CORONA Main Coronavirus thread

Heliobas Disciple

TB Fanatic
(fair use applies)

US lab giant warns of new Covid-19 testing crunch in autumn
Quest Diagnostics executive says ‘no way’ capacity will expand enough to cope with flu season

David Crow in New York
July 21 2020

The largest laboratory company in the US has warned it will be impossible to increase coronavirus testing capacity to cope with a surge in demand during the autumn flu season, in a sign that crippling delays will continue to hamper the American response to the pandemic.

The stark warning comes as the country struggles to tackle a resurgence of the disease, especially in sunbelt states like California, Texas and Florida, even as some countries in Europe and Asia have had some success in taming the virus.

Long delays in processing test results — which are taking more than a week to return — are exacerbating the situation and the time lag is expected to worsen in the autumn, when millions of Americans catch common colds and the flu.

“There is no way that PCR capacity is going to double in the next three months,” said James Davis, an executive vice-president at Quest Diagnostics, in an interview with the Financial Times, referring to nasal swab tests that use polymerase chain reaction technology.

Mr Davis said “other solutions need to be found” to detect positive patients in addition to nasal swab tests.

The US has just 4 per cent of the world’s population, but accounts for roughly a quarter of confirmed cases and deaths. More than 140,000 Americans have died from the disease, according to Johns Hopkins University.

Mr Davis’s comments come as testing companies including Quest and its main rival LabCorp are already struggling to keep up with demand at a time when 5.5m tests are being conducted each week because of the spike in cases. Both companies are reporting delays of about a week in getting results to people.

Such a long delay renders testing virtually pointless, according to public health experts, because by the time a person receives their result they are likely to have passed the point at which they are most infectious.

Tom Frieden, the former director of the US Centers for Disease Control and Prevention between 2009 and 2017, told the FT: “These tests are essentially a little or even no value if they come back within that kind of a timeframe.”

Long delays in getting results mean that the number of nationwide cases — which hit a record of almost 464,000 last week — is out-of-date, and that US officials must fight the pandemic with old data.

Dr Frieden said the delays in reporting test results were contributing to a “scarcity of information”, with most states failing to report essential coronavirus data

“It’s very hard for any person in the US to know what their individual risk is, and to know how well their government is doing at reducing that risk,” he added.

Public health experts said the US needs to double its testing capacity to cope with a jump in demand following the surge of infections in states that reopened too quickly, including California, Texas, Florida and Arizona.

Demand is likely to increase further in the autumn and winter when millions of Americans with common colds and the flu are expected to line up for tests to eliminate the possibility they have the virus.

Dr Jonathan Quick, head of pandemic response at the Rockefeller Foundation, said: “You have 50m to 100m Americans a year getting the sniffles and, given the impact of Covid versus flu, you’re going to want to distinguish between the two. That’s going to be a huge challenge.”

Mr Davis said his company would be able to expand quickly were it not for a shortage of chemical reagents and machines from testing equipment makers such as Roche, ThermoFisher and Hologic, which are struggling to keep up with global demand.

He added: “We would double our capacity tomorrow?.?.?.?but it’s not the labs that are the bottleneck. [It] is our ability to get physical machines and, more importantly, our ability to feed those machines with chemical reagents.”

Quest is running its laboratories 24 hours a day but there are “more specimens coming in every day than our capacity can handle”, said Mr Davis.

The surge in demand in states in the south and west has been exacerbated by attempts to expand access to testing in places that have managed to tame the virus, but which see mass surveillance as an essential tool to prevent the virus from resurging. In New York everyone is eligible for testing regardless of whether they have symptoms.

Mr Davis warned that testing might need to be rationed to ensure that those with the most urgent need receive their results more quickly.

“Right now with demand greater than supply, we should focus on the people that are symptomatic, then on the people that are asymptomatic but have been in contact with a known positive,” he said.

“When this pandemic first started in March, and the rest of the country was not yet infected, we were able to export specimens out of the New York-New Jersey area to other labs, so the turnround was very good. But now we can’t in good conscience send specimens from New York and New Jersey to Florida, Texas, Arizona, Kansas and California, because of the positivity rate. Demand in those regions has increased threefold.”

Mr Davis said that Quest, which charges $100 per test, had “no lack of moral or economic imperative to do more testing”, suggesting extra government funding to expand PCR capacity will not solve the problem.

Instead, academic institutions and the industry needed to find new solutions to the testing crunch. A blood test that detects a type of antibody produced in the early stages of the disease could help spot positive patients, he said.

Mr Davis also pointed to pooled testing — which allows labs to test several specimens at the same time — as a way of speeding up processing times. On Saturday, the US Food and Drug Administration said it would allow Quest to conduct pooled testing.

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Heliobas Disciple

TB Fanatic
(fair use applies)

Trump volunteers to take coronavirus vaccine 'first' or 'last,' defends Birx in interview with Dr. Marc Siegel
Trump said he would 'absolutely' take the vaccine first or last

By Caitlin McFall | Fox News
9 hours ago

President Trump told Fox News medical contributor Marc Siegel on Wednesday that he's in an impossible situation regarding whether he should be the first to take a coronavirus vaccine.

“Well, you know the way it works. If I’m the first one they’ll say ‘he’s so selfish. He wanted to get the vaccine first,” Trump told Siegel. “Then other people would say ‘hey, that’s a very brave thing to do’.”

“I would absolutely, if they wanted me to and thought it was right, I’d take it first or I’d take it last.”

Trump’s dilemma comes the same day that pharmaceutical company Pfizer and biotech firm BioNTech said that the U.S. government has placed a $1.95 billion order for 100 million doses of their COVID-19 vaccine. An additional 500 million doses could be acquired by the Department of Health and Human Services should the vaccine prove safe and effective.

TRUMP ON EVENTUALLY GETTING THE COVID-19 VACCINE

The two companies are jointly developing four potential vaccines, one of which will begin the first of three phases of trial testing later this month on 30,000 participants.

“Expanding Operation Warp Speed’s diverse portfolio by adding a vaccine from Pfizer and BioNTech increases the odds that we will have a safe, effective vaccine as soon as the end of this year,” Health and Human Services Secretary Alex Azar said Wednesday.

“Depending on success in clinical trials, today’s agreement will enable the delivery of approximately 100 million doses of this vaccine to the American people.”

Trump is apparently feeling pressure to show his support for vaccination.

“You do know that if I take it first, either way I lose on that one. If I don’t take it they’ll say ‘he doesn’t believe in the program’,” Trump told Siegel Wednesday.

Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases and a leading member of the National Coronavirus Task Force, said Wedensday that the U.S. is moving as quickly as possible on finding a vaccine that's safe and effective.

PRESIDENT TRUMP PRAISES DR. DEBORAH BIRX

“If you want to do it correctly, with safety, and real attention to safety and efficacy, I think we are going as fast as we possibly can,” Fauci said during a TB Alliance forum Wednesday.

Fauci and Trump have at times been at odds during the coronavirus pandemic, and he along with Dr. Deborah Birx, the task force's coordinator, were absent from Trump’s first coronavirus briefing in months Tuesday.

Trump told reporters that Birx, who has an office in the West Wing, was right outside the door, though he did not mention where Fauci was.

Fauci, the nation’s leading infectious disease specialist, told CBS he was never informed of the briefing.

“Dr. Birx is a big advisor of yours that isn’t getting enough attention,” Siegel said to Trump Wednesday.

Trump was quick to defend the doctor who received a beating from The New York Times earlier this week who called her the “chief evangelist” and said she has repeatedly curtailed Fauci’s realistic efforts by “ostensibly” offering reassurance to the president.

“She is responsible for all the incredible work that has taken place on AIDS in Africa,” Trump told Siegel. “Millions of people are alive right now because of her. She’s an unbelievable woman.”

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Heliobas Disciple

TB Fanatic
This is my county. As I work in my backyard garden I can always suspect a surge in cases by the sirens from the nearby fire station. (There can't be that many fires and auto accidents.) We have many senior facilities here that have been hit and a high population of Hispanics, which seems to be an invitation for the virus. If my Hispanic neighbors are any gage of behaviors, they are still having large family bbqs and Sunday dinners.

Stay safe marsh.

HD

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Shadow

Swift, Silent,...Sleepy
Trump’s dilemma comes the same day that pharmaceutical company Pfizer and biotech firm BioNTech said that the U.S. government has placed a $1.95 billion order for 100 million doses of their COVID-19 vaccine. An additional 500 million doses could be acquired by the Department of Health and Human Services should the vaccine prove safe and effective.
With 330 million in our population, why do we need 600 million doses of vaccine?

