Dec 18, 2007 (CIDRAP News) – Several states have made progress preparing for a major public health emergency such as a pandemic or bioterror attack, but funding shortfalls at the federal level threaten to stall or even reverse recent gains, according to a report today from the nonprofit organization Trust for America’s Health (TFAH).Jeff Levi, PhD, director of TFAH, a health advocacy group based in Washington, DC, said today that despite the progress, his group still has a number of concerns, including some states’ ability to distribute vaccines, antidotes, and medical supplies from the national stockpile and the lack of participation by others in the federal government’s subsidy program for boosting antiviral stockpiles for use during an influenza pandemic.”Differences in state-by-state capacity put the whole country at risk,” Levi said at a press teleconference.The 120-page report, released each year since 2003, gauges the preparedness of each state and the District of Columbia, assesses federal support for state efforts, and recommends measures for boosting the country’s ability to handle an emergency requiring a broad public health response.State preparedness ratingsThe TFAH assessed how states performed on 10 preparedness indicators. Levi said some of the indicators stay the same each year, such as use of a disease surveillance system that is compatible with the national system. However, he said some indicators change to reflect evolving expectations and the availability of new data. This year’s benchmarks include:An adequate plan to distribute emergency vaccines, antidotes, and medical supplies from the Strategic National StockpileParticipation in the federal subsidy for purchase of antiviral drugs for use during a flu pandemicSufficient public health laboratory capabilities to test for biological threatsCapability of laboratories to provide round-the-clock coverage to analyze samplesUse of a disease surveillance system that is compatible with the Centers for Disease Control and Prevention’s (CDC’s) integrated, Web-compatible national systemState laws that limit liability exposure for healthcare volunteers who serve during public health emergenciesEngagement in public health emergency preparedness drills or training exercisesA minimum threshold of Medical Reserve Corps volunteers per 100,000 peopleIncreased rates of seasonal flu immunization for adults aged 65 and olderSteady or increased funding for public health programs from 2005-06 to 2006-07Thirty-five states and the District of Columbia met eight or more of the TFAH benchmarks. Illinois, Kentucky, Nebraska, New Jersey, Pennsylvania, Tennessee, and Virginia scored the highest with 10 out of 10. The states scoring lowest, with 6 out of 10, were Arkansas, Iowa, Mississippi, Nevada, Wisconsin, and Wyoming.Only seven states and the District of Columbia lack sufficient capability to test for biological threats, which is down from 11 in last year’s report. However, flu vaccination rates for seniors decreased in 11 states, the report notes.The states that haven’t participated in the federal antiviral subsidy are Colorado, Connecticut, Florida, Massachusetts, Mississippi, North Dakota, and Rhode Island. Levi said some state officials have voiced concerns over the shelf life of antivirals. He said current laws allow states to assume a 7-year shelf life, but federal stockpiles can be extended beyond that, depending on the advice of the US Food and Drug Administration.The two indicators that address healthcare volunteers are designed to draw attention to surge-capacity issues, Levi said. Because officials expect hospitals will be overwhelmed during the next public health emergency, it will be important for healthcare volunteers to fill the gap outside hospitals and clinics, he said. Twenty-one states don’t have laws that protect medical volunteers during an emergency, and 13 do not have at least 14 Medical Reserve Corps Members per 100.000 people, the report says.Exposing funding gapsThough federal officials have advanced disaster preparedness planning with passage of the Pandemic and All-Hazards Preparedness Act last year and the president’s issuance of Homeland Security Presidential Directive 21, the report says federal funding for public health and pandemic preparedness has been “inconsistent and unpredictable.”The report says the Bush administration’s fiscal year 2008 budget includes $146 million in cuts to bioterrorism and public health preparedness capacities, and programs intended to upgrade local preparedness programs and hospital readiness are taking the brunt of the reductions. The cuts represent a 25% drop from 2005 funding levels, TFAH asserts.”And just when we are beginning to see a return on the federal investment in preparedness programs, the President and Congress have continued to cut these funds,” Levi said in a press release that accompanied the report. “These efforts may seem penny wise now, but could prove to be pound foolish later.”See also:Dec 18 TFAH press release, with links to complete reporthttp://healthyamericans.org/reports/bioterror07/CIDRAP News story on 2006 TFAH reportOct 22 CIDRAP News story “White House aims to transform public health preparedness”
Jan 31, 2008 (CIDRAP News) – School-based vaccination could be a cost-effective option for preventing influenza in school-age children and their families, according to a recent multistate trial.The study, published Jan 23 in an early online edition of Health Affairs, used a population of more than 15,000 school children ages 5 to 18 from a previous study that showed the intranasal live attenuated influenza vaccine, FluMist, reduced flu-like illnesses in the households of children who were vaccinated. That study was conducted during the 2004-05 influenza season and was supported by MedImmune, the maker of FluMist.The current study was designed to gauge whether school-based immunizations are cost-effective, according to the authors, led by Jordana Schmier, a managing scientist at Exponent, a research group based in Menlo Park, Calif. The trial grouped 28 elementary schools from four states into 11 demographically similar clusters, each of which included one intervention school that offered the vaccine plus one or two schools that served as controls. The vaccine was offered free of charge at school to