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The state of Kerala has declared Corona Virus impact as State Calamity (A State of Health Emergency ) by invoking the provisions of Sec 2(d) of the National Disaster Management Act 2005.With this the state has many executive powers to coordinate and work upon with this calamity. As reclarified by State CM and Health Minister, the decree is NOT MADE TO MAKE PEOPLE PANIC, rather to ensure effective coordination of state resources to fight against the deadly viral attack.Isolation wards set up in major hospitals of the state with WHO protocols of personal protection being observed.So far, only 3 cases are reported which is still minimal, but Kerala expects more cases as nearly 2400+ people are under medical surveillance and 84 quarantined across the state, due to their case history of visiting China and likely chances of being affected.With this official decree, the state administration has sweeping powers to do anything to control this disaster.The entire leaves and holidays of medical staff and doctors has been cancelled and all being asked to report to duty.Private hospitals, clinics and diagnosis centers were instructed to feed all data they have into DHS Central Surveillance system to moinitor any remote chancesCollectors, Subcollectors and other administrative officials who were about to go on annual training at Civil Service Academy in Mussoorie has been recalled and asked to report back to dutiesThe entire medico fraternity has to attend all mandatory training in handling and treating NCoV viruses as per WHO protocols.It now became mandatory for all people to cooperate with State Health Inspectorate. Hiding any information from Health Inspectors or Social Medicine Doctors on visit, is a criminal offence.The Health Inspectors now have powers to inspect all private premises even without a warrant.The govt has notified Police department to arrest any one and forcibly admit in authorized NCoV treating hospitals, in event the person showing symptoms and refraining modern treatments.The police also been ordered to arrest anyone under Non-Bailable charges in event of spreading misinformation about Corona Virus, that can create panic or misguides public.The State Medical University can legally mobilize 1 Lakh (100,000) medical student fraternity for mandatory NCoV public surveillance and treatment support areas. The university has now ordered for so which will be part of their mandatory duty.Collectors now have powers to restrict movement or close any area, if deemed unsafe by DMOs, in event of any chance of epidemic. Using these provisions, movement into Kerala from Wayanad border has been limited by Wayanad collector and blanket ban has imposed for any sort of group activities like picnics, excursions, study holidays etc by educational institutions.Collectors to daily chair District Medical Committee meetings and DMOs are required to update the progress of surveillance and details of observations to the collectors. This will be evaluated at State High Power Committee for Healthcare affairs on weekly basisDistrict Education Offices are now advised to conduct regular programs in schools across each district to train students, teachers and parents in sanitizing their environment, body and use of masks etc, apart from general medical awareness of NCoV.LSGs are now legally mandated to conduct regular clean ups and public sanitation programs to avoid any remote chance of epidemic. Fogging has been started in many cities of Kerala.Health Inspectorate started thermal scanning even in domestic airports across the state and NCoV desks opened across all bus stations, railway stations etc to monitor passengers.Every district is now mandatory to have minimum 10 well sanitized NCoV protocol following ambulances with PPT kits for its staff. Such ambulance staff are trained with NCoV protocols.Advisories has been issued to reduce the number of larger social gatherings across the state until Feb 14th.Tourism authorities have issued orders evict any Chinese travellers quickly (as their visas are now cancelled by Central Govt) and a temporary ban over Japanese, HK, Korean, Vietnamese, Nepal and Sri Lankan guests in home-stays facilities in the state. They can live only in hotels/resorts now. Homestays and home aggregrators like AirBnB etc are asked to report the nationalities of their guests again to Kerala Tourism directly.The state will observe an incubation period of 28 days instead of WHO’s 14 day incubation period to avoid any chance of epidemic. Its now a legal offence for anyone on surveillance or quarantine to discard the incubation period. Out of 60 who came directly from Wuhan to Kerala and kept under surveillance, 2 have escaped and fled to Saudi Arabia. The DHS has informed Immigration Bureau and Ministry of Foreign affairs to reciprocate the matter with Saudi counterparts on the same.These are the current implications of declaring this as State Calamity. The government also activated the SOP to prevent outbreak and coordinating well with NCDC of Indian government.The state has deployed nearly 200 Health Inspectors and 171 Social Community doctors as part of surveillance and social counselling. As of now, 1043 people were counselled by the special task force.The DHS also started regular Corona awareness video in many social media channels and in mainstream channels to keep people prepare about it.The official awareness video released by IPRD and DHS.Coronavirus: Other states can learn from KeralaWhy all 3 coronovirus cases in India now are from KeralaCoronavirus in Kerala: Why all novel coronavirus cases so far are from Kerala | Kochi News - Times of India3 patients, 2,155 persons under quarantine: Why Kerala could have a lesson on how to contain coronavirusWith coronavirus case confirmed, Kerala requests travellers from China to report inCoronavirus in Kerala: Several coronavirus carriers still undetected in Kerala? | Kochi News - Times of IndiaCoronavirus: Health dept prepares action plans; state all set to fightCoronavirus: What is the Kerala-Wuhan connect?How Kerala is fighting coronavirus

