three trial could be ended early if a treatment yields strong evidence quickly.

An emergency how long does flagyl stay in your system authorization by the FDA would come as public health specialists express concern that the agency has previously yielded to political pressure. The agency issued an emergency authorization in March for the use of Trump-backed anti-malarial drugs chloroquine and hydroxychloroquine in treating buy antibiotics patients. But the agency revoked the authorization how long does flagyl stay in your system in June based on emerging evidence that the drugs could cause cardiac complications and increase the risk of death in some buy antibiotics patients. And last month, Hahn walked back comments he made on the benefits of how long does flagyl stay in your system convalescent plasma at a White House press conference in which the emergency authorization of the buy antibiotics treatment was announced. Scientists criticized Hahn for overselling the benefits of the treatment, which data suggests are more modest, in remarks that were repeated by administration officials, including President Donald Trump.

"Political considerations should be put aside by Republicans and Democrats," the treatment manufacturers' draft statement says, according to the Journal.Regulators and drug companies have been moving at a record pace to bring a treatment to market that effectively and safely combats the antibiotics, which has infected more than 26.6 million people and killed at how long does flagyl stay in your system least 875,400 people around the world. The stakes are high, as forecasters and epidemiologists warn that the winter could prove to be even more deadly. The U.S how long does flagyl stay in your system. Has invested more than $10 billion in six different treatment efforts through Operation Warp Speed, the Trump administration's effort to rapidly bring buy antibiotics treatments and treatments how long does flagyl stay in your system to market. Three companies, Moderna, Pfizer and AstraZeneca, are already testing their treatment candidates in phase three trials.It's unclear if AstraZeneca plans to participate in the joint pledge, but the company previously released a statement committing to “follow the science” and “put patients first.”Democratic vice presidential candidate Kamala Harris suggested in an excerpt of an interview with CNN broadcast on Saturday that President Donald Trump might use a treatment to bolster his appeal heading into the election."He's looking at an election coming up in less than 60 days and he's grasping for whatever he can get to pretend he can be a leader on this issue when he's not," she told CNN.

She added that she "would not trust Donald Trump" and that she would only be convinced by an outside evaluation of public data on a treatment's safety and how long does flagyl stay in your system efficacy.Judd Deere, spokesman for the White House, said in a statement to CNBC that every decision the FDA has made has maintained the agency's "gold standard for safety and been data-driven." He added that it's a "false narrative... That politics is influencing approvals.""President Trump believes all Americans should have access to proven, safe, and affordable treatment options and the rapid research, development, trials, and scientific approvals are emblematic of President Trump's highest priority. The health and safety of the American people," he said.Concerns that the political calendar could affect regulatory scrutiny of potential treatments in the how long does flagyl stay in your system U.S. Were heightened after the Centers for Disease Control and Prevention sent a letter to state health officials directing them to expedite the how long does flagyl stay in your system approval process for medical supply company McKesson so it can set up antibiotics vaccination sites by Nov. 1.

Health and Human Services how long does flagyl stay in your system Secretary Alex Azar quickly defended the move, saying it had nothing to do with the Nov. 3 presidential election.Dr. Moncef Slaoui, who is leading Operation War Speed, said last week that the CDC directive was for planning purposes and a treatment is "extremely unlikely" to be ready how long does flagyl stay in your system for public distribution by November. "There is a how long does flagyl stay in your system very, very low chance that the trials that are running as we speak" could be ready before the end of October, Slaoui told NPR. "And therefore, there could be — if all other conditions required for an Emergency Use Authorization are met — an approval.