all healthy children aged 5 or older during the fall of 2004.Investigators did a cost-benefit analysis of the previous trial, which was published in a December 2006 issue of the New England Journal of Medicine. Phone surveys during the peak week of the flu season revealed that 17% of households of students in the intervention schools reported a child with flulike illness, compared with 26% of households in the control schools. In the same week, 8% of households in the intervention group reported an adult with a flu-like illnesses, compared with 13% in control-group households.The authors of the new study used “event rate” data from the earlier study—such as rates of medical visits, prescription drug purchases, and missed work days—to estimate the per-household costs of vaccination and costs related to flu cases. In intervention schools, where almost half of the students were vaccinated, peak-week vaccination costs were estimated at $41.66, compared to $5.58 in control schools, where about 2% of students reported vaccination outside school.However, the researchers reported that the expense of the vaccine program was exceeded by the direct and indirect flu-related costs. During the peak influenza week, intervention households used $57.63 in healthcare resources to treat influenza infections, compared with $75.50 used by control households. For indirect costs such as care-giving and absences from school and work, intervention households spent $64.48 during the peak week of flu season, while control households spent $81.97.The difference in costs during the peak flu season was small—only 71 cents—the researchers reported. However, they said the difference would be magnified over the entire flu season, during which intervention households would incur an estimated total cost of $759.92, versus $931.88 for the control group—a difference of $171.96.”The major cost disadvantage for intervention schools is the costs of the vaccine themselves,” said Schmier in a Jan 23 Health Affairs press release. “But by peak week, most students who are going to be immunized have already received their vaccines, leaving intervention schools to reap savings from their higher vaccination rate for the rest of the flu season.”Previous studies on the cost-effectiveness of school-based immunizations have shown mixed results, the authors reported. However, none of them were designed to gather data about household protection due to vaccination of school-age children.The authors wrote that their study supports two key points about vaccinating school-age children: “First, that its effectiveness extends to the household, and second, that a high-efficiency immunization program that requires minimal time from parents provides economic benefit.”Amanda Honeycutt, PhD, a health economist at RTI International, a research institute based in Triangle Park, N.C., has worked with the Centers for Disease Control and Prevention (CDC) on projects to improve immunization rates. She told CIDRAP News that the researchers established that if a school-based program immunizes a high percentage of students, the results could yield cost savings. (The immunization rate in the intervention schools was 47%.)In a school-based immunization program, administration costs are lower and the cost of the vaccine is probably lower than in a physician’s office, Honeycutt said. “A nurse can give this vaccine to 15 children an hour, and this does appear to be cost saving,” she said, adding that in economic terms, “cost saving” is a high bar to pass.The CDC’s Advisory Committee on Immunization Practices (ACIP) will meet in February to update its flu immunization recommendations. In a February 2006 press release, the CDC said it would continue to review vaccination strategies to improve flu prevention and control, including the possibility of expanding routine vaccination recommendations to the entire US population.Among other strategies for boosting flu immunization rates in children, New Jersey in December became the first state to require flu shots for preschool children, according to a Dec 14 Associated Press report. The rule takes effect on Sep 1 and also covers three other vaccines for children, including the pneumococcal vaccine for preschoolers and the meningitis vaccine and whooping cough booster for 6th graders.Some parent groups opposed the new regulations because of concerns about vaccine safety and the role of the government in making medical decisions, the AP report said. The New Jersey laws grant religious and medical exemptions.Schmier J, Li S, King JC, et al. Benefits and costs of immunizing children against influenza at school: an economic analysis based on a large-cluster controlled clinical trial. Health Affairs 2008;27(2)(early online publication) [Abstract]See also:King JC, Stoddard JJ, Gaglani MJ, et al. Effectiveness of school-based influenza vaccination. N Engl J Med 2006;355(24):2523-32 [Full text]Health Affairs Jan 23 press releaseFeb 23, 2006, CDC press releaseDec 14, 2006, CIDRAP News story “Studies support flu vaccination in children, adults”
Feb 5, 2008 (CIDRAP News) – The World Health Organization (WHO) today confirmed that a 29-year-old Indonesian woman recently died of H5N1 avian influenza and that another Indonesian, a 38-year-old woman, is hospitalized with the disease.The 29-year-old woman was from Tangerang, the same western suburb of Jakarta where several of Indonesia’s most recent H5N1 case-patients lived. She fell ill on Jan 22, was hospitalized 6 days later, and died on Feb 2, according to a WHO statement. She is listed as the country’s 125th case-patient and its 103rd fatality.The WHO said an investigation into the source of her illness was under way. Lili Sulistyowati, a spokeswoman from Indonesia’s health ministry, said the woman’s neighbors raised chickens, but it’s not known if the birds were infected with the H5N1 virus, according to a report yesterday from Xinhua, China’s state news agency.The WHO also announced that the 38-year-old woman, who is from West Jakarta, is in critical condition. She became ill Jan 24 and was hospitalized 2 days later. She is now confirmed as Indonesia’s 126th H5N1 case-patient, according to the WHO.The source of the woman’s illness is also still under investigation, the WHO said. Sulistyowati told Xinhua that a week ago the woman visited her parents, who live next to a family that raises ducks.Indonesia has been hit hardest of any country by the H5N1 virus. The WHO’s global H5N1 count stands at 359 cases and 226 deaths.See also:Feb 5 WHO statement