Does the AMA consider being transgender a disorder?The short answer here is: “No”.The longer answer is that not only do the AMA not consider it a disorder, neither do any other health-care professional bodies…New policy adopted at the World Medical Association’s (WMA) recent General Assembly meeting in Moscow addresses guidelines on transgender health care. The guidelines are directed to physicians to enable them to increase their knowledge and sensitivity towards transgender people and the unique health issues they face. The WMA emphasized that everyone has the right to determine their own gender and that gender incongruence is not in itself a mental disorder.This summer, the AMA Advisory Committee on Lesbian, Gay, Bisexual and Transgender issues (LGBT) reviewed the guidelines for transgender health care written by the German Medical Association and introduced at the World Medical Association (WMA). The Committee advised the AMA delegation that the proposed guidelines were sound and affirming.“Our advisory committee is proud to have supported the WMA’s adoption of this policy that combats transphobia across the globe,” said Brian Hurley, chair of the AMA LGBT Advisory Committee. “Transgender people everywhere in the world deserve optimal medical care from their physicians.”WMA adopts transgender-affirming policyConsidering that the AMA were in support of the WMA association policy, if stands to reason that the AMA do not consider being transgender a disorder.It’s also worth noting that the AMA have had this to say:The AMA supports public and private health insurance coverage for treatment of gender dysphoria and opposes the denial of health insurance based on sexual orientation or gender identity.The AMA opposes policies preventing transgender individuals from accessing basic human services and public facilities consistent with gender identity, including the use of restrooms.Advocating for the LGBTQ communityThis is also in line with the APA (who author The Diagnostic and Statistical Manual of Mental Disorders (DSM–5)), where being transgender is not listed as a disorder (and even Gender Dysphoria is listed as a condition, not a disorder). And it is in line with the World Health Organisation who author the International Classification of Diseases 11th Revision (ICD-11), where:ICD-11 has redefined gender identity-related health, replacing diagnostic categories like ICD-10’s “transsexualism” and “gender identity disorder of children” with “gender incongruence of adolescence and adulthood” and “gender incongruence of childhood”, respectively. Gender incongruence has thus broadly been moved out of the “Mental and behavioural disorders” chapter and into the new “Conditions related to sexual health” chapter. This reflects evidence that trans-related and gender diverse identities are not conditions of mental ill health, and classifying them as such can cause enormous stigma.Inclusion of gender incongruence in the ICD should ensure transgender people’s access to gender-affirming health care, as well as adequate health insurance coverage for such services. Recognition in the ICD also acknowledges the links between gender identity, sexual behaviour, exposure to violence and sexually transmitted infections.WHO/Europe brief – transgender health in the context of ICD-11So I think it’s fairly safe to say that the AMA do not consider being transgender a disorder… It’s a shame that there are so many bigots out there who have not yet read that memo…

I think that the question is a leading one. You could ask someone “if they have stopped beating their wife.” No matter what the answer is they are condemned.Equally do you mean the chemicals which are harmful, or are you asking if the exposure to ‘chemicals’ in e cigarettes will cause harm?And again, what exactly is meant by ‘exposure?’All chemicals are harmful. The poison is in the dose.Will e cigarette cause harmWill exposure to the chemicals in e cigarettes have benefits.All chemicals are harmful . Take oxygen for example. We cannot live without it yet over exposure will kill. Therefore, the question has to be, if it is to make sense at all, “Is exposure to chemicals in e cigarettes harmful?The answer is, not likely in the short and medium terms. So far there is no evidence of actual harm from exposure to vapour from e cigarettes. In the long term, it is not likely, but the possibility remains until evidence, one way or another, emerges.You may be thinking about recent headlines screaming about all sorts of awful consequences as a result of vaping. They are, quite frankly, the desperate rantings from universities and research establishments who make a killing from backing up the dogma of Tobacco Control.Do not believe me… (Forgive me for just cutting and pasting the rest of this answer… Link Vaping Quotes"The risk is negligible and compared with smoking, there is no contest."- Prof R West Smoke without fire... The rise of e-cigarettes and the vape"Among millions of e-cigarette users, credible adverse events are almost non-existent."