Camp Health Services in the State of Michigan

Size: px
Start display at page:

Download "Camp Health Services in the State of Michigan"

Transcription

1 Wilderess ad Evirometal Medicie,, 7 83 (00) ORIGINAL RESEARCH Camp Health Services i the State of Michiga Edward A. Walto, MD; Roald F. Maio, MS, DO; Elizabeth M. Hill, PhD From the Departmets of Emergecy Medicie (Drs Walto ad Maio) ad Pediatrics (Dr Walto) ad the Ijury Research Ceter (Drs Walto, Maio, ad Hill), Uiversity of Michiga, A Arbor, MI; ad the Departmet of Psychology, Uiversity of Detroit Mercy, Detroit, MI (Dr Hill). Cotext. Every summer, 0 millio campers atted summer camp i the Uited States. I Michiga, each camp is required to have a camp health officer (CHO) o-site. Objective. To documet the medical traiig, local emergecy medical services ad physicia support, ad off-camp medical facility use of CHOs. Desig. Aoymous istitutioal review board approved mail survey of all Michiga CHOs durig the summer of 00. Results. A total of 9 resposes (0 respose rate). Forty-seve percet of the CHOs reported carig for campers with sigificat medical eeds. Almost half () of the CHOs were registered urses; however, of the CHOs had paramedic traiig or less. Forty percet reported a ambulace respose time of more tha 0 miutes. Nearly all (97) reported havig a physicia who reviewed their stadig orders, ad yet 7 reported usig a acute care facility (emergecy departmet or urget care) more tha half of the time for medical care ot o-site. The CHOs reported that a small or rural hospital was the ambulace-receivig hospital 7 of the time. Two of the camps that respoded have a automatic exteral defibrillator, ad are plaig to buy oe. Coclusios. I Michiga, CHOs have limited traiig, ted to use emergecy departmet or urget care facilities as their medical backup, ad, i some istaces, have prologed times to defiitive care. This prelimiary study shows some of the opportuities that exist to improve health care for campers o a local ad atioal level. Key words: campig, recreatio, child, adolescet, questioaires, delivery of health care Summer camp is a extremely popular activity for childre. For 0 years, parets have bee sedig their childre to rural settigs to provide for a break from their familiar routie. Every year, approximately 0 millio childre atted camp, supported by. millio staff members. Iterest i camp has bee icreasig, with a aual rate of growth i the idustry of 8 to 0 per year. Campers iclude both well childre ad childre with special eeds, such as those havig diabetes, cacer, huma immuodeficiecy virus, physical disabilities, ad a myriad of other medical problems. 3 The goals of camp iclude improvig skills, icreasig idepedece, makig frieds, experiecig a ew eviromet, beig exposed to positive role models, ad most importatly, havig fu. 3 Research has show that summer camps have a lastig effect o self-esteem. Correspodig author: Edward A. Walto, MD, Departmet of Emergecy Medicie, TC B380, 00 E Medical Ceter Dr, A Arbor, MI ( ewalto@umich.edu). The health ad safety of campers is a uderstudied area. The legislative cotrol for camp licesig falls to the states. I 989, the Geeral Accoutig Office (GAO) was asked to report o existig regulatios regardig health ad safety at youth camps. The GAO foud a wide variatio i state regulatios that were related to camps ad little iformatio available o death, accidets, ad illesses. The GAO used a set of miimum stadards created by the Ceters for Disease Cotrol (CDC) to compare the laws of idividual states. The GAO foud that, at best, states met oly 6 of the miimum stadards for health ad safety at youth camps set by the CDC ad that 6 states met less tha 0. Approximately 0 of the camps volutarily apply to the America Campig Associatio (ACA) for accreditatio. The stadards for health care required by the ACA are more striget tha those required by the states ad iclude a registered urse o-site i most istaces. 6 Michiga was cited as oe of the states that met at least 6 of the model stadards provided by the CDC.

2 Camp Health Services A total of campers atted camp i the state each year. 7 Michiga defies a camp as a residetial experiece i a atural eviromet where more tha school-aged childre or adults who require supervisio live apart from their guardias for or more days i a day period. 8 Camps i Michiga are required to be licesed ad ispected, but ACA accreditatio is accepted i lieu of state ispectio. All licesed camps i Michiga are required to have a camp health officer (CHO). 8 The miimum traiig required of a CHO icludes America Red Cross First Aid, cardiopulmoary resuscitatio, ad bloodbore pathoges traiig. 8 Each camp must have a camp health policy that is reviewed aually by a cosultig physicia, who also agrees to provide medical support. 8 This policy must iclude camper health screeig, arragemets for o-call cosultatio ad emergecy services, ad stadig orders, as well as mechaisms for paretal otificatio ad medicatio admiistratio. 8 Family members etrust the health of their campers to CHOs, ad yet the traiig ad medical support of CHOs has ever, to our kowledge, bee studied. The purpose of our survey was to determie the medical traiig, the degree of support from local physicia ad emergecy medical services (EMS), ad the off-site facility use of CHOs i Michiga durig the summer of 00. Methods This project was reviewed ad approved by the istitutioal review board of the Uiversity of Michiga. A list of all licesed camps i the state of Michiga was obtaied from the Departmet of Cosumer ad Idustry Services uder the Freedom of Iformatio Act. All CHOs were set a aoymous, self-admiistered questioaire (Appedix). Retur evelopes were provided, which were labeled with a trackig umber. Retured questioaires were immediately separated from the retur evelope to maitai aoymity. The respose period was July 7, 00, to August 9, 00. At that time, a remider card was set to all camps to ecourage further returs. A questioaire ad cover letter were set to the CHOs. The cover letter stated the purpose of the questioaire ad emphasized that the study was focusig o the traiig ad medical support of CHOs. The questioaire cosisted of 3 sectios. Sectio was devoted to determiig the medical traiig of the CHOs ad the types of campers they cared for, whether well campers or those with special eeds. Sectio related to medical backup ad icluded questios about ambulace ad hospital backup. It icluded a sectio of Likert scales that addressed their level of cofidece i 7 themselves ad their medical backup, with respose codes ragig from to ( strogly agree, ad strogly disagree). Sectio 3 icluded demographic questios about their camp, icludig size, geder distributio, locatio, ad duratio of camp stay. The survey was reviewed by camp health professioals, ad modificatios were made prior to the distributio of the fial versio. Descriptive statistics (meas, SDs, percetages, ad 9 CIs) were calculated. Additioal aalyses compared the CHOs by traiig levels: those with licesed practical urse (LPN) traiig or greater (level ) ad those who had emergecy medical techicia paramedic traiig or less as defied by the Natioal Highway Traffic Safety Admiistratio 9 (level ). A overall comfort score was also created by combiig the cofidece ratigs, resultig i a miimum score of (strogly agree with all questios) ad a maximum score of (strogly disagree with all questios). Bivariate aalyses icluded z ad t tests. Statistical aalyses used Microsoft Excel 00 ad SAS versio 8 software. To determie whether the sample was represetative of the Michiga populatio, several characteristics were compared by usig the trackig umber of the camps that respoded. Alog with trackig umbers ad addresses, the state of Michiga provided iformatio about variables for each camp. These variables were whether the camp was witerized ad whether it was available for ret to outside groups. Thus, for the etire populatio of Michiga camps, percetages for these measures could be calculated ad the compared with those of the survey sample. Ufortuately, more iformative characteristics, such as the average size of the camp or the age of the camper, were ot available for the populatio as a whole. Results CHARACTERISTICS OF THE SAMPLE A total of 8 surveys were mailed to all licesed camps i the state of Michiga. Three were retured as udeliverable. A total of 9 surveys were retured completed, givig a respose rate of 0. All of these completed surveys were icluded i the aalysis. Camps varied i size from 0 campers to 00 campers, with a mea of 6 ad a media of 0 campers preset. A camp was defied as sigle sex if it had more tha 90 of oe sex of campers. Thirtee percet of camps were boys oly, 0 were girls oly, ad the remaiig 77 were co-ed. Campers stayed from day to 9 weeks, with a mea stay of 7 days ad a media stay of 7. days. The mea

3 76 Walto, Maio, ad Hill Table. Medical coditios reported, CHO traiig, ad CHO physicia, hospital, ad EMS support* CHO, N CHO, CHO, 9 CI Medical coditios reported 6 Asthma Diabetes Attetio-deficit/hyperactivity disorder Cerebral palsy Seizure disorder Developmetal delay Miscellaeous (eg, behavioral disorders, depressio, visio loss, hearig loss, cystic fibrosis, spia bifida, sickle cell) CHO medical traiig 8 First aid Licesed first respoder Licesed emergecy medical techicia Licesed paramedic Licesed practical urse Registered urse Physicia CHOs who have idetified relatioship with camp physicia CHOs who have report review of protocols by physicia Type of ambulace crew 9 Full time Part-time voluteer Do t kow Ambulace staffig 8 Paramedics oly Paramedic ad emergecy medical techicia team Emergecy medical techicia oly Do t kow Receivig hospital 7 Small or rural Larger facility Automated exteral defibrillators 9 Ow Pla to purchase *CHO idicates camp health officer; EMS, emergecy medical services. The last colum idicates the 9 CI of the percetage of CHOs age of the yougest camper was 7 years; the mea age of the oldest camper was 6 years. Thirtee camps reported havig campers older tha years, with a maximum of 99 years. Five of the facilities with adults served campers with cogitive impairmets or cerebral palsy. CAMP HEALTH OFFICERS Nearly half (7 [6/9]) of the CHOs reported takig care of a camper with a sigificat medical coditio (Table ). Two thirds of those reportig a sigificat medical coditio reported carig for persos with asthma (70), half reported carig for persos with diabetes (), ad oe third (36) reported carig for persos with attetio-deficit/hyperactivity disorder. The remaiig reported illesses are preseted i Table. Traiig for the CHOs was quite variable (Table ). Whe grouped by traiig, (9 CI, 3 ) had paramedic traiig or less, with the majority of these havig oly first aid or licesed first respoder traiig.

