The Report Titled on Covid-19 Impact on Janitorial Cleaning Services Market which provide detailed study of impact of the novel Coronavirus(COVID-19) pandemic on the historical and present/future market data. Economic Growth, GDP (Gross Domestic Product), and Inflation are some of the elements included in this report to offer crystal clear picture of the Janitorial Cleaning Services industry at global level. This Janitorial Cleaning Services market report has also included a section for market dynamics that covers Drivers, Trends, Opportunities and Restraints Impacting the Growth of the industry throughout the projected period.

In this section of the Janitorial Cleaning Services market report, has provided a detailed analysis of the top players (ABM Industries, The Service Master Company, CleanNet, AnagoCleaningSystems, Aramark, Sodexo, Jani-King, Stanley Steemer, ChemDry, Pritchard Industries, BONUS Building Care, Red Coats, UGL UniccoServices, Vanguard, Jan-Pro International, Mothers HouseCleaning, Clean First Time, Compass Group, Duraclean, Harvard Maintenance, Steamatic, Stratus Building Solutions, Temko Service Industries, Mothers HouseCleaning) operating in the Janitorial Cleaning Services industry along with Capacity, Production, Price, Revenue, Cost, Gross, Gross Margin, Growth Rate, Import, Export, Market Share and Technological Developments.

Get Free Sample PDF (including COVID19 Impact Analysis, full TOC, Tables and Figures)of Janitorial Cleaning Services[emailprotected]https://www.researchmoz.us/enquiry.php?type=S&repid=2041080

There are 10 Chapters to deeply display the Janitorial Cleaning Services market:

Chapter 1, is executive summary of Janitorial Cleaning Services Market; Chapter 2, is definition and segment of Janitorial Cleaning Services;Chapter 3, to show info and data comparison of Janitorial Cleaning Services Players; Chapter 4, to explain the industry chain of Janitorial Cleaning Services; Chapter 5, to show comparison of regions and courtiers(or sub-regions);Chapter 6, to show competition and trade situation of Janitorial Cleaning Services Market; Chapter 7, to show comparison of applications; Chapter 8, to show comparison of types; Chapter 9, to show investment of Janitorial Cleaning Services Market; Chapter 10, to forecast Janitorial Cleaning Services market in the next years.

Summary of Janitorial Cleaning Services Market:Janitorial services, also known as cleaning services, are generally used to keep workplaces free from unsightly dirt and provide a clean and germ-free environment. Cleaning is one of the most commonly outsourced services in various facilities such as educational buildings, corporate buildings, hotels, hospitals, retail outlets, and commercial and residential buildings. Janitorial services include both indoor and outdoor cleaning services, which include cleaning, trash pickup, floor polishing, and window washing.

A janitor is a person who cleans and maintains buildings such as hospitals, schools, and residential accommodation. Janitors primary responsibility is as a cleaner. In some cases, they will also carry out maintenance and security duties.

On the basis of product type, this report displays the shipments, revenue (Million USD), price, and market share and growth rate of each type.

WindowCleaning Vacuuming Floor Care MaidServices Carpet & Upholstery

On the basis on the end users/applications,this report focuses on the status and outlook for major applications/end users, shipments, revenue (Million USD), price, and market share and growth rate foreach application.

Commericial Building Residential Building Factory

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The report offers in-depth assessment of the growth and other aspects of the Janitorial Cleaning Services market in important countries (regions), including:

Some of the Major Highlights of TOC covers in Janitorial Cleaning Services Market Report:

Chapter 1: Methodology & Scope of Janitorial Cleaning Services Market

Chapter 2: Executive Summary of Janitorial Cleaning Services Market

Chapter 3: Janitorial Cleaning Services market Insights

Chapter 4: Janitorial Cleaning Services Market, By Region

Chapter 5: Company Profile

And Continue

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ResearchMozMr. Nachiket Ghumare,Tel: +1-518-621-2074USA-Canada Toll Free: 866-997-4948Email:[emailprotected]

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Janitorial Cleaning Services Market: Future Innovation Ways That, Growth & Profit Analysis, Forecast By 2026 Cole Reports - Cole of Duty

Let me guess, Patti LuPone says as she plinks olives into a martini. You came here to be a movie star.

Here, of course, is Hollywood, where dreams are made, faked, defeated and deferred. In Ryan Murphys Hollywood, a seven-episode limited series that comes to Netflix on Friday, LuPone plays Avis Amberg, a former actress married to the head of Ace Studios. Ace Studios, while fictional, looks like Paramount Pictures, walks like MGM and green-lights pictures more progressive than any the Golden Age birthed. Set in the late 1940s as the studio system began to wane, Hollywood enjoys this dizzy cocktail of history and hopeful make-believe.

As a kid, Murphy watched Hollywood oldies with his grandmother and became particularly attached to three actors: Anna May Wong, Hattie McDaniel and Rock Hudson all of them, he felt, stifled by the studio system.

I was attracted to the idea of lost potential, he said in a telephone interview last week. And maybe worried about it myself, that I was not going to be allowed to be who I wanted to be because of who I was.

After completing the first season of his series Feud, set in 1960s Hollywood, he mulled a more factual series honoring the systems victims. But ultimately, it was just too fragmented and also, to be honest, too depressing, he said.

He began to think along revisionist lines, instead, imagining what might have happened if people of color had been offered work commensurate with their talent, if the industry had allowed its queer members to live openly. Happy endings all around.