Mar 5, 2008 (CIDRAP News) – Starting next fall, how will the healthcare system get influenza vaccine into the arms (or noses) of tens of millions of additional children each year, given that the vaccination season is limited and many children don’t have regular medical checkups?That’s probably the central—though not the only—question raised by last week’s recommendation by the federal Advisory Committee on Immunization Practices (ACIP) to vaccinate all school-aged children against influenza.”I think it will be difficult,” said Deborah Wexler, MD, executive director of the Immunization Action Coalition, a St. Paul–based nonprofit group that campaigned for the ACIP recommendation.Until now, the Centers for Disease Control and Prevention (CDC), which is advised by the ACIP, recommended flu vaccination for children from 6 through 59 months old. The new ACIP recommendation expands the target groups to include children from ages 5 through 18 years. That adds about 30 million children to the groups targeted for flu shots, the CDC estimates.The advisory group endorsed the change on the grounds that it will reduce flu and related medical needs in children and may limit spread of the disease in the community. In a nod to uncertainties about the adequacy of the vaccine supply next fall and winter, the CDC said the recommendation “is to take effect as soon as feasible, but no later than the 2009-2010 influenza season.”Immunization advocates and primary care physician groups say it will be a challenge to immunize millions more children, because many of them rarely visit a doctor and because the timing of flu vaccination season doesn’t mesh well with the timing of routine checkups for the children that do have them. Some experts say vaccines will have to be offered in settings other than physicians’ offices.In addition, one primary care group, the American Academy of Family Physicians, worries that providers may not have enough vaccine next season and has questions about the cost-effectiveness of the new policy.How much of a demand surge?Although an additional 30 million children are now advised to get flu shuts, the CDC expects only a fraction of that number will seek vaccination next season. “It takes a while for uptake to reach levels we’d like, but based on experience with childhood vaccines, we estimate about 7 million [more] doses will be used next year,” said Curtis Allen, a spokesman for the CDC’s National Center for Immunization and Respiratory Diseases (NCIRD).Allen said vaccine company representatives who were at the ACIP meeting all promised to do “everything possible” to produce adequate supplies for next season. He said their major concern was their ability to change all three flu strains in the vaccine, as recommended recently by the World Health Organization in light of suboptimal matches between this year’s vaccine and the viral strains in circulation.Even assuming the doses are available, Allen acknowledged that immunizing 7 million additional children will be a challenge. “One reason is that vaccine typically reaches the market in late September or early October. Most children start school earlier, and many will have visited their pediatrician or family physician in August,” he said.Allen added that children and adolescents are “notoriously difficult to reach in that, once a child reaches a certain age, they rarely see a physician unless they’re sick. So this is a whole new cohort we’ll have to reach with information about the importance of flu vaccination.”Lance Rodewald, MD, head of the immunization services division in the NCIRD, said the need for flu immunization might be seen as a tool to push for annual medical exams for children. But that may not be practical, because the flu immunization season runs only about 3 to 4 months. “For pediatricians to see all their patients once a year, they are going to have to be scheduled throughout the year,” he said.Alternative vaccination venues”Pediatricians and family physicians are probably going to do a fair amount of vaccination, but this would really stress the office capacity to vaccinate everyone in this narrow time frame,” Rodewald said. “Probably a lot of the adolescents and school children will have to get their vaccines at places other than a provider office.”One way pediatricians might meet an increased demand for flu shots would be to offer special Saturday or evening clinics where children would be immunized without undergoing a full medical checkup, Rodewald suggested.Another possible option is school-based immunization, a topic that was discussed at the ACIP meeting, he said. Schools, like medical clinics, face limitations because many of them no longer have a staff nurse, but they could work with public health agencies or other partners to vaccinate students, he said.”We’re looking for sustainable methods to use schools and community vaccinators to partner together to reach schoolchildren, because it’s a promising working venue,” Rodewald commented.The American Academy of Pediatrics (AAP), which supported the ACIP recommendation, is open to the idea of children receiving flu shots elsewhere than their regular clinic if need be, said Henry Bernstein, DO, a member of the AAP’s Committee on Infectious Diseases and chief of general academic pediatrics at the Children’s Hospital at Dartmouth in Lebanon, N.H.”Certainly the AAP supports the concept of a medical home, so we’d like children to be immunized in their medical home,” he said. “But if there are other opportunities or places for people to get flu vaccine in a given season, that’s good. What’s critically important is that if they get it outside their medical home, it gets into their medical record with their primary care provider.”Bernstein said pediatricians feel there is “huge value” in expanding the flu immunization to all children. “But everyone is certainly aware of the fact that implementation and logistics need to be closely examined to really make this happen,” he added.AAFP leader concernedJim King, MD, president of the American Academy of Family Physicians (AAFP), voiced concern