But anyone who questions whether NORC-SSPs make economic sense should look to Israel. The catalyst for its model, created by the nonprofit JDC-ESHEL and supported by the Israeli government and the American Jewish Joint Distribution Committee, was simple research. With the elderly population soaring, the AJJDC compared the initial and annual costs of placing a senior in a nursing home with the costs of NORC services. The difference was dramatic: A nursing home spot for one senior required tens of thousands of dollars to build and maintain, while a NORC-SSP-style program — known in Israel as a “supportive community” — could be set up with a per-capita investment in the hundreds. Israel chose the vastly less expensive supportive community model over costly institutional care.
Scombroid poisoning: This occurs as a result of inadequate storage conditions and temperature control of fish. It occurs when fish is not preserved by chilling on ice during transportation. Histamine accumulates in the fish and is responsible for the poisoning. Some of the susceptible fish include mackerel , herring , sardine , yellow fin tuna etc. Symptoms of scombroid poisoning begin quickly, often 30 min to 1 hour after consuming the toxin, and include nausea , vomiting , diarrhea , abdominal cramps , burning and tingling of the lips and mouth , dizziness , flushing , urticaria , sweating , headaches , blurred vision and palpitations . In severe cases, breathing difficulties can occur, especially in asthmatics.