Shadow
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=u2TB91sDEHI
24:05 min
Viral mutations
•Jul 23, 2020


Dr. John Campbell

Cell, Making Sense of Mutation: What D614G Means for the COVID-19 Pandemic Remains Unclear https://www.cell.com/cell/pdf/S0092-8... https://www.sciencedaily.com/releases... The SARS-CoV-2 virus has a low mutation rate overall Much lower than the viruses that cause influenza and HIV-AIDS Emergence of SARS-CoV-2 in China in late 2019 Virus mutations A virus mutation can become common through fitness or by chance Emerged early during the pandemic Aspartate to glycine, D614G mutation https://www.biorxiv.org/content/10.11... Dominant mutational variant at the 614 position of S protein Old version D614 (Aspartate) New version G614 (Glycine) G614 is most prevalent in many places around the world Korber et al. (2020) hypothesized that the rapid spread of G614 was because it is more infectious than D614 Will D614G Make Outbreaks Harder to Control?

The great majority of SARS-CoV-2 lineages in the United States arrived from Europe Over the period that G614 became the global majority variant, the number of introductions from China where D614 was still dominant were declining As numbers in Europe were going up If G614 truly is more transmissible in equivalently mixing populations

Not enough in vivo data just now Will D614G Make Infections More Severe? Patients infected with G614 had higher levels of virus RNA But no differences identified in hospital outcomes Will D614G Impact Therapeutic and Vaccine Designs? Unlikely D614G is not in the receptor-binding domain (RBD) of the spike protein Antibodies generated from natural infection with viruses containing D614 or G614 can cross-neutralize Suggesting that the locus is not critical for antibody - mediated immunity Conclusions The G614 variant now is the pandemic

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View: https://www.youtube.com/watch?v=86_uTpZclik
6:34 min
Interview, New Vaccine and Interferon
Jul 23, 2020


Dr. John Campbell

These interviews are always a bit of a rush
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=9a8jbAJB4QU
15:55 min
121 - Checking in with Dr. Justin Lessler and What We Now Know—And Still Don’t—About COVID-19
•Jul 23, 2020

Johns Hopkins Bloomberg School of Public Health

This week, we’re checking in with guests we interviewed earlier in the pandemic. Today, Dr. Josh Sharfstein gets an update from infectious disease epidemiologist Dr. Justin Lessler who was one of our very first podcast guests. Back in March, there were a lot of unanswered questions. Lessler talks about what we now know about transmission and fatality rates and what questions remain, what needs to happen in the short term to get cases under control, and what might be a truly transformative innovation in the fight against COVID-19.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=DS11BYjxnN4
58:33 min
War Room Pandemic Ep 295 - The Writing on the Great Wall (w/ Eric Greitens and Jack Posobiec)
•Streamed live 5 hours ago


Bannon WarRoom - Citizens of the American Republi
c

Raheem Kassam and Jack Maxey are joined by Steve Bannon, Eric Greitens, and Jack Posobiec to discuss the latest on the coronavirus pandemic as the President moves to shut down the Chinese embassy in Houston for participating in state sponsored espionage.

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View: https://www.youtube.com/watch?v=7C4JvoLA8qY
58:36 min
War Room Pandemic Ep 296 - Send in the Troops
•Streamed live 4 hours ago


Bannon WarRoom - Citizens of the American Republic


Raheem Kassam and Jack Maxey are joined by Eric Greitens and Jack Posobiec to discuss the latest on the coronavirus pandemic as the President moves to send in federal agents to bring law and order to the cities currently engulfed in riots and violence. Calling in is Moustafa Elgindy to discuss a controversial dam being built on the Nile River.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=tFXr14xmuGw
22:30 min
Coronavirus Pandemic Update 99: Persistent & Lingering Symptoms After COVID-19 - "Long Haulers"

•Jul 23, 2020

MedCram - Medical Lectures Explained CLEARLY

A significant number of patients who've had COVID-19 report lingering and persistent symptoms 2 months or longer after their initial diagnosis. Dr. Seheult of https://www.medcram.com discusses the data we have on COVID-19 "long haulers" including a recent study published in JAMA that showed that only 12.6% of patients hospitalized with COVID-19 reported being back to their baseline at about 60 days post-infection. (This video was recorded July 23, 2020).

LINKS / REFERENCES: Johns Hopkins Tracker | https://coronavirus.jhu.edu/map.html JAMA | https://jamanetwork.com/journals/jama... TWiV 642 | https://youtu.be/wyLXZmbkZl8 TWiV 635 | https://youtu.be/omd29lXspuk ERJ | https://erj.ersjournals.com/content/e... European Heart Journal | https://academic.oup.com/ehjcimaging/... ERJ on NAC | https://www.ncbi.nlm.nih.gov/pubmed/9... Healthline | https://www.healthline.com/health/spi... COVID-19 Support Group | https://www.wearebodypolitic.com/covid19 Facebook COVID-19 Support Group | https://www.facebook.com/groups/COVID...
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=vgyRHN1gRWQ
7:37 min
Second Stimulus Check Update and Stimulus Package Thursday July 23
•Jul 23, 2020


ClearValue Tax


This is your Second Stimulus Check update, stimulus package update, and stimulus check 2 update and daily show as of Thursday, July 23rd. We cover the second stimulus check, the stimulus update, and also the next stimulus package. The stimulus package that passed under the Trump Administration earlier in March of 2020 was the HEROES Act. We discuss the stimulus check, the second stimulus check, stimulus unemployment, the SBA PPP Loan, the EIDL loan, the forgivable loan, and the upcoming stimulus package. We hope you enjoy this second stimulus check update.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=5heTNacsQOo
4:37 min
Coronavirus cases in children are rising nationwide, CDC memo says
•Jul 23, 2020


CBS News

Dr. Tasha Dixon joins CBSN to discuss an internal CDC memo that says cases of COVID-19 in children are rising nationwide.

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View: https://www.youtube.com/watch?v=gukavOeStcQ
9:04 min
White House and Republican senators reach tentative deal on new coronavirus stimulus package
•Jul 23, 2020


CBS News
Senate Republicans and the Trump administration have reached a tentative deal on a new stimulus package aimed to combat the economic fallout from the coronavirus pandemic. CBS News political reporter Grace Segers joined CBSN with the latest.

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View: https://www.youtube.com/watch?v=FhfwK-ofXgU
7:10 min
Coronavirus crisis: India's low death toll sparks skepticism
•Jul 23, 2020


CBS News

In India, a relatively low death toll from the coronavirus has sparked growing skepticism. There have been more than 1 million confirmed cases in the country but only around 28,000 deaths reported. The Washington Post's India bureau chief, Joanna Slater, joins CBSN with the details.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=OKFN2D0gtz0
1:05:38 min
New York Gov. Andrew Cuomo Holds Coronavirus Briefing | NBC News
•Streamed live 4 hours ago


NBC News

New York Governor Andrew Cuomo holds a briefing as the number of coronavirus cases rise in the United States.

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View: https://www.youtube.com/watch?v=eju9HMUgwFA
2:19 min
Cuomo To Young People: ‘Right Now Is Not The Time To Fight For Your Right To Party’ | NBC News NOW
•Jul 23, 2020


NBC News

During a press conference, New York Gov. Andrew Cuomo announced an increase in COVID-19 cases in younger people aged 21 to 30 years old due to large gatherings with no social distancing.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=VL1TxYCUI3g
2:53 min
California Exceeds New York In Coronavirus Cases As Numbers Spike Nationwide | TODAY
•Jul 23, 2020


TODAY

As the number of coronavirus infections nationwide soars to nearly 4 million, California has surpassed New York in cases. Meanwhile, the government has made a nearly $2 million deal with Pfizer to get Americans free vaccines. NBC national correspondent Miguel Almaguer reports for TODAY from Los Angeles, the epicenter of the COVID crisis in California.
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View: https://www.youtube.com/watch?v=FvnzGWEMY98
2:03 min
FDA Expands Hand Sanitizer Recall To At Least 75 Brands | TODAY
•Jul 23, 2020


TODAY

The Food and Drug Administration is expanding a list of hand sanitizers that it says could be potentially dangerous. NBC’s Tom Costello reports for TODAY.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=PzFo_0mNZOs
5:31 min
Should you go on vacation during the pandemic? l GMA Digital
•Jul 23, 2020


Good Morning America


ABC News chief medical correspondent Dr. Jennifer Ashton tells us what we need to know.

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View: https://www.youtube.com/watch?v=X5Eu8r_49-k
4:29 min
Trump stands firm on schools reopening amid COVID-19 l GMA

Jul 23, 2020

Good Morning America


President Donald Trump said children don’t bring the virus home “easily,” while Dr. Deborah Birx said more research is needed to determine how contagious children are.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=fShpkrDIwNo
4:00:03 min
House discusses economic recovery from coronavirus
•Streamed live 5 hours ago


Fox Business
House Financial Services Committee holds a hybrid hearing on "The Heroes Act: Providing for a Strong Economic Recovery from COVID-19." Fmr OMB Dir & fmr HUD Secy Shaun Donovan, fmr Labor Secy Robert Reich, Ariel Investments co-CEO & Chief Info Officer John Rogers, Jr., and Univ of Chicago School of Business prof Dr. Steven Davis testify.
 

marsh

On TB every waking moment

No Labor Shortage: Working Class Americans Hardest Hit by Joblessness
305
Protect-American-Workers-640x480
SAUL LOEB/AFP/Getty Images
JOHN BINDER22 Jul 2020312

Working class Americans are experiencing a higher level of unemployment than middle class and white-collar professionals — showing no signs of a labor shortage — new analysis finds.
Center for Immigration Studies (CIS) researchers Steven A. Camarota, Jason Richwine, and Karen Zeigler reveal that native-born Americans with less than a high school diploma, only a high school education, or some college education have a higher unemployment rate than native-born Americans with a bachelor’s degree or more.


