When Albert Jones learned it was 94-year-old Barbara’s birthday, he stopped what he was doing to sing “Happy Birthday” to her; enjoy it all.
Category : America/U.S.A.
Thursday Encouragement–(NBC) Florida Utility Worker Brings Birthday Joy To Nursing Home Resident Amid Coronavirus Pandemic
Late last month, Vice President Mike Pence sent a letter to administrators of the nation’s 6,000 hospitals requesting a favor.
He asked them to complete a form each day with data on the patients they are treating with COVID-19, the disease caused by the novel coronavirus, and submit it to the Centers for Disease Control and Prevention.
“The data will help us better understand disease patterns and develop policies for prevention and control of health problems related to COVID-19,” Pence wrote.
Now, as COVID-19 nears an apex in some parts of the country, it’s unclear how many hospitals have submitted the requested information. For its part, the CDC has not released the data publicly, saying only that it plans to do so soon.
MY LATEST: We Still Don’t Know How Many People Are in the Hospital With COVID-19 https://t.co/NX8UeqUWZc
— Charles Ornstein (@charlesornstein) April 9, 2020
The coronavirus has infected nearly 1.4 million people and killed nearly 77,000, including 11,000 in the United States, according to the latest data from Johns Hopkins University from April 7.
As a result, stay-at-home orders are forcing millions to stay isolated for weeks, store shelves are empty due to hoarding and jobs are laying people off due to lack of customers.
“The coronavirus pandemic has upended nearly every aspect of our waking lives — our routines, our job security, our hopes for the future,” The Cut reported in an April 2 story on pandemic dreams. “And our nights are changing, too: our sleep can be fitful, our dreams darker — and, for many, unusually memorable.”
This is worrisome to health experts because lack of sleep makes us more vulnerable to illnesses, including the coronavirus.
“Scientific evidence is building that sleep has powerful effects on immune functioning,” according to a CDC report. “Studies show that sleep loss can affect different parts of the immune system, which can lead to the development of a wide variety of disorders. … Sleep loss is also related to a higher risk for infection.”
“Pandemic dreams” are being blamed for keeping stressed out Americans up at night during the coronavirus outbreak.
— Miami Herald (@MiamiHerald) April 7, 2020
Democratic Gov. Phil Murphy of New Jersey, which has the second-most Covid-19 deaths, said the resumption of economic activity would be “slow and careful, because the last thing we’re going to need is going too quickly.… That’s the equivalent, I think, of throwing gasoline on the fire.”
San Miguel County in Colorado, using a test from United Biomedical, has plans to check all its residents for immunity. Republican Massachusetts Gov. Charlie Baker last week announced a coronavirus tracking initiative that will involve 1,000 people working at a virtual call center to trace people exposed or infected with the virus.
GOP Texas Lieut. Gov. Dan Patrick announced Tuesday he is forming a task force on how to reopen the economy, and GOP Maryland Gov. Larry Hogan has created a response team to discuss measures that must be in place for opening the state back up.
Some governors talked Tuesday with Scott Gottlieb, the former head of the Food and Drug Administration, about ways to work together or launch their own surveillance plans that would trace the disease should it resurface and spread. One idea is to galvanize congressional lawmakers to pass legislation setting a U.S. surveillance system for coronavirus in place.
Dr. Gottlieb, who ran the FDA from 2017 to 2019, released a report on the “roadmap to reopening” Tuesday with Mark McClellan, a physician and economist who ran the FDA under President George W. Bush.
“I’m worried we don’t have the systems in place to carefully reopen the economy,” Dr. Gottieb said in an interview. “You need to be able to identify people who are sick and have the tools to enforce their isolation and [tracing of people they contact]. You have to have it at a scale we’ve never done before. We need leadership.”
“The federal government has yet to put in place the kind of nationwide testing, tracing and surveillance system that public health experts say is needed to prevent another surge..” https://t.co/lYYo77DwCP
— Bob Grip (@Bob_Grip) April 8, 2020
p class=”css-exrw3m evys1bk0″>The official experts, under such conditions, are most trustworthy insofar as their admonitions track with nonexpert common sense. The approach that most experts are currently urging, for instance, is not some complicated high-science approach to disease management, but the most basic pre-modern method of disease control, as obvious to 15th-century Florentines as to 21st-century New Yorkers — shut things down, quarantine the sick and hope for the best.
