A call to slow the spread of syphilis in the United States

8A WEDNESDAY, MAY 24, 2017
MiamiHerald.com MIAMI HERALD
INTERNATIONAL EDITION
HEALTH
Exquisite Apartment on Miami Beach
A call to slow the spread of
syphilis in the United States
Mayo Clinic News Network
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ADDRESS:
6365 Collins Ave,
Unit #4203,
Miami Beach, FL 33141
ASKING PRICE:
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[email protected], www.MJEstates.com
(305) 984-8693
The Centers for Disease
Control
and
Prevention
(CDC) has issued a call to
action to hopefully slow the
spread of syphilis.
Syphilis is a bacterial infection usually spread by sexual
contact. The disease starts as
a painless sore — typically
on your genitals, rectum or
mouth. Syphilis spreads from
person to person via skin or
mucous membrane contact
with these sores.
After the initial infection,
the syphilis bacteria can lie
dormant in your body for
decades before becoming active again. Early syphilis can
be cured, sometimes with a
single injection of penicillin.
Without treatment, syphilis
can severely damage your
heart, brain or other organs,
and can be life-threatening,
or be passed from mother to
an unborn child.
The CDC’s Division of
STD Prevention is asking
public health departments
to improve surveillance and
screening:
l Public health departments need to improve surveillance; partner with health
care providers and patient
advocacy groups; conduct
partner services; increase
screening; and ensure collaboration between state and
local STD, HIV and maternal and child public health
programs.
l Health care providers
need to take complete sexual
histories; follow CDC testing
recommendations; treat diagnosed patients immediately per CDC guidelines; and
work with the health department to report all cases of
syphilis by stage, including
cases of congenital syphilis.
l Decision-makers and
community leaders need to
talk to STD program pro-
DREAMSTIME/TNS
CDC has given a ‘call to action’ to slow the spread of syphilis.
fessionals in their jurisdiction and address any policy
barriers to affected populations seeking or obtaining
recommended screening and
treatment.
Once
cured,
syphilis
doesn’t recur on its own.
However, you can become
reinfected if you have contact with someone’s syphilis
sore.
CAUSES
SYMPTOMS
The cause of syphilis is a
bacterium called Treponema
pallidum. The most common route of transmission
is through contact with an
infected person’s sore during
sexual activity. The bacteria
enter your body through minor cuts or abrasions in your
skin or mucous membranes.
Syphilis is contagious during
its primary and secondary
stages, and sometimes in the
early latent period.
Less commonly, syphilis
may spread through direct
unprotected close contact
with an active lesion (such as
during kissing) or through an
infected mother to her baby
during pregnancy or childbirth (congenital syphilis).
Syphilis can’t be spread
by using the same toilet,
bathtub, clothing or eating
utensils, or from doorknobs,
swimming pools or hot tubs.
Syphilis develops in stages, and symptoms vary with
each stage. But the stages may
overlap, and symptoms don’t
always occur in the same order. You may be infected with
syphilis and not notice any
symptoms for years.
The first sign of syphilis is
a small sore, called a chancre
(SHANG-kur). The sore appears at the spot where the
bacteria entered your body.
While most people infected
with syphilis develop only
one chancre, some people
develop several of them.
The chancre usually develops about three weeks after
exposure. Many people who
have syphilis don’t notice the
chancre because it’s usually
painless, and it may be hidden within the vagina or rectum. The chancre will heal
on its own within three to
six weeks.
New Technology Transforming Commercial Real Estate
CRE Experts Analyzed Self-Driving Cars & More at RCA MIAMI event
magine riding in a self-driving car, being
dropped off at work and then having your
car drive itself to a parking lot across
town. The scenario, which experts say is
closer than we think, would have a major
impact on real estate as it reduces the
need for today’s parking garages and surface lots.
The structures, which often sit in prime real estate
locations, can now be reimagined in new ways
(housing, retail, commercial and healthcare).
®
The MIAMI Association of REALTORS (MIAMI)
Realtors Commercial Alliance (RCA MIAMI)
analyzed the impact of self-driving cars, the rise of
e-commerce, the growth of industrial real estate, a
proposal for the largest proposed mall in the United
States and other topics at its fifth annual RCA
MIAMI Midyear Update held recently at the Coral
Gables Country Club.
“The way we did business 30 years ago or 20 years
ago or even 5 years ago is changing,” said panelist
Jose I. Juncadella, an office and industrial Miami
broker and the principal of Fairchild Partners. “It’s
important for all (brokers) to understand that we
have to move on because technology is improving.”