(Center for Immigration Studies)

In total, 14.4 million native-born Americans filed for unemployment in June. This only includes American citizens who were born in the United States. Another 3.7 million immigrants, legal and illegal, are unemployed. This does not include the millions more who are entirely out of the labor force.

Native-born Americans with less than a high school degree have the highest unemployment rate, 12.2 percent, compared to all other native-born education levels. Those with only a high school degree have an unemployment rate of 10.8 percent, and those with some college education have an unemployment rate of 10.6 percent.

Native-born Americans with a bachelor’s degree or more higher education have a far lower unemployment rate — just 6.6 percent in June — showing a large employment disparity between working and upper-middle-class native-born Americans.


(Center for Immigration Studies)

The research finds that the spur of mass unemployment caused by the Chinese coronavirus crisis has exacerbated the steady decline of labor force participation among working class and lower middle class native-born Americans.

For instance, among young working class native-born Americans between 16 to 24-years-old, labor force participation has dropped to 54 percent — the lowest participation since at least the year 2000.

Likewise, among 25 to 54-year-old working class native-born Americans, the labor force participation has dropped to 77 percent. This is only the third time since at least the year 2000 that participation has been this low. The last time it hit 77 percent was in 2014 and 2015 during former President Obama’s economic recovery.


(Center for Immigration Studies)

Libertarians have claimed that extra unemployment benefits for Americans, who were forced into layoffs after some businesses were told they must close, is keeping unemployment rates up. Breitbart News Economics Editor John Carney has written there is little-to-no evidence for the claim and suggests lawmakers keep in place, for the time being, enhanced unemployment benefits

Similarly, economists have overwhelmingly said that high unemployment is due to a lack of demand for labor — not increased unemployment benefits which, while offering extra cash, do not offer healthcare, benefits, or retirement security.

Researchers at the Economic Policy Institute (EPI) have said that without the extra unemployment benefits for Americans forced into joblessness, the American economy could lose about 5.1 million jobs over the next year.
This is more evidence that ultra-high unemployment is being caused by a lack of demand for labor rather than benefits discouraging work. https://t.co/Rf1aIwOmE8
— John Carney (@carney) July 22, 2020
The research comes as the Chamber of Commerce sues President Trump’s administration, claiming they have a right to import foreign workers to fill scarce American jobs while tens of millions are unemployed, underemployed, or out of the labor force entirely.

Last month, Trump expanded his executive order to halt the inflow of H-1B, H-4, H-2B, L-1, and J-1 foreign visa workers in order to reduce foreign competition and give U.S. job priority to unemployed Americans. The order, coupled with visa reforms, is expected to open at least 600,000 U.S. jobs for Americans.

In their lawsuit, the Chamber of Commerce claims the president does not have the authority to alter businesses’ hiring practices that mandate they hire local talent over imported foreign workers.

Every year, the U.S. admits about 1.2 million legal immigrants on green cards to permanently resettle in the country. In addition, another 1.4 million foreign workers are admitted every year to take American jobs. Often, Americans are fired and replaced by foreign visa workers. In many cases, fired Americans are forced to train their foreign replacements before they can receive their severance packages.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=ecagKrk67xI
29:57 min


5 earthquakes in 1 day; Severe floods in China; Houston China consulate epicenter of theft: official
•Premiered 3 hours ago


China in Focus - NTD


U.S. officials cite “subversive behavior” and stealing trade secrets as reasons for closing the Chinese consulate in Houston. They describe the consulate as an "epicenter of research theft."

A person with connections to China’s military is reportedly hiding out at the Chinese consulate in San Francisco. President Trump says 'it's always' possible' that more Chinese missions will be shut down.

Under pressure from Beijing’s draconian security law, many businesses in Hong Kong were quick to self censor. But some have found creative ways to express their demands.

Three senior infectious disease specialists resigned from the University of Hong Kong. They’re from the same university as the whistleblower that recently disclosed the CCP’s virus coverup.

And a third provincial region in China reports new virus cases. This follows outbreaks in Beijing and Xinjiang. Now, hundreds of thousands will be tested for the virus there.
 
View: https://www.youtube.com/watch?v=A9-fJqDqOvU


RT 43:21

Covid-19 is one of the most "alien" viruses our modern health care system has encountered.

Not because it came from extraterrestrials, but because of all of the various different ways it's able to wreak havoc on the human body. It's so novel that we don't have a good natural analog to compare it to.

And it's still confounding us. While it looked as if we had contained it here in the US, it's now surging back so strongly that overwhelmed hospitals are convening "survival panels" to determine who gets treated and who gets sent home to likely die.

We are learning more about it every day, and have a long way to go until we really understand well how it works and how to fight it. So we need to remain vigilant in our efforts to avoid it, or else the resurging death count may go a lot higher:

===
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marsh

On TB every waking moment

Coronavirus: Leaders look to head off ‘unconscionable’ risk of wildfire as pandemic rages

By Alayna Shulman
Posted Jul 22, 2020 at 10:46 AM

Besides the risk the virus could pose when combined with smoke, there’s the chance of infection at fire camps, importing the pathogen to the area through firefighters from outside agencies and proliferation as evacuated residents are thrust into hotels and restaurants.
At a long-past meeting with tribal leaders and others in the medical field, retired Siskiyou County forester Bruce Courtright got a reminder that it’s not just immediate fire danger you have to worry about in the summer — sometimes, it’s the lingering smoke.

“They were saying that their incidents of people coming into their hospital were double than what it normally is, and it was so bad they had to send people away” to recover in clean air, Courtright recalled.

That was in 2014, six years before the novel coronavirus — with the devastating lung trauma it can cause — became the scourge of the world.

And now, just like then, there are more threats to consider as another fire season dawns. Besides the risk the virus could pose when combined with smoke, there’s the chance of infection at fire camps, importing the pathogen to the area through firefighters from outside agencies and proliferation as evacuated residents are thrust into hotels and restaurants.

“The swan song is to avoid these large fires at all costs, throw everything at it, use every tool in the toolbox, pretty much toss cost-containment to the wind. Because the consequences of a large fire are unconscionable this year,” said Siskiyou County Supervisor Ray Haupt, a fellow retired forester who serves with Courtright on the National Wildfire Institute.

With their backgrounds in the U.S. Forest Service, Haupt, Courtright and the rest of the organization sent a letter to U.S. Agriculture Secretary Sonny Perdue warning that federal fire agencies aren’t ready, while Alaska Senator Lisa Murkowski sent her own letter to the administration.

At the state level, the California Department of Forestry and Fire Protection is taking its own precautions.

“There’s not standalone, ‘This is policy,’ because nobody really knows,” said Sean Kavanaugh, deputy fire chief for Shasta County and one of Cal Fire’s statewide incident commanders. “The more people, the more ideas, the better.”

Combined, the potential costs of a pandemic coinciding with another fire season have wildfire experts bracing for an unprecedented season of risk.

“I’m hoping that we don’t look back on this and say, ‘God, we missed something that we should have known,’” said Rich Elliott, a deputy fire chief for Kittitas Valley Fire and Rescue in central Washington who also works for the International Association of Fire Chiefs on wildland fire policy. “Sending this home to communities has a big impact, and God forbid we actually get somebody sick who has a bad outcome and there are people who are at risk involved in these incident management teams.”

‘No playbook’ for evacuation centers, fire camps

One of the biggest challenges of fire season in a pandemic? The chance that civilians and firefighters alike will be forced into close quarters that could let the virus jump from one unwilling host to another.

For firefighters, it’s the fire camps they call home while battling together on fire lines — which pose their own proximity risk.

As Haupt put it, “they basically set up a small city.”

“With an outbreak in camp, you know, that could easily spread to a community,” Haupt said.

“They do business locally ... they’re in and out of the gas stations, in and out of the businesses, and should something like that happen, that would be devastating to our economy and would overload our healthcare system pretty quickly.”

For everyone else, there’s the chance that widespread evacuations would force them into public even as stay-home guidelines remain.

Stephen Walsh, a spokesperson for the American Red Cross in the North State, said shelters are a last resort this year because of COVID-19. While it would be a significant financial burden for the organization without major donations, Walsh said the first plan for mass evacuations is to put residents up in hotels instead of the usual emergency shelters so they’re not as likely to be exposed to the virus.

Red Cross workers have been reaching out to hotels about availability, and in some past incidents, they’ve even gotten rooms donated to fire victims. But if none are available, Walsh said the Red Cross would follow county guidelines for keeping volunteers and evacuees safe at a shelter. That would include temperature checks, check-ins and social distancing, he said.
“The unique situation up where you are is, at times there’s either not enough hotels or motels, or they’re only able to offer up a certain number of rooms. Obviously, if we have a major disaster, that’s not enough,” he said.