Hollywood, which he created with Ian Brennan, mingles actuality and what-if. Real people like Hudson (Jake Picking), Wong (Michelle Krusiec) and McDaniel (Queen Latifah) rub elbows and more with invented ones like David Corenswets Jack, an aspiring actor and sometime gigolo, and Darren Crisss Raymond, a biracial director who passes for white. Others merge fact and fictions, like LuPones Avis, inspired by David O. Selznicks wife, Irene Selznick, or Joe Mantellos Dick, a homage, at least in part, to the movie whiz Irving Thalberg.

To help sort entertainment history from fantasy, here is an introduction to the real-life figures who populate this counterfactual Hollywood and the inspirations for several of the seriess fictional characters. Action!

An actor who would ride the beefcake craze of the 1950s, Hudson, born Roy Harold Scherer Jr., came to Hollywood in the late 1940s.

He knew how he looked, said Picking, who wore facial prosthetics to play Hudson, a former Navy aircraft mechanic. He would stand out in front of the studio gates in his uniform hoping to bump into someone influential.

A bit player in the 40s, Hudson, who signed with the talent manager Henry Willson, graduated to westerns, adventure pictures and melodramas, earning an Oscar nomination for his work in Giant. In 1959, he starred opposite Doris Day in Pillow Talk, a comedy in which his character briefly masquerades as gay. He projected an attractive yet unthreatening masculinity, said Steve Cohan, an author and film historian.

Willson thwarted tabloid attempts to out Hudson as gay and Hudson later married Willsons secretary, Phyllis Gates, in what was possibly a lavender marriage meant to further allay suspicion. (Gates denied this. We were very much in love, she told a biographer.) In 1985, Hudsons publicist confirmed a diagnosis of AIDS, and two months later, Hudson became one of the first celebrities to die of AIDS-related complications.

A serial abuser and a starmaker with an impeccable eye for brawny, unformed talent, Willson helped rename and introduce actors such as Hudson, Tab Hunter and Troy Donahue, as well as women like Natalie Wood and Lana Turner. For a while there, he understood how to make his own little factory of these strapping all-American men and plug them into the movies, said Jim Parsons, who plays Willson in Hollywood. That doesnt excuse the despicable behavior by any means.

The well-documented behavior included demanding sex from his male clients and various forms of psychological abuse, even as he protected his roster from hostile press and blackmailers. He ranks right up there with Harvey Weinstein as one of the towns greatest monsters of all time, Murphy said. Deserted by his clients in later life, he died destitute.

Hollywoods first Asian-American star, Wong, a third-generation Chinese-American, grew up in Los Angeles, where her parents ran a laundry, and went on to appear in dozens of silent and sound films.

She was captivating, said Emily Carman, a film professor at Chapman University. Her presence radiated charisma and elegance.

A fashion plate and a publicity darling, she rarely won principal parts (her later B movies are an exception) or unexoticized roles. As Wong, played by Michelle Krusiec, says in the series, They dont want a leading lady who looks like me.

The role of O-Lan in The Good Earth, the film adaptation of Pearl S. Bucks China-set novel, seemed made-to-measure for Wong. But the production code, a self-censoring charter major studios adopted, prohibited romantic scenes between actors of different races. Since Paul Muni, a white actor, had been cast as O-Lans husband, the part instead went to Luise Rainer, a white actress who played O-Lan in yellowface and won an Oscar for it. The Good Earth producers offered Wong the role of a seductress, the movies villain, but she refused it.

An alcoholic who experienced periods of depression, she died in 1961 at the age of 56. Her lonely death, that for me was very sad to discover, Krusiec said.

The first person of color to win an Oscar, McDaniel, the daughter of former slaves, began her career in vaudeville, as did several of her siblings. She moved to Los Angeles in the early 1930s and soon found screen work playing maids.

She was a scene stealer, Carman said. She knew how to mobilize that stereotype to her advantage.

She fought for the role of Mammy in Gone With the Wind, arriving for her screen test in a real maids uniform. She won an Oscar for it, though at the ceremony itself she was relegated by the events organizers to a segregated table. While she hoped the award might unlock a broader away of roles, Hollywood only saw her as a maid.

Later in her career, some African-American activists attacked McDaniel for accepting regressive roles. Her stock response: Id rather play a maid and make $700 a week than be a maid and make $7.

A woman had to make a living, said Queen Latifah, who plays McDaniel. But it was a waste of her talent. She was a powerhouse. She could sing. She could dance. She could act. She was smart. She was funny. She had timing. She was brilliant.

In the third episode of Hollywood, the film director Cukor (Daniel London) throws a wild party with an elite guest list, including Leigh and Bankhead, and a crew of sex workers to provide postprandial entertainment. Cukor, who directed The Philadelphia Story and Gaslight, did host louche parties, many of them all-male. Leigh (Katie McGuinness), who played Scarlett OHara in Gone With the Wind, and Bankhead (Paget Brewster), who tested for the role, were both close friends of Cukors. In the late 40s, Leigh was about to appear in the stage version of A Streetcar Names Desire and was experiencing episodes of bipolar disorder. Bankhead, known as one of Hollywoods most accomplished seducers of women (including McDaniel, according to a persistent rumor) as well as men, had recently had a hit with Alfred Hitchcocks Lifeboat.

Though Murphy disclaims any interest in Bowers, Dylan McDermotts Ernie runs a service station that doubles as an anything-goes bordello. This dovetails with Bowerss claims, aired in a controversial 2012 memoir, that he spent decades providing sexual services to the Hollywood elect, first as a pump jockey then as a party bartender.

Whatever folks wanted, I had it. I could make all their fantasies come true, he wrote in the introduction to Full Service: My Adventures in Hollywood and the Secret Sex Lives of the Stars. The book alleges that Bowers arranged liaisons for the likes of Hudson, Cole Porter and Leigh (who all appear in the series as clients), as well as Katharine Hepburn, Spencer Tracy and the Duke and Duchess of Windsor. (The stars he wrote about were already dead but the families of some of them, like Cary Grant, disputed the claims.)