about the cost-effectiveness of the ACIP recommendation and its possible impact on family physicians next season.King, who practices in Selmer, Tenn., said the AAFP has long recommended voluntary flu shots for children older than 6 months. However, he said, “It’s already past the point for physicians to order flu vaccine [for next fall], so getting the amount of vaccine is going to be difficult for most family physician offices.”Commenting that about 76 million children nationwide will now be covered by flu vaccination recommendations, King said manufacturers may not be able to make enough vaccine to meet the increased demand.”Are we going to do this on an annual basis, and how much money is this going to cost the healthcare system?” he said. “We haven’t seen the outcome data to show that it’s cost-effective for us to do this.” He added that he has seen many patients this year who contracted flu even though they had been vaccinated.King said he also expects some parental concerns about the cost of immunization and whether insurance will cover it, though he doesn’t expect a big backlash so long as the vaccination is not required.He said the AAFP would reexamine its policy on flu immunizations for children in light of the ACIP recommendation.Modest expectationsWexler, of the Immunization Action Coalition, counseled modest expectations about the early impact of the ACIP recommendation.”I don’t think we should expect that we’re going to be reaching the kinds of rates we achieve with other vaccines, because there’s no catch-up period—this is a year-after-year thing. It’s going to be different,” she said. “I think the goal is to do the best you can and every year you do a little better.””We’re never going to achieve 90% [coverage], and I don’t think we should expect to,” she said, adding, “We have to think about alternate venues, not just the practitioner’s office.”Wexler said anti-vaccine groups have already begun expressing opposition to the new recommendation. “I think because flu vaccine is the only one other than Japanese encephalitis that has some thimerosal [a mercury compound] in it, that’s a big issue for anti-vacciners. This has been going on for many years now, and I don’t’ know that it’s going to be any more difficult than it’s already been.”She said she doesn’t expect much opposition from parents—”not with children dying of influenza. Parents want to protect their children, and they hear the stories, and they mostly trust their physicians.”Wexler also said the effort to immunize more children offers a good opportunity to prepare for a flu pandemic—a view also voiced by Bernstein. “How do we mobilize, how do we reach the most people in the least time?” she said. “It’s going to be a learning curve, but it’s not too soon to start.”Numerical perspectivesBernstein said that, while the move to immunize school children is a major step, it doesn’t add as many children to the target groups as may appear at first glance.”Medically I think this is an important step to take; it really adds a number of children to the ranks,” he said. “But to be perfectly honest, essentially half of them should already be getting the flu vaccine every year, because 10% of them have conditions that warrant it, and another 40% of them are household contacts of someone who would not do well if flu was brought into the home.” The CDC currently recommends flu immunization for close contacts of people at risk for serious complications of flu.Wexler observed that the ACIP recommendation pushes the country closer to embracing universal flu vaccination. Previously, flu immunization recommendations covered groups constituting about 74% of the US population, she said. Now, “it’s probably up to 90%, or at least up to 85%.”In light of those numbers, she said, “I think it would be better to recommend vaccination for everyone. It’s much simpler. . . . It’s going to save clinicians a lot of time, instead of having to wade through and figure out who’s supposed to be vaccinated. It’ll be much easier for [insurance] coverage to be ascertained. . . . And I think it’ll reduce influenza in circulation.”See also: Feb 27 CIDRAP News story “ACIP recommends flu shots for all school children”
Sep 14, 2009Feds launch novel H1N1 guidance for small businessesFederal officials today released guidance to help small businesses prepare for the next surge of pandemic H1N1 illnesses. Homeland Security Secretary Janet Napolitano emphasized that the most important element is to have a written plan, and the guidance lists steps for doing that. The resource also includes tips for keeping employees healthy, such as encouraging sick workers to stay home, providing for telework, and supplying resources for personal hygiene.http://www.flu.gov/professional/business/smallbiz.html/?date=091409Federal pandemic flu guidance for small businessesGlaxo study supports single dose for adjuvanted pan flu vaccineGlaxoSmithKline today announced that the first results from clinical trials of its adjuvanted pandemic H1N1 vaccine show a strong immune response from one dose, 3 weeks after immunization. The study involved 130 German adults, aged 18 to 60. The antigen content was 5.25 micrograms. Glaxo, the fourth company to report evidence of one-dose efficacy, said it is conducting 15 more studies in healthy adults, elderly people, and children, including infants.http://us.gsk.com/html/media-news/pressreleases/2009/2009_pressrelease_10087.htmSep 14 Glaxo press releaseSebelius predicts early October arrival of first vaccine dosesThe nation’s first doses of the pandemic H1N1 vaccine could be available the first week of October, about a week earlier than expected, US Health Secretary Kathleen Sebelius said yesterday, the Associated Press (AP) reported. Appearing on ABC’s “This Week” news show, she said the first doses are earmarked for healthcare workers and high-priority groups. She predicted ample supplies will be available by mid October and said vaccine will be sent to states as soon as it is produced.http://www.google.com/hostednews/ap/article/ALeqM5hVaB-P6Q2Xqt9vpMEpG64Yq1bTFQD9AMGQH80Sep 13 AP storyG-7 nations vow to help developing nations with pandemic responseMembers of the Group of Seven (G-7) leading economies plus Mexico at a Sep 11 meeting to discuss pandemic flu measures in Brussels agreed to