I think it's extremely unlikely but not impossible."He said how long does flagyl stay in your system he "firmly" believes a treatment will be available before the end of the year and "in quantities that can immunize patients at the highest risk, which means very old people, 70 years and older, and maybe people that are highly exposed on the first line."— CNBC's Berkeley Lovelace contributed to this report.This week's announcement of the permanent closure of the iconic 44-story Hilton Times Square hotel in the heart of New York City was a wake-up call for the embattled hospitality industry, especially in urban markets suffering from a antibiotics-driven tourism drought.The move follows a decision earlier this week by Ashford Hospitality to hand over the keys to its recently purchased Embassy Suites in Midtown West to its lender after the real estate investment trust fell behind in debt payments.In fact, 34% of hotels in New York City alone are currently delinquent, and hospitality investment bank Robert Douglas sees more hotels at risk of closing."Most hotels are using capital reserves to help cover interest payments in the near term and the vast majority of hotels in New York City have missed debt service coverage tests that will result in cash flow sweeps and will limit the ability, absent lender agreement, to get loan extensions that would normally be automatic," said Doug Hercher, managing director and principal at Robert Douglas. "This is the tip of the iceberg."Fourteen New York City properties with loans in the commercial mortgage-backed securities universe are 60 days or more behind payment, according to database of securitized mortgages Trepp. Tracking individual loans, the Standard Hotel in the Meatpacking District, the Holiday Inn in the Financial District and Tryp by Wyndham Times Square South are among the properties how long does flagyl stay in your system that have defaulted.A large number of these hotels are located in and around Times Square and Midtown, neighborhoods in New York City that typically draw thousands of tourists and are popular places to stay for business travel.Broadway is always a natural draw for international tourists, and staying at a hotel nearby is often part of the experience. But with shows not expected to return to the Great White Way how long does flagyl stay in your system until next year, hotels near the biggest theaters remain nearly empty.Even before the antibiotics flagyl, experts were concerned that there were too many hotel rooms in New York City. Over the last five years, developers added more hotel rooms to the Big Apple than any other market in the U.S.

€” 6,131 in 2019, up from the 3,696 rooms in 2018, according to hotel management analytics how long does flagyl stay in your system firm Smith Travel Research.It remains to be seen whether current hotel owners can find the means to pay off their debt and keep the lights on."Many hotels will definitely close, particularly those that originally were conversions from residential to hotel and are located in more residential neighborhoods," Hercher said, explaining that it's often easy to convert those hotels back into apartments."Purpose built hotels like the Hilton Times Square are harder to convert and are not located in traditional residential neighborhoods. In those instances, it's pretty clear that owners are playing hardball with the unions and will reopen, though maybe under new ownership, if they can get meaningful concessions," he added.The stress hotels are facing is not confined to New York City. Trepp data shows delinquencies are rising significantly in Houston, Chicago and Los Angeles.The American how long does flagyl stay in your system Hotel &. Lodging Association and other lobbying groups continue to push Congress for additional financial relief as Paycheck Protection Program loans dry up, leaving owners' concerns heightened."We need urgent, bipartisan action from Congress now to keep hotels open so that our industry and our employees can survive and recover from this public health crisis," AHLA chief Chip Rogers said..

Lisa Taylor receives a buy antibiotics vaccination from RN Jose Muniz as she takes part in a treatment study at Research Centers of America on August 07, 2020 in Hollywood, Florida.Joe Raedle | Getty ImagesA group of drugmakers competing to bring a antibiotics treatment to market plan to issue a public statement as flagyl 400mg cost without insurance soon as next week that says they will http://mangomgmt.co.uk/homepages/blog-magazine/ not seek government approval until enough data has been collected to ensure the drugs are safe and effective, CNBC confirmed Saturday.An early draft of the joint statement promises to prioritize the safety of vaccinated people, according to The Wall Street Journal, which first reported the plans to issue a statement. Pfizer, Johnson flagyl 400mg cost without insurance &. Johnson and Moderna are expected to participate in the pledge, the Journal reported.

CNBC has confirmed that Sanofi also plans to participate.The pledge comes as scientists and public health specialists express concern that the Trump administration is exerting pressure on regulators, flagyl 400mg cost without insurance especially the Food and Drug Administration, to authorize a treatment before the Nov. 3 presidential election. "We believe this pledge will help ensure public confidence in the buy antibiotics treatments that may ultimately be approved and adherence to the rigorous scientific and regulatory process by which they are evaluated," a draft of the statement says, according to the Journal.The Journal flagyl 400mg cost without insurance added that the statement says the companies would only seek an emergency use authorization or government licensure based on "substantial evidence of safety and efficacy" from phase three clinical trials.

However, top flagyl 400mg cost without insurance U.S. Health officials, including FDA Commissioner Dr. Stephen Hahn and Director flagyl 400mg cost without insurance of the National Institute of Allergy and Infectious Diseases Dr.