Within Hollywood, Jeremy Popes screenwriter character, Archie Coleman (glancingly inspired by James Baldwins Hollywood experience), sells a script about Entwistle, a 23-year-old aspiring actress who finally achieved brief fame by jumping from the H of the Hollywood sign, back when the sign still spelled Hollywoodland.

Born in Wales, she moved with her father to New York and began acting as a teenager, including a tour with the New York Theater Guild and in a number of Broadway plays. In the spring of 1932, she came to Los Angeles with a play and stayed to shoot her only film. Her contract was not renewed. After telling her uncle she planned to visit friends, she disappeared. A hiker discovered her body at the foot of the sign.

Originally posted here:
Hollywood Offers Alternate History, and Glimpses of a Real One - The New York Times

Chennai-based president of South Indian Chamber of Commerce and Industry (SICCI), Ramachandran Ganapathi says, If they are not safe, how can we be safe, he wondered before adding, at the risk of offending them, they must be encouraged to take a test, given protective equipment, sanitisers and even a shower before they begin their work.

Priya Gopalan, a mother of three and a homemaker from Bangalore, would not think of letting her maid go. Where can one find such reliable people, she asked and said, I used to do more than half the work even earlier. But I have had this maid for the past four years and we have gotten comfortable with each other.

Jaipur-based senior Public Relations professional Jagdeep Singh felt that people would not mind paying maids their wages for March and April. But if the lockdown gets extended, then they might decide to do away with house helps, he said. At least one Noida based housewife, however, has been thanking the lockdown for giving her the opportunity to bid goodbye to her maid. She was never regular, came at her own convenience. Once the lockdown is lifted, I would not like to have her again, declared a resolute Renu Bhatia.

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Housemaids need a helping hand - National Herald

Scotland is in lockdown. Shops are closing and newspaper sales are falling fast. We're not exaggerating when we say that the future of the Dumbarton and Vale of Leven Reporter is under threat.Please consider supporting the Reporter in whatever way you can by paying just 85p for a copy of the paper, when you're shopping for essential supplies for yourself and others, or by subscribing to our e-edition here.Thanks and stay safe................................

An engineer from East Kilbride has carriedout essential repair work on the Maid of the Loch - 70 years after his father helped build the ship.

The remarkable connection spanning seven decades has delighted Eddie Van der Stighelen whose Belgian father was foreman of the engineering workshop at the Glasgow shipyard where the much-loved paddle steamer was built.

Eddie, whose company specialises in construction industry tools and plant maintenance, offered to restore the Maid of the Loch's windlass after discovering via social media that help was being sought with the ship's renovation.

However, the work took on a much deeper significance because of the family's connection to the ship.

Eddie explained: "My father, Jan Van der Stighelen, was a Belgian national who served in the Belgian Merchant Navy from before WW2 until the wars end.

"My parents had met during the war and were married in Glasgow in 1943, but after the war they returned to Belgium where their first two children were born.

In 1951, the family moved from Belgium to Glasgow and my father started working for the shipyard A&J Inglis at Pointhouse.

CORONAVIRUS LIVE: get the latest here

"Later that year, work started on building the Maid of the Loch, and as foreman of the engineers shop, his skills would have been in much demand."

The Maid of the Loch was constructed at the Glasgow shipyard, but was dismantled and brought to Balloch where her sections were reassembled.

Eddie said: My brother, who is four years older than me, remembers being taken in my fathers van to Balloch, presumably to the slipway where the Maid was constructed and launched into Loch Lomond.

The ship's windlass - which is required for handling the mooring warps - was in poor condition and it had to be dismantled, cleaned and inspected to ensure it could still be made to work again.

Eddie said: "Thanks to the quality of the materials used and the robustness of the design the windlass renovation is almost complete."

Now he hopes his company, Vantech Engineering Services, will be given the chance to carry out more engineering work on the ship.

The Loch Lomond Steamship Company, the charity which owns the Maid, says the repair of the original piece of equipment is another step forward in its aim of returning the historic ship to full sailing condition.

It added: "So the Maid has benefitted from the skills of this amazing engineering family with Jan the father as the shipbuilder and Eddie his son, almost 70 years later, the renovator."

Maid of the Loch is the last paddle steamer to be built in Britain, and sailed on Loch Lomond until 1981.

A 1.1 million refit last year refurbished two of her public rooms back to her 1950s style, and restored her engines back into steam operation for the first time since 1981.

More here:
Eddie works on Maid of the Loch repairs - 70 years after his dad helped build the much-loved ship - The Dumbarton and Vale of Leven Reporter

SINGAPORE - Twenty victims of credit-for-sex scams have been penalised for flouting circuit breaker measures as they had left their residences to procure sexual services, a non-essential activity.

The victims procured these sexual services by leaving their homes to buy gift cards or to make payment at AXS machines and were each issued a composition sum of $300 for flouting safe distancing regulations under the Covid-19 (Temporary Measures) (Control Order) Regulations, the police said in a statement on Thursday (April 30).

Between April 18 and 29 this year, the police received separate reports from at least 20 male victims, aged between 18 and 52, that they had fallen prey to credit-for-sex scams.

In total, the victims were cheated of more than $50,000.

In most cases, the victims had befriended the scammers or searched for sexual services through online applications such as WeChat, Tinder and Michat, or websites such as Locanto and Skokka.

There were also instances where scammers would proactively approach the victims through these online applications or websites to offer sexual services. The victims were then instructed to either make advance payments via AliPay credits at AXS machines or buy iTunes or Google Play gift cards and send over the redemption codesin exchange for the sexual services.