Whereas the more specific and granular the experts get, the more the fluidity and chaos of the situation makes their pronouncements dubious. It’s good that we’re modeling the arc of the pandemic, but that doesn’t make any of the models trustworthy. It’s good that we’re trying to figure out how the disease spreads, but none of the claims so far about how you’re most likely to get it (from air, surfaces or otherwise) or who is most at risk (whether from viral load or pre-existing conditions) can be considered at all definitive. It’s good that we’re practicing social distancing, but all of the rules we’re implementing are just rough and ready guesstimates.
And you don’t want to overweight the pronouncements of official science in a situation that requires experimentation and adaptation and a certain amount of gambling. Yes, you should trust Anthony Fauci more than Donald Trump when it comes to the potential benefits of hydroxychloroquine. But the exigencies of the crisis require that experiments outrun the confidence of expert conclusions and the pace of bureaucratic certainty. So if you’re a doctor on the front lines trying to keep your patients from ending up on a ventilator, Dr. Fauci’s level of caution can’t be yours, and you shouldn’t be waiting for the double-blind control trial to experiment with off-label drugs that Spanish and Chinese doctors claim are helping patients.
The same logic applies for policymakers, for whom there is never going to be a definitive, one-size-fits-all blueprint telling them how and when to reopen cities or communities. Every single reopening will be its own unique experiment, with confounding variables of climate, density, age and genetics that are nearly impossible to model, and the advice of epidemiologists will only go so far. Governors and mayors will have to act like scientists themselves, acting and re-acting, adapting and experimenting, with expert advisers at their shoulders but no sure answers till the experiment begins.
— Eli Lake (@EliLake) April 7, 2020
More than a million Americans have now been tested for the novel coronavirus, but access varies widely from state to state and often even between hospitals in the same region. New York State has tested more than 340,000 people, while California, with double the population, had tested just 143,800 as of Monday. That’s nearly five times as many tests when counted per capita.
And that’s just tests performed. With many facilities relying on third parties to process tests, that step in the testing process often becomes another bottleneck resulting in lengthy delays. After aggressive efforts to cut down a backlog of more than 59,000 tests, the state of California was still waiting Monday for results on more than 14,000 tests.
In New Jersey, results have frequently been delayed by up to two weeks. That’s led Governor Phil Murphy to caution that each day’s numbers include stale data.
“We are getting only a very fuzzy picture of the scope of the problem, and it is very slow to develop,” said Eric Blank, the chief program officer for the Association of Public Health Laboratories. “There are all of these questions about the virus that have been swirling around, and we are only starting to get some sense of the issue.”
Coronavirus testing has become a massive logistical failure — one that has made it impossible to know how much the virus has truly spread and how many it has sickened https://t.co/5ueFJ320Ex
— Bloomberg (@business) April 7, 2020
South Carolina health officials identified 187 new cases of the coronavirus Tuesday, bringing the statewide total of known cases to 2,417.
Three additional South Carolinians have died as a result of the disease, according to the S.C. Department of Health and Environmental Control. All three were 60 years old or older, and had underlying health conditions. Two were from Lexington County and one was from Greenville County, according to DHEC.
Statewide, the death toll is now 51.
The actual number of S.C. cases is likely higher than what is being reported. As of Sunday evening, DHEC estimated the state had more than 15,000 cases of COVID-19, meaning about 85% of cases have not been tested or identified.
Identified coronavirus cases in SC reaches 2,417. Three more deaths reported Tuesdayhttps://t.co/KYNWZt9Tle
— WatchYourRepsSC (@WatchYourRepsSC) April 7, 2020
“For time is the essential ingredient; but in the modern world, there is no time.”
–Rachel Carson, Silent Spring
Less than four months after the 2019 coronavirus disease (COVID-19) was first reported, public warnings and action have escalated quickly past their previously steady crescendo. Though early reports were uncertain about the extent of the contagion’s threat, the number of cases in the United States has since skyrocketed, and organizations around the country have responded urgently and dramatically. A wave of schools across the country—including the University of Chicago—asked students not to return following spring break, and students and teachers alike have been required to adapt quickly to online formats for the foreseeable future. Local, state, and even national governments have declared states of emergency or ordered lockdowns.
These large scale efforts at “social distancing” are grounded in sound epidemiology: slowing the rate of transmission is necessary in order to avoid overburdening healthcare systems and leaving doctors in the impossible dilemma of choosing which patients to treat and not treat, as is currently the case in Italy. History also offers its proof: public health experts note that in the 1918 flu pandemic, non-pharmaceutical interventions (NPIs), like the ones currently being enacted, implemented at an early phase of the epidemic, drastically lowered peak mortality rates and total mortality. Moreover, given a new virus with even higher rates of transmission, each day that passes without intervention can result in magnitudes of difference in outcomes of infection. The urgency of this moment has required collective hurrying and quick response.