prioritize pregnant women, healthcare workers, and people with underlying conditions for H1N1 vaccination, the AP reported. The seven nations—Canada, Japan, Germany, France, Britain, Italy, and the US—also agreed to share data, coordinate vaccine actions, and help poorer nations fight the virus.http://wtop.com/?nid=106&sid=1760330Sep 11 AP storyICU study: Half of flu patients were previously healthyA review of the first 32 patients with severe pandemic H1N1 infections treated in Spain’s intensive care units found that only half had preexisting medical conditions, though about a third were obese. Most required mechanical ventilation. About 90% of patients had viral pneumonia with severe lung damage, while only one had secondary bacterial pneumonia.http://ccforum.com/content/pdf/cc8044.pdfSep 11 Critical Care studyGISAID re-launches flu databaseA widely used database for influenza gene sequences is available again at the Global Initiative on Sharing Avian Influenza Data (GISAID) Web portal, according to a press release today. In July GISAID’s database administrator, the Swiss Institute of Bioinformatics, removed access after a legal conflict. The Max Planck Institute and A3 Systems developed the new version with the world science community. WHO researchers are using it to select strains for the southern hemisphere’s 2010 flu vaccine.http://platform.gisaid.org/dante-cms/live/struktur.jdante?aid=1131GISAID EpiFlu database platform
The fifth edition of one of the best tourist stories in Croatia – Istria Wine & Walk has been announcedThe traditional spring Istria Wine and Walk, organized by the cluster of northwestern Istria, brings its new edition. The fantastic Istrian story, which has been taken over by other parts of Croatia, will once again provide pleasure for all the senses.”We are especially proud that our Istria Wine and Walk has become a kind of benchmark in the organization of similar eno-gastronomic events. We have prepared another top wine adventure for our guests, with a handful of fun surprises that will surely result in a great atmosphere.”, Milovan Popovic points out, Director of the Tourist Board of the City of Umag.The start is scheduled for the morning from Trg Sv. Servula in Buje, where all participants will receive the necessary instructions, and embark on this unique adventure. Every 20 minutes, the bus takes the gathered for an enticing walk and gourmet pleasure. The refreshment stations will offer wines from Istrian winemakers: Kozlović, Celega, Ravalico, Coronica, Cattunar, Cuj, Veralda, A. Bassanese, Franković, and the gourmet part will be provided by: Oštarija Rondo, Restaurant Oliveto, OPG Radošević, OPG Buršić, OPG Duniš, Primizia food & wine, Konoba Morgan and Veralda. At the finish, Trg Sv. Servula in Buje, is expected to continue eno-gastronomic gathering for all participants of the event, but also other visitors, with live music and a party until the night.So simple, authentic and great. And yes, all tickets are sold out long before the start online.Related news:
The historical performance of the Croatian national football team at the World Cup, where our country won a historic second place, significantly contributed to the promotion of Croatia. In fact, we can definitely talk about the best marketing campaign in history ever for Croatia.According to the analysis of Mediatoolkit, a tool that monitors what is written about anyone on the entire Internet in real time, and which regularly followed the mention of Croatia in the world media, the final analysis after the finals shows that over 60 billion impressions ) where Croatia is mentioned in the world media.Thus, over a million articles were published, and in the Croatian media several thousand articles on the subject. We only talk about journalistic articles, and when we add social networks, it is quite clear that this is a promotion that is impossible to pay for or get with any PR campaign and once again proves that sport, especially football, is the best ambassador of our Croatia.”With the promotion of Croatia, our footballers have achieved more in a month than us, all the rest of us over 4 million, all together since the founding of the state – more than all institutions, campaigns, PR in these 28 years. were an order of magnitude 1000 times smaller. It’s hard, almost impossible, to measure how many people have seen something at least once, but my estimate is between 2 and 2.5 billion people. ” concludes Tomislav Grubišić from Mediatoolkita. Source: Mediatoolki.comAnd as sport, and especially football as the “most important sideline in the world”, attracts the masses, they thus directly affect the increase in consumption and bring a significant impetus to the economy. Thus, according to the estimates of the Croatian Chamber of Commerce, HRK 9.277.224.291,92 was spent in Croatia during the World Cup in Russia.But which of our tourist destinations took advantage of this great PR moment for additional promotion. For now, Pula and Zadar are the most active researching on the Internet.CNTB, the City of Pula and MediaCom created the most successful real-time campaign of the World Cup?The video by which the City of Pula announced the live broadcast of the final match of the football championship in the Arena was watched by almost 350 thousand people around the worldThus, more than 10 thousand people watched the final broadcast of the World Cup match on the big screen in the Pula Arena. The value of this unique event was also recognized by the Croatian National Tourist Board, which in cooperation with the MediaCom agency and the City of Pula designed the “2nd best place to watch World Cup finals” campaign.The video by which the City of Pula announced the live broadcast of the final match of the World Cup in the Arena, achieved more than 4.700 shares and more than 343 thousand views, while the total number of interactions with content climbed above 72 thousand, without investing in its advertising. MediaCom.”The last final of the World Cup was watched by over a billion people, and we knew that, after winning the semifinals, everything related to Croatia would be under the magnifying glass of the public. This is evidenced by the search results on search engines, so in the last week on Google, Croatia has found itself among the most searched terms in all world