4 Camp Health Services 77 Table. Camp physicias Family practice Pediatrics Emergecy medicie Iteral medicie Other Do t Kow Reviews health policy (N 9) (9 CI) (6 77) 3 0 ( ) 8 ( 3) ( 7) (0 ) 9 7 (3 ) Is our camp doctor (N 06) (9 CI) (6 8) 6 (8 ) 6 6 ( 0) (0 7) (0 3) (0 ) Forty-five percet of the CHOs were registered urses, ad 6 were physicias. Larger camps had more highly traied providers. The mea size of camps with a CHO who had LPN traiig or greater was 97 (SD: 9), while the mea size of camps with a CHO with paramedic traiig or less was 3 (SD: 03) (t(9).99, P.0). CHO SUPPORT Nearly all (97) of the CHOs stated that a physicia had reviewed their stadig orders for that year (Table ). However, oly three fourths (76) stated that they had a established relatioship with a camp physicia. Family physicias were most likely to have reviewed the stadig orders ad to have agreed to be the camp physicia (Table ). Of cocer, 7 of the CHOs did ot kow who reviewed their health service policy, ad did ot kow who their camp physicia was. Ambulace respose times ad trasport times to the hospital are preseted i Table 3. Overall, 0 (9 CI, 3 9) of the CHOs reported ambulace respose times of more tha 0 miutes. Whe they called 9, the CHOs stated that a full-time ambulace crew would respod half of the time. However, half of the time they did ot kow what type of traiig the arrivig crew would have (Table ). Oce the ambulace crew had arrived at camp, the trasport time to the hospital was more tha 0 miutes 7 of the time (Table 3). The CHOs were asked to report the ame of the primary receivig hospital for a trasported camper. By usig a self-idetificatio system provided by the state of Michiga, 0 hospitals were divided ito those that categorized themselves as small ad rural ad those that did ot. The CHOs reported that their campers were trasported to a small or rural hospital more tha two thirds of the time (Table ). While it was expected by the state that camps would provide care through a primary care physicia, the CHOs were much more likely to use a acute care facility tha a primary care office whe care was provided off-site. O average, of that care was provided by a emergecy departmet ad 3 by a urget care facility. A physicia s office was used oly 8 of the time. Overall, 7 of the CHOs reported takig sick or ijured campers to a acute care facility (emergecy departmet or urget care), more tha half the time whe they could ot be treated i camp. CHO COMFORT Usig a Likert scale format, the CHOs were asked to assess their level of comfort with their ow skills ad Table 3. Ambulace respose times ad trasport times to the hospital mi 0 mi 0 mi 0 mi 0 mi Do t kow Respose time to camp (N 9) (9 CI) (9 CI) ( 6) 7 ( 9) 0 39 (30 7) 9 ( ) 33 (8 33) 0 3 (3 39) 3 ( 6) 9 3 ( 30) ( 7) 7 ( ) 3 0 ( ) 7 ( 9) Time from camp to hospital (N 9)

5 78 Walto, Maio, ad Hill Table. Camp health officer comfort with skills ad backup Strogly agree () Agree () Neither agree or disagree (3) Disagree () Strogly disagree () Mea (SD) I feel comfortable takig care of sick or ill campers at camp (N 3) I have adequate medical backup if I feel ucomfortable with a sick or ijured camper (N 3) (9 CI) 80 6 (7 73) 38 3 (3 39) 3 (0 6) (0 ) 0 0 (0 0). (0.6) (9 CI) 8 66 (8 7) 3 (3 ) 6 0 ( 8) 7 6 (37 ) 36 9 ( 37) (0 ) 7 (8 0) 7 (0 3) 0 ( ) (0 ) 9 7 (3 ) ( 7) ( 7) (0 ) ( 8). (0.7) I have a local camp doctor who is resposive to my eeds ad cocers (N ) (9 CI) 38 3 (3 0).0 (.) I feel comfortable with my local ambulace service (N ) I feel comfortable with my local emergecy departmet (N ) (9 CI) 37 9 ( 38) 0 0 (0 0).7 (0.9) (9 CI) 8 38 (30 7) 3 (0 ).8 (0.9) their medical backup (Table ). I all categories, the CHOs were cofidet about their ow skills ad about the medical backup that they received. Most agreed or strogly agreed with all questios. There was also o statistical differece i the comfort score whe compared with the defied levels of CHO traiig or the type of receivig facility (P.0). I the total Michiga camp populatio, the percetage of camps that were categorized as retable by the state was 80, while 83 of the respodig camps categorized themselves as retable (z 0.73, P.0). Similarly, the percetage of camps that were categorized as witerized by the state was 63, compared to 6 i the retured sample (z 0.3, P.0). Discussio While all of the camps that respoded to this survey are i compliace with the laws of the state of Michiga, the results raise may cocers. I may cases, CHOs have miimal medical traiig ad experiece. They are ofte placed i situatios i which defiitive care is a prologed distace away. While they are expected to have a camp physicia who has reviewed their stadig orders ad is their medical backup, some CHOs do ot kow who their camp doctor is. Ofte, CHOs do ot kow the traiig ad capabilities of the local EMS providers who respod whe they call 9. I additio, much of the medical care of campers outside camp takes place i a acute care settig, eve though primary care coverage should have bee arraged. Note also that all of these fidigs occurred i oe of the six states recogized by the CDC as havig the best camp oversight of ay i the atio. Despite the previously metioed cocers, the CHOs themselves are comfortable with their ow skills ad medical backup. Oly of the camps respodig reported havig immediate access to automated exteral defibrillators. While the America Heart Associatio states that there is isufficiet evidece to recommed automated exteral defibrillator use i childre youger tha 8 years, their presece i camps that are quite distat from defiitive care should be cosidered. Residet camps do serve a populatio the majority of which is older tha 8 years, ad they frequetly have adult visitors ad staff. To decide whether to make the ivestmet i this techology, camps should look at the followig issues: ) What is the level of EMS support ad defibrillatio availability i their area? ) How log would it take for a EMS crew to arrive? ad 3) Does the risk of cardiac evets i the populatio they serve warrat havig this techology rapidly available? Cardiopulmoary resuscitatio traiig should also be recommeded for all camp staff ad should be required for those who supervise high-risk activities. Leavig campers at a camp is a evet that may create