But there are a few key points to remember if it comes to that: The organization only helps out if it’s requested by the county, Walsh said, and if someone still feels unsafe, there’s no rule that says you have to go to a shelter when evacuated.

Cal Fire’s Kavanaugh said the agency is also considering how it can most quickly get people back into their homes to prevent spread of the virus.

“We’re going to have to really be diligent in how quickly we do (that). We could deem it safe, there’s no fire threat, but if there’s no utilities, there’s no running water, we can’t put people back in their homes. And that’s going to be a challenge,” he said. “We’re not going to get around it being a challenge.”

As for firefighters, Kavanaugh said the agency is brainstorming based on what’s worked and what hasn’t in other jurisdictions.

“How we’ve done large incidents in the past — that’s going to have to change; that’s definitely going to have to change,” he said. “There’s no playbook for how we’re going to bring 2,000, 3,000 people into the community.”

It’s a well-documented phenomenon for the close quarters of fire camp to spread around what insiders jokingly refer to as “camp crud,” Elliott said. But this year, it’s not such a joke.

“Two, three, four days into the incident, we start to see it sort of creep through camp. Everybody’s picking up a respiratory thing and you hope it’s fairly minor. In the shadow of COVID, it has different implications,” he said.

The Forest Service said it “will be practicing social distancing wherever possible, spreading out fire camps, issuing PPE such as masks and gloves, and screening and testing firefighters,” and also plans to change its approach to fire camps.

“Gathering and supporting large numbers of firefighters in compact fire camps will not be practical this year. Most firefighting will be in small groups dispersed in isolated camps for social distancing to prevent the spread of COVID-19. We are identifying support functions which can be done virtually to maintain social distancing,” the agency said.

“They’re awkward and they may not be comfortable,” Elliott said of the guidelines. “It’s just like general society — if everybody, you know, would distance, the problems wouldn’t be as complicated as they are.”

While sleeping and feeding routines at the camps will be different — packaged meals instead of a buffet, smaller groups camped together and more spacing during check-ins — Kavanaugh said there are other aspects of the firefight that the agency doesn’t plan on changing.

“We still have to put people on the ground,” he said. “People are going to have to be in close proximity. That’s the only way that’s going to happen.”

Elliott said that’s the balance fire agencies are grappling with this year.

“If you lock everything down to the point that you can’t do your job correctly, you have other risks,” he said. “Are we going to have COVID transmission at fire camps? Probably. Will it be rare? Hopefully — I would say, probably.”

The risk has implications for both civilians and firefighters, who, ultimately, are like the rest of society, Elliott said — some of them wouldn’t be susceptible to severe illness, but others likely would be.

“Everybody’s stressed, they haven’t slept well, they’re not eating perfectly and they’re in respiratory environment that may be compromised,” he said. “We’re well aware that these are the perfect storm of events.”

A call for aggressive firefights

To stop things from getting to that point, Courtright and others are advocating for more aggressive firefighting — and a bigger budget to do it.

In their letter to Perdue’s office, the Wildfire Institute said its concerns over federal firefighting pre-date the pandemic, but the virus brings even more need to tighten responses.

They allege the Forest Service has gotten less aggressive over the years in its fire strategies, but this year it needs to rely on small aircrafts, smokejumpers and strategically placed tankers to blunt blazes before they become catastrophic.

Courtright isn’t satisfied with the responses he’s gotten from the federal government so far.
“I have been pushing this extremely hard and not getting very far, frankly, because the Forest Service is wedded to what they’ve been doing,” he said.

A May 26 letter from Perdue that Courtright shared with the Record Searchlight says the agency “will continue our practice of working closely with state and local governments, fire organizations, partners and stakeholders to communicate and coordinate on available resources to suppress wildland fire.”

“As you noted, considerable pre-planning has gone into preparation for this season including addressing geographic area preparedness. As encouraged in your letter, the Forest Service will utilize aggressive initial attack to suppress wildfires. In our incident response strategies and tactics, we will utilize exclusive use airtanker contracts and will expand our call when needed capabilities. Our plans include mobilization and prepositioning to maintain response capability,” the letter reads.

Responding to an inquiry from the Record Searchlight, the Forest Service said in an email that the agency “is prepared and ready for the fire season.”

“Our primary response strategy for 2020 continues to be aggressive initial attack, to include using local resources from our partners. Our goal is rapid containment to minimize the number of large wildfires,” the email reads.

The agency also said it will be using guidelines from national fire groups on pandemic response.

Haupt, of the Siskiyou supervisors, is hopeful, saying the federal department seemed “very much interested in what we’re talking about.”

But without more specifics, Courtright isn’t encouraged.

“My fear is that nothing’s going to happen,” he said. “I’m afraid if we don’t get some smaller, faster aircraft, we’re going to kill some people and we’re going to burn up a lot of our forests.”
Smoke ‘a death sentence’ in the time of COVID?

The bigger-picture impacts of a major wildfire this year also worry officials, since little is known about how already-taxed lungs would tolerate the virus.

The Centers for Disease Control and Prevention has even started warning about the danger of wildfires coinciding with the pandemic, saying exposure to the pollutants in wildfire smoke “can irritate the lungs, cause inflammation, alter immune function, and increase susceptibility to respiratory infections, likely including COVID-19.”

“With people who have got lung problems, I’m just worried we could really kill a lot of people,” Courtright said. “If we’ve got people who have lung issues and they get COVID...I would think it could be a death sentence.”

Locally, lung issues have long been an issue.

All of the North State except Lassen County has higher rates of COPD, a serious lung disease, than the rest of the state, with 8.3% to 9.9% of the population affected, per 2014 data from the CDC. Most of the North State — including Shasta County, with 14% — also had more smokers than the rest of California, which averages 11%, per 2017 data from the County Health Rankings & Roadmaps.

Meanwhile, Shasta County also had the third-worst death rate in the state for lung cancer for 2015 to 2017 averages, per California Department of Public Health data. It also was fifth-worst of California’s 58 counties for deaths attributed to chronic lower respiratory diseases like emphysema in the same years.

“Our institute has become really aware that smoke is an issue worldwide,” Courtright said.
Elliott noted that the virus’ mysterious nature means the smoke factor is unknown, though.
“The smoke may not be the most complicating,” he said, but either way, “Yes, it is worse than the flu, it spreads easier and it’s doing more damage.”

To keep the season as safe as possible, Elliott said civilians should follow evacuation orders to avoid danger for themselves and firefighters. Firefighters, on the other hand, should be vigilant about hygiene, he said — and stop accepting camp crud as the norm.

“The last thing we need is a big outbreak with first responders. That would be devastating here, especially in the summertime,” Kavanaugh said. “We cannot ever be caught flat-footed, or we’re not doing our jobs correctly. And the public will not stand for it. Not only that — we won’t stand for it.”
 

Heliobas Disciple

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Donald Trump CANCELS his Jacksonville convention and puts his own coronation as candidate ONLINE with 'tele-rallies' for supporters - admitting Florida's virus spike means 'it's not the time'
By Nikki Schwab
Published: 17:37 EDT, 23 July 2020 | Updated: 22:05 EDT, 23 July 2020
  • President Trump announced Thursday he was calling off the Jacksonville, Florida component of the Republican National Convention
  • After Democratic North Carolina Gov. Roy Cooper couldn't guarantee Trump could host a crowd in Charlotte he moved the primetime speeches to Florida
  • For six weeks organizers tried to build a second convention in Jacksonville from scratch, all the while Florida was seeing large spikes in COVID-19 cases
  • Trump said Thursday the RNC would kick off in Charlotte on August 24, the original plan, and the president would hold 'tele-rallies' throughout the week
  • 'And I'll do a convention speech in a different form, but we won't do a big, crowded convention per say. It's just not the right time for that'

President Donald Trump announced Thursday he was cancelling the Jacksonville, Florida portion of the Republican National Convention due to the state becoming a COVID-19 hotspot.

'So I told my team it's time to cancel the Jacksonville, Florida component of the GOP convention,' Trump said at the top of his Thursday press briefing.

The convention would start on August 24 in Charlotte, North Carolina - which had always been the plan - before the president got in a fight with the state's Democratic Gov. Roy Cooper who couldn't guarantee he'd be allowed to fill a stadium.

Trump didn't commit to fully holding the RNC back in Charlotte, saying he would hold 'tele-rallies' through the week.

'And I'll still do a convention speech in a different form, but we won't do a big, crowded convention per say. It's just not the right time for that,' the president said.

Thursday's announcement marked the end of a six-week attempt to create from scratch what organizers were calling a 'convention celebration' in Jacksonville, as GOP delegates were still going to gather in Charlotte, but all the primetime speeches would take place in the Florida city.

In recent days, local officials expressed doubt that they could pull it off.

Jacksonville's Sheriff Mike Williams warned that they were 'past the point of no return' of being able to get proper security protocols in place to host a widely attended, in-person convention starring the president of the United States.