The scammers then became uncontactable after the advance payments were made.

In the first three months of the year, the police received 237 reports of credit-for-sex scams, with more than $613,000 cheated. The number of cases reported increased by 40.2 per cent and the total amount cheated increased by more than $211,000 when compared with the same period in 2019.

The police advised the public to be wary of friend requests or online listings offering escort, massage or sexual services as they may be fraudulent in nature.

Police said scammers may employ scare tactics to threaten victims into making more payments. They urged the public not to accede to the scammers' demands or give out personal details such as their credit card information.

They added that people should take the circuit breaker measures seriously, and avoid going out during this period.

Those in doubt or have information related to credit-for-sex crimes can call the police hotline on 1800-255-0000, or visitthiswebsite.

People who need urgent police assistance can call 999.

To get scam-related advice, the public can call the anti-scam helpline on 1800-722-6688 or visit this website.

Members of the public can also join the "Let's fight scams" campaignby signing up to receive up-to-date messages and share them with their family and friends.

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20 victims of credit-for-sex scams breached circuit breaker rules by leaving homes to procure sexual services - The Straits Times

By: TruBlue Total House Care | 0Shares 5Reads

YORKTOWN, VA. (PRWEB) March 02, 2020 - TruBlue Total House Care, the national franchise focused on full-service home maintenance, is pleased to announce that Tim and Kay Diemont, the local owners and operators of TruBlue of Yorktown, have been recognized as the companys Franchisees of the Year. The award was presented at the companys national conference on February 4, 2020. This is the second consecutive year the Diemonts have earned this award.

Tim and Kay are not only smart business owners, but also amazing people. In addition to their work locally with TruBlue, they are active in the franchise system talking to potential franchisees, participating in training and even helping us to develop new systems and they give back to their community. They are a powerful team and Im looking forward to watching them continue to grow TruBlue of Yorktown, TruBlue President Sean Fitzgerald said.

TruBlue is a full-service company that offers both bundled and unbundled services. Clients looking for dependable, high-quality, individual services can hire TruBlue for just basic help around the home, handyman repairs, cleaning services, emergency repairs, landscaping, seasonal services and minor home renovations. For clients looking for total house care solutions especially seniors and busy families who want the comfort and convenience of owning a home without worrying about the maintenance hassles TruBlue offers a House Care Plus monthly maintenance program. TruBlue also works with homeowners, realtors and rental property owners who need to get homes move-in ready quickly and keep them maintained as well as business clients.

It was a nice surprise to be chosen as the Franchisee of the Year again this year. We are about to celebrate our seventh anniversary with TruBlue and we were able to take our head of maid services, Joan, who has been with us since day one, to join us on the stage. We appreciate the support of our community and our hard-working team, who make the work we do possible, Kay said.

Tim and Kay opened TruBlue of Yorktown in the March of 2013 and theyve been able to grow the business by about 25 percent each year since they opened. In addition to working with residents and property owners, the Diemonts also work with military housing departments, senior apartment complexes and apartment buildings. They currently have about 20 employees and they serve Yorktown, Poquoson, Newport News and properties on the Peninsula.

We feel very fortunate to have been able to make a positive impact on our community by serving the senior and veteran populations here in our area as well as the busy adults who dont have time to take care of everything and want their spare time back. Owning a TruBlue has not only given us the opportunity to service our community but also to live a lifestyle that makes us happy. When you own your own business, you are in charge of your own destiny and as Tim always says, It truly is the American Dream, Kay said.

TruBlue of Yorktown is bonded and insured. To learn more about TruBlue of Yorktown, call 757-243-1297, email TDiemont@TruBlueHouseCare.com or visit https://www.TruBlueYorktown.com.

Kellie MayKellie May PR513-379-3185

SOURCE TruBlue

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Tim and Kay Diemont Earn TruBlue Total House Care's Franchisee of the Year Award for a Second Year in a Row - Franchising.com

A popular restaurant will be returning to its former location in 2020!

According to the Cedar Rapids Gazette, a new Maid-Rite will be opening at 1000Seventh Ave.in Marion at the end of the year. The Gazette reports:

"The restaurant is being brought back by co-franchise ownersJoe Hill, ofSan Diego, Calif., andJamie Hoth, owner ofSelect Construction Inc.in Marion, after its doors closed three years ago."

The new owners originally had plans to open a new restaurant at the location, but eventually decided to bring back the Marion favorite. The former ownerEllie Osborn Riley closed the restaurant back in January of 2017 after 31 years in business, but not because it was strugglingto get customers. She was just looking for a change. Joe Hill spoke to Ellie and her daughters Teri Entas and Nicole Ashby about his plans and says they have been very supportive and given their blessing.

Althoughthe restaurant isstillunder the Maid-Rite umbrella and is going to be located in the same building, there are going to be some changes. First of all,it'sgoing to be gettinga new name.We spoketo co-owner Jamie Hoth this morning, who revealed to us that the Marion Maid-Rite will become the City Square Maid-Rite. The restaurant and restrooms will also become ADA compliant. In addition to those changes, the building will be getting a total makeover, with a potential banquet room and arcade on the first floor. Here's an idea of what it will look like, courtesy of Martin Gardner Architecture:

As far as the food goes, the recipes will stay the same, with the addition of breakfast.The menuwill includeMaid-Rite sandwiches, tenderloins, onion rings, pasta, soup, ice cream, and otherdesserts. Joe and Jamie hope to have the restaurant open in December of this year.

To read more on the new City Square Maid-Rite coming to Marion, check out the Gazette article HERE.