6 Camp Health Services a great deal of axiety for their family members. Ulike at day care ceters, oce campers are at camp, their health ad safety are relatively uregulated. As early as 966, studies reported a lack of research ad govermetal iterest i the medical care of childre at summer camp. As reported by the CDC ad GAO, this lack of care is still the case. The Recreatioal Camp Safety Act, federal legislatio that would moitor accidet ad illess i camp, has ot proceeded far i Cogress. 3 The America Academy of Pediatrics provides guidelies for screeig ad camp health, but these are purposefully left quite geeral., Most prior research has cetered o the epidemiology of illess ad ijury at idividual camps 6 or o the epidemiology of homesickess. 3 7 This survey was a iitial attempt to idetify some of the issues related to how health care is provided at camp. The issues raised may help guide further research ad policy efforts. The limitatios of this study must be oted. First of all, respose was limited to 0 of the licesed camps. However, the camps that respoded did ot differ sigificatly i the variables of retal status ad witerized status from those that did ot respod, suggestig similarity betwee the groups ad reducig cocer about samplig bias. Aother cocer is geeralizability. Oly Michiga camps were surveyed. However, give that Michiga is amog the best states i the atio i supervisig their camps, it is possible that the results represet a best-case sceario of what is preset throughout the rest of the coutry. I additio, respose ad trasport times are perceptual ad may ot reflect actual time. Fially, although we kow about CHOs ad their limitatios, camper risk while at camp is ukow. Without data that demostrate the uderlyig risk rates for a large populatio of campers, the effectiveess of ay itervetio made i camp health remais uclear. This survey reveals may opportuities for study i this area. Further evaluatio eeds to be performed o a multistate level to cofirm the geeralizability of these fidigs. The epidemiology of ijury ad illess at summer camps requires further attetio either at the state or atioal level. Those who agree to provide medical care for a camp should look closely at the local medical eviromet ad ask questios of the camp director, the local EMS providers, ad the urget care facility or emergecy departmet. Local EMS ad emergecy departmets should also reach out to camps ad prepare for the iflux of campers that occurs each summer. Not all risk ca be elimiated, but with adequate plaig, it ca be miimized. Research has show that camp is a woderful experiece for campers. 3, These results should ecourage all 79 ivolved with campig to strive to make a great experiece eve better. Refereces. America Campig Associatio. The history of orgaized campig. Available at: history.htm. Accessed September 3, 00.. America Campig Associatio. Erichig lives, chagig the world. Available at: htm. Accessed September 3, Thurber CA, Maliowski JC. The Summer Camp Hadbook. Los Ageles, CA: Perspective Publishig; America Campig Associatio. Marsh PE. What does camp do for kids? Available at: research/marsh/idex.htm. Accessed September 0, 00.. Youth Camps: Natiowide ad State Data o Safety ad Health Lackig: Report to U.S. House of Represetatives, Committee o Educatio ad Labor, Subcommittee o Health ad Safety, 00th Cog, GAO/HRD-89 0 (September 0, 989). 6. America Campig Associatio. Stadards at a glace. Available at: stdsglace.htm. Accessed September, Audi T, Motemurri P. Camp offeses spoil fu. Detroit Free Press. April 6, 00:sect A:. 8. State of Michiga, Licesig Rules for Childre s ad Adult Foster Care Camps, Act 6, Act 8, R00.9 R00.3 (00). 9. Natioal Highway Traffic Safety Admiistratio. Natioal stadard curricula. Available at: people/ijury/ems/sc.htm. Accessed Jauary, Michiga Ceter for Rural Health. Michiga s small ad rural hospitals. Available at: micrh/hosplist.htm. Accessed October 6, 00.. America Heart Associatio. PALS Provider Maual. Dallas, TX: The Associatio; 00.. Stailois PB, Meyer RJ. Health ad safety i summer camps. Public Health Rep. 966;8: Recreatioal Camp Safety Act, HR, 07th Cog (00).. Policy statemet: health appraisal guidelies for day camps ad residet camps (RE983). Pediatrics. 000; 0: Policy statemet: medical guidelies for day camps ad residetial camps. Pediatrics. 99;87: Trachtma H, Woloski-Wruble AC, Kilimick N, et al. Pediatric practice i a summer sleep-away camp. Cli Pediatr (Philadelphia). 99;33: Fiedelma W, Carbo K, Lewis D. Medical problems at a summer camp. N Y State J Med. 983;83: Schiff GM. Coxsackievirus B epidemic at a boys camp. Am J Dis Child. 979;33: Meyer RJ, Kibrick AK, Kibrick S, Rya MP, Godbout R, Brow E. Epidemiology of summer camp accidets. Arch Eviro Health. 963;7:69 7.

7 80 Walto, Maio, ad Hill 0. Barrett HS. Summer residetial camp accidets, ijuries ad emergecies. Co Med. 969;33: 3.. Ases RS, Feldma B, Gersoy WM, Morriso S, Weiss M. The medical care of childre at summer camps. A evaluatio of, ifirmary visits. Am J Dis Child. 97; 8: Rotma CB, Schmalz E. Illesses ad ijuries i a summer camp. Am J Nurs. 977;77: Wilad-Brow JE, Maheady DC. Usig ituitio to defie homesickess at summer camp. J Pediatr Health Care. 990;:7.. Wilad-Brow JE, Maheady D. First-time camper fear idex. J Pediatr Health Care. 987;: Thurber CA, Sigma MD, Weisz JR, Schmidt CK. Homesickess i preadolescet ad adolescet girls: risk factors, behavioral correlates, ad sequelae. J Cli Child Psychol. 999;8: Thurber CA, Sigma MD. Prelimiary models of risk ad protective factors for childhood homesickess: review ad empirical sythesis. Child Dev. 998;69: Thurber CA. The pheomeology of homesickess i boys. J Aborm Child Psychol. 999;7: 39.

8 Camp Health Services 8 Appedix Michiga Camp Health Officers Survey /07/ Thak you for completig this survey. ) Are your campers well campers or special eeds campers? (check oe) Well Special Needs Both If you aswered both, o ay sigle day, what percetage of your campers are: (percetages should add up to 00) Well Special eeds If special eeds, what populatio of campers do you serve? (for example, campers with diabetes, campers with asthma) ) For the perso fillig out this survey, what is your highest level of health care traiig? (check oe oly) Physicia Registered Nurse Licesed Practical Nurse Licesed Paramedic Licesed EMT Licesed First Respoder First Aid (completed Red Cross course required by state of Michiga) 3) O a usual camp day, the perso o-site with the highest level of health care traiig is a: (check oe oly) Physicia Registered Nurse Licesed Practical Nurse Licesed Paramedic Licesed EMT Licesed First Respoder First Aid (completed Red Cross course required by state of Michiga) ) Do you have a camp ifirmary or health care ceter that is available every day, hours a day? (check oe) Yes No If yes, how may beds does your health ceter have? beds If o, where are your ill campers cared for? ) Whe you call a ambulace i a emergecy, how log does it take for the ambulace to get to your camp? (check oe) Less tha miutes to 0 miutes 0 to miutes to 0 miutes Loger tha 0 miutes Do t kow 6) The ambulaces that would respod to my camp are staffed by: (check oe) Full-time Paramedics or Emergecy Medical Techicias Part-time or voluteer Paramedics or Emergecy Medical Techicias Do t kow 7) The ambulaces i my area provide: (check oe) Paramedics oly Both Paramedics ad Emergecy Medical Techicias together i the same ambulace Emergecy Medical Techicias oly Do t kow 8) Whe the ambulace leaves camp, how log does it take to get to the earest hospital? (check oe) Less tha miutes to 0 miutes 0 to miutes to 0 miutes Loger tha 0 miutes Do t kow

9 8 Walto, Maio, ad Hill Cotiued. Michiga Camp Health Officers Survey /07/ 9) The hospital where the ambulace would take my camper is: (ame of hospital) 0) The state of Michiga requires that a licesed physicia review the camp Health Service Policy every year. The physicia who reviews our health policy is: (check oe) Our physicia who lives at camp A physicia who does ot live at camp Do t kow ) The physicia who reviews our Health Service Policy is a: (check oe) Pediatricia Iteral Medicie Physicia Family Practice Physicia Emergecy Medicie Physicia Do t kow Other (ame type of doctor) ) Does your camp have a local doctor (or group of doctors) who has agreed to act as your camp doctor, where you make appoitmets for sick or ijured campers or who visits your camp as eeded? Yes No Do t kow 3) Our camp doctor is a: (check oe) Pediatricia Iteral Medicie Physicia Family Practice Physicia Emergecy Medicie Physicia Do t kow Other (ame type of doctor) ) What percetage of the time do you take a sick or ijured camper or staff to each type of these medical facilities whe they are ot treated i camp? (percetages should add up to 00) Emergecy departmet Urget care attached to hospital emergecy departmet Urget care ot attached to hospital Doctor s office ) Does your camp have a automated exteral defibrillator? Yes No Do t kow what it is If you aswered o, are you plaig to buy oe i the future? Yes No 6) How much do you agree or disagree with these statemets. Please circle oe umber for each lie. Strogly agree Agree Neither agree or disagree Disagree Strogly disagree I feel comfortable takig care of sick or ill campers at camp 3 I have adequate medical backup if I feel ucomfortable with a sick or ijured camper 3 I have a local camp doctor who is resposive to my eeds ad cocers 3 I feel comfortable with my local ambulace service 3 I feel comfortable with my local emergecy departmet 3

10 Camp Health Services 83 Cotiued. Michiga Camp Health Officers Survey /07/ 7) How may campers do you have i camp at oe time? 8) How may male campers? female campers? 9) What is the age rage of your campers? (yougest) years to (oldest) years 0) How may staff members are at camp? ) The shortest amout of time a camper ca atted camp this seaso is days. (fill i blak) The logest amout of time a camper ca atted camp this seaso is days. ) Is your camp a: (check oe that best applies) Childre oly Residet camp Childre oly Day camp Childre oly Both residet ad day camp Adult oly Residet camp or residet coferece ceter Adult oly Day camp or day coferece ceter Adult oly Both residet ad day camp or coferece ceter Both adults ad childre Residet camp Both adults ad childre Day camp Both adults ad childre Both residet ad day camp 3) Couty where camp is located: ) Zip code of camp: Commets or questios or cocers about the survey: Please retur completed survey i eclosed evelope to: Edward A. Walto, MD TC B38/ E Medical Ceter Dr A Arbor, MI Please call (73)763-7 with questios about the survey, or cotact Dr Walto at ewalto@umich.edu.