'With less than 40 days until the expected Republican National Convention is slated to arrive in Jacksonville, I am compelled to express my significant concerns with the viability of the event,' said Williams, the Duval County sheriff, in a statement.

Jacksonville's City Council President Thomas Hazouri told the Miami Herald that organizers should 'start thinking about going virtual or scaling down even more than they've done.'

Hazouri said in his interview with the Herald that Republicans 'need to have a plan A,B,C,D, and E,' since time is tight and coronavirus cases in Florida continue to grow.

Republicans were starting to outline some of the COVID-19 precautions they would take.

A memo obtained by ABC News said that Jacksonville convention attendees were to do an at-home COVID-19 test before traveling to the city - though mentioned testing, sanitizing, temperature checks would be available on-site, as well as PPE - personal protective equipment.

But the memo didn't say anything about attendees having to wear masks or social distancing, just that the convention would follow the current local health guidelines.

Trump's June 11 announcement came when Florida was seeing under 1,700 cases a day.

More recently the state hit a high water mark of more than 15,000 positive COVID-19 cases.

'Leading by example, President Trump has put the health and safety of the American people first with his decision on the Jacksonville convention,' Trump's new Campaign Manager Bill Stepien said in a statement.

Trump started his Thursday briefing with images of the U.S. map behind him that showed Florida as a hotspot.

It took several minutes for him to get to the news of the announcement as he talked about

The president said he was meeting with his political advisers who were showing him images of the stage and other 'convention celebration' components.

'I never thought we could have something look so good, so fast,' he said.

'Everything was going well, a tremendous list of speakers. Thousands of people wanting to be there - and in some cases desperately be there - they wanted to attend. People making travel arrangements all over the country. They wanted to be there,' the president continued.

'The pageantry the signs, the excitement were really, really top of the line,' he added.

Trump said he looked at his team, 'And I said the timing for this event is not right, it's just not right with what's happened recently, the flare-up in Florida, to have a big convention in Florida is not the right time.'

'I have to protect the American people, that's what I've always done, that's what I always will do, that's what I'm about,' Trump said.

Two polls in Florida that were released Thursday also showed him significantly down in the Sunshine State, which is essentially a must-win if he wants to beat the presumptive Democratic nominee Joe Biden in the Electoral College.

The president moved his residency to his Florida Mar-a-Lago property and has the support of the state's Republican Gov. Ron DeSantis.

Still, a Quinnipiac poll had Biden up in Florida by 13 points, while a St. Pete Poll had Biden up by seven. The Real Clear Politics polling average of all recent Florida polls also has Biden up by seven.

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Heliobas Disciple

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Donald Trump admits all schools CANNOT reopen and that districts have to decide when it is safe - but says federal cash should go to PARENTS to let them homeschool or go private

By Geoff Earle
Published: 17:52 EDT, 23 July 2020 | Updated: 00:21 EDT, 24 July 2020
  • The president made announced the stunning turnaround at the White House
  • He has spent months demanding schools reopen
  • Said schools may need to delay reopening for 'a few weeks'
  • Argued it should be up to governors and 'based on the data'
  • He also said: 'schools have to open safely, but they have to open'
  • Announcement came moments after Trump nixed the GOP's Jacksonville convention
  • New poll showed 63 per cent of parents said it was better to open schools later to lower the risk of coronavirus infection
  • Trump threatened school funding July 8: 'May cut off funding if not open!'
President Donald Trump executed a stunning turnaround Thursday and announced that many U.S. schools will have to delay reopening despite his repeated urgings that they must open in the fall.

After pushing for weeks for schools to reopen and stressing the risks of keeping them closed, Trump said school districts in coronavirus hot spots 'may need to delay reopening for a few weeks. That’s possible. That’ll be up to governors.'

And putting stock in science and infection rates, Trump said: 'The decision should be made based on the data and the facts on the ground.'

It was an acknowledgement that his admonition that schools must reopen at the traditional time may not be possible amid a coronavirus pandemic that the president now admits will get worse before it gets better.

He made the announcement just moments after announcing the cancellation of the Republican convention in Jacksonville, bowing to the reality of a surge of infections in the Sunshine State.

Rival Joe Biden and Democrats have blasted Trump for pushing schools to reopen, accusing him of seeking to minimize the coronavirus and force reopening to help his reelection campaign.

Taken in concert – ditching the convention, going along with phased reopening, watching GOP senators walk away from his payroll tax cut in new coronavirus legislation – the president appeared to be going into repositioning mode as he confronts daunting polls nationally and in battleground states.

'I hope that local leaders put the full health and well-being of their students first,' Trump said, 'and make the right decision for children, parents teachers and not make political decisions.'

Then, he mused about the politics of the decision – amid concerns about the health of teachers, the risks students bring infection into the home, balanced against the need to educate children and get them into school systems to free parents to work.

'This isn’t about politics, this is about something very, very important, this is not about polics,' Trump said. 'I even think it’s bad politics if you do the wrong decision,' Trump said.

But the politics of Trump's demand that schools reopen were not on his side.

A new Kaiser Family Foundation poll released Thursday showed 63 per cent of parents said it was better to open schools later to lower the risk of coronavirus infection, versus just 32 per cent who said it was better to reopen sooner.

The news for Trump was also grim in a new Associated Press-NORC Center for Public Affairs poll.

It found just 8 per cent of Americans said K-12 schools should be open for normal in-person instruction. Only 14 per cent backed reopening with minor adjustment, with 46 calling for major changes. An additional 31 per cent said students should not get in-person instruction this fall.

Just over one-third, 36 per cent of Americans approve of Trump's performance on education, with 63 per cent disapproval.

Democrats were twice as likely as Republicans to call for mixed instruction rather than in-person.

The polls reflect weeks of demands by Trump for schools to reopen.

Back on July 6, as schools around the country searched for ways to reopen, Trump tweeted: '“SCHOOLS MUST OPEN IN THE FALL!!!”

At a July 7 speech on 'Safely Reopening Schools,' Trump said: 'We want to reopen the schools. Everybody wants it. The moms want it, the dads want it, the kids want it. It’s time to do it.'

Trump also issued a threat on Twitter to deny funds to schools that don't reopen.

“I disagree with @CDCgov,” Trump wrote, after leaked guidelines on when schools could safely decide to reopen. “While they want them open, they are asking schools to do very impractical things. I will be meeting with them!!!”

He tweeted July 8: 'In Germany, Denmark, Norway, Sweden and many other countries, SCHOOLS ARE OPEN WITH NO PROBLEMS. The Dems think it would be bad for them politically if U.S. schools open before the November Election, but is important for the children & families. May cut off funding if not open!'

Trump announced terms of $105 billion Republicans want to provide to help schools reopen.

But he injected hot issues into the topic by saying funds should follow the children and could go to religious institutions or even for home schooling.

'If schools do not reopen,' Trump said the funds could go to 'public, private, charter, religious, or home school of their choice.'

'The key word being choice,' Trump emphasized.

'If the school is closed the money should follow the student, so parents and families are in control of their own decisions so would like the money to go to the parents of these student. this way they can make the decision that's best for themTrump said.

He said funds would go to mitigation measures, mask wearing, and repurposing spaces.

'We can not indefinitely step 50 million American children from going to school harming their mental, physical and emotional development. Reopening our schools is also critical to ensuring that parents can go to work and provide for their families,' Trump said.

Trump's announcement came moments after he nixed the GOP's Jacksonville convention – which he had also been saying must go forward even as critics pointed to a spike of infections in Florida.

The announcement came moments after Trump nixed the GOP's Jacksonville convention.

'We have to be vigilant we have to be careful. 'There’s nothing more crowded than a convention,' he said.

Trump said the Centers for Disease Control would be reducing guidelines on how schools could safely reopen.

Even as he pulled back from his all-out opposition to schools delaying reopening, Trump made the case for getting students back in classroom.

He said they were at lower risk of getting coronavirus, and said schools are where teachers and other adults often identify abuse and neglect occurring in the home.

'You don’t get to see that if you’re not going to school it’s a big thing,' Trump said.

Trump's announcement came on a day when two polls showed him trailing Joe Biden in battleground Florida, while a trio Fox News had him trailing in Michigan, Pennsylvania, and Minnesota.

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Heliobas Disciple

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Fauci: COVID-19 is "almost your worst nightmare"
Eileen Drage O'Reilly
21 hours ago

The unique characteristics of this pandemic may not allow people to completely eradicate it, but public health measures and good vaccines should bring "very good control," NIAID director Anthony Fauci said Wednesday.

Driving the news: "We are living, right now, through a historic pandemic outbreak. And, we are, right now, in a situation where we do not see any particular end in sight," Fauci told a panel hosted by the not-for-profit TB Alliance.

"It's the perfect storm," Fauci says. "We often talk about outbreaks and pandemics, be they influenza or other pathogens, that have to have a few characteristics that make them particularly formidable. Well, this particular virus has that."

For a public health official, this is "almost your worst nightmare," Fauci adds.