Anthony Fauci, have recently said a phase three trial could be ended early if a treatment yields strong evidence quickly. An emergency authorization by the flagyl 400mg cost without insurance FDA would come as public health specialists express concern that the agency has previously yielded to political pressure. The agency issued an emergency authorization in March flagyl 400mg cost without insurance for the use of Trump-backed anti-malarial drugs chloroquine and hydroxychloroquine in treating buy antibiotics patients.

But the agency revoked the authorization in June based on emerging evidence that the drugs could cause cardiac complications and increase the risk of death in some buy antibiotics patients. And last month, Hahn walked back comments he made on the benefits of convalescent plasma at flagyl 400mg cost without insurance a White House press conference in which the emergency authorization of the buy antibiotics treatment was announced. Scientists criticized Hahn for overselling the benefits of the treatment, which data suggests are more modest, in remarks that were repeated by administration officials, including President Donald Trump.

"Political considerations should be put aside by Republicans and Democrats," the treatment manufacturers' draft statement says, according to the Journal.Regulators and drug companies have been moving at a record pace to bring a treatment to market that effectively and safely combats the antibiotics, which has infected more than 26.6 million people and killed at flagyl 400mg cost without insurance least 875,400 people around the world. The stakes are high, as forecasters and epidemiologists warn that flagyl 400mg cost without insurance the winter could prove to be even more deadly. The U.S.

Has invested more than $10 billion in six different treatment efforts through Operation Warp Speed, the Trump administration's effort to rapidly bring buy antibiotics treatments and treatments to market flagyl 400mg cost without insurance. Three companies, Moderna, Pfizer and AstraZeneca, are already testing their treatment candidates in phase three trials.It's unclear if AstraZeneca plans to participate in the joint pledge, but the company previously released a statement committing to “follow the science” and “put patients first.”Democratic vice presidential candidate Kamala Harris suggested in an excerpt of an interview with CNN broadcast on Saturday that President Donald Trump might use a treatment to bolster his appeal heading into the election."He's looking at an election coming up in less than 60 days and he's grasping for whatever he can get to pretend he can be a leader on this issue when he's not," she told CNN. She added that she "would not trust Donald Trump" and that she would only be convinced by an outside evaluation of public data on a treatment's safety and efficacy.Judd Deere, flagyl 400mg cost without insurance spokesman for the White House, said in a statement to CNBC that every decision the FDA has made has maintained the agency's "gold standard for safety and been data-driven." He added that it's a "false narrative...

That politics is influencing approvals.""President Trump believes all Americans should have access to proven, safe, and affordable treatment options and the rapid research, development, trials, and scientific approvals are emblematic of President Trump's flagyl 400mg cost without insurance highest priority. The health and safety of the American people," he said.Concerns that the political calendar could affect regulatory scrutiny of potential treatments in the U.S. Were heightened after the Centers flagyl 400mg cost without insurance for Disease Control and Prevention sent a letter to state health officials directing them to expedite the approval process for medical supply company McKesson so it can set up antibiotics vaccination sites by Nov.

1. Health and Human Services Secretary Alex Azar quickly defended the move, saying it had nothing to flagyl 400mg cost without insurance do with the Nov. 3 presidential election.Dr flagyl 400mg cost without insurance.

Moncef Slaoui, who is leading Operation War Speed, said last week that the CDC directive was for planning purposes and a treatment is "extremely unlikely" to be ready for public distribution by November. "There is a very, very low chance that the trials that are running as we speak" flagyl 400mg cost without insurance could be ready before the end of October, Slaoui told NPR. "And therefore, there could be — if all other conditions required for an Emergency Use Authorization are met — an approval.