Background. Military aviation and runway incursions. EAPPRI and military. Conclusion

Background. Military aviation and runway incursions. EAPPRI and military. Conclusion Appedix I Guidace for Joit-Use Civil/Military Aerodromes Backgroud Military aviatio ad ruway icursios EAPPRI ad military Coclusio Europea Actio Pla for the Prevetio of Ruway Icursios - Editio 2.0 I1 Appedix

More information

RECURRENT FLIGHT SCHOOL SECURITY AWARENESS (FSSA) TRAINING

RECURRENT FLIGHT SCHOOL SECURITY AWARENESS (FSSA) TRAINING RECURRENT FLIGHT SCHOOL SECURITY AWARENESS (FSSA) TRAINING By completig Sectios 1 through 4 of this program ad the accompayig documetatio, you will have met the requiremets of 49 C.F.R. 1552.23(d), which

More information

Cardiff University Hospital of Wales branch closure 30/05/2018. Help and support for personal and business customers

Cardiff University Hospital of Wales branch closure 30/05/2018. Help and support for personal and business customers Cardiff Uiversity Hospital of Wales brach closure 30/05/2018 Help ad support for persoal ad busiess customers Facts are correct as at 09/03/2018 Customer ad Commuity Egagemet followig closure aoucemet

More information

South Norwood branch closure 22/05/2018. Help and support for personal and business customers

South Norwood branch closure 22/05/2018. Help and support for personal and business customers South Norwood brach closure 22/05/2018 Help ad support for persoal ad busiess customers Facts are correct as at 12/02/2018 Customer ad Commuity Egagemet followig closure aoucemet We wrote to customers

More information

Exeter University of Exeter branch closure 14/06/2018. Help and support for personal and business customers

Exeter University of Exeter branch closure 14/06/2018. Help and support for personal and business customers Exeter Uiversity of Exeter brach closure 14/06/2018 Help ad support for persoal ad busiess customers Facts are correct as at 09/03/2018 Customer ad Commuity Egagemet followig closure aoucemet We wrote

More information

2018 Cub Scout Day Camp Parents Guide Passport to Adventure

2018 Cub Scout Day Camp Parents Guide Passport to Adventure 2018 Cub Day Camp Parets Guide Passport to Adveture Everythig you eed to kow: What to brig Cotact Ifo Sample Schedule Advacemet Leadership FAQs Sig up with your pack olie at the Hawkeye Area Coucil website:

More information

Firth Park Sheffield branch closure 11/06/2018. Help and support for personal and business customers

Firth Park Sheffield branch closure 11/06/2018. Help and support for personal and business customers Firth Park Sheffield brach closure 11/06/2018 Help ad support for persoal ad busiess customers Facts are correct as at 09/03/2018 Customer ad Commuity Egagemet followig closure aoucemet We wrote to customers

More information

Cottingham branch closure 29/05/2018. Help and support for personal and business customers

Cottingham branch closure 29/05/2018. Help and support for personal and business customers Cottigham brach closure 29/05/2018 Help ad support for persoal ad busiess customers Facts are correct as at 09/03/2018 Customer ad Commuity Egagemet followig closure aoucemet We wrote to customers of Cottigham

More information

Bristol Blackboy Hill branch closure 21/06/2018. Help and support for personal and business customers

Bristol Blackboy Hill branch closure 21/06/2018. Help and support for personal and business customers Bristol Blackboy Hill brach closure 21/06/2018 Help ad support for persoal ad busiess customers Facts are correct as at 09/03/2018 Customer ad Commuity Egagemet followig closure aoucemet We wrote to customers

More information

2017 Chinese Youth Camp The University of Texas at Austin Austin, Texas Sunday, July 23 Saturday, July 29 Sunday, July 23 is the FIRST DAY of Camp!

2017 Chinese Youth Camp The University of Texas at Austin Austin, Texas Sunday, July 23 Saturday, July 29 Sunday, July 23 is the FIRST DAY of Camp! 2017 Chiese Youth Camp The Uiversity of Texas at Austi Austi, Texas Suday, July 23 Saturday, July 29 Suday, July 23 is the FIRST DAY of Camp! CHECK IN PROCESS (12:00PM 2:00PM) Check i starts at 12:00pm

More information

CEE 320. Fall Route Choice

CEE 320. Fall Route Choice Route Choice Route Choice Fial step i sequetial approach Trip geeratio (umber of trips) Trip distributio (origis ad destiatios) Mode choice (bus, trai, etc.) Route choice (specific roadways used for each

More information

Annual Safety Report 2012

Annual Safety Report 2012 EUROCONTROL Aual Safety Report 212 Safety Regulatio Commissio Table of Cotets Chapter 1 - Itroductio 6 Chapter 2 - Key Safety Idicators 9 Chapter 3 - Operatioal Safety Issues 12 Chapter 4 - Severity Classificatio

More information

Camp FRESH. Learn to live a healthy life for yourself and others and then pass those lessons on to your family, friends and people in your comunity.

Camp FRESH. Learn to live a healthy life for yourself and others and then pass those lessons on to your family, friends and people in your comunity. Camp FRESH (Fresh Resources Everyoe Should Have) The deadlie to apply is April 10. Space is limited, so do t delay! For more iformatio call 302-320-6525 Or visit www.christiaacare.org/campfresh Lear to

More information

Empowering Local and National Humanitarian Actors

Empowering Local and National Humanitarian Actors Terms of Referece for the Fial Evaluatio of the Empowerig Local ad Natioal Humaitaria Actors (ELNHA) project 06 July 2018 Terms of referece Program/project title /affiliate idetificatio code Geographical

More information

The Accessibility Changes of Chinese High Speed Railway Network

The Accessibility Changes of Chinese High Speed Railway Network The Chages of Chiese High Speed Railway Network Qia Zhao +, Liagpig Hog 2 ad Xiagbai Wu 3 School of Architecture ad Urba Plaig, Huazhog Uiversity of Sciece ad Techology 2 School of Architecture ad Urba

More information

S T R A T E G I C P L A N

S T R A T E G I C P L A N 1 Itroductio P3 About the Commissio for Aviatio Regulatio P4 3 Missio ad Strategic Goals Cotets 6 Fiacially Strog Travel Agets ad Tour Operators P11 P5 7 Robust Framework to Eforce Passeger Rights P13

More information

ASSESSING THE LEVEL OF ACTIVITY OPPORTUNITIES SECURED BY RURAL PUBLIC TRANSPORT SERVICE: THE CAPABILITY APPROACH

ASSESSING THE LEVEL OF ACTIVITY OPPORTUNITIES SECURED BY RURAL PUBLIC TRANSPORT SERVICE: THE CAPABILITY APPROACH ASSESSING THE LEVEL OF ACTIVITY OPPORTUNITIES SECURED BY RURAL PUBLIC TRANSPORT SERVICE: THE CAPABILITY APPROACH KITA, HIDEYUKI GRADUATE SCHOOL OF CIVIL ENGINEERING, KOBE UNIVERSITY YOTSUTSUJI, HIROFUMI

More information

Application of queuing theory to the container terminal at Alexandria seaport

Application of queuing theory to the container terminal at Alexandria seaport Joural of Soil Sciece ad Evirometal Maagemet Vol 1 (4), pp 77-85, Jue 2010 Available olie at http://wwwacademicjouralsorg/jssem ISSN 2141-2391 2010 Academic Jourals Full Legth Research Paper Applicatio

More information

Waterloo Court 31 WATERLOO ROAD, WOLVERHAMPTON WV1 4DJ

Waterloo Court 31 WATERLOO ROAD, WOLVERHAMPTON WV1 4DJ Waterloo Court 31 WATERLOO ROAD, WOLVERHAMPTON WV1 4DJ INVESTMENT SUMMARY Promiet city cetre multi let office buildig 41,053 sqft of accommodatio over seve floors 77 secure car spaces o site (1:522 sqft)

More information

Appendix F Aircraft Manufacturers

Appendix F Aircraft Manufacturers Appedix F Aircraft Maufacturers Maufacturers of aircraft must meet specific miimum criteria whe it comes to certifyig aircraft for use by the aircraft operators. It is recogised by the maufacturers that