languages. We took this opportunity while the world public was sensitized, we reacted in real time and devised how, in addition to the image of a sports nation, to better present our culture, history and natural beauty. For this reason, we decided to implement the proposal for branding the broadcast of the finals in the Pula Arena as “2nd best place to watch World Cup Finals”, Said the director of the Croatian National Tourist Board Kristjan Stanicic.This is a great promotion of Pula, which breaks tourist record visits from year to year, and whose recordings have once again found their way into the world’s most important media. “The City of Pula has long-term committed to the development and implementation of quality and unique events that contribute to the additional promotion of the city, which is ultimately recognized by our fellow citizens, but also an increasing number of domestic and foreign guests. The reactions after the live broadcast of the final match of the World Cup in the Arena confirm that we are doing a good job. The image of our Pula once again toured the world in the format of a video announcement on social networks, which once again showed how we recognize the multiple benefits of online communication. I believe that the positive effect will be visible in the coming period and I want to thank everyone who was in the Arena on Sunday and cheered.”, Emphasized the mayor of Pula Boris Miletić.Video: How the broadcast of the final match of the World Cup in the Arena went”We had very little time to realize this project, which was created in record time, in just 24 hours. We transformed the idea of “2nd best place to watch the World Cup Finals” into a short video that announced the live broadcast of the match between Croatia and France in the Arena and which we placed on the social networks Croatia Full of Life. We followed the whole story with drones above the Arena during the game and thus created additional content that “dominated” social networks. The results are great, and this would not have been possible without the content department of MediaCom Beyond Advertising and NuNu Production from Pula.”, Said the director for strategic planning in the MediaCom agency Marko Matejčić.ZADAR: Promotional campaign of the Zadar Tourist Board and the Zadar County Tourist BoardPhoto: Boris ZupčićThe Zadar Tourist Board reports that an intensive joint promotional campaign continues on the social networks of the Zadar County Tourist Board and the Zadar City Tourist Board in four emitting markets, with specially targeted wider urban areas of the cities where the Zadar national team plays.It is a well-known fact that the top successes of athletes usually contribute to the promotion of the countries they come from, but the focus of Zadar footballers is more than usual on the hometown of our national team, which is persistently highlighted on flags and banners not only at this championship. through his profiles on social networks and interviews in the media, points out Ante Galić from the Zadar Tourist Board and adds: “What is specific about the Zadar national team is that their fans, but also the wider audience that does not necessarily follow the sport, know which city they come from and intuitively connect them with Zadar, which is not the case with many sports stars. Of course, in addition to the fact that they are happy to highlight their city, their personal interesting life stories inextricably linked to our city have also contributed to this. All this, combined with a spectacular welcome two days ago in terms of marketing, is an excellent basis for the tourist promotion of the destination through advertisements, photo galleries and videos. ” Galic concludes. And how the welcome in Zadar looked like, see in the phenomenal one-minute video made by a team of Zadar cameramen from the sea, land and air with the help of the Croatian Army Air Force, and completed by Igor Goić.Otherwise, apart from the great video below, you should definitely see the phenomenal photos by Boris Zupčić that you can see HEREIn the meantime, there is no need to worry about it. ””CROATIA FULL OF EXCELLENT PLAYERS” CNTB CAMPAIGN ON SOCIAL NETWORKSIt is certainly worth mentioning the CNTB, which recognized the opportunity for additional promotion of our country as an attractive and desirable tourist destination.Thus, the CNTB’s website during Sunday and the final recorded an increase in visits by more than 200 percent compared to the same period last year. The highest number of visits to the website was recorded from 16 pm until one hour after the match, and the highest number of visits was recorded from India, Italy, the USA, Germany, Croatia, Russia and France.Abbreviated version of the promotional video (attached below) Ambassadors of Croatian Tourism, in which Croatian national football team members appear Modric, Rakitic, Mandzukic, Lovren i Kovačić, was the backbone of promotional activities on social networks and new media.According to the CNTB, on the occasion of the final match, the promotional campaign on the YouTube channel and on the social networks Facebook and Instagram was well received.The focus was on the area around Luznhiki Stadium, and after the match on the entire Moscow area, and the campaign was further expanded to emitting markets such as Germany, Austria, Italy, the Netherlands, Sweden, Spain and Switzerland. These are countries that are important markets for Croatian tourism, but also countries where our players play for big clubs. As part of this campaign, impressive results were achieved: almost 4 million impressions, a shortened video reached a reach of 2.5 million people, and more than a million people commented, shared or liked the CNTB’s promotional announcement. An opportunity we must not miss In the whole story of positive PR that rules the whole world and social networks, it is not enough to promote only the images of the welcome as well as the historical success of Vatreni, but we need to find a way to add, connect and promote tourism, culture. , the economy… to give the whole story added value and a much greater positive effect.This is just another proof that athletes are our best ambassadors and that we need to focus much more seriously and strategically to connect the story with other industries vertically and