He points out that SARS-CoV-2 jumps species, is a new pathogen with no known innate human immunity, and is a respiratory-borne virus that is "spectacularly efficient" at spreading from human to human and has a "substantial degree of morbidity and mortality, particularly in certain populations of people."

Plus, "the spectrum of involvement with the same pathogen is very unique," Fauci says.

"I've never seen an infection in which you have such a broad range — of literally nothing, namely no symptoms at all, in a substantial proportion of the population; to some who get ill with minor symptoms; to some who get ill enough to be in bed for weeks and have post-viral syndromes; [to] others [who] get hospitalized, require oxygen, intensive care, ventilation and death."

From what doctors can tell right now, Fauci says the pathogenesis of the disease indicates "you want to block the virus and keep the immune systems intact early on. But, you want to block inflammation later on, because that assumes a much greater role."

What to watch: Several vaccines are in or will soon be entering phase 3 clinical testing, Fauci says. While the FDA gave a 50% efficacy benchmark for the vaccine, "they're shooting" for a vaccine with 70% or higher effectiveness.

One safety concern they're watching for during phase 3 trials are for possible "vaccine-induced immune enhancement" that can sometimes occur if there's suboptimal antibodies in a vaccine that actually enhance the infection once you're exposed later.

While there is no "particular reason" to believe this will happen with COVID-19 vaccines, there had been issues before with animals tested with the SARS vaccine, so "we want to pay attention to it."

Fauci says he's "cautiously optimistic" a good vaccine will be available soon.

"I don't really see us eradicating it. I think with a combination of good public health measures, a degree of global herd immunity, and a good vaccine ... I think we'll get very good control of this. Whether it's this year or next year, I'm not certain," Fauci says.

Meanwhile, other panel members also expressed concern that the pandemic may cause an uptick in diseases like tuberculosis, HIV and malaria.

Soumya Swaminathan, chief scientist for the World Health Organization, pointed out that there's a need to continually address those devastating diseases as well as work on developing new antibiotics.

TB Alliance founding board member Ariel Pablos-Mendez, who has worked with both COVID-19 patients and multidrug resistant TB patients, says "I have seen firsthand how deadly diseases are, and the threats they pose to global health and stability."

"But I also see signs of hope," Pablos-Mendez added, such as with India's recent approval of TB Alliance’s pretomanid drug, commercialized by Mylan, to be included in a regimen to fight multidrug-resistant TB.

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Heliobas Disciple

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U.S. records 2,600 new coronavirus cases every hour as total approaches 4 million
Lisa Shumaker (Reuters)
Thursday, 23 July 2020 10:00 GM

U.S. coronavirus cases were approaching 4 million on Thursday, with over 2,600 new cases every hour on average, the highest rate in the world, according to a Reuters tally.

Infections in the United States have rapidly accelerated since the first case was detected on Jan. 21. It took the country 98 days to reach 1 million cases. It took another 43 days to reach 2 million and then 27 days to reach 3 million. It has only taken 16 days to reach 4 million at a rate of 43 new cases a minute.

The federal government, state governors and city leaders have often clashed over the best way to tackle the pandemic, leading to a confusing patchwork of rules on issues like mask wearing in public and when businesses can open.

President Donald Trump recently shifted his tone. He had been previously been reluctant to wear a mask himself but this week encouraged Americans to wear masks and recently appeared in public for the first time with a face covering.

Of the 20 countries with the biggest outbreak, the United States ranks second for cases per capita, at 120 infections per 10,000 people, only exceeded by Chile.

With over 143,000 deaths, or 4.4 fatalities per 10,000 people, the United States ranks sixth globally for the highest deaths per capita. It is exceeded by the United Kingdom, Spain, Italy, Chile and France.

Globally, the rate of new infections shows no sign of slowing, with the disease accelerating the fastest in the United States and South America, according to the Reuters tally, based on official reports.

Brazil registered a new daily record for confirmed coronavirus cases on Wednesday, pushing the total confirmed cases across Latin America past 4 million.

Brazil has the second-largest outbreak in the world, with more than 2.2 million people testing positive and nearly 83,000 deaths.

India, the only other country with more than 1 million cases, reported almost 40,000 new cases on Wednesday.

.
 

Heliobas Disciple

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Head of White House taskforce Dr Deborah Birx warns 11 major cities including Indianapolis, Pittsburgh and Baltimore need to take 'aggressive' steps to mitigate coronavirus outbreaks
By Emily Crane
Published: 16:22 EDT, 23 July 2020 | Updated: 00:23 EDT, 24 July 2020
  • Dr Deborah Birx issued the grave warning Wednesday during a call with hundreds of state and city leaders
  • The 11 cities include: Baltimore, Cleveland, Columbus, Indianapolis, Las Vegas, Miami, Minneapolis, Nashville, New Orleans, Pittsburgh and St Louis
  • Dr Birx warned that the outbreak currently plaguing cities in Sunbelt states, like Phoenix and San Antonio, was now moving north
  • She warned leaders of the 11 cities that they should take 'aggressive' steps to stem their current outbreaks
  • Her warning came as the number of cases reported in the United States passed 4 million on Thursday

The head of the White House coronavirus task force, Dr Deborah Birx, has warned that 11 major cities - including Indianapolis, Pittsburgh and Baltimore - need to take 'aggressive' steps to mitigate COVID-19 outbreaks.

Dr Birx issued the grave warning on Wednesday during a phone call with hundreds of state and city leaders.

The 11 cities she mentioned include: Baltimore, Cleveland, Columbus, Indianapolis, Las Vegas, Miami, Minneapolis, Nashville, New Orleans, Pittsburgh and St Louis.

Dr Birx warned that the outbreak currently plaguing cities in Sunbelt states, like Phoenix and San Antonio, was now moving north, according to audio of the call obtained by the Center for Public Integrity.

'What started out very much as a southern and western epidemic is starting to move up the East Coast into Tennessee, Arkansas, up into Missouri, up across Colorado, and obviously we're talking about increases now in Baltimore,' she said.

'So this is really critical that everybody is following this and making sure they're being aggressive about mitigation efforts.'

She warned leaders of the 11 cities that they should take 'aggressive' steps in order to stem their current outbreaks.

Dr Birx said it was vital for health officials to contract trace patients testing positive in areas where test positivity was increasing.

'When you first see that increase in test positivity, that is when to start the mitigation efforts,' she said.

'I know it may look small and you may say, 'That only went from 5 to 5-and-a-half [percent], and we're gonna wait and see what happens'. If you wait another three or four or even five days, you'll start to see a dramatic increase in cases.'

Her warning came as the total number of coronavirus cases reported in the United States passed 4 million on Thursday, reflecting a rapid acceleration of infections in the country since the first case was recorded on January 21.

It took the country 98 days to reach 1 million cases but just 16 days to go from 3 million to 4 million.

The case total indicates that at least one in 82 people in the United States have been infected.

As the pandemic has spread from the early epicenter of New York to the South and West, federal, state and local officials have clashed over how to ease lockdowns imposed to curb the infection rate, including in some states whether to rollback reopenings.

The ordering of face coverings, a common practice around the world and recommended by the federal government's own health experts, has also become highly politicized, with some Republican governors particularly resistant.

Hostility to the idea appeared to be dwindling this week, including from the Republican administration of President Donald Trump, who once dismissed mask-wearing as an effort to be politically correct.

Trump, who faces falling poll numbers over his handling of the health crisis ahead of the November election, has long refused to wear a mask in public but this week encouraged Americans to do so.

While Trump did not issue a national mandate, U.S. Assistant Secretary for Health Brett Giroir on Thursday cited the importance of masks to bring the virus under control.

'We have to do our mitigation steps: wear a mask, avoid the crowds. We won't see hospitalizations and deaths go down for a couple of weeks because (they are) lagging indicators, but we are turning that tide,' Giroir told Fox News Network.

He also said the time it currently takes to get coronavirus test results back needs to be reduced.

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Heliobas Disciple

TB Fanatic
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Virus Can Travel 26 Feet at Cold Meat Plants With Stale Air
Megan Durisin
11 hrs ago

Cold and stale air conditions allowed coronavirus particles to travel more than 8 meters (26 feet) at a German slaughterhouse, a study showed, giving an insight into how meat plants turned into hotspots for infections across the world.

Researchers reconstructed the likely cause of the outbreak at a Toennies Group slaughterhouse in Rheda-Wiedenbrueck, where about 1,500 workers contracted the virus. Similar conditions at plants globally are a reason they’ve become virus epicenters, according to the report from groups including the Helmholtz Center for Infection Research.

Meat plants from the U.S. to the U.K. and South America have seen the rapid spread of the virus, infecting thousands of employees who often work in close proximity on processing lines. Dozens of workers have died, and labor advocates have said that a lack of social distancing could continue to put people at risk. Outbreaks also forced American meat plants to close earlier this year, sparking some protein shortages.