More information

THE RURAL TERRITORIAL INFRASTRUCTURE, THE SUPPORT FOR RURAL TOURISM ECONOMY IN THE DANUBIAN AREA OF THE SOUTH MUNTENIA REGION

THE RURAL TERRITORIAL INFRASTRUCTURE, THE SUPPORT FOR RURAL TOURISM ECONOMY IN THE DANUBIAN AREA OF THE SOUTH MUNTENIA REGION THE RURAL TERRITORIAL INFRASTRUCTURE, THE SUPPORT FOR RURAL TOURISM ECONOMY IN THE DANUBIAN AREA OF THE SOUTH MUNTENIA REGION Iulia DRĂGHICI 1,Ioaa ŢUGUI 2 1 Uiversity of Agricultural Scieces ad Veteriary

More information

Greater Exeter Strategic Plan

Greater Exeter Strategic Plan Greater Exeter Strategic Pla Cosultatio: Issues Regulatio 18 February 2017 Greater Exeter Strategic Pla Itroductio The local authorities of East Devo, Exeter, Mid Devo, Teigbridge ad Devo Couty Coucil

More information

14th Northeast Lean PROFIT FROM LEAN. October 10-11, 2018 RI Convention Center, Providence RI

14th Northeast Lean PROFIT FROM LEAN. October 10-11, 2018 RI Convention Center, Providence RI 14th Northeast Lea Coferece 2018 October 10-11, 2018 RI Covetio Ceter, Providece RI PROFIT FROM LEAN GBMP ad The Northeast LEAN Coferece welcomes exhibitors ad sposors to participate i its aual Northeast

More information

Nonimmigrant and Immigrant Visa Options for Postdoctoral Researchers

Nonimmigrant and Immigrant Visa Options for Postdoctoral Researchers Noimmigrat ad Immigrat Visa Optios for Postdoctoral Researchers Jauary 24, 2018 Uiversity of Califoria, Sa Fracisco AGENDA Noimmigrat Visa Optios H-1B specialty occupatio J-1 ad 212(e) 2-Year Foreig Residecy

More information

2020 VISION Creating Tourism for Tomorrow. Explore Minnesota Tourism April 2009

2020 VISION Creating Tourism for Tomorrow. Explore Minnesota Tourism April 2009 2020 VISION Creatig Tourism for Tomorrow Explore Miesota Tourism April 2009 Tourism i 2020 Lookig ahead to 2020, Miesota's tourism idustry evisios a bright future for this key sector of the ecoomy, with

More information

The Impact of Travel Time Reliability and Perceived Service Quality on Airport Ground Access Mode Choice

The Impact of Travel Time Reliability and Perceived Service Quality on Airport Ground Access Mode Choice Joural of Choice Modellig, 4(2), pp 49-69 www.jocm.org.uk The Impact of Travel Time Reliability ad Perceived Service Quality o Airport Groud Access Mode Choice Mei-Lig Tam 1,* William H. K. Lam 2, Hig-Po

More information

Available online at ScienceDirect. Transportation Research Procedia 20 (2017 )

Available online at  ScienceDirect. Transportation Research Procedia 20 (2017 ) Available olie at www.sciecedirect.com ScieceDirect Trasportatio Research Procedia 20 (2017 ) 361 366 12th Iteratioal Coferece "Orgaizatio ad Traffic Safety Maagemet i Large Cities", SPbOTSIC-2016, 28-30

More information

INSECT S. DISEASE 'MANAGEMENT

INSECT S. DISEASE 'MANAGEMENT spiclq PRONG FOREST 'Alpo INSECT S. DISEASE 'MANAGEMENT A3 USDA FOREST SERVICE NORTHERN REGION State & Private Forestry Missoula, MT 59801 3400 November 1978 Report No. 78-18 NONEFFECTIVENESS OF RIBES

More information

Operational Safety Study: Landing without ATC clearance

Operational Safety Study: Landing without ATC clearance Network Maager omiated by the Europea Commissio EUROCONTROL Operatioal Safety Study: Ladig without ATC clearace Editio 1.0 Editio date: 20/05/2014 Status: Released Issue Iteded for: Geeral Public DOCUMENT

More information

Setting the standards for others to follow. Specialist Transport & Lifting Services

Setting the standards for others to follow. Specialist Transport & Lifting Services Settig the stadards for others to follow Specialist Trasport & Liftig Services 02 Cotact Details David Watso Trasport Settig the stadards for others to follow Cotact Details Essex Depot Earls Cole Busiess

More information

Giving your own firework display

Giving your own firework display Health ad Safety Givig your ow firework display How to ru ad fire it safely This is a free-to-dowload, web-friedly versio of HSG124 (Secod editio, published 2005). This versio has bee adapted for olie

More information

ANNUAL REPORT 2010 OUR APPROACH

ANNUAL REPORT 2010 OUR APPROACH ANNUAL REPORT 2010 OUR APPROACH At Boyd Gamig, measurig our o the big picture. Our approach is for our shareholders ad stregthe casio etertaimet compay. success has log bee about focusig to create log-term,

More information

Framework for an Airside Vehicle Driver Training Programme. Framework for Manoeuvring Area Vehicle Driver Training Programme

Framework for an Airside Vehicle Driver Training Programme. Framework for Manoeuvring Area Vehicle Driver Training Programme Appedix C Airside Vehicle Driver Traiig Itroductio Traiig Delivery Framework for a Airside Vehicle Driver Traiig Programme Framework for Maoeuvrig Area Vehicle Driver Traiig Programme Framework for a Radiotelephoy

More information

OESC 27 th EDITION/2018

OESC 27 th EDITION/2018 OESC 27 th EDITION/2018 CODE TRAINING OESC 27 th Editio/2018 Code Traiig OESC 2018 Geeral Level 1 Describe the ew ad ameded requiremets of the Geeral Sectios of the 2018 Otario Electrical Safety Code effective

More information

Safety & reliability of software-controlled systems. Part 7: Risk & safety

Safety & reliability of software-controlled systems. Part 7: Risk & safety Safety & reliability of software-cotrolled systems Part 7: Ris & safety Prof. Dr.-Ig. Stefa Kowalewsi Chair Iformati 11, Embedded Software Laboratory RWTH ache Uiversity Summer term 2014 Remider: Termiology

More information

AYSVILLE CITY OPEN HOUSE. the process is working and stable CITY EMBRACES THE PROCESS AND ROOM FOR DIFFERENCES: WED OCT 11. Annual Fire Prevention

AYSVILLE CITY OPEN HOUSE. the process is working and stable CITY EMBRACES THE PROCESS AND ROOM FOR DIFFERENCES: WED OCT 11. Annual Fire Prevention AYSVILLE CITY KUTAH S HOMETOWN EST 1850 Mayor Steve A. Hiatt l Coucil Members Susa Lee, Chris Sell, Larry Page, Dave Adams ad Jake Gar CITY EMBRACES THE PROCESS AND ROOM FOR DIFFERENCES: the process is

More information

CHAPTER FOUR RECOMMENDED NOISE COMPATIBILITY PROGRAM MEASURES

CHAPTER FOUR RECOMMENDED NOISE COMPATIBILITY PROGRAM MEASURES CHAPTER FOUR RECOMMENDED NOISE COMPATIBILITY PROGRAM MEASURES This chapter provides the detailed descriptios of the recommeded Part 150 oise abatemet, lad use maagemet, ad program maagemet measures for

More information

Bushfire safety & survival

Bushfire safety & survival Bushfire safety & survival for busiess ad orgaisatios Use this guide ad template to prepare your people ad your busiess for the ext bushfire seaso. Bushfire Iformatio Hotlie 1300 362 361 (TTY 133 677)

More information

ockleston bailey 86 NEWBOROUGH, SCARBOROUGH YO11 1ET PRIME FREEHOLD RETAIL INVESTMENT AND DEVELOPMENT OPPORTUNITY

ockleston bailey 86 NEWBOROUGH, SCARBOROUGH YO11 1ET PRIME FREEHOLD RETAIL INVESTMENT AND DEVELOPMENT OPPORTUNITY ocklesto bailey retail leisure ivestmet 86 NEWBOROUGH, SCARBOROUGH YO11 1ET PRIME FREEHOLD RETAIL INVESTMENT AND DEVELOPMENT OPPORTUNITY LET TO J G FOODS LIMITED TRADING AS GRAPE TREE Ivestmet Summary

More information

INTEGRATED TRANSPORT AND LAND USE POLICIES FOR DEVELOPING COUNTRIES: RELOCATION OF RESIDENCES, ROAD PRICING AND TRANSIT SUBSIDY

INTEGRATED TRANSPORT AND LAND USE POLICIES FOR DEVELOPING COUNTRIES: RELOCATION OF RESIDENCES, ROAD PRICING AND TRANSIT SUBSIDY Advaced OR ad AI Methods i Trasportatio INTEGRATED TRANSPORT AND LAND USE POLICIES FOR DEVELOPING COUNTRIES: RELOCATION OF RESIDENCES, ROAD PRICING AND TRANSIT SUBSIDY Dilum DISSANAYAKE 1 Abstract. Icompatibilities

More information

The number one procurement awards in the UK are returning to Glasgow with the GO Awards Scotland 2018/19!