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The Marion Maid-Rite Will Reopen Later This Year - khak.com

Leila Bell, an 85-year-old great grandmother in Vancouver, decided the circumstances of her death warranted one last act of advocacy.

She told a handful of close friends, her psychologist and her doctor about her plan. Her long-time confidante Sarah Townsend made the arrangements.

On 22 August 2019, six days before the day Bell was scheduled to die, a freelance photojournalist and an interviewer met Bell at Townsends home. Bell sat in an armchair in the living room, wearing scarlet lipstick and freshly styled hair for the camera, and, looking straight ahead, described her plight.

She wanted to live longer, she could live longer, but she had to die now. Otherwise, she risked losing her chance to die with dignity. In order to meet the Canadian regulations for medical assistance in dying, known as Maid, Bell had to die before she became any sicker.

This, she believed, was wrong, as she explained on camera. This is my last activist ... she said into the camera and paused, searching for the perfect word. She smiled when it came to her. Offering.

Bell had been diagnosed with early-stage Alzheimers disease 16 months earlier. She had watched her mother die from the same disease decades before. Near the end, her mother couldnt recognize a table, chairs or her own daughter, Bell recalled. During those visits, Bell told herself that she did not want her family and friends to endure the stress of caring for her if she ever developed Alzheimers.

I remember how awful it was to see the deterioration of this woman who lost everything, every part of her ultimately except her shell, she said.

Bell first noticed something amiss when she was 82 years old. Shed lose her line of thought while reading, and reading was one of my, since childhood, my favourite things to do, she said. She was taking university courses in writing and philosophy at the time, and dropped them because she couldnt concentrate.

She saw a doctor who gave her the diagnosis: Alzheimers disease, early stage.

Bell, who lived alone, saw herself changing in the months after her diagnosis. She got physically lost going shopping and mentally lost during conversations. She grew frustrated when she could not find the perfect word or figure out her way through a problem.

Solving problems was her job: shed been a lifelong activist who had advocated for breaking down barriers to women in the workplace since the 1970s. I never marched or burned my bra, she said, but my concern about the status of women in society was a very key one. I tried everything I could to have an impact on that. She marched in gay pride parades long before most politicians dared to, dyeing her hair purple in support of the LGBTQ+ community.

A single mother of three, Bell put herself through university at night while working full-time. She went to become a high-ranking civil servant, overseeing more than 700 employees in the provinces health commission. After retiring, she was wooed back to work for a year, a job she did partly pro bono, to help a not-for-profit organization that supports women and at-risk pregnant teens.

Other people might be more easygoing about fumbling for the right word but Bell was not, she said. She was becoming uncharacteristically emotional and found herself weeping in public. This is thwarting me one loss piles on top of another loss, and until it gets to the point where, being a human being of my nature and type, theres scarcely anything left in it, she said. I dont know how best to explain that.

She recognized that her disease was worsening and, in May 2019, she made the choice to apply for an assisted death before she lost her independence.

The problem, as she saw it, is that Canadas Maid law currently only covers people who have the capacity to give informed consent on the day of their death, so a person with advanced Alzheimers is unlikely to qualify. Whats more, it is impossible with a disease like Alzheimers to predict when a person will lose their capacity to consent. The rate of change can be unpredictable often, an event like a fall or an infection can suddenly speed up decline.

Perhaps if I had another illness, I might know [when] I was going to die. So I might be told by a doctor, you have another two months, three months, six months. I cant be told that, Bell said.

She weighed the decision privately before she set a date. She feared making the wrong choice of waiting too long and missing out on the chance to have medical help in dying, or dying too early and missing out on time with those she loved, including her grandchildren and great-granddaughter.

In the video, Bell is razor-sharp, logical and unemotional. She speaks in sentences of complex structure contrary to the commonly held stereotype of a person with Alzheimers. When she laughs, she throws her head back with delight. But for most of the two hours, she delivers her message with sobriety, arguing that the more than 500,000 Canadians with Alzheimers and other dementias should be able to make advanced requests for medical assistance in dying.

If I had been able to do an advanced request, I would not have had to decide to make that decision to die now, said Bell. I have been forced to decide now because I fear that at some future time, I will not be able to request it due to the compromise in my brain being much more severe.

You can hear her explain how sure she was:

In 2016, the Canadian government passed a law allowing medical assistance in dying. Nurse practitioners or physicians can assess a persons eligibility for Maid and carry out the procedure, and it is covered by the countrys publicly funded health system.

But there are restrictions. To be eligible, a person must meet certain criteria: they must be candidates for health services funded by a government within Canada; they must be at least 18 years old and capable of making decisions about their health. They must have a grievous and irremediable medical condition. The request must be voluntary, and the person requesting it must be informed of all the means available to relieve their suffering, including palliative care.

And, finally, they must give informed consent at least twice: first, on the day they are assessed for eligibility and again, after a minimum 10-day waiting period, on the day they receive Maid. To give informed consent, a person must have capacity a medical concept demonstrated by skills involving memory, judgment and decision-making.

Many supporters of Maid in Canada feel the law is too restrictive. They want to see an end to the requirement for informed consent on the day of death. They want the law changed so a person could make an advanced request for Maid a modification called Audreys Amendment, named for Audrey Parker, a Halifax woman who opted to die earlier than she planned because she worried her cognition was beginning to falter, as a result of her incurable cancer.

In cases like Leilas and Audreys, and a number of other cases across the country that we know about, people are fearful that they will lose capacity and therefore they get medical assistance in dying early, said Jim Cowan, a retired Canadian senator and board member for Dying With Dignity Canada.

Since Canadas Maid law came into effect in June 2016, more than 13,000 Canadians have chosen to die peacefully with the help of a physician or nurse practitioner. It is unknown how many more people were assessed and approved but lost capacity before the procedure was performed, said Cowan. They continue to suffer intolerably, which is bizarre.