New Technology
Disrupting Real Estate
Real estate is one of three industries ripe for
technology disruption, according to RCA MIAMI
keynote speaker Geoffrey Kasselman, the
executive managing director at the Chicago office
of Newmark Grubb Knight Frank. New technology,
automation and digitization will also impact banking
and healthcare.
The rise of self-driving cars will not only make
many of today’s parking lots extinct, but it will
make passengers more productive.
Passengers in driverless cars can travel hands-free
and stay connected, increasing personal productivity
and the amount of time that commuters are willing
to spend in the car. Rural or suburban areas could
become popular as passengers adapt to long
commutes. As populations in both suburban and
rural areas continue to grow, real estate developers
could adapt to the new demographic and recreate
suburban communities with an urban feel.
24PGA08.indd 8
There are other ways technology could change real
estate, Kasselman said.
Office buildings, for instance, are grossly inefficient.
The average 9-to-5 office building is unoccupied for
16 hours each day. Could office buildings become
flexible mixed-use properties in the future and
have another use after the daily workers leave?
Air rights could be the next litigious battle as drones
or vertical taxis become mainstream, Kasselman
said. What are the rules when an unnamed
flying drone flies through another homeowner’s
backyard? How will government regulate the flight
patterns of vertical taxis?
Growth of
E-Commerce
E-commerce is another disrupter. E-commerce
comprises just 8.1 percent of U.S. retail sales,
but the industry is growing fast. U.S. e-commerce
sales in 2016 totaled $394.9 billion, a 15 percent
increase from 2015.
Amazon.com is the big leader, posting increased
net sales of 27 percent to $136 billion in 2016
with a $2.4 billion net profit compared with a $596
million profit in 2015.
The rise of e-commerce has led some to believe it
will bring the death of brick and mortar shopping
malls. Malls, such as the proposed American
Dream Miami mall, argue physical stores continue
to be the core of the shopping experience.
Today’s malls are focusing more on entertainment,
dining and creating an experience for mall goers.
Many times, the consumer is researching a
purchase online and then buying it in store.
American
Dream Miami
If approved, American Dream Miami would be the
largest theme park and mall in North America.
The proposed complex in northwest Miami-Dade
County which would house an indoor ski slope,
water park, movie complex and more.
American Dream Miami would total 6.2 million
square feet, including 3.5 million square feet of retail,
plus 2,000 hotel rooms. American Dream Miami
estimates it would receive 40 million projected
visitors and create 14,500 permanent jobs.
“It’s an opportunity for the commercial world to
interact with consumable world directly,” said
Robert Gorlow, who is managing American Dream
Miami for Triple Five Group. “That’s the way
we look at it. We don’t look at it as retail versus
e-commerce. When you build projects like this, if
they are to be financially viable you need to survive
all this change.”
Industrial
Real Estate on Fire
as an Asset Class
Amazon’s growth has helped fuel the rapid
expansion of industrial real estate. Absorption for
industrial real estate hit a new record last year.
Amazon will soon have 1.4 million square feet of
space in the Miami area, Juncadella said. About 20
to 30 percent of all industrial absorption around the
world was by Amazon.com, Kasselman said.
Population growth has propped up all real estate
sectors but has favored the industrial sector
specifically. The booming tourism industry has
also helped fill the region’s warehouses. Nearly 60
percent of the goods sitting in local warehouses
end up in South Florida.
Miami as a
Worldwide Brand
“Miami is one of the most recognizable brands in
the world,” said F. Antonio (Tony) Puente of Fairchild
Partners. “People want to be associated with Miami.
Just the name itself. You say the word ‘Miami’ and
a lot of cities around the world from South America
to Asia know where it is.”
Like other major global cities, Miami is already
implementing and utilizing new technology.
Kasselman’s presentation showcased waves of
transformative disruption in the future. Big data,
automation and package-delivering drones will
be in the first wave (next three to five years). 24/7
learning via artificial intelligence, 3D printing for
everything and abundant low-cost energy in the
second wave (next five to 15 years).
We won’t
experience 100
years of progress
in the 21st century
- it will be more
like 20,000 years
of progress
(at today’s rate)...
World-Renowned Futurist
Ray Kurzweil
Among all this change heading to commercial real
estate, Miami is also evolving.
Once just a tourist location, Miami has become a
center for business, technology, art, fashion culture
and more.
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5/24/2017 4:05:47 AM