The number one procurement awards in the UK are returning to Glasgow with the GO Awards Scotland 2018/19! Welcome The umber oe procuremet awards i the UK are returig to Glasgow with the GO Awards Scotlad 2018/19! To be held o the eveig of Procurex Scotlad Live 2018 23 October 2018 at the Marriott Hotel Glasgow

More information

A Comparison of Cirque Features in the Sierra Nevada and Trinity Mountains. Iris Surname Benjamin Holt Christopher Surname

A Comparison of Cirque Features in the Sierra Nevada and Trinity Mountains. Iris Surname Benjamin Holt Christopher Surname A Compariso of Cirque Features i the Sierra Nevada ad Triity Moutais Iris Surame Bejami Holt Christopher Surame April, 26 INTRODUCTION Cirques are geerally semicircular, amphitheatre like bowls with a

More information

Rockford Is Aerospace. m i d-am e r i ca s b e s t i n t e r n at i o n a l ae r o s pac e com m u n i t y

Rockford Is Aerospace. m i d-am e r i ca s b e s t i n t e r n at i o n a l ae r o s pac e com m u n i t y Rockford Is Aerospace m i d-am e r i ca s b e s t i t e r at i o a l ae r o s pac e com m u i t y Rockford Is Aerospace mid-america s best iteratioal aerospace commuity Techical Talet ad Maufacturig Excellece

More information

CUBA. The Art & Culture of Havana

CUBA. The Art & Culture of Havana CUBA The Art & Culture of Havaa February 14 to 21, 2015 Dear Pe Alumi ad Frieds, Cuba, though oly 90 miles from the Uited States, remais a mystery to most Americas. Now, by popular demad, Pe alumi ca get

More information

An Investigation for the Fuel Price Escalations on Optimum Speed in Maritime Transportation

An Investigation for the Fuel Price Escalations on Optimum Speed in Maritime Transportation Joural of Earth Scieces ad Geotechical Egieerig, vol.7, o. 1, 2017, 305-318 ISSN: 1792-9040 (prit versio), 1792-9660 (olie) Sciepress Ltd, 2017 A Ivestigatio for the Fuel Price Escalatios o Optimum Speed

More information

Planning for a connected future

Planning for a connected future Trugaia PRECINCT STRUCTURE PLAN parters i creatig ew commuities JULY 2013 Plaig for a coected future The costructio of the Regioal Rail Li ad Tareit trai statio mars the first phase i a ew future for Wydham

More information

Free Route Airspace developments

Free Route Airspace developments Network Maager omiated by the Europea Commissio EUROCONTROL Free Route Airspace developmets For a route-free Europea etwork Brochure FRA.idd 1 16/12/16 10:55 Brochure FRA.idd 2 16/12/16 10:55 TABLE OF

More information

35/37 HIGH STREET, NANTWICH, CW5 5DB ockleston bailey

35/37 HIGH STREET, NANTWICH, CW5 5DB ockleston bailey 35/37 HIGH STREET, NANTWICH, CW5 5DB ocklesto bailey retail leisure ivestmet PRIME FREEHOLD RETAIL INVESTMENT LET TO WH SMITH RETAIL HOLDINGS LIMITED Ivestmet Summary Prime promiet corer tradig locatio

More information

RUNWAY OPERATIONS: Computing Runway Arrival Capacity

RUNWAY OPERATIONS: Computing Runway Arrival Capacity RUNWAY OPERATIONS: Computig Ruway Arrival Capacity OR750 /SYST660 USE Ruway Capacity Spreadsheet Sprig 2008 Lace Sherry 1 CENTER FOR AIR TRANSPORTATION SYSTEMS RESEARCH Backgroud Air Trasportatio System

More information

CUBA INTERACTIONS. Havana, Cienfuegos & Trinidad

CUBA INTERACTIONS. Havana, Cienfuegos & Trinidad CUBA INTERACTIONS Havaa, Ciefuegos & Triidad October 18 to 25, 2014 Dear Pricetoia: Priceto Joureys is pleased to aouce that, by special permissio of the U.S. Departmet of the Treasury, the Office of the

More information

BOARD EXECUTIVE COMMITTEE Thursday, April 6, :30 p.m. EBRPD - Administrative Headquarters 2950 Peralta Oaks Court Oakland, California 94605

BOARD EXECUTIVE COMMITTEE Thursday, April 6, :30 p.m. EBRPD - Administrative Headquarters 2950 Peralta Oaks Court Oakland, California 94605 BOARD EXECUTIVE COMMITTEE Thursday, April 6, 2017 12:30 p.m. EBRPD - Admiistrative Headquarters 2950 Peralta Oaks Court Oaklad, Califoria 94605 The followig ageda items are listed for Committee cosideratio.

More information

Backpack. Travel Gear for the Avid Golfer. Limited One-Year Warranty

Backpack. Travel Gear for the Avid Golfer. Limited One-Year Warranty Limited Oe-Year Warraty Acushet Compay warrats its Titleist products for a period of oe year from the date of purchase agaist defects i materials or workmaship. Should your Titleist product fail to perform

More information

Operational Safety Study: Risk of operation without a transponder or with a dysfunctional one

Operational Safety Study: Risk of operation without a transponder or with a dysfunctional one Network Maager omiated by the Europea Commissio EUROCONTROL Operatioal Safety Study: Risk of operatio without a traspoder or with a dysfuctioal oe Editio 1.0 Editio date: 07/10/2014 Status: Released Issue

More information

Airport Master Plan to n n n n n n n n n n n n n n n n

Airport Master Plan to n n n n n n n n n n n n n n n n Airport Master Pla to 2030 April 2011 Robi Hood Airport Docaster Sheffield Heyford House, First Aveue Docaster DN9 3RH www.robihoodairport.com www.peel.co.uk Produced by Icocreate 0151 707 7774 Cotets

More information

Improving Bus Service Reliability: The Singapore Experience

Improving Bus Service Reliability: The Singapore Experience Improvig Bus Service Reliability: The Sigapore Experiece Waiya Leog a*,kare Goh b, Stephae Hess c, Paul Murphy d a Lad Trasport Authority, No. 1 Hampshire Road Sigapore 219428. b Miistry of Commuicatios

More information

Operational Safety Study: Controller Detection of Potential Runway and Manoeuvring Area Conflicts

Operational Safety Study: Controller Detection of Potential Runway and Manoeuvring Area Conflicts Network Maager omiated by the Europea Commissio EUROCONTROL Operatioal Safety Study: Cotroller Detectio of Potetial Ruway ad Maoeuvrig Area Coflicts Editio 1.0 Editio date: 01/12/2015 Status: Released

More information

Trading of Agricultural Products between Countries from Balkan Region

Trading of Agricultural Products between Countries from Balkan Region World Joural of Agricultural Research, 2015, Vol. 3, No. 2, 86-90 Available olie at http://pubs.sciepub.com/wjar/3/2/10 Sciece ad Educatio Publishig DOI:10.12691/wjar-3-2-10 Tradig of Agricultural Products

More information

PROGRESSING TOWARDS PROSPERITY

PROGRESSING TOWARDS PROSPERITY PROGRESSING TOWARDS PROSPERITY Cogizat of our resposibility to fulfill the eergy demads of the atio i a timely ad resposible maer, PSO ad its workforce cotiuously strive to esure availability of fuel products

More information

Contents. Editorial. Focus. Stakeholder Forum. Interview. Independent Platform. Review. Datelines. Update. Visits & Agreements

Contents. Editorial. Focus. Stakeholder Forum. Interview. Independent Platform. Review. Datelines. Update. Visits & Agreements Challeges of Growth Skyway is a quarterly publicatio of the Europea Orgaisatio for the Safety of Air Navigatio, EUROCONTROL Volume 12, Number 50, Witer 2008 Cotets 3 4 8 10 13 16 20 22 24 27 30 32 33 34

More information

Appendix E Aircraft Operators

Appendix E Aircraft Operators Appedix E Aircraft Operators Geeral Each aircraft operator is ivited to review ad prioritise the proposed actio pla for implemetatio. The followig guidace material is provided to assist i that implemetatio.