I think it's extremely unlikely but not impossible."He said he "firmly" believes a treatment will be available before the end of the year and "in quantities that can immunize patients at the highest risk, which means very old people, 70 years and older, flagyl 400mg cost without insurance and maybe people that are highly exposed on the first line."— CNBC's Berkeley Lovelace contributed to this report.Lisa Taylor receives a buy antibiotics vaccination from RN Jose Muniz as she takes part in a treatment study at Research Centers of America on August 07, 2020 in Hollywood, Florida.Joe Raedle | Getty ImagesA group of drugmakers competing to bring a antibiotics treatment to market plan to issue a public statement as soon as next week that says they will not seek government approval until enough data has been collected to ensure the drugs are safe and effective, CNBC confirmed Saturday.An early draft of the joint statement promises to prioritize the safety of vaccinated people, according to The Wall Street Journal, which first reported the plans to issue a statement. Pfizer, Johnson flagyl 400mg cost without insurance &. Johnson and Moderna are expected to participate in the pledge, the Journal reported.

CNBC has flagyl 400mg cost without insurance confirmed that Sanofi also plans to participate.The pledge comes as scientists and public health specialists express concern that the Trump administration is exerting pressure on regulators, especially the Food and Drug Administration, to authorize a treatment before the Nov. 3 presidential flagyl 200mg price election. "We believe this pledge will help ensure public confidence in the buy antibiotics treatments that may ultimately be approved and adherence to the rigorous scientific and regulatory process by which they are evaluated," a draft of the statement says, according to the Journal.The Journal added that the statement says the companies would only seek an emergency use authorization or government licensure based on "substantial evidence of safety and efficacy" flagyl 400mg cost without insurance from phase three clinical trials.

However, top U.S. Health officials, including FDA Commissioner Dr flagyl 400mg cost without insurance. Stephen Hahn and flagyl 400mg cost without insurance Director of the National Institute of Allergy and Infectious Diseases Dr.

Anthony Fauci, have recently said a phase three trial could be ended early if a treatment yields strong evidence quickly. An emergency authorization by the FDA would come as public health specialists express concern that the agency flagyl 400mg cost without insurance has previously yielded to political pressure. The agency issued an emergency authorization in March for the use of Trump-backed anti-malarial drugs chloroquine and hydroxychloroquine in treating buy antibiotics patients.

But the agency revoked the authorization in June based on emerging evidence that the drugs could cause cardiac complications and increase the risk of death in some buy antibiotics patients flagyl 400mg cost without insurance. And last month, Hahn walked back comments he made on the benefits of convalescent plasma flagyl 400mg cost without insurance at a White House press conference in which the emergency authorization of the buy antibiotics treatment was announced. Scientists criticized Hahn for overselling the benefits of the treatment, which data suggests are more modest, in remarks that were repeated by administration officials, including President Donald Trump.

"Political considerations should be put aside by Republicans and Democrats," the treatment manufacturers' draft statement says, according to the Journal.Regulators and drug companies have been moving at a record pace to bring a treatment to market that effectively and safely combats the antibiotics, which has infected more than 26.6 million people and killed flagyl 400mg cost without insurance at least 875,400 people around the world. The stakes are high, as forecasters and epidemiologists warn that the winter could prove to be even more deadly. The U.S flagyl 400mg cost without insurance.

Has invested more than $10 billion in six different treatment efforts through Operation Warp Speed, the Trump administration's flagyl 400mg cost without insurance effort to rapidly bring buy antibiotics treatments and treatments to market. Three companies, Moderna, Pfizer and AstraZeneca, are already testing their treatment candidates in phase three trials.It's unclear if AstraZeneca plans to participate in the joint pledge, but the company previously released a statement committing to “follow the science” and “put patients first.”Democratic vice presidential candidate Kamala Harris suggested in an excerpt of an interview with CNN broadcast on Saturday that President Donald Trump might use a treatment to bolster his appeal heading into the election."He's looking at an election coming up in less than 60 days and he's grasping for whatever he can get to pretend he can be a leader on this issue when he's not," she told CNN. She added that she "would not trust Donald Trump" and that she would only be flagyl 400mg cost without insurance convinced by an outside evaluation of public data on a treatment's safety and efficacy.Judd Deere, spokesman for the White House, said in a statement to CNBC that every decision the FDA has made has maintained the agency's "gold standard for safety and been data-driven." He added that it's a "false narrative...