horizontally through sporting success. Also, when if not now, take more seriously the development of sports tourism, first by investing in the entire infrastructure which is the first prerequisite, and then nicely round out the whole story and use the story again as the most successful sports nation in the world.In any case, this is an immeasurable advertisement for Croatia, and we will see in the near future how we used it, what story we told and how we will use it.,An opportunity we must not miss In the whole story of positive PR that rules the whole world and social networks, it is not enough to promote only the images of the welcome as well as the historical success of Vatreni, but we need to find a way to add, connect and promote tourism, culture. , the economy… to give the whole story added value and a much greater positive effect.This is just another proof that athletes are our best ambassadors and that we need to focus much more seriously and strategically to connect the story with other industries vertically and horizontally through sporting success. Also, when if not now, take more seriously the development of sports tourism, first by investing in the entire infrastructure which is the first prerequisite, and then nicely round out the whole story and use the story again as the most successful sports nation in the world.In any case, this is an immeasurable advertisement for Croatia, and we will see in the near future how we used it, what story we told and how we will use it. In the meantime, there is no need to worry about it. ”The CNTB’s organic posts on the social networks Facebook, Instagram and Twitter also record excellent results. Thus, the global Facebook page reached a reach of 2.5 million people in a few hours, and when we add to that the reach achieved on other Facebook pages created separately by markets, we come to a total reach of 5 million people. On this social network, which recorded more than 9000 new fans in just one day, the most popular was a promotional video with football players and posts about a short “school” on how to become a Croatian fan in seven steps. The announcement created in cooperation with the Great British Chefs, which promoted Croatian eno-gastronomy through the preparation of the best Croatian dish for the football championship by the top British chef Tom Brown, also records excellent results, the CNTB concludes.Of course, Twitter is also recording great results, as is the social network Instagram where the CNTB channel was visited by more than 8.5 million fans, and only on Twitter almost 3 million impressions were achieved, while the promotional video on this social network was seen by more than a million people.The CNTB is bringing a photojournalist to Croatia on holiday, who found himself in the fiery celebration of Croatian football playersAlso today, the CNTB announced that it was bringing photojournalist Yuri Cortez, photojournalist Angence France-Press, to Croatia for a vacation. in Russia.
“The urban area of Pula is rich in cultural heritage, the development of which represents a huge social and economic potential. Precisely for this reason, the valorization and revitalization of heritage in the area, as well as the putting into operation of tourism, are of absolute importance when it comes to the ITU mechanism. Thanks to the implementation of sustainable urban development activities using EU funds, endangered and underutilized heritage that represents a valuable historical heritage will be restored and will be connected in a sustainable way with tourism, creating new innovative services and products. ” pointed out the head of the Pula City Office Aleksandar Matić, adding that only projects defined by the Pula Urban Development Strategy will be able to apply for this call within the ITU mechanism, which is recognized as a tool for implementing territorial strategies in an integrated manner. As they point out from the city of Pula, all the mentioned projects are of strategic importance for the urban area and will be fully implemented in the area of local self-government units of the Urban area of Pula, where the investment potential will be most pronounced. Under this call, non-refundable European funds, up to 85 percent of co-financing, will be awarded to projects that include content and thematically related investments necessary for the development of a particular area, which contribute to its socio-economic development through valorization of cultural heritage, making it a recognizable tourist destination . “Pula, which has an increasing number of visitors from year to year, thanks to the simultaneous investment in cultural heritage and the tourism sector will further strengthen its position on the tourist map of the world”, Said Matic, adding that having in mind the potential impact of investing in cultural heritage on urban development, that in addition to sustainable management of renewed resources, the goal is to improve the service through education of tourism workers and increase the number of employees, especially young people in tourism. The Ministry of Regional Development and European Union Funds within the mechanism of integrated territorial investments has published a Call for project proposals “Revitalization of cultural heritage in the urban area of Pula. Eligible applicants from the urban area who will restore the cultural heritage of local importance in this area are the City of Pula with the project of strengthening the Pula fortification system, the Archaeological Museum of Istria with the project of conservation and reconstruction of the Small Roman Theater in Pula, then the City of Vodnjan reconstruction of the old oil mill complex into the multimedia center MMC Torcio and the Municipality of Svetvinčenat, which will implement an integrated project for the preservation of Svetvinčenat’s cultural heritage. The call for project proposals for the revitalization of cultural heritage in the urban area of Pula is open from January 25 to March 25, 2019. This is a call in the amount of almost HRK 22.5 million announced within the Operational Program “Competitiveness and Cohesion 2014-2020” for the specific objective 6c1 “Increasing employment and tourism expenditures through the improvement of cultural heritage”, funded by the European Regional Development Fund.