But now we must wait.
— Operation Blessing Kenya (@OBlessing_Kenya) April 7, 2020
I’m writing from home, where I am blessed and forced to be, sitting in the same chair where this morning I led worship and preached over Facebook Live to a congregation that encouraged me as I became a televangelist before their eyes, taking breaks from the gospel to wave to my four-year-old and my husband as they ran in and out of the screen.
Church looks different. Family looks different. Home looks different. School looks different. I am not homeschooling, despite having downloaded about 200 lists of “fun learning activities for kids to do at home.” Mostly I am refereeing fights in between Zoom calls and trying to figure out where God is in the midst of coronavirus haze and anxiety. I can no longer take daily life for granted, even as I can’t take toilet paper for granted, even as my dear friend who’s a nurse in California can’t take having proper protection in the ICU for granted.
Our capitalist system and our individualistic society have long rendered faith as cheap and acts of selfless love as obsolete or even stupid. Now we are asked to sacrifice for one another. We need Easter more than ever, and we are stuck in a Lent where sometimes it seems like no one wants to carry their cross.
We’ve mistreated valuable people and made them invisible. Home health care and hospice workers are easily discarded in America, while stock traders are cherished and protected. Our prized possessions arrive in a box on our doorstep from halfway around the world, and only now that they might be carrying a virus do we care about the low-wage worker in Asia who sewed our new sweatpants or the Amazon worker who raced to get back from his three-minute bathroom break to tape the box together on time.
A gift of this pandemic is that we can no longer make each other invisible….
— Angela Denker (@angela_denker) April 6, 2020
Gregg Gonsalves, a professor of epidemiology and law at Yale, said: “I’d feel better if we had serological testing, and could preferentially allow those who are antibody positive and no longer infectious to return to work first. The point is, though, that we are nowhere even near accomplishing any of these criteria. Opening up before then will be met with a resurgence of the virus.”
He added, “That’s the thing that keeps me up every night.”
Until we get a vaccine or effective drug treatments, focusing on these major criteria, and directing efforts toward them, should help us determine how we are progressing locally, and how we might achieve each goal.
Everyone wants to know when we are going to be able to leave our homes and reopen the United States. The better question is: “How will we know when to reopen the country?” Experts offer four benchmarks that can serve as a guide. https://t.co/BG0Kt5wp8r
— The New York Times (@nytimes) April 6, 2020
Twelve doctors at her hospital and the chief executive were sickened with the coronavirus. A colleague had died. Patients as young as 19 were being placed on ventilators.
But Michele Acito, the director of nursing at Holy Name Medical Center, in the hardest-hit town in New Jersey’s hardest-hit county, felt like she was holding up.
Then her mother-in-law, sister-in-law and brother-in-law arrived.
The disease that has crippled New York City is now enveloping New Jersey’s densely packed cities and suburbs. The state’s governor said on Friday that New Jersey was about a week behind New York, where scenes of panicked doctors have gripped the nation.
Hospitals in the state are scrambling to convert cafeterias and pediatric wings into intensive care units. Ventilators are running low. One in three nursing homes has at least one resident with the virus.
12 doctors and the chief executive of the New Jersey hospital where Michele Acito works contracted the coronavirus. A colleague died. Ms. Acito was still holding it together, then her mother-in-law, sister-in-law and brother-in-law became ill. https://t.co/oCtC5cKCpy
— The New York Times (@nytimes) April 5, 2020
A stretch of Interstate 40, which runs from downtown Memphis across the Mississippi River into Arkansas, has come to illustrate the patchwork of rules restricting movement in the United States. On the Arkansas side of the river, where the governor has resisted a statewide mandate, some “nonessential” businesses remain open. On the Tennessee side, a stay-at-home order went into effect this week, closing stores.
Now, the owner of a chain of clothing stores called Deep South located on both sides of the Mississippi is operating under two different sets of rules. The company’s owner, Munther Awad, a 47-year-old immigrant from the Middle East, said he owned two stores in Arkansas, which are open, one in West Memphis and another in Little Rock. And he owns a third store in Memphis, which is now closed because of a local mandate last week.
“I feel like if you would have just went ahead and put the whole nation at the same time on a lockdown, we could have got some control over it,” said Lavanda Mayfield, 33, who was waiting to serve takeout to customers at the Iron Skillet restaurant at a truck stop near I-40 in West Memphis on Friday.
“But now it’s just out of control,” she said, “because you did state-to-state.”
