 tennis camps. Adults have a choice of two-day weekend packages or five-day midweek packages, each with 3 hours of group instruction each morning. Student:pro ratios may go as high as 6:1, but the instruction is solid and the altitude—6,000 feet above sea level—makes even half a day of drills more demanding than it would be at sea level.
Afternoons are then left free for more tennis (court time is free for those on packages) or for other recreation in the area. There are also several different programs for various age groups of children, including camps (which typically last 1½-2 hours each day), drill sessions, peewee clinics, and a 4-hour-a-day advanced camp for intermediate/advanced players. "I hire young, energetic and charismatic pros," says Straw. "that's crucial for kids." To further encourage tennis-playing families, Northstar adds twice weekly social round robins, several parent-child events each summer, and occasional junior mixers. For a complete list and prices, check out the Northstar Tennis website.
In the past, I've also raved about the rec center located just below the courts. But access to its pools, whirlpools, fitness equipment, and game rooms is now restricted to those who rent through the Northstar Resort™ (see Lodging below). The same is true of the courts unless you've booked lessons, clinics, camps, or events through Straw.
Courts & Fees. Northstar has 8 hard courts on several terraces in the forest above the swim club and four pickleball court just below the club. The area smells of pine and you can hear the sound of a creek which runs along one side when it is not being drowned out by the excited cries of kids playing in and around the pool. The courts are anchored by a tennis pavilion with a pro shop (which carries a limited supply of shoes, clothing, and gear), a large shaded deck, gas grills, and some umbrella tables.
Altitude Caveat: The Northstar courts stands at just over 6,000 feet above sea level, which means you need to pay extra attention of hydration and the use of sunscreen. Expect to tire more quickly as well.
Golf Courses. Robert Muir Graves designed Northstar's 18-hole golf course. Its Meadow nine has an open, links-style layout that and lulls golfers into complacency only to devastate them on the Mountain nine with tight, tree-lined fairways and small greens. Par: 72.
Fitness Center. Options vary depending on which property management group you book through. If you book through Northstar Resort™, you'll have access to the Swim & Racquet Club, a large complex of swimming pools, whirlpools, games room, and a workout room outfitted with cardio workout equipment, free weights, and strength-training stations. Massages can be arranged. On the other hand, if you book through Tahoe Mountain Resort Rentals, you'll have access to one of two smaller fitness centers in the village as well as to a small swimming pool.
And... Northstar also has a full mountain bike park, with some 100 miles of trail for every level of cyclist. Rentals are available in the village. The centerpiece of the village has become its ice skating rink, whose artificial ice accommodates rollerskates and Razors as easily as ice skates. There are bungee trampolines on a viewing area above and to one side. Otherwise, there is lift-access hiking, fly fishing on 10-acre Sawmill Lake, and horseback rides.
Many of the same staff who take excellent care of children in winter remain through the summer to run Northstar's licensed Kids' Adventure camp. Available Thursday-Monday, from early June through Labor Day, this program takes children ages 4-12 for full-day sessions of organized adventure, arts and crafts, field trips, and lunch.
Lodging at Northstar, with the exception of the Ritz-Carlton, Lake Tahoe, is individually owned and varies in quality and size. The two principal resources are Northstar California, which is now part of Vail Resorts, and Tahoe Mountain Lodging. Between them they offer a broad range of options, from rooms and lofts to five-bedroom homes, in various locations in the village and on the mountain. Meanwhile, the Ritz-Carlton, Lake Tahoe provides a luxury hotel alternative, though it is removed from the village.
Because summers are quieter than winters, not all the restaurants remain open. In the village, the choices range from pizza and pub grub to sushi. Breakfast and lunch are also served at Martis Valley Grille & Bar in the golf clubhouse.
Lodging ranges from studios 1-to-3-bedroom condos or 3-to-5-bedroom homes in clusters in various parts of the resort. For details about the tennis program, visit Northstar Tennis.
