Writing in a linked Comment, Dr Shabbar Jaffar, Liverpool School of Tropical Medicine, UK, says: «The prevalence of diabetes in sub-Saharan Africa has increased rapidly in the past 10 years or so, affecting people in all sectors of society but, in particular, and disproportionally compared with high - income settings, affecting younger people, with
substantial economic effects.
Not exact matches
In Marten Falls, band members are on the fence, assuming they will see
substantial economic benefits but worried about the environmental
effects of mining.
«While the overall
effect of the 1MDB saga is hard to pin down, suffice to say that it is not something that Malaysia needs at this point, given that it already faces a number of
substantial economic challenges ahead,» echoed OCBC economist Wellian Wiranto said in a note on Wednesday.
Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical costs and price effectively and develop and maintain good relationships with physicians, hospitals and other health care providers; the impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits of such transactions, including with respect to the Merger; the
substantial level of government regulation over our business and the potential
effects of new laws or regulations or changes in existing laws or regulations; the outcome of litigation, regulatory audits, investigations, actions and / or guaranty fund assessments; uncertainties surrounding participation in government - sponsored programs such as Medicare; the effectiveness and security of our information technology and other business systems; unfavorable industry,
economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; our ability to obtain shareholder or regulatory approvals required for the Merger or the requirement to accept conditions that could reduce the anticipated benefits of the Merger as a condition to obtaining regulatory approvals; a longer time than anticipated to consummate the proposed Merger; problems regarding the successful integration of the businesses of Express Scripts and Cigna; unexpected costs regarding the proposed Merger; diversion of management's attention from ongoing business operations and opportunities during the pendency of the Merger; potential litigation associated with the proposed Merger; the ability to retain key personnel; the availability of financing, including relating to the proposed Merger;
effects on the businesses as a result of uncertainty surrounding the proposed Merger; as well as more specific risks and uncertainties discussed in our most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.cigna.com as well as on Express Scripts» most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.express-scripts.com.
However, the report qualified this by saying that «in terms of national resource use, the
economic effects of a ban on hunting would be unlikely to be
substantial», with the
effects most likely to have dissipated within a decade, but that in the short term «the individual and local
effects would be more serious».
«As the world gets more connected and aviation grows, there may be
substantial potential for cascading
effects,
economic and otherwise.»
In an analysis of the
effects of the 1990 Kentucky Education Reform Act recently published in the Kentucky Annual
Economic Report, a professor of economics at the University of Kentucky asserts that the state's higher school spending levels have not led to significant gains on national tests or
substantial improvements in the dropout rate.
Research has shown that educating a girl has
substantial positive
effects on child mortality and nutrition, overall family health, fertility rates, women's domestic empowerment, women's wages, and, most interestingly, overall countrywide
economic development.
«As the world gets more connected and aviation grows, there may be
substantial potential for cascading
effects,
economic and otherwise.»
Additionally primary responsibility for climate catastrophe falls on those who bear
substantial responsibility by dint of
economic positioning, scientific obfuscation, political patronage, political influence or political position as to the direction of our political -
economic system, where that system
effects our society's energy and land use and therefore climate impacts.
The main
effects of improvements to
economic freedom are mediated through entrepreneurship and are
substantial.
Overall the NNTT said that the project was of general
economic significance and would not have a
substantial effect on the Martu and their interests, except for the
effect on Lake Disappointment, a place of special significance.
This leads to
substantial economic costs for the Australian health system and devastating
effects for sufferers, loved ones and the communities that surround them.
A transaction has
economic substance if: (1) the transaction changes in a meaningful way (apart from Federal income tax
effects) the taxpayer's
economic position; and (2) the taxpayer has a
substantial purpose (apart from Federal income tax
effects) for entering into such transaction.