Meanwhile, China is ramping up testing of imports of cold food for the virus. Even as global scientific experts say that the likelihood of transmission through food is extremely low, the Asian country has slapped export bans on some abattoirs with cases, further fueling the urgency to contain the disease.

The Toennies outbreak likely began from one employee in May and was largely transmitted in the plant’s dismantling area, where rooms are often chilled to 10C degrees (50 Fahrenheit). Chilly air circulated without frequent changes -- coupled with a strenuous work conditions -- helped particles move large distances, said Adam Grundhoff, a co-author of the study.

“It is very likely that these factors generally play a crucial role in the global outbreaks in meat or fish processing plants,” said Grundhoff, a research group leader at the Heinrich Pette Institute, Leibniz Institute for Experimental Virology. Under these conditions, a distance of 1.5 to 3 meters between workers isn’t sufficient to prevent transmission, he said.
Disproportionate Hit

Workers at meat plants represent some of the populations facing a disproportionate hit from the health crisis and its economic fallout.

In the U.S., about half are immigrants, according to the Center for Economic and Policy Research. Employees also come from relatively low-income families, and about 44% of them are Hispanic and a quarter are African Americans, a demographic seeing a devastating toll both physically and financially.

Minority workers at the U.S. plants have seen the biggest blow from the outbreaks. In a July Centers for Disease Control and Prevention report that showed infection tallies through the end of May, data showed that of the of the cases that disclosed race and ethnicity, 87% involved minority workers -- with employees identified as Hispanic accounting for 56% of infections despite making up less than a third of the overall workforce.

The Toennies plant -- Germany’s largest pork abattoir -- reopened last week after a month-long closure and plans to gradually ramp up output. The company, which posted a link to the research report on Twitter, also recently released a 25-point plan detailing measures it’s making to prevent further outbreaks. They include testing employees twice a week, hiring workers directly and overhauling ventilation.

The report’s findings show that no factory worldwide was built for such a crisis, and the company has invested in air filters and other mechanisms to protect employees, a Toennies spokesman said by email.

Housing conditions -- also often pinpointed as a factor in the outbreaks -- were not found to play a significant role in the disease’s initial spread.

“The important question now is under what conditions transmission events over longer distances are possible in other areas of life,” said Melanie Brinkmann, a research group leader at the Helmholtz center.

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Melodi

Disaster Cat
I guess the families back at home don't really matter much anymore - seriously this is a huge dot...
COVID-19 patients will be ‘sent home to die’ if deemed too sick, Texas county says
BY CHACOUR KOOP
JULY 23, 2020 05:28 PM , UPDATED 9 HOURS 47 MINUTES AGO
Florida out of ICU beds. Texas, Arizona requests refrigerated trucks.
KY Governor Andy Beshear reports Florida running out of ICU beds for COVID-19 patients, and Texas and Arizona requesting refrigerated trucks as morgues run out of space for COVID-19 related deaths. BY GOVERNOR ANDY BESHEAR
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Parishioners gather to pray for, serenade friars quarantined due to COVID-19




KY Governor Andy Beshear reports Florida running out of ICU beds for COVID-19 patients, and Texas and Arizona requesting refrigerated trucks as morgues run out of space for COVID-19 related deaths. BY GOVERNOR ANDY BESHEAR


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The situation was not always as dire in this rural South Texas county.

Starr County once went about three weeks without a COVID-19 case at the beginning of the pandemic. It banned large gatherings, tested hundreds of residents a day, issued stay-at-home orders and required face masks — many of the same mandates now commonplace across the U.S. The poor and mostly Latino county on the Mexico border was containing COVID-19.


“A model for the country,” Starr County Judge Eloy Vera said Tuesday — as he shared an update that now appears gloomy.

In April, its aggressive and successful approach to beating the coronavirus was spotlighted by NBC News.

“We are very proud at this point that our numbers are very low, considering we are an at-risk population and the disparity in medical services and our low socio-economic population,” Joel Villareal, mayor of county seat Rio Grande City, told NBC News. “We rank as one of the poorest counties in the nation. However, that does not deter us.”

But after Gov. Greg Abbott issued orders for the reopening of the state, overriding local control and decision-making, COVID-19 cases surged.

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Now Starr County is at a dangerous “tipping point,” reporting an alarming number of new cases each day, data show. Starr County Memorial Hospital — the county’s only hospital — is overflowing with COVID-19 patients.

The county has been forced to form what is being compared to a so-called “death panel.” A county health board – which governs Starr Memorial – is set to authorize critical care guidelines Thursday that will help medical workers determine ways to allocate scarce medical resources on patients with the best chance to survive.

A committee will deem which COVID-19 patients are likely to die and send them home with family, Jose Vasquez, the county health authority, said during a news conference Tuesday.

“The situation is desperate,” Vasquez said. “We cannot continue functioning in the Starr County Memorial Hospital nor in our county in the way that things are going. The numbers are staggering.”

Starr County, with a population of about 61,000, is located about 230 miles south of San Antonio. The county has 1,432 confirmed coronavirus cases and 15 deaths. But Vasquez told The Monitor there are more than 30 more pending confirmation.

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Per 100,000 people, Starr County has reported about 92 cases a day over the past week — the 11th highest rate in Texas, data compiled by Harvard Global Health Institute show.

Starr Memorial quickly filled up its eight-bed COVID-19 unit after the state began reopening and expanded to 17 beds, Vasquez said. It expanded again to 29 beds when state officials sent medical workers to the county.

On Sunday, Gov.Abbott announced U.S. Navy teams will go to South Texas to provide medical assistance, including the hospital in Starr County.

Still, the new committee will be necessary, officials say. The hospital transfers COVID-19 patients daily to other counties and even out-of-state, but those hospital beds are filling up, Vasquez said.


“For all of those patients that most certainly do not have any hope of improving, they are going to be better taken care of within their own family in the love of their own home rather than thousands of miles away dying alone in a hospital room,” he said.

As the situation has gone from promising at beginning of the pandemic to desperate, the county judge will soon issue a stay-at-home order.

“Unfortunately, Starr County Memorial Hospital has limited resources and our doctors are going to have to decide who receives treatment, and who is sent home to die by their loved ones,” Vera said in a Wednesday news release. “This is what we did not want our community to experience.”
 

OldArcher

Has No Life - Lives on TB
Melodi, add to that POTUS' pushing for schools to reopen, and you have clear indications of idiocy and/or insanity. This is but the first wave, and there are already indications of the second already on the move... It's unconscionable that TPTB have no clue as to the extreme danger the Human Race now faces... We're now on the verge of a slope that leads toward extinction. I'm sure the Vanir have always been dialed into what now happens, and of course, the Aesir as well. What would their solutions be? Brute force with conventional weapons won't work, as per the Aesir. Magic(k) the pervue of the Vanir seems to be the only way against these challenges... Both have their places, and no doubt the Aesir will be involved when any nation loses its s*it... Right now, the Vanir need to be consulted, and their wisdom heeded...

May Universe Bless You and Nightwolf in all You do...

OA
 

Mixin

Veteran Member
Indiana sheriffs in 4 counties say they will not act as mask police
by: FOX59 Web
Posted: Jul 23, 2020 / 08:08 PM EDT / Updated: Jul 24, 2020 / 09:54 AM EDT

INDIANA — Sheriffs in at least four Indiana counties have come forward saying their offices will not enforce the statewide executive order mandating wearing masks.

Sheriffs in Sullivan, Hamilton, Delaware and Johnson Counties said they will not enforce the order, as it has not been introduced as a bill in the General Assembly and legislators are not in session.

On Wednesday, Governor Eric Holcomb announced that he would sign an executive order making it a criminal offense to not wear a face covering, with some exemptions. Attorney General Curtis Hill questioned Holcomb’s authority to criminalize the mask order violations, calling for a special legislative session.

“The wisdom of wearing masks — or of laws requiring such measures — is not the issue here. Rather, the issue is whether we are following the proper and constitutional processes for enacting laws and whether we are respecting the distinct roles of each branch of state government,” Attorney General Hill said.

Attorney General Hill said while executive orders have an important and legitimate function during times of emergency, it is time to show difference to the branch of government charged by the state’s constitution with the responsibility for enacting laws.

The sheriffs in Sullivan, Hamilton, Delaware and Johnson Counties echoed the Attorney General’s sentiments, saying they will enforce the laws put into place by elected legislators.

“The announced order has not been introduced as a bill in the General Assembly and our legislators are not in session. The General Assembly could be called into session by the Governor if the “public welfare shall require it,” but this critical step has not taken place. Indiana’s Attorney General has issued an opinion in which he believes this to be unconstitutional. I strongly concur with this opinion,” Hamilton County Sheriff Dennis Quakenbush II said.

While they said they would not stop, detain or issue citations for not wearing a mask, busineses or organizations reserve the right to deny entry or refuse service to an individual.

“Failure to leave a business or organization after being asked to do so, could be considered trespassing, creating an unwanted legal situation for yourself,” Sullivan County Sheriff Clark Cottom said.

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The sheriffs are telling residents not to call the Sheriff’s Office or dispatch about violations pertaining to the executive order. They say people can contact the Indiana State Department of Health with concerns or complaints.