For a small number of states in the South and Midwest, pressure is growing for governors to issue stay-at-home orders. “What are you waiting for?” said Gov. Gavin Newsom of California, who issued the first statewide order last month. https://t.co/mUoN83OWyr
— NYT National News (@NYTNational) April 4, 2020
It has been about two weeks since the Illinois governor ordered residents to stay at home, but nothing has changed about Adarra Benjamin’s responsibilities. She gets on a bus nearly every morning in Chicago, traveling 20 miles round trip some days to cook, clean and shop for her clients, who are older or have health problems that make such tasks difficult.
Ms. Benjamin knows the dangers, but she needs her job, which pays about $13 an hour. She also cannot imagine leaving her clients to fend for themselves. “They’ve become my family,” she said.
In cities across America, many lower-income workers continue to move around, while those who make more money are staying home and limiting their exposure to the coronavirus, according to smartphone location data analyzed by The New York Times.
Although people in all income groups are moving less than they did before the crisis, wealthier people are staying home the most, especially during the workweek. Not only that, but in nearly every state, they began doing so days before the poor, giving them a head start on social distancing as the virus spread, according to aggregated data from the location analysis company Cuebiq, which tracks about 15 million cellphone users nationwide daily.
People staying at home: White collar professionals with home offices
People going to work: Nurses, grocery store workers, yard maintenance workers, postal carriers, construction workers, bank tellershttps://t.co/l11m8OBoGQ
— Brandon Friedman (@BFriedmanDC) April 3, 2020
Nearly 315 million Americans are statewide stay-at-home orders, including statewide lockdowns in 40 states, plus D.C. and Puerto Rico, and city/county level orders in states pic.twitter.com/c0QLHQbykt
— Coronavirus Updates – Alexander Higgins (@kr3at) April 2, 2020
A prestigious scientific panel told the White House Wednesday night that research shows coronavirus can be spread not just by sneezes or coughs, but also just by talking, or possibly even just breathing.
“While the current [coronavirus] specific research is limited, the results of available studies are consistent with aerosolization of virus from normal breathing,” according to the letter, written by Dr. Harvey Fineberg, chairman of a committee with the National Academy of Sciences.
Fineberg told CNN that he will wear start wearing a mask when he goes to the grocery store.
“I’m not going to wear a surgical mask, because clinicians need those,” said Fineberg, former dean of the Harvard School of Public Health. “But I have a nice western-style bandana I might wear. Or I have a balaclava. I have some pretty nice options.”
NEW: Dr. Harvey Fineberg, former dean of Harvard School Of Public Health, tells U.S. Task Force reviewing masks for general public that #coronavirus could be spread by talking or breathing: https://t.co/gMsSupCiKq
— Matt McCarthy (@DrMattMcCarthy) April 2, 2020
(Stat News) Navigating the Covid-19 pandemic: We’re just clambering into a life raft. Dry land is far away
Imagine you are in a small boat far, far from shore. A surprise storm capsizes the boat and tosses you into the sea. You try to tame your panic, somehow find the boat’s flimsy but still floating life raft, and struggle into it. You catch your breath, look around, and try to think what to do next. Thinking clearly is hard to do after a near-drowning experience.
You do, though, realize two important things: First, the raft is saving your life for the moment and you need to stay in it until you have a better plan. Second, the raft is not a viable long-term option and you need to get to land.
In April 2020, the storm is the Covid-19 pandemic, the life raft is the combination of intense measures we are using to slow the spread of the virus, and dry land is the end to the pandemic.
This, from two who understand #COVID19 as well as anyone, is frightening. And a must read:
We’re just clambering into a life raft. Dry land is far away https://t.co/LauUrTJSXK via @statnews @mlipsitch @yhgrad
— Rick Berke (@rickberke) April 1, 2020
(9 Marks) Colton Corter–4 Reflections after Listening to 18 Hours of Sermons in America’s Biggest Churches
1. The gospel at best assumed; most of the time, it’s entirely absent.
Let me begin with the most important observation: in 36 sermons, the good news of Jesus Christ’s life, death, and resurrection was unclear 36 times. Often, some or all of these facets of the Christian gospel were left out. “No gospel” became a common note. (Here’s an answer to the question you’re probably asking: What content is necessary in order to communicate the gospel?)
I don’t mean to say various elements of the gospel weren’t occasionally mentioned; they were. Todd Mullins (Christ Fellowship Church) mentions in his sermon series, “What Do You See Next?”, that faith is believing in what Jesus did for you—carrying the cross, rising from the dead, etc. But none of those elements are articulated or explained. It’s unclear exactly why we need Jesus to do anything for us. Furthermore, it’s unclear exactly what he did by doing the things Mullins mentions. Isolated phrases here and there without much reference to how the Bible puts them together was the norm.