Last month, the Trudeau government introduced a bill to make amendments to the legislation, following a public consultation in which more than 300,000 Canadians participated. If passed, the bill would allow advanced waivers for people who are nearing the end of their lives meaning, under certain conditions, they would not need to give final and informed consent for an assisted death on the day they died. This would achieve Audrey Parkers dream.

But the amendments would not achieve Bells wishes. She hoped that people with dementias would be able to write advanced directives setting out the conditions that would trigger their medically assisted death.

Bell wanted to wait until she met the criteria for mid-stage Alzheimers.

Leila wanted to be able to set out a condition in advance, not a date, said Townsend.

A parliamentary review of Maid is scheduled to begin by June and will consider further amendments to assisted dying in Canada, including eligibility for people with conditions like dementias that could affect their decision-making capacity at some point in the future.

Dr Jennifer Gibson, director of the University of Toronto Joint Centre for Bioethics, called for more discussion about advanced requests in the context of dementia, but she was happy with the direction Canada was moving.

Were going to need the runway of some time to think about ... how we might be responsive to the interests of persons with dementia who want, like the rest of us without dementia, to be the author of the ends of their own lives, she said.

Informed consent can be difficult for someone struggling with a terminal illness. Cancers tend to follow a general trajectory the body declines but the mind remains sharp until closer to the end. A person with cancer is an alert witness to their changing body, able to track their own degeneration and make informed decisions about their medical care until closer to the end.

Their capacity can deteriorate, and quickly. A combination of disease and medication can wreak havoc with their thought patterns. This is not uncommon in the advanced stages of cancer: patients become drowsy and confused. They forget where they are and what is happening. Even if they have already been approved for Maid, they may be unable to engage with a physician on the day of their planned death to affirm, with certainty, that they understand the stakes, to say this is how and when they choose to end their life.

It is different for a person with any type of dementia, including Alzheimers. Someone with Alzheimers loses their cognitive function progressively, often over years. Their ability to give informed consent can disappear long before their body nears its natural death.

Its that long period of uncertainty, of living without capacity, that Leila Bell feared.

For 40 years, Bell supported the right to die with dignity. She longed for assisted dying in Canada before it was legal, as she watched some of the people closest to her die. In 1991, her second husband, Clare, to whom shed been married for nearly 20 years, died from complications following a heart attack. Leila fell into deep depression and moved in with her best friend, who later died from diabetes. In 2002, Bells 49-year-old daughter, Anne, developed an unusual gastrointestinal condition and died, after being cared for by her mother.

I always felt people should have the choice of an assisted death, Bell said. We have our own lives to live and we have a right to live those lives in the way we want to as long as were not hurting anybody else.

When it was time, Bell sought out Dr Ellen Wiebe, a well-known supporter and practitioner of Maid in Vancouver. Wiebe was the first physician in Canada to perform Maid outside of Quebec. After several appointments, Wiebe told Bell that she was eligible for an assisted death but shed have to die earlier than she would naturally. Wiebe could see Bells capacity deteriorating. She was at risk within a relatively short time of losing capacity, said Wiebe.

Bell chose a date in late August. She wanted to squeeze in as much time with her family as she could before she died. In June, she flew her two grandchildren to Vancouver. She sat them down and handed them a letter shed written, explaining her diagnosis and her decision. She wrote that she did not want them to remember her like she remembered her mother in the last stages of Alzheimers. They pushed back; they said they didnt see any change in her. They held her letter up as an example of her high level of functioning.

Her granddaughter Erin Spence, who has one daughter and is now pregnant with a second child, told her grandmother that she wanted her children to know their great grandmother. She and her brother were not opposed to assisted dying but they could not wrap their minds around the immediacy of her decision.

We just felt like, Why do you do have this now? said Spence. I didnt notice any difference in her, to be perfectly honest. I really didnt.

But eventually, Spence and her brother understood that she had no other choice.

Bell explains how those conversations were difficult for both parties:

Bell said she never wavered after her decision, but came up with the idea of recording a video to lobby for change. She paid for the recording of the video and bequeathed it to Dying With Dignity Canada via Townsend.

Leila was extraordinary: independent, stubborn, persistent, an activist, said Townsend. But a good death should be available to each ordinary one of us. One shouldnt have to be extraordinary or lucky to have a good death.

Bell organized a party with her friends four days before she died and a quiet family dinner the night before. She died on 28 August 2019, surrounded by her daughter and her daughters partner, Townsend and her partner, and her grandchildren and their spouses.

Before she died, Bell thanked everyone in the room for surrounding her with love, like a warm blanket.

Then, she smiled and winked, and died a few minutes later.

More here:
When assisted dying means you have to go before you're ready - The Guardian

Part of an occasional series answering readers questions about Maine.

Why is Portlands airport called a jetport and why is it known by the letters PWM?

Its a name that recalls The Jetsons, the jazzy 1960s animated TV show about an outer-space family with a talking dog and a beeping robot maid.

Named more than 50 years ago, Portland International Jetport might sound a bit cute today, when most other flight facilities are called airports.

The name has proven durable, however, surviving a short-lived, politically controversial change in 1982, and it hasnt stymied growth any. The jetport underwent a series of major expansions through the early 2000s and served a record-breaking 2.18 million passengers last year, with seasonal flights to Minneapolis, Dallas and Denver starting in June.

Plus, the name helps to set the jetport apart from Portland International Airport in Portland, Oregon.

If you say jetport, people know youre talking about Portland, Maine, said jetport Director Paul Bradbury.