“People who need immediate help with serious life-threatening medical issues or crimes of violence will not be able to get prompt assistance. If you feel obligated to report mask violations please contact the Indiana State Department of Health or the Delaware County Health Department,”

“If a disturbance or other issue were to develop, deputies would respond as always; however, we will not respond solely for allegations of a violation of the executive order,” Johnson County Sheriff Duane Burgess said.

The governor has always taken the position that the power granted him under the emergency declaration gives him the authority to issue such mandates as the face mask order.

You can read the full statements from the Sheriffs’ offices below.
On March 6th, 2020 a public health emergency was declared for the State of Indiana and has been extended four times. On July 22nd, 2020 the Governor announced he was going to sign an executive order making it a criminal offense not to wear a mask at certain times and locations, for anyone 8 years and older, punishable by up to $1,000 in fines and up to 180 days in jail.
Regardless of any opinion of masks or their impact on COVID 19 good or bad, we must not deviate from the documents which protect our freedoms and liberties. We must guard them at all costs. The men and women of the Hamilton County Sheriff’s Office will not be enforcing the mask mandate and will consider it null and void.
As your elected Sheriff of Hamilton County, Indiana, my primary concern and responsibility is to protect the constitutional rights of the citizens. I took an oath to uphold the constitution of the United States and the State of Indiana. I will always do this to the best of my ability.
The announced order has not been introduced as a bill in the General Assembly and our legislators are not in session. The General Assembly could be called into session by the Governor if the “public welfare shall require it,” but this critical step has not taken place. Indiana’s Attorney General has issued an opinion in which he believes this to be unconstitutional. I strongly concur with this opinion.
Here are some pertinent excerpts from the Indiana Constitution.
Article III, Section 1, The powers of the Government are divided into three separate departments; the Legislative, the Executive including the Administrative, and the Judicial: and no person, charged with official duties under one of these departments, shall exercise any of the functions of another, except as in this Constitution expressly provided.
Article IV, Section 1, The Legislative authority of the State shall be vested in a General Assembly, which shall consist of a Senate and a House of Representatives. The style of every law shall be: “Be it enacted by the General Assembly of the State of Indiana”; and no law shall be enacted, except by bill.
Article IV, Section 9, The sessions of the General Assembly shall be held at the capitol of the State, commencing on the Tuesday next after the second Monday in January of each year in which the General Assembly meets unless a different day or place shall have been appointed by law. But if, in the opinion of the Governor, the public welfare shall require it, he may, at any time by proclamation, call a special session. The length and frequency of the sessions of the General Assembly shall be fixed by law.
DENNIS J. QUAKENBUSH II, SHERIFF OF HAMILTON COUNTY
Governor Holcomb has enacted an executive order to mandate mask wearing in public places beginning Monday, July 27, 2020. As your elected Sheriff, I want to address this executive order and my stance on it:
The Johnson County Sheriff’s Office will NOT be enforcing the executive order. We will continue to enforce the law as guided by the Constitution of the United States, the Constitution of the State of Indiana, and those laws which are put into place by our elected legislators, as we are sworn to do.
Please do not contact the Sheriff’s Office or dispatch regarding violations of this executive order. Instead, you may contact the Indiana State Department of Health with any concerns or complaints. If a disturbance or other issue were to develop, deputies would respond as always; however, we will not respond solely for allegations of a violation of the executive order. Please remember that any business or organization may refuse service to any individual who refuses to wear a mask. Failure to leave the business or organization when asked could be treated as Criminal Trespass, with legal ramifications.
Whether you support or oppose the Governor’s decision, I would like to encourage everyone to be respectful and tactful when addressing another person about their use of a mask. We all will get through this together!
DUANE E. BURGESS, SHERIFF OF JOHNSON COUNTY
As you are likely aware, this week Indiana Governor Eric Holcomb signed an executive order mandating the wearing of masks in public places, beginning Monday, July 27, 2020.
As your Sheriff, I have received several questions, therefore, I feel it is important to address our position concerning enforcement of this order.
Sullivan County Sheriff’s deputies will not stop or detain a citizen for not wearing a mask.
My staff will not be issuing citations or taking anyone to jail for a violation of this order.
Our agency will not respond solely to a reported violation of this order.
Therefore, please do not call the Sheriff’s Office or 911 dispatch to report violations of this order.
As sworn officials, we will uphold the Constitution of the United States and enforce the laws of the State of Indiana, which were put into place by our elected legislators.
Please know that a business or organization reserves the right to deny entry, and/ or refuse service to an individual.
Failure to leave a business or organization after being asked to do so, could be considered trespassing, creating an unwanted legal situation for yourself.
Because of the unique responsibilities inside our facility, masks are required inside the Sullivan County Sheriff’s Office and Jail.
My staff and I will be wearing masks when interacting with the public, while on duty, or whenever appearing in the uniform of the department unless safety dictates otherwise.
We too look forward to the day when life returns back to “normal“.
As a community, we will get through these trying times together.
CLARK COTTOM, SHERIFF OF SULLIVAN COUNTY
Starting on Monday, July 27, 2020 an executive order goes into effect making It mandatory that citizens over eight years old wear a face covering (mask) while inside a public place, Including commercial and transportation entities, schools for all faculty, staff and visitors and students from third grade and up, as well as outdoor public spaces where social distancing is not possible. During his press conference, the Governor also said, “Please know that the mask police will not be patrolling Indiana streets.”
This is a public health Issue and not a police Issue. The Delaware County Sheriff’s Office Is not the ‘mask police’ and I am asking you not to call dispatch for the sole purpose of reporting someone not wearing a mask In one of these situations. Calling dispatch to report people allegedly not wearing a mask will overwhelm and overload the dispatch system. This will have serious consequences. People who need immediate help with serious life-threatening medical issues or crimes of violence will not be able to get prompt assistance. If you feel obligated to report mask violations please contact the Indiana State Department of Health or the Delaware County Health Department.
The Sheriff’s Office also recognizes the rights of property owners and businesses and their rights to create policy for their property. If a business, school, government building, etc… requires you to wear a mask while on their property then you can either wear the mask or leave. The same thing applies to private property; if the property owner asks you to wear a mask; you either wear a mask or leave. If you
are told to leave a business or property because you refuse to wear a mask that becomes a criminal matter, trespassing, and we wIll respond to these types of calls.
TONY SKINNER, SHERIFF OF DELAWARE COUNTY
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=RjFdUHCGvOo
13:49 min
BALTIMORE122 - Checking in with Dr. Monica Schoch-Spana on the Mental Health Effects of COVID-19 and the...

•Jul 24, 2020


Johns Hopkins Bloomberg School of Public Health
This week, we’re checking in with guests we interviewed earlier in the pandemic. Today, Dr. Josh Sharfstein gets an update from Dr. Monica Schoch-Spana, an expert on the mental health effects of the novel coronavirus. Schoch-Spana talks about the challenges for psychological well-being caused by the resurgence of cases in the US. She also talks about a new report she co-authored about what will be needed for a safe and effective vaccine to be widely accepted and equitably distributed.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=ACXlvePnyK0
1:00:35 min
War Room Pandemic Ep 297 - Distrust and Verify (w/ Bill Gertz, Jack Posobiec and Steve Cortes)
•Streamed live 6 hours ago

Bannon WarRoom - Citizens of the American Republic


Raheem Kassam and Jack Maxey are joined by Steve Bannon and Jack Posobiec to discuss the latest on the coronavirus pandemic as Secretary of State Mike Pompeo makes a historic speech at Nixon Presidential Library. Calling in is Bill Gertz to talk about the speech by Pompeo. Also calling in is Steve Cortes to talk about Chicago and the economy.

____________________________________
View: https://www.youtube.com/watch?v=uh_Q8DcHIbM
1:34:59 min
War Room Pandemic Ep 298 - No Turning Back (w/ Jack Posobiec and Natalie Winters)
•Streamed live 5 hours ago


Bannon WarRoom - Citizens of the American Republic


Raheem Kassam and Jack Maxey are joined by Steve Bannon and Jack Posobiec to discuss the latest on the coronavirus pandemic as Secretary of State Mike Pompeo makes a historic speech at Nixon Presidential Library. Calling in is Natalie Winters to discuss her latest piece in The National Pulse about and unholy alliance between the Chinese Communist Party and Harvard University.
 

marsh

On TB every waking moment
View: https://www.youtube.com/watch?v=VMXlFkg8_iw
56:17 min
Supporting Children and Adolescents During COVID-19
•Jul 24, 2020


Centers for Disease Control and Prevention (CDC)

Parents, family members, school staff, and other trusted adults can play an important role in helping make sense of what children and adolescents hear in a way that is honest, accurate, and minimizes anxiety or fear. Dr. Melissa Brymer from the National Center for Child Traumatic Stress Network joined the CDC EPIC team on Wednesday, July 22. They discussed possible supports to use during COVID-19 and NCTSN’s resources and outlined how to have conversations with children and adolescents.
 
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