- Prof B Rodu(commenting on the miniscule number of adverse event reports for ecigs, lodged with the FDA; 47 reports vs >10,000 for Chantix, in exactly the same time period since introduction, and with a larger ecig userbase than for Chantix)"In exposure terms, quitting equates to switching to the e-cig."- Prof R Polosa"We have such a massive opportunity here. It would be a shame to let it slip away by being overly cautious. E-cigarettes are about as safe as you can get."- Prof P Hajek"Determining that a tobacco-free nicotine-delivering product is safer than a product that delivers nicotine with thousands of tobacco smoke constituents is a fact of basic science, and anyone who challenges such a notion would probably benefit from a remedial course in basic sciences."- Prof M Siegel"E-cigarettes are probably about as safe as drinking coffee."- Prof R West"[e-cigarettes] pose very small or maybe no health risks."- Prof P Hajek"[e-cigarettes] are unlikely to kill anyone".- D ArnottFull quote:“Do you want the tobacco industry to carry on making cigarettes which are highly addictive and kill when used as intended, or do you want them to move to a product which is much nearer licensed nicotine replacement therapy and is unlikely to kill anyone?”D Arnott, ASH UK, at the American Association for the Advancement of Science, 2015 annual meeting, San Jose, California.Why e-cigarettes are dividing the public health communityGlobal Tobacco Control: What To Do About E-Cigarettes?"E-Cigarettes are orders of magnitude safer than conventional cigarettes."- Prof P Hajekhttp://www.youtube.com/watch?v=s7S10o3QQrY"Some public health experts have expressed concern that widespread use of e-cigarettes could ‘re-normalise’ smoking. However, we are tracking this very closely and see no evidence of it. Smoking rates are declining, quitting rates are increasing and regular e-cigarette use among never-smokers is negligible."- R WestE-Cigarettes Give Boost to Quitting Smoking"The growing mountain of scientific and empirical evidence consistently indicates that e-cigarettes:- are 99% (+/-1%) less hazardous than cigarettes,- pose no risks to nonusers,- emit similar levels of constituents as FDA approved nicotine inhalers,- are consumed almost exclusively (i.e. 99%) by smokers and former smokers who quit by switching to e-cigs,- have never been known to addict any nonsmoker (or youth) to nicotine,- have helped several million smokers quit and/or sharply reduce cigarette consumption,- have replaced/reduced about 750 million packs of cigarettes in past five years,- are more effective than nicotine gums, lozenges and patches for smoking cessation and reducing cigarette consumption, and- pose fewer risks than FDA approved Chantix or Wellbutrin.You will find it all here… Vaping QuotesAnd for nicotine (Same source)"Nicotine does not cause heart disease or cancer."- Dr K FarsalinosConsultant cardiologistEuropean Union regulating e-cigarettes based on ideology and theories, but not science"Addiction to nicotine has never caused harm to the user or to bystanders. That is why NRT products are now recommended by the FDA and the MHRA as long-term substitutes for smoking."- Dr K FarsalinosProf P Hajek - QMUL video on ecigs:Understanding e-cigarettes and tobacco dependence - Professor Peter Hajek"Compared to a range of dangerous non-nicotine chemicals in tobacco smoke, nicotine is relatively harmless, except in pregnancy and in some rare conditions."- Prof HajekNicotine is not associated with cancer or heart disease.NICE, PH45NICE is the clinical guidance authority for all UK medical practitioners"Nicotine is not the major cause of any disease associated with smoking; it’s comparable to caffeine, which is highly addictive but safely consumed in coffee, tea and cola."- Prof B RoduProfessor of Medicine, oral pathology specialist2014-01-18http://www.courier-journal.com/article/20140119/OPINION04/301190020And finally, the benefits…"If all the smokers in Britain stopped smoking cigarettes and started smoking e-cigarettes we would save 5 million deaths in people who are alive today. It’s a massive potential public health prize."- Prof John BrittonChair, Tobacco Advisory Group, Royal College of Physicians"If, on a population scale, smokers switched from cigarettes to e-cigarettes, there will be an enormous public health benefit."- Prof P HajekExcerpt from article:Even if e-cigarettes were to carry a significant risk of death, say 1/20th that of cigarettes at the upper end, this would reduce to 330 premature deaths per year for every million [vapers] saving more than 6,000 lives [per year per million smokers]. This is a conservative estimate, as Professor West explains: "It's very conservative because the main toxins from cigarette smoke are either completely absent or in much lower concentrations than 1/20th."- Prof R West, Dr J BrownE-cigarette policies ‘should not be distorted by alarmist commentaries dressed up as evidence’[West is saying that, at most, 330 vapers per million per year may die from ecig-related mortality, compared to 6,670 per million smokers per year - this is a mortality rate of, at maximum, 0.03% p.a.]“If we could get all of those people [who smoke] to completely switch all of their cigarettes to noncombustible cigarettes, it would be good for public health.”Mitch ZellerDirector, Center for Tobacco Products, FDAMay 15th, 2014Progress and Challenges: The State of Tobacco Use and Regulation in the U.S. | The U.S. Senate Committee on Health, Education, Labor & PensionsI hope you find enough here to answer your question.