More information

Avonmouth, BRISTOL. Design AND build opportunities for up to 1.1 MILLION sq ft in an outstanding strategic location

Avonmouth, BRISTOL. Design AND build opportunities for up to 1.1 MILLION sq ft in an outstanding strategic location K RD BAN E MER portside N LANE NE LA ks Avomouth, BRISTOL ks KIN BO g oli Co k U E W GS YR AR ND ON ST WESTO D OA KINGS GY ER E EN ENTR C k Desig AND build opportuities for up to 1.1 MILLION sq ft i a

More information

EUROCONTROL RPAS ATM CONOPS. Edition 4.0

EUROCONTROL RPAS ATM CONOPS. Edition 4.0 EUROCONTROL RPAS ATM CONOPS Editio 4.0 DOCUMENT DESCRIPTION Documet Title RPAS ATM CONOPS Iteral Code ATM.STR.CONOPS-RPAS.V(E) Type Editio Editio Date Applicatio Date CONOPS V4.0 21/02/2017 21/02/2017

More information

UNDER NEW OWNERSHIP AND MANAGEMENT

UNDER NEW OWNERSHIP AND MANAGEMENT UNDER NEW OWNERSHIP AND MANAGEMENT 2 2 0 1 A N D 2 2 3 1 E A S T C A M E L B A C K R O A D P H O E N I X, A R I Z O N A Owed ad Operated by Exclusively Represeted by Camelback Road Locatio Features Located

More information

M a r k e t D e e P I N G a N D D e e P I N G S t J a M e S. including West Deeping and Langtoft

M a r k e t D e e P I N G a N D D e e P I N G S t J a M e S. including West Deeping and Langtoft M a r k e t D e e P I N G a N D D e e P I N G S t J a M e S icludig West Deepig ad Lagtoft M a r k e t D e e P I N G a N D D e e P I N G S t J a M e S Commuities to ejoy From woolly rhioceros to busiess

More information

HAVANA EXPLORATION March 22 to 29, 2014

HAVANA EXPLORATION March 22 to 29, 2014 EXPLORATION March 22 to 29, 2014 Dear Pricetoia: Priceto Joureys is pleased to aouce that, by special permissio of the U.S. Departmet of the Treasury, the Office of the Alumi Associatio has bee awarded

More information

re aviation SPRING/SUMMER 13/14

re aviation SPRING/SUMMER 13/14 re aviatio SPRING/SUMMER 13/14 Isight ad aalysis to help create sustaiable value from aviatio assets I this editio: Preparig for Chia The positives from the airport moitorig report Smartgate the quiet

More information

Research On Reducing The Cost of Stopping Port By Queuing Theory

Research On Reducing The Cost of Stopping Port By Queuing Theory Research O Reducig Cost of Stoppig Port By Queuig ory Astract Ligyu Dog Merchat shippig college, Shaghai maritime uiversity, Shaghai 20306, Chia. 20940000@qq.com With the developmet of gloal ecoomic itegratio,

More information

READY! SET! GO! YOUR PERSONAL WILDFIRE ACTION PLAN

READY! SET! GO! YOUR PERSONAL WILDFIRE ACTION PLAN READY! SET! GO! YOUR PERSONAL WILDFIRE ACTION PLAN READY! SET! GO! Wildfire Actio Pla Savig Lives ad Property through Advace Plaig Dear Residet, Los Ageles Couty is oe of the most beautiful places to live,

More information

From the Aegean Sea to the Bay of Naples

From the Aegean Sea to the Bay of Naples Low Rates! SIGMAXI EXPEDITIONS THE SCIENTIFIC RESEARCH SOCIETY BETCHART EXPEDITIONS Ic. 17050 Motebello Road, Cupertio, CA 95014-5435 From the Aegea Sea to the Bay of Naples Explorig the Classical Mediterraea

More information

Brooklyn Park Ten-Year Parks and Recreation System Plan. EXECUTIVE SUMMARY January 22, 2018

Brooklyn Park Ten-Year Parks and Recreation System Plan. EXECUTIVE SUMMARY January 22, 2018 Brookly Park Te-Year Parks ad Recreatio System Pla Jauary 22, 2018 INTRODUCTION Parks ad recreatio systems are kow to provide a critical role i trasformig cities ito vibrat, healthy commuities. Parks provide

More information

What to do if uncertain of your position on the manoeuvring area

What to do if uncertain of your position on the manoeuvring area Appedix A Commuicatios Guidace Itroductio Factors affectig commuicatio breakdow Loss of commuicatio ad ruway icursios Aviatio laguage for iteratioal services Ruway Frequecy Aerodrome Cotrol Phraseologies

More information

2.0 System Overview and Policies

2.0 System Overview and Policies 2.0 System Overview ad Policies This chapter provides a overview of the subareas withi Sa Berardio Couty as well as a set of overarchig policies to guide the Pla ad its implemetatio. The focus of the Pla

More information

THE ROYAL OAK FOUNDATION A GRAND VISION. 450 Years of Cuban Art & Architecture. Havana, Matanzas & Cardenas

THE ROYAL OAK FOUNDATION A GRAND VISION. 450 Years of Cuban Art & Architecture. Havana, Matanzas & Cardenas THE ROYAL OAK FOUNDATION A GRAND VISION 450 Years of Cuba Art & Architecture Havaa, Matazas & Cardeas February 22 to March 1, 2014 THE ROYAL OAK FOUNDATION Dear Members ad Frieds of Royal Oak, I am delighted

More information

ANA HOLDINGS Financial Results for the Year ended March 31, 2017

ANA HOLDINGS Financial Results for the Year ended March 31, 2017 1 ANA HOLDINGS NEWS ANA HOLDINGS Fiacial Results for the Year eded March 31, 2017 TOKYO, April 28, 2017 ANA HOLDINGS (hereafter ANA HD ) today reports its cosolidated fiacial results for fiscal year 2016

More information

EUROCONTROL IMPACT ASSESSMENT OF PCP IR AF1 ON MILITARY OPERATIONS

EUROCONTROL IMPACT ASSESSMENT OF PCP IR AF1 ON MILITARY OPERATIONS EUROCONTROL IMPACT ASSESSMENT OF PCP IR AF1 ON MILITARY OPERATIONS A Overarchig Isight Iformatio Paper - Editio 15 Jauary 2016 We help our Member States ru safe, efficiet ad evirometally-friedly air traffic

More information

EXCITING DEVELOPMENT/ OWNER-OCCUPIER OPPORTUNITY IN THE HEART OF KENTISH TOWN. THE SHED Kentish Town NW5

EXCITING DEVELOPMENT/ OWNER-OCCUPIER OPPORTUNITY IN THE HEART OF KENTISH TOWN. THE SHED Kentish Town NW5 EXCITING DEVELOPMENT/ OWNER-OCCUPIER OPPORTUNITY IN THE HEART OF KENTISH PROPERTY SUMMARY Freehold Office use (B1a) Osite parkig for 6 cars, additioal parkig available o Regis Road Sold with the beefit

More information

CHINA CLIPPER. Education Program

CHINA CLIPPER. Education Program A SA eu M us CHINA CLIPPER Educatio Progra s hi ve Ar c ct io Se W or g ki G ro up e pl Ex a SFO MUSEUM Chia Clipper A Educatioal Progra for Grade Two ad Grade Three Studets This is a free, hads-o educatioal

More information

Forecasting Tourist Arrivals in Greece and the Impact of Macroeconomic Shocks from the Countries of Tourists Origin

Forecasting Tourist Arrivals in Greece and the Impact of Macroeconomic Shocks from the Countries of Tourists Origin Forecastig Tourist Arrivals i Greece ad the Impact of Macroecoomic Shocks from the Coutries of Tourists Origi Dimitrios Gouopoulos Uiversity of Surrey, UK Dimitris Petmezas Uiversity of Surrey, UK Daiel

More information

EasyRoom. Do-it-yourself sunroom and screen room kits. For more information, visit patioenclosures.com/easyroom or call

EasyRoom. Do-it-yourself sunroom and screen room kits. For more information, visit patioenclosures.com/easyroom or call EasyRoom Do-it-yourself suroom ad scree room kits For more iformatio, visit patioeclosures.com/easyroom or call 800-230-8301 Fiacig available easyroom Suroom ad Scree Room Kits Get the quality ad craftsmaship

More information

aviation Insight and analysis to help create sustainable value from aviation assets SPRING 2013 In this edition:

aviation Insight and analysis to help create sustainable value from aviation assets SPRING 2013 In this edition: re SPRING 2013 aviatio Isight ad aalysis to help create sustaiable value from aviatio assets I this editio: Preparig for Chia The positives from the airport moitorig report Smartgate the quiet revolutio