In his sermon, “The Robe of Righteousness,” Robert Morris (Gateway Church) provides a happy exception. He mentions the doctrine of imputation, stating that we aren’t worthy of God and are in need of a “balancing (of our) . . . account.” Morris goes on to say that in the gospel we get Jesus’ assets while Jesus receives our debts. That’s as close to the gospel that any of these sermons gets—and even in this instance, the true things Morris mentions are isolated from the rest of the truths that make up the gospel message. (Neither God’s holy judgment, sin, nor repentance is mentioned.)
But here’s what’s even more disheartening: in his next sermon, Morris says the Jesus who accomplished all this for us “lays down all his divinity” (“The Ring of Authority”). Conspicuously missing from Morris’ explanation of what he calls “substitutionary, propitiatory, blood-bought salvation” is the response one must have to this message in order to be saved, which leads us to our next observation.
2. Repentance rarely comes across as something urgent and necessary; instead, it’s either optional or not worth mentioning at all.
Wow. 9 Biggest Churches in America. 4 sermons each. 36 sermons reviewed. 4 conclusions about preaching today. Grim. https://t.co/vvtPQmTTvf
— Mark Dever (@MarkDever) March 31, 2020
Harsh measures, including stay-at-home orders and restaurant closures, are contributing to rapid drops in the numbers of fevers — a signal symptom of most coronavirus infections — recorded in states across the country, according to intriguing new data produced by a medical technology firm.
At least 248 million Americans in at least 29 states have been told to stay at home. It had seemed nearly impossible for public health officials to know how effective this measure and others have been in slowing the coronavirus.
But the new data offer evidence, in real time, that tight social-distancing restrictions may be working, potentially reducing hospital overcrowding and lowering death rates, experts said.
The company, Kinsa Health, which produces internet-connected thermometers, first created a national map of fever levels on March 22 and was able to spot the trend within a day. Since then, data from the health departments of New York State and Washington State have buttressed the finding, making it clear that social distancing is saving lives.
Fevers are dropping across the United States, showing that harsh “social distancing” measures like staying home actually work, according to intriguing new data produced by a medical technology firm https://t.co/TYgMpKPaeK
— The New York Times (@nytimes) March 31, 2020
(Stat News) Biotech VC Bob Nelsen called it right on the coronavirus. Now he has thoughts on therapeutics — and masks
How do we get through this pandemic?
Social distancing is number one; contact tracing and antibody testing are number two; and therapeutics in the fall are number three. And then vaccines. We’re going to be fine. And I know this because the Chinese are asking me all kinds of questions about business stuff that I don’t want to answer because we’re in the middle of a pandemic.
Biotech VC Bob Nelsen called it right on the #coronavirus. Now he has thoughts on therapeutics —and masks (We should all be wearing them, when available) https://t.co/RUnIMeKtxx I spoke to @rtnarch this weekend.
— Adam Feuerstein (@adamfeuerstein) March 30, 2020
(60 minutes) “Beyond Anything I’ve Seen In My Career”: Doctors On The Front Lines Describe Surge In Coronavirus Patients
Dr. Mangala Narasimhan is chief of critical care at Long Island Jewish Medical Center, one of 23 hospitals in the Northwell Health System.
Dr. Mangala Narasimhan: I have 18 beds in one ICU full of people on ventilators, completely sedated unable to open their eyes or interact or talk to their families. And we are feeding them through tubes, and we are completely keeping them paralyzed so that we can properly ventilate them. It’s our sickest patients, and they’re in every single room of our ICU.
The pictures in our story were shot for us by hospital staff. By the end of this past week, New York City hospitals admitted more than 5,000 COVID-19 patients. At Northwell Health hospitals, about a third of COVID-19 patients go to intensive care, often suddenly.
Dr. Mangala Narasimhan: Very quickly, within hours. They walk into the hospital, talking, or into an urgent care. And 12 hours later they’re on a ventilator, fighting for their life.
Scott Pelley: Is that unusual?
Dr. Mangala Narasimhan: Very unusual. Very unusual. We don’t see that course in progression like this with any other disease that we deal with.
Scott Pelley: How long are they staying in the ICU?
Dr. Mangala Narasimhan: Much longer than our normal patients are. Normal patients, we have three or four days of ICU stay and they leave. These patients, and this is consistent with China and with what Italy is seeing, take about two weeks on a ventilator before they can come off, if they come off.