2200 N. Village Dr.
Seasons. The tennis season runs from early June into September.
Travel Instructions. By Air: The closest commercial airport is Reno, 40 miles to the east. By Car: Northstar is 40 miles from Reno and 196 miles from San Francisco. Take I-80 to the Truckee exit and then follow Hwy. 267 south 6 miles. The resort entrance is on the right.
General Tourist Information. Visit the North Lake Tahoe Resort Association website or contact them at P.O. Box 1757, Tahoe City, CA 96145 or phone them toll-free at |||PHONE_NUMBER|||., Russia, species of wild rodent as its reservoir [9] ; in the case of SNV, this reservoir is the deer mouse (see the image below).. [10, 11]
Although generally not transmittable from person-to-person, the Andes virus of Argentina is a surprising exception to this rule. [12] One Chilean study found that sexual partners of people with Andes virus–induced HCPS had a 17.6% risk of developing infection, as opposed to 1.2% among casual household contacts. [13]
Hantavirus demonstrates similar tissue tropism in rodents and humans, but for unclear reasons, rodents typically remain symptom free; consequently, they never develop immunity and become perpetual viral shedders. [14, 15].
Although disease severity directly correlates with viral RNA load, [15] considerable evidence exists that immune mechanisms rather than direct viral cytopathology are responsible for the massive vascular dysfunction and plasma leakage of HFRS and HCPS. [16, 17] Likely players include tumor necrosis factor-alpha (TNF alpha), interleukin 1 beta (IL-1 beta), and interferon gamma (IFN-gamma), though this has yet to be clarified. [18] Recently, vascular endothelial growth factor has been implicated as a major player in the hyperpermeability found in Hantaan virus–induced HFRS. [19]
In the case of HCPS, capillary leak is overwhelmingly centered in the lungs leading to fulminant noncardiogenic pulmonary edema. Pathologic specimens demonstrate boggy, edematous lungs and copious tracheal and pleural fluid. [20] Patients may progress quickly to cardiogenic shock with decreased cardiac output, elevated systemic vascular resistance, and lactic acidosis. [21, 22]made by concomitant myocardial dysfunction.
Epidemiology
Frequency
United States
As of February 2013, 617 cases of Hantavirus cardiopulmonary syndrome (HCPS) have been confirmed in 34 states (see the image below). Thirty-six percent of all reported cases have resulted in death.
Of note, a recent outbreak of HCPS struck campers at Yosemite National Park in the summer of 2012. Ten cases have so far been confirmed in campers that slept in rodent-infested campsites; the disease claimed 3 of these 10 lives. [23]
Most).
The New York virus, the Black Creek Canal virus, and the Bayou virus are other rare causes of HCPS that have been confirmed in eastern and southeastern United States. [8]
Generally, outbreaks of Hantavirus occur in the spring and fall. This appears to correspond with farming cycles when workers are exposed to field-rodents during planting and harvest periods. [8]
International
Thirty-six cases of HCPS have been reported in Canada, primarily Alberta, and account for 10-15% of all North American cases yearly. South America is the other major reservoir of HCPS. Confirmed cases of HCPS include 404 in Argentina, 74 in Paraguay, 273 in Chile, and 168 in Brazil. Bolivia had 20 cases; Panama, 31; and Uruguay, 23. [8] Currently, at least 4 Hantavirus species in South America are recognized to cause HCPS. One of them, the Andes virus, is unique for reports of person-to-person transmission and of an increased mortality rate in children. [8, 24, 25,, 26, 27], 28]. [29]
Prognosis
HCPS currently carries a case-mortality rate of 35-40%. [30, 27] Preadolescents seem to experience a milder form of the disease and have had no reported deaths in the United States.
Experiences with HCPS at the University of New Mexico Hospital have identified several factors that resulted in a 100% mortality rate in several patients who do not receive ECMO.).
- Hantavirus pulmonary syndrome cases by state of exposure.
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Statesman reporter Dutton