The year-round Rijeka-Munich route is already operating, ie it has continued uninterruptedly after the summer season, they point out from Rijeka Airport, and currently Croatia Airlines can fly to Munich every Thursday and Sunday with a Dash 8 Q400 aircraft. “The current traffic on this line is not very satisfactory since the average occupancy of aircraft in the past winter months was only 25%. However, this occupancy should be taken with a large amount of reserve since it is only the first year of this line during the winter, and potential passengers are not yet sufficiently aware of its existence, ie with winter lines it is normal that the habit of traveling during the winter is formed only after 3-4 years of turnover. The same can be seen from our experience with the year-round line to Cologne, which was introduced last winter, and this year continued with a change of destination to Düsseldorf, but these two cities are only 40km away, so it can be said that they are the same market. ” stand out from Rijeka Airport. The opportunity is there, let’s use it. If the route is not profitable in 2-3 years, it will be canceled, which gives a clear signal to other airlines. Namely, last year the average occupancy of aircraft on the line Rijeka – Cologne was 40%, while this year the percentage has risen to 55%. These are funds that help establish the year-round Rijeka-Munich airline. Until now, Rijeka has been connected to Munich via Croatia Airlines on Thursdays and Sundays from October 28.10.2018, 30.3.2019. to March 2018, 2019, and in accordance with the new financial resources, the mentioned line continued during XNUMX as well as in XNUMX, so Kvarner is connected by a year-round line with Munich. Rijeka Airport The decision of the Tourist Board provided additional funds for the implementation of strategic marketing campaigns in emitting markets in 2019 for advertising in cooperation with Croatia Airlines and the Kvarner Tourist Board, which provides funds for this cooperation in the same amount as the CNTB. By the way, after last year’s record season in which 30% growth was achieved in passenger transport, four new lines were opened at Rijeka Airport in 2019, and new lines are being opened. “In 2019 For now, we have confirmed the arrival of 4 new airlines: TUI, Volote, Lufthansa and Air Serbia, which will fly to 3 new destinations: London Gatwick, Marseille and Belgrade, and the already existing Munich. Belgrade will be another year-round line that will continue to operate after the summer season. Negotiations are currently underway with some other companies, but so far we have not confirmed any other new lines. ” conclude from Rijeka Airport. What is the most difficult and most important is to open a direct flight with a destination, it is the first prerequisite for the growth of tourism, especially in the pre- and post-season. And having a direct year-round line with Cologne and Munich is a big plus for the whole of Kvarner. Now it is necessary to sit at the table, all tourism workers, and target the mentioned markets in order to create demand, and thus the profitability of the line. This is an opportunity not to be missed. Out of the tourist season, Kvarner can certainly build its opportunity through events, health, active and business tourism.
The caterers have defined a common position on the following requirements: The meeting was attended by Marin Medak, from the Independent Association of Caterers, Vedran Jakominić from the Association of Caterers of Primorje-Gorski Kotar County, Stipe Jeličić from the Association of Caterers Split and Petar Lovrić from the Association of Independent Employers of Entrepreneurs. These measures will benefit not only caterers, but the entire economy, employers, workers and citizens of the Republic of Croatia, they said in a joint statement. Reducing the income tax rate from the current 24% to 18%Recognition of representation expenses in 100% amountNon-taxable treatment of tips in the economy On the occasion of the 4th round of tax reform and the announced public consultation on this topic, the Croatian Chamber of Trades and Crafts received representatives of caterers’ associations. The participants of the meeting expressed satisfaction that lowering the tax rate in catering and those catering facilities that do not offer food preparation and serving enabled lower VAT in accordance with the Food Act, but expressed concern that the effect of some of the proposed measures will be negligible. burden entrepreneurs in adjusting tax books. All present agree that it is necessary to point out to the competent authorities the expected difficulties and additional costs that minimal measures may cause, and that it is necessary to work systematically to improve government decisions and legal changes that improve business conditions.