Read or watch it all (video highly recommended as it will have more impact).
“We have lots of people in their 20s, 30s, and 40s… on ventilators and don’t have a lotta medical problems,” says Dr. Narasimhan. “So, while the older people definitely fare worse, the younger people are also not spared.” https://t.co/cg6E3rjdSB pic.twitter.com/Uf7Am6ip2y
— 60 Minutes (@60Minutes) March 30, 2020
The Seattle area, home of the first known coronavirus case in the United States and the place where the virus claimed 37 of its first 50 victims, is now seeing evidence that strict containment strategies, imposed in the earliest days of the outbreak, are beginning to pay off — at least for now.
Deaths are not rising as fast as they are in other states. Dramatic declines in street traffic show that people are staying home. Hospitals have so far not been overwhelmed. And preliminary statistical models provided to public officials in Washington State suggest that the spread of the virus has slowed in the Seattle area in recent days.
While each infected person was spreading the virus to an average of 2.7 other people earlier in March, that number appears to have dropped, with one projection suggesting that it was now down to 1.4.
The researchers who are preparing the latest projections, led by the Institute for Disease Modeling, a private research group in Bellevue, Wash., have been watching a variety of data points since the onset of the outbreak. They include tens of thousands of coronavirus test results, deaths, and mobility information — including traffic patterns and the movements of anonymous Facebook users — to estimate the rate at which coronavirus patients are spreading the disease to others.
An update from Seattle area:
• Hospitals still seeing “manageable” caseloads
• Data models suggest transmission rate has dropped from 2.7 to 1.4
• Deaths on slower trajectory than many states
• “It would be grossly irresponsible to stop” distancinghttps://t.co/nKomRF9FPy
— Mike Baker (@ByMikeBaker) March 30, 2020
GOTTLIEB: Well, we’ve said in a report that we put out today that you should wait until you see sustained reduction in the number of cases for 14 days. So 14 days after you start to see a sustained reduction in the number of daily cases, that’s the point at which you can contemplate lifting some of these measures that we have in place right now, some of these very aggressive social distancing measures. But you need to do it very gradually. You need to substitute in other things. There’s other conditions that need to be met. You need to have the ability to test the population widely so you can determine who has the infection, who doesn’t, and use case-based interventions, where you isolate individual people. You also want good information about where the virus is spreading. You need to be testing very widely to know where the virus is spreading. So those tools need to be in place. Now those tools are getting in place. I think by the end of the week, we’ll have the capacity to screen maybe as close to- close to 750,000 people a week. And in going into the week after that, maybe close to a million. The limitation on our ability to screen isn’t going to be the screening platforms themselves. We’ve now deployed a lot of sophisticated platforms, including plat- platforms into doctors’ offices. The limitation is going to be the low commodity components of testing, like the swabs or the plastic components used to actually run the tests. The manufacturing supply chain for those components is very limited right now.
some of these measures that we have in place right now, some of these very aggressive social distancing measures. But you need to do it very gradually” Scott Gottlieb https://t.co/IAuXnWf2LQ #covid19 #publichealth #coronavirus #crisismanagement
— Kendall Harmon (@KendallHarmon6) March 29, 2020
In other cases, the rich aren’t going east or west, but down. Gary Lynch, general manager of Rising S, a Texas maker of safe rooms and bunkers that range in price from $40,000 to several million dollars, said he had added a second shift of 15 workers to handle the flood of new orders, mostly for underground bunkers.
“I’ve never seen interest like there is now,” said Mr. Lynch, who has taken to turning his phone off at night so he can get some sleep. “It has not let up.”
‘A pandemic caste system is rapidly developing: the rich holed up in vacation properties; the middle class marooned at home with restless children; the working class on the front lines of the economy, stretched to the limit..’https://t.co/Z1TDkhN87w
— Carole Cadwalladr (@carolecadwalla) March 27, 2020
Could a plague of biblical proportions be America’s best hope for religious revival? As the 75th anniversary of the end of World War II approaches, there is reason to think so.
Three-quarters of a century has dimmed the memory of that gruesome conflict and its terrible consequences: tens of millions killed, great cities bombed to rubble, Europe and Asia stricken by hunger and poverty. Those who survived the war had to grapple with the kinds of profound questions that only arise in the aftermath of calamity. Gazing at the ruins from his window at Cambridge University, British historian Herbert Butterfield chose to make sense of it by turning to the Hebrew Bible.