But the jetport clearly has some name-related issues, and they go beyond the use of the word jetport. Why is international in the name if it offers no direct foreign flights? And why are its code letters PWM?

The last question is easiest to answer.

PWM is the jetports geocode with the International Air Transportation Association. Three-letter airport codes were developed in the 1930s as a way for pilots to identify landing locations.

Back then it was the Portland Municipal Airport and the last beacon of its lighted airway was located in Westbrook, 10 miles to the west. So, PWM stands for Portland Westbrook Municipal, Bradbury said.

Internationally, its known as KPWM, because the association recently added K to the geocodes of all U.S. airports.

But the Westbrook beacon is long gone, and no part of the 769-acre airport is actually in Westbrook. In fact, the southern half is in South Portland. To clear up any confusion, would it be possible to change the jetports geocode?

Not a chance, Bradbury said, because any change could cause international confusion and most, if not all, letter combinations have now been taken. PME, for instance, is Portsmouth, England, and POR is Pori, Finland. Portland, Oregon, is PDX.

The letters dont necessarily mean anything, Bradbury said, though he acknowledged that airlines now use them on tickets and flight listings, and PWM is incorporated into the jetports logo.

It has become a branding aspect for most airports, Bradbury said. Its how many people search for tickets online.

But not every airport is lucky enough to have recognizable call letters like JFK, ATL and LAX, Bradbury said.

Chicagos OHare International Airport is ORD because it was built in and initially named after a former farming village known as Orchard Place. Orlando International Airport is MCO because it used to be McCoy Air Force Base.

Portland Municipal Airport was renamed Portland International Jetport in April 1969, following a major runway expansion project and the opening of a new terminal building in 1968.

A news brief in the Maine Sunday Telegram didnt make much of the change, reporting that Stephen Schmitt, the citys director of aviation and public buildings, had revealed the new name on Saturday, April 26, 1969.

For many years, Schmitt said, customs and immigration services have been available at the airport, so the designation of international will highlight to the aviation public that these services are available.

The name change also reflected the citys desire to promote the idea that the airport now served jet planes. Maine Joins The Jet Age was the headline on an opinion column written in June 1968 by Richard Jones, district sales manager of the newly formed Northeast Airlines.

The opening of the new terminal building at Portland Municipal Airport, following soon after the completion of the runway extensions which permitted us to start the long-awaited DC-9 jet service here will thrust Greater Portland firmly into the jet age, Jones wrote.

While Portland wasnt alone in having a jetport, other cities have since renamed their airfields from jetports to airports,such as Millington-Memphis Airport in Tennessee. Today, PWM is one of few jetports remaining in the United States, including one in Jacksonville, Florida, and four in North Carolina.

As for the jetports international standing, Bradbury acknowledged that past attempts to establish service to Canada and other foreign places have failed. However, he said, the jetport serves nearly 100,000 passengers annually on domestic flights connecting to international destinations, including Cancun, Toronto, Tokyo and London.

Bradbury, an engineer who has worked at the jetport for 28 years, said he knew of no recent attempts to change the jetports name. The last major effort went so badly.

The Portland City Council changed the name to Edmund S. Muskie International Airport on Feb. 1, 1982. The former U.S. senator from Maine, a Democrat, had recently retired from his post as U.S. secretary of state under President Jimmy Carter.

The political blowback was so intense, the council rescinded the name change before the end of the month, at Muskies urging.

To my utter dismay, I now find my name caught up in an unpleasant controversy which has converted a gesture of goodwill into an empty honor, Muskie wrote to the council. I suppose I have been involved in politics long enough to have anticipated such a result. In any case, I want no part of it.

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Why is Portland's airport called a jetport and known by the letters PWM? - Lewiston Sun Journal

Now that the federal government has tabled proposed amendments to the law governing medical assistance in dying (MAiD), its imperative that the laws severe restrictions be lifted so that personal autonomy is respected. The law has forced disabled Canadians seeking MAiD either to attempt to take their own lives or suffer indefinitely.

The amendments in Bill C-7, An Act to Amend the Criminal Code (medical assistance in dying), propose a two-criteria system one for Canadians and the other for Canadians whose death is reasonably foreseeable.

We need to make sure the proposed amendments, tabled in Parliament on February 24, 2020, go far enough to fully correct the legislation, which the courts have struck down as unconstitutional.

Bill C-7 is the federal governments response to the Quebec Superior Court ruling in Truchon v. Attorney General of Canada, which said the requirement of a reasonably foreseeable death to be eligible for MAiD was discriminatory.

Bill C-14, which has come to be known as the MAiD law, has been widely criticized by civil liberties organizations and the Canadian Bar Association. They have urged the government to correct its unconstitutionality. In the legal community in Canada, there is agreement on this: the legislation is unconstitutional.

The unconstitutionality comes down to the 2015 Carter v. Canada Supreme Court case ruling, which does not stipulate that your death has to be reasonably foreseeable. The Carter v. Canada ruling was based on intolerable and irremediable suffering, not proximity to death. Kay Carter was an 89-year-old woman with degenerative spinal stenosis; she lived in a wheelchair as her body gradually collapsed on itself. The court found that being allowed to suffer indefinitely and kept alive against her will was unconstitutional. Reasonably foreseeable death is found nowhere in the decision.

Yet, the government went on to craft a law that has restricted medical assistance in dying to those applicants with a reasonably foreseeable death, a term that is vague and legally undefined. The family of Kay Carter has questioned whether she would have even qualified for MAiD under the current law.

The MAiD law is anything but fair, equitable legislation. Even Justice Minister David Lametti, who was an MP in 2016, voted against the MAiD bill that year, saying: As a professor of law in Canada for 20 years and a member of two Canadian Bars, I also worry about passing legislation that is at serious risk of being found to be unconstitutional. On these grounds, I was not able to give it my vote in good conscience.