More information

ESTIMATION OF BUS TRAVEL ORIGIN-DESTINATION MATRIX ON A CORRIDOR USING SCREENLINE COUNTS ABSTRACT

ESTIMATION OF BUS TRAVEL ORIGIN-DESTINATION MATRIX ON A CORRIDOR USING SCREENLINE COUNTS ABSTRACT ESIAION OF BUS RAVEL ORIGIN-DESINAION ARIX ON A CORRIR USING SCREENLINE COUNS Sama J. WIDANAPAHIRANAGE a ad Amal S. KUARAGE b a Road Developmet Authority, Battaramulla, Sri Laka b Departmet of Civil Egieerig,Uiversity

More information

Research Article A QFD-Based Evaluation Method for Business Models of Product Service Systems

Research Article A QFD-Based Evaluation Method for Business Models of Product Service Systems Hidawi Publishig Corporatio Mathematical Problems i Egieerig Volume 2016, rticle ID 8532607, 15 pages http://dxdoiorg/101155/2016/8532607 Research rticle QFD-Based Evaluatio Method for Busiess Models of

More information

SmartCompliance. Business First Aid Solutions

SmartCompliance. Business First Aid Solutions SmartCompliace Busiess First Aid Solutios SmartCompliace BY SmartCompliace is the Smart Choice SmartCompliace The iovative SmartCompliace Program redefies busiess first aid. These powerful compoets work

More information

CUBA INTERACTIONS. Havana, Cienfuegos & Trinidad

CUBA INTERACTIONS. Havana, Cienfuegos & Trinidad CUBA INTERACTIONS Havaa, Ciefuegos & Triidad October 31 to November 7, 2015 Dear Pricetoia: Priceto Joureys is pleased to aouce aother opportuity to travel to Cuba, a coutry log off-limits to America travelers,

More information

SIXTEEN BOWLING GREEN LANE PRIME CENTRAL LONDON FREEHOLD INVESTMENT OPPORTUNITY

SIXTEEN BOWLING GREEN LANE PRIME CENTRAL LONDON FREEHOLD INVESTMENT OPPORTUNITY SIXTEEN BOWLING GREEN LANE PRIME CENTRAL LONDON FREEHOLD INVESTMENT OPPORTUNITY PRIME CENTRAL LONDON INVESTMENT OPPORTUNITY ivestmet summary Prime Cetral Lodo Freehold. 7,869 sq ft of ewly refurbished

More information

Carport Syste. Carport System. Formsteel Industries. Innovative. building. systems

Carport Syste. Carport System. Formsteel Industries. Innovative. building. systems Carport Syste Carport System Formsteel Idustries Carports Multi Etry Carports Covered Yards Walkways Shelters Boat & Camperva Covers Iovative buildig systems Itroducig Itroducig the Formsteel Formsteel

More information

SAFETY STOCK ESTIMATION OF UNIT LOAD DEVICES FOR INTERNATIONAL AIRLINE OPERATIONS

SAFETY STOCK ESTIMATION OF UNIT LOAD DEVICES FOR INTERNATIONAL AIRLINE OPERATIONS Joural of Marie Sciece ad Techology, Vol. 2, No. 4, pp. 43-44 (22) 43 DOI:.69/JMST--322- SAFETY STOCK ESTIMATION OF UNIT LOAD DEVICES FOR INTERNATIONAL AIRLINE OPERATIONS Hua-A Lu ad Chie-Yi Che 2 Key

More information

MUSEUM TRAVEL ALLIANCE. Cuba: An Insider s View XIII Havana Art Biennial. With local experts Wilfredo Benítez and Joel Estévez González

MUSEUM TRAVEL ALLIANCE. Cuba: An Insider s View XIII Havana Art Biennial. With local experts Wilfredo Benítez and Joel Estévez González MUSEUM TRAVEL ALLIANCE Cuba: A Isider s View XIII Havaa Art Bieial With local experts Wilfredo Beítez ad Joel Estévez Gozález April 23 28, 2019 MUSEUM TRAVEL ALLIANCE Dear Travelers ad Frieds, Please joi

More information

YOUR VALUE LEADER SHASTA OASIS 2 MODEL 25RS

YOUR VALUE LEADER SHASTA OASIS 2 MODEL 25RS SHA STA - OASIS LIGHT WEIGHT TRAVEL TRAILERS LE ADING VALUE IN THE RV INDUSTRY YOUR VALUE LEADER SHASTA OASIS 2 MODEL 25RS MODEL 25RS SPACIOUS LIVING You will ejoy your time spet campig i a Oasis. Exceptioally

More information

Havana Culture, Cuisine & History

Havana Culture, Cuisine & History Havaa Culture, Cuisie & History March 17-23, 2018 Dear Alumi of Dartmouth College: Though just 90 miles from the Uited States, Cuba remais a mystery to most Americas. Now, durig a i-depth visit, travelers

More information

SEPTEMBER ALEXANDRIA, VA

SEPTEMBER ALEXANDRIA, VA SEPTEMBER 12-14 ALEXANDRIA, VA WOMEN S BUSINESS CENTERS LEADERSHIP CONFERENCE September 25-27, 2018 LOCATION: Westi Tampa Waterside 725 S Harbour Islad Blvd, Tampa, FL 33602 813.229.5000 OTHER INFO: AWBC.org

More information

Tour of New York Angus Story & photos by Kasey Brown, associate editor

Tour of New York Angus Story & photos by Kasey Brown, associate editor Tour of New York Agus Story & photos by Kasey Brow, associate editor F or those outside the state, New York is ot ofte associated with agriculture, but more tha 220 attedees of the 2013 Natioal Agus Coferece

More information

Spares are readily available to help maximise the working life of every (page 49) Pushbutton. Lever. Water-saving flushing. Close-coupled.

Spares are readily available to help maximise the working life of every (page 49) Pushbutton. Lever. Water-saving flushing. Close-coupled. LIFE STYLE 4-4:MASTER SPREAD.qxd /06/0 6:57 Page Exposed cisters Dudley exposed plastic cisters have established a urivalled track record i millios of successful Our light to medium duty cisters are perfect

More information

INCLOVER. Ideas to utilise your home both cost effectively. AND beautifully. Your home improvement magazine. Summer 2015

INCLOVER. Ideas to utilise your home both cost effectively. AND beautifully. Your home improvement magazine. Summer 2015 Summer 2015 INCLOVER Your home improvemet magazie The people who realise the projects P3 Advice o expadig your home P4/5 Re structurig with eergy efficiecy P6/7 Paymet optios to spread the cost P8/9 Usig

More information

OUR EXISTING PARK SYSTEM

OUR EXISTING PARK SYSTEM OUR EXISTING PARK SYSTEM People who live closer to parks report better metal health eve if they do t actually exercise there. This may be particularly true for parks with a lot of trees, grass, ad other

More information

4722 & 4742 NORTH 24TH STREET PHOENIX, ARIZONA A SENSE OF PLACE. exclusively represented by

4722 & 4742 NORTH 24TH STREET PHOENIX, ARIZONA A SENSE OF PLACE. exclusively represented by 4722 & 4742 NORTH 24TH STREET PHOENIX, ARIZONA A SENSE OF PLACE owed by exclusively represeted by MAIN & MAIN LOCATION. ONE OF THE NATION S PREMIER INTERSECTIONS A first-class project i a icoic eighborhood.

More information

Prioritization of Forms of Tourism in Iran to Formulate National Strategies

Prioritization of Forms of Tourism in Iran to Formulate National Strategies Europea Joural of Scietific Research ISSN 1450-216X Vol.65 No.1 (2011), pp. 144-152 EuroJourals Publishig, Ic. 2011 http://www.europeajouralofscietificresearch.com Prioritizatio of Forms of Tourism i Ira

More information

Application of Intelligent Transportation Systems in Vietnam: Challenges and opportunities for sustainable transportation

Application of Intelligent Transportation Systems in Vietnam: Challenges and opportunities for sustainable transportation Applicatio of Itelliget Trasportatio Systems i Vietam: Challeges ad opportuities for sustaiable trasportatio Paper Idetificatio umber: SCS12-013 Truog Hoag Hai 1, Dih Va Hiep 2 Istitute of Plaig ad Trasportatio

More information

Phase II Archaeological Testing at the John Brice II House (18AP53), 195 Prince George Street, Annapolis, Maryland 2013

Phase II Archaeological Testing at the John Brice II House (18AP53), 195 Prince George Street, Annapolis, Maryland 2013 Phase II Archaeological Testig at the Joh Brice II House (18AP53), 195 Price George Street, Aapolis, Marylad 2013 By Kathry H. Deeley Departmet of Athropology Uiversity of Marylad College Park, MD 20742

More information

Peace Corps Improved Cookstoves Handbook

Peace Corps Improved Cookstoves Handbook Peace Corps Improved Cookstoves Hadbook Peace Corps Iformatio Collectio ad Exchage Publicatio No. M0091 Iformatio Collectio ad Exchage The Peace Corps Iformatio Collectio ad Exchage (ICE), a uit of the

More information