Archive for the Public Health Category

Covid-19 PanICdemic/Plague:  The (Partial) Solution:  Mom’s Chicken Noodle Soