23 November 2020
Comments: Comments Off on November 23, 2020 Clerk Craft Award Notice

November 23, 2020 Clerk Craft Award Notice

Clerk Craft Award Notice for November 23, 2020 have been posted on the Bid Results page of this website.

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12 November 2020
Comments: Comments Off on November 9, 2020 Clerk Craft Vacancy Notice

November 9, 2020 Clerk Craft Vacancy Notice

The November 9, 2020 Clerk Craft Vacancy Notice has been posted on the Bid Postings page of this website.

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3 November 2020
Comments: Comments Off on Colon Cancer Screening Should Start at Age 45

Colon Cancer Screening Should Start at Age 45

TUESDAY, Oct. 27, 2020 (HealthDay News) — Average folks should start being screened at age 45 to prevent colon cancer, five years earlier than is now recommended, the nation’s top preventive medicine panel says.
The U.S. Preventive Services Task Force currently recommends that people aged 50 to 75 be regularly screened for colon cancer, one of a handful of cancers that can be prevented outright.
But new data suggests that screening earlier could save even more lives, said task force member Dr. Michael Barry, director of the Informed Medical Decisions Program in the Health Decision Sciences Center at Massachusetts General Hospital in Boston.”We have epidemiologic data that the risks of colorectal cancer are increasing before age 50, particularly in that 45- to 49-year-old age group,” Barry said.
Computer models suggest that about 25 colon cancer deaths are prevented for every 1,000 Americans between 50 and 75 who are screened, Barry said.
The earlier start is expected to prevent at least one more death per every 1,000 screened, Barry said.
Under the Affordable Care Act, health insurance companies are required to cover the full cost of any screening test recommended by the U.S. Preventive Services Task Force (USPSTF). The task force is an independent, volunteer panel of national experts in prevention and evidence-based medicine.
This guideline covers people at average risk for colon cancer, Barry said. People with factors that put them at higher risk — for example, a strong family history of colon cancer — might need to start screening even earlier, and should discuss it with their doctor.
Colon cancer almost always develops from precancerous polyps that form in the colon or rectum. These screening tests detect the presence of these polyps, so they can be removed before they turn into cancer.
Colonoscopy is the most widely known colon cancer screening method, but it’s not the only one, Barry said.
“There are a whole group of tests that can reduce the risk that someone will die of colorectal cancer,” he said.
For example, people can have their stool tested for the presence of tiny amounts of blood, which can indicate the presence of either cancer or polyps.
“That strategy, according to our modeling, can be about as good as colonoscopy in terms of reducing risk,” Barry said.
The frequency a person undergoes screening would depend on the type of test they choose, Barry said. A person with a clean colonoscopy wouldn’t have to be rechecked for a decade, while stool blood tests are often done every one to three years.
When the USPSTF last updated its colon cancer guidelines in 2016, it kept the age at which screening begins at 50 because they were concerned about the strength of the data supporting an earlier start, explained Robert Smith, senior vice president of cancer screening for the American Cancer Society.
The American Cancer Society updated its guidelines in 2018 to recommend that colon cancer screening start at age 45, he added.
“By 2018, we had new data that showed convincingly an increase in incidence in adults under the age of 50,” Smith said. “The data has shown this is a birth cohort effect, and the incidence could be expected to continue to rise.”
The USPSTF updates individual screening recommendations every four years, and “we anticipated when the task group updated their guidelines again in 2020 that they would likely reach the same decision,” Smith said. “The good news now is that they’ve reached the same decision we reached two years ago.”
“Now the public and physicians will have a set of recommendations that are for all practical purposes the same when it comes to when you should begin colorectal cancer screening,” Smith said.
The bad news is that even now people who should get screened are not, Barry and Smith said.
“People do not routinely start screening at the age of 50,” Smith said. “Usually the average age is in the mid-50s. That means during this period of rising incidence we are missing an opportunity to prevent colorectal cancer and detect it early.”
“It looks like about 25% of eligible Americans have not been screened for colorectal cancer,” Barry said. “That will lead to some colorectal cancer deaths that could be prevented, and that’s always a tragedy.”
The USPSTF is taking public comment on this draft recommendation from Oct. 27 through Nov. 23. The task force will consider all comments it receives, and release a final recommendation shortly afterward.
More information
The U.S. Centers for Disease Control and Prevention has more about colon cancer screening.
SOURCES: Michael Barry, M.D., director, Informed Medical Decisions Program, Health Decision Sciences Center, Massachusetts General Hospital, Boston; Robert Smith, Ph.D., senior vice president, cancer screening, American Cancer Society, Atlanta

3 November 2020
Comments: Comments Off on October 30, 2020 Clerk Craft Award Notice

October 30, 2020 Clerk Craft Award Notice

Clerk Craft Award Notice for October 30, 2020 have been posted on the Bid Results page of this website.

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3 November 2020
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APWU – Penalty Overtime Exclusion Period 2020

As a matter of general interest, the “Penalty Overtime Exclusion” period for calendar year 2020 as referenced in Article 8, Sections 4 and 5 of the NALC and APWU National Agreements will begin Pay Period 25-20 – Week 2 (November 28, 2020) and end Pay Period 01-21 -Week 1 (December 25, 2020).

For the full letter from David E. Mills, Manager, Labor Relations Policies and Programs, click here.


10 October 2020
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October 9, 2020 Clerk Craft Vacancy Notice

The October 9, 2020 Clerk Craft Vacancy Notice has been posted on the Bid Postings page of this website.

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1 October 2020
Comments: Comments Off on September 30, 2020 Clerk Craft Award Notice

September 30, 2020 Clerk Craft Award Notice

Clerk Craft Award Notice for September 30, 2020 have been posted on the Bid Results page of this website.

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23 September 2020
Comments: Comments Off on September 22, 2020 Clerk Craft Award Notice

September 22, 2020 Clerk Craft Award Notice

Clerk Craft Award Notice for September 22, 2020 have been posted on the Bid Results page of this website.

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10 September 2020
Comments: Comments Off on September 9, 2020 Clerk Craft Vacancy Notice

September 9, 2020 Clerk Craft Vacancy Notice

The September 9, 2020 Clerk Craft Vacancy Notice has been posted on the Bid Postings page of this website.

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5 September 2020
Comments: Comments Off on Annual Leave Carryover

Annual Leave Carryover

The annual leave carryover from leave year 2020 into leave year 2021 has been raised to 520 hours. Normally the carryover of annual leave is limited to 440 hours. This carryover of 520 hours only applies from leave year 2020 into leave year 2021.
Robert Jeffrey
APWU, President
Oakland Local #78
For the Full MOU, Click Here.