What are the proposed changes?

Among the most notable changes tabled this week in Bill C-7:

For Canadians seeking MAiD where death isnt reasonably foreseeable, additional criteria must be met:

The government also wants to allow what it calls a waiver of final consent. This has been referred to by some as Audreys amendment. It would allow for an advanced directive only when natural death is reasonably foreseeable and the following criteria are met:

A person can give consent in writing to receive MAiD on a scheduled day, even if they are no longer able to consent. This waives the requirement that consent be expressed immediately before the MAiD procedure. If on the day of the MAiD procedure the person has lost capacity to consent to MAiD, the practitioner can provide MAiD using the written directive or waiver of final consent. Any consent given in advance would be able to be invalidated by the person demonstrating with words or gestures a refusal or resistance to the administration of MAiD at the time of the procedure.

Caution must be exercised

These amendments could set the table for further court challenges. If the government continues to restrict access that does not respect the rights outlined by the Charter (sections 7 and 15(1)), further cases are likely.

Section 7 of the Charter of Rights and Freedoms states, Everyone has the right to life, liberty and security of the person and the right not to be deprived thereof except in accordance with the principles of fundamental justice.

To prohibit access to assisted dying for any group limits their right to life, liberty, and security, when the result of prohibition is that some individuals are compelled to take their life prematurely, as Jocelyn Downie explained in the Carter v. Canada case.

Furthermore, it denies people the liberty to make decisions about their own health and medical care and bodily integrity. Allowing a Canadian to suffer intolerably also impinges on the security of the person.

Section 15(1) states, Every individual is equal before and under the law and has the right to the equal protection and equal benefit of the law without discrimination and, in particular, without discrimination based on race, national or ethnic origin, colour, religion, sex, age or mental or physical disability.

If medical assistance in dying is limited to select categories of the population, the government is denying equal access and thereby the right to equal benefit of the law. Both sections 7 and 15(1) have been used in court cases to reinforce equal access to MAiD.

As MPs begin to debate the proposed amendments, lets hope for less of the paternalism that infused the initial legislation. That legislation was passed by many of the MPs who will be voting this time. The individual must have autonomy over a life after a diagnosis and a decision about their death.

Safeguards for disabled Canadians

There is a worry among disability rights organizations that an expanded MAiD could erode disability supports and lead people to encourage death over life for disabled Canadians. They fear the message a more expansive MAiD could send to disabled persons, as Catherine Frazee, former chief commissioner of the Ontario Human Rights Commission, has said.

However, equal, fair access to MAiD would empower disabled Canadians, giving them the same autonomy that others have in making their own choice on assisted dying. Disabled Canadians have not been given the right to make their own choice about MAiD because of so-called safeguards that restrict it to those with reasonably foreseeable deaths.

Disabled Canadians have successfully defended their Charter-given rights in some of our nations highest courts. From Carter v. Canada in 2015 to Truchon v. Attorney General of Canada, Lamb v. Canada, and A.B. v. Ontario (Attorney General), the plaintiffs were disabled Canadians. We would not have medical assistance in dying in this country without the efforts and courage of disabled Canadians. Its about time they have the full rights they have demanded.

The current legislation has excluded disabled Canadians from having the autonomy that Carter v. Canada afforded. In Carter v. Canada, the Supreme Court was clear on what it considered to be the criteria for access to medical assistance in dying: A competent adult person who clearly consents to the termination of life and has a grievous and irremediable medical condition, including an illness, disease or disability, that causes enduring suffering that is intolerable to the individual in the circumstances of his or her condition.

It was a decision arrived at on the basis of suffering, not the end-of-life or the need to protect populations. If the government had considered the Carter v. Canada decision, any disabled Canadian enduring intolerable suffering would have the right to access.

The government speaks of individual autonomy but hasnt respected it in legislation. The government talks about protecting the vulnerable, yet Audrey Parker of Halifax famously had to use MAiD earlier than she wanted to. Other Canadians have committed suicide after being denied a medically assisted death, including Saskatchwans Cecilia Chmura, Quebecs Jacques Campeau, BCs Adam Ross, and Ontarios Adam Maier-Clayton.

There are those who are waiting in limbo for the government to adopt the amendments like Justine Noel, my common-law partner for whom I am a caretaker. For two years, she has struggled to access a medically assisted death. She would qualify except that her death isnt reasonably foreseeable. In Truchon v. Attorney General, Justice Christine Baudouin called the limitation of a reasonably foreseeable death a flagrant contradiction of the fundamental principles concerning respect for the autonomy of competent people and referred to it multiple times in her 187-page ruling as discriminatory.

And then there are those who have pursued VSED, voluntarily stopping eating and drinking, as Jocelyn Downie has written.

The government has used language like safeguards to rebrand restriction, constitutional violations and suppression of rights.

Is MAiD for mental illness possible?

These amendments arent a cure-all. MAiD is still denied to Canadians whose sole diagnosis is mental illness. What will it take for them to be afforded their Charter rights?

Ken Chan, a 62-year-old Canadian military veteran with depression, committed suicide on the stairs of the Alberta legislature in December 2019, less than an hour after sending emails to federal and provincial health ministers urging them to expand access to medical assistance in dying. Will it take deaths, suicides and evidence of mistreatment before people with mental illness can draw on their Charter rights?

Canada has an opportunity to create legislation that is fair and balanced, something every Canadian deserves. Theres no room for partisan politics. This is a chance to produce legislation that is constitutionally sound.

Photo: Shutterstock, by sasirin pamai.

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How far should the assisted-death law go? Look to the Charter - Policy Options