“The power of the Old Testament teaching on history—perhaps the point at which the ancient Jews were most original, breaking away from the religious thought of the other peoples around them—lay precisely in the region of truths which sprang from a reflection on catastrophe and cataclysm,” Butterfield wrote in “Christianity and History” (1949). “It is almost impossible properly to appreciate the higher developments in the historical reflection of the Old Testament except in another age which has experienced (or has found itself confronted with) colossal cataclysm.”
Americans, chastened by the horrors of war, turned to faith in search of truth and meaning….
Can the idea of death and suffering bring us closer to God? If we are to find meaning in this pandemic, the answer must be yes: https://t.co/Na9unukKdJ
— Nick Givas (@NGivasDC) March 27, 2020
As COVID-19 ravages the U.S., more state and local officials are placing stringent restrictions on residents’ activities in an effort to curb the spread of the virus. Two-thirds of Americans say they are following news stories about the pandemic “very closely,” with the same percentage saying the situation has disrupted their lives — either a great deal (30%) or a fair amount (36%). Nearly as many expect it to take a few more months (51%) or longer (12%) for the level of disruption to travel, work, school and public events to improve, while 36% say it will only be a few more weeks.
— UConn SurveyResearch (@UConnSurvey) March 25, 2020
U. S. and European leaders are looking at China’s progress in curbing the coronavirus pandemic to guide them on how to beat the virus within their own borders.
They may be drawing the wrong lessons, doctors and health experts say.
The cordon sanitaire that began around Wuhan and two nearby cities on Jan. 23 helped slow the virus’s transmission to other parts of China, but didn’t really stop it in Wuhan itself, these experts say. Instead, the virus kept spreading among family members in homes, in large part because hospitals were too overwhelmed to handle all the patients, according to doctors and patients there.
What really turned the tide in Wuhan was a shift after Feb. 2 to a more aggressive and systematic quarantine regime whereby suspected or mild cases—and even healthy close contacts of confirmed cases—were sent to makeshift hospitals and temporary quarantine centers.
The tactics required turning hundreds of hotels, schools and other places into quarantine centers, as well as building two new hospitals and creating 14 temporary ones in public buildings. It also underscored the importance of coronavirus testing capacity, which local authorities say was expanded from 200 tests a day in late January to 7,000 daily by mid-February.
The steps went beyond what’s envisioned in many hard-hit Western cities. As a result, many doctors and experts say the recent lockdowns in the U.S. and Europe may slow the rise in new infections—if properly enforced—but still won’t be enough to stop it or prevent many hospitals from being overwhelmed, as they were initially in Wuhan.
“A lot of the lessons have been lost,” said Devi Sridhar, professor of global public health at the University of Edinburgh. “A lockdown helps buy time: The only way it will work is if you actually backtrack and start figuring out who has the virus.”
There are lessons to be learned from how Wuhan got coronavirus under control. They aren’t the ones the West is heeding. https://t.co/yiqbIIRJgZ
— WSJ China Real Time (@ChinaRealTime) March 25, 2020
We both wear disposable gloves. I put my hand through the crook of his arm, and we slowly start for the clinic. The day before was one of the harder ones, with T lightheaded and nauseated most of the day, eating only if I spoon-fed him, coughing more and using his albuterol inhaler more, then coughing more again. He was soaked in sweat in the morning and by evening was lying curled up, looking apprehensive. “I coughed up blood just now,” he told me quietly.
We talked to his doctor on speakerphone. “We are all kind of working blind,” he told us. Many patients, he said, seem to begin to feel better after a week. But others, the more serious and severe cases, take a downturn, and the risks rise as the virus targets the lungs. Pneumonia is a common next step in that downward progression. We read about it in the patients admitted to the hospital. Now the doctor called in a prescription for antibiotics to the CVS pharmacy that would close in less than an hour. I texted T’s friend down the block, and he texted back that he would pick up the medicine. I asked if he would get oranges too; T has been accepting a little fresh-squeezed juice or cut-up pieces, and we were down to one last orange. They suddenly seemed an unimaginably exotic treat.
The doctor told us to go back to the clinic for a chest X-ray first thing in the morning. Now we slowly walk the three blocks, T coughing behind his mask. As we move along the street, we see some other people too — fewer than a few days ago, before Gov. Andrew Cuomo directed New Yorkers to stay indoors as much as possible. Some joggers go by. Just over a week ago, that was still me. Now I point out the buds about to bloom on the branches we pass, drawing T’s attention away from the few passers-by so we won’t see if they start or turn around. A few are wearing their own masks, but they are walking upright, striding along, using them as protection for themselves. Not like us….
I wrote about my family’s experience over the past two weeks as my husband has been seriously sickened by the coronavirus. This was not easy to write, but I had to: https://t.co/flNUY63O6v
— Jessica Lustig (@jessicalustig) March 24, 2020
(NPR) When The President will see a time to reopen the economy remains a very difficult decision with many dimensions
In his Tuesday afternoon briefing with the coronavirus task force, President Trump couched earlier comments about the need to reopen the U.S. economy within weeks, emphasizing the decision would ultimately be data-driven and made in consultation with public health experts.
The president said he still wants Americans working again by Easter Sunday, something he first said during a virtual town hall with Fox earlier in the day. But he was much more circumspect over whether that would be possible from a medical standpoint.
His previous comments about reopening the economy prompted alarm among public health experts across the country, who said it’s far too early. Trump seemed to much more carefully toe the line during his briefing as he talked about “carefully and responsibly reopening the country.”
“I want to assure Americans that we have a team of public health experts … also economists and other professionals working to develop a sophisticated plan to reopen the economy as soon as the time is right, one based on the best science, the best modeling and the best medical research there is anywhere on earth,” he said.
Trump stressed that this is a “medical crisis, this isn’t a financial crisis.”
President Trump on Tuesday afternoon couched earlier comments about the need to reopen the U.S. economy within weeks, emphasizing the decision would be data-driven and made in consultation with public health experts.https://t.co/r3mjI0Kf7S
— NPR (@NPR) March 24, 2020
(Science Mag) ‘I’m going to keep pushing.’ Anthony Fauci tries to make the White House listen to facts of the pandemic
Q: I’m curious about some things that aren’t happening on a national scale. One is, why are shelter in place orders happening state by state? Why are we doing this sequentially? Is that a mistake?
A: No, I don’t think we could say it’s a mistake or not a mistake. There is a discussion and a delicate balance about what’s the overall impact of shutting everything down completely for an indefinite period of time. So, there’s a compromise. If you knock down the economy completely and disrupt infrastructure, you may be causing health issues, unintended consequences, for people who need to be able to get to places and can’t. You do the best you can. I’ve emphasized very emphatically at every press conference, that everybody in the country, at a minimum, should be following the fundamental guidelines. Elderly, stay out of society in self isolation. Don’t go to work if you don’t have to. Yada, yada, yada. No bars, no restaurants, no nothing. Only essential services. When you get a place like New York or Washington or California, you have got to ratchet it up. But it is felt—and it isn’t me only speaking, it’s a bunch of people who make the decisions—that if you lock down everything now, you’re going to crash the whole society. So, you do what you can do, as best as you can. Do as much physical separation as you can and ratchet it up at the places you know are at highest risk.
Q: But I heard a guy say, if you think you’re doing too much, you’re probably doing the right amount.
A: That’s me.
Q: I know it’s you. The “15 Days to Slow the Spread” campaign doesn’t mention religious gatherings. I know Pence mentioned them yesterday. But why aren’t they on the 15 days recommendations? All these other places are mentioned.
A: It was implied in no crowds of more than 10 people. But you’re right, crowds in church are important and every time I get a chance to say it, I mention it. I can’t really criticize them strongly for that at all. When you say less than 10, it makes common sense that it involves the church. I say it publicly and even the vice president has said it publicly.
Listen to facts of the pandemic!!! https://t.co/kRxMaPIYhR
— Larry (@Larry75982917) March 24, 2020
As in-person worship services are canceled or downsized amid the coronavirus outbreak, some churches across the U.S. are bracing for a painful drop in weekly contributions and possible cutbacks in programs and staff.
One church leader, Bishop Paul Egensteiner of the Evangelical Lutheran Church in America’s Metropolitan New York Synod, said some of the 190 churches in his region were unlikely to survive because of a two-pronged financial hit. Their offerings are dwindling, and they are losing income from tenants such as preschools which can no longer afford to rent church venues.
“As much as I’d like to help them, everybody’s reserves are taking a hit because of the stock market,” Egensteiner said,
At Friendship Baptist Church in Baltimore, a mostly African American congregation of about 1,100, the Rev. Alvin Gwynn Sr. bucked the cancellation trend by holding services last Sunday. But attendance was down by about 50%, and Gwynn said the day’s offering netted about $5,000 compared to a normal intake of about $15,000.
“It cuts into our ministry,” he said. “If this keeps up, we can’t fund all our outreach to help other people.”
NAE President Walter Kim tells @AP: “Some changes are going to be required. The church is a very creative institution. In the end it will find ways of fulfilling its mission.” #covid19church #coronavirus https://t.co/qlbbzBBljG
— NAE (@NAEvangelicals) March 23, 2020