That politics is influencing approvals.""President Trump believes all Americans should have access to proven, safe, and affordable treatment options and the rapid research, development, trials, and scientific approvals are emblematic of President Trump's highest priority. The health and safety of the American people," he said.Concerns that the political calendar could affect regulatory flagyl 400mg cost without insurance scrutiny of potential treatments in the U.S. Were heightened after the Centers for Disease Control and Prevention sent a letter to state health officials directing them to expedite the approval process for medical supply company McKesson so it can set up antibiotics vaccination flagyl 400mg cost without insurance sites by Nov.

1. Health and Human Services Secretary Alex Azar quickly defended the move, saying it had flagyl 400mg cost without insurance nothing to do with the Nov. 3 presidential election.Dr.

Moncef Slaoui, who is leading Operation War Speed, said last week that the CDC directive was for planning purposes and a treatment is "extremely unlikely" flagyl 400mg cost without insurance to be ready for public distribution by November. "There is a very, very low chance that the flagyl 400mg cost without insurance trials that are running as we speak" could be ready before the end of October, Slaoui told NPR. "And therefore, there could be — if all other conditions required for an Emergency Use Authorization are met — an approval.

I think it's extremely unlikely but not impossible."He said he "firmly" believes a treatment will be available before the end of the year and "in quantities that can immunize patients at the highest risk, which means very old people, 70 years and older, and maybe people that are highly exposed on the first line."— CNBC's Berkeley Lovelace contributed to this report.This week's announcement of the permanent closure of the iconic 44-story Hilton Times Square hotel in the heart of New York City was a wake-up call for the embattled hospitality industry, especially in urban markets suffering from a antibiotics-driven tourism drought.The move follows a decision earlier this week by Ashford Hospitality to hand over the keys to its recently purchased Embassy Suites in Midtown West to its lender after the real flagyl 400mg cost without insurance estate investment trust fell behind in debt payments.In fact, 34% of hotels in New York City alone are currently delinquent, and hospitality investment bank Robert Douglas sees more hotels at risk of closing."Most hotels are using capital reserves to help cover interest payments in the near term and the vast majority of hotels in New York City have missed debt service coverage tests that will result in cash flow sweeps and will limit the ability, absent lender agreement, to get loan extensions that would normally be automatic," said Doug Hercher, managing director and principal at Robert Douglas. "This is the tip of the iceberg."Fourteen New York City properties with loans in the commercial mortgage-backed securities universe are 60 days or more behind payment, according to database of securitized mortgages Trepp. Tracking individual loans, the Standard Hotel in the Meatpacking District, the Holiday Inn in the Financial District and Tryp by flagyl 400mg cost without insurance Wyndham Times Square South are among the properties that have defaulted.A large number of these hotels are located in and around Times Square and Midtown, neighborhoods in New York City that typically draw thousands of tourists and are popular places to stay for business travel.Broadway is always a natural draw for international tourists, and staying at a hotel nearby is often part of the experience.

But with shows not expected to return to the Great White Way flagyl 400mg cost without insurance until next year, hotels near the biggest theaters remain nearly empty.Even before the antibiotics flagyl, experts were concerned that there were too many hotel rooms in New York City. Over the last five years, developers added more hotel rooms to the Big Apple than any other market in the U.S. €” 6,131 in 2019, up from the 3,696 rooms in 2018, according to hotel management analytics firm Smith Travel Research.It remains to be seen whether current hotel owners can find the means to pay off their debt and keep the lights on."Many hotels will definitely close, particularly those that originally were conversions from residential to hotel and are located in more residential neighborhoods," Hercher said, explaining that it's often easy to convert those hotels back into apartments."Purpose built hotels like the Hilton Times Square are harder to convert and are not flagyl 400mg cost without insurance located in traditional residential neighborhoods.

In those instances, it's pretty clear that owners are playing hardball with the unions and will reopen, though maybe under new ownership, if they can get meaningful concessions," he added.The stress hotels are facing is not confined to New York City. Trepp data shows delinquencies flagyl 400mg cost without insurance are rising significantly in Houston, Chicago and Los Angeles.The American Hotel &. Lodging Association and other lobbying groups continue to push Congress for additional financial relief as Paycheck Protection Program loans dry up, leaving owners' concerns heightened."We need urgent, bipartisan action from Congress now to keep hotels open so that our industry and our employees can survive and recover from this public health crisis," AHLA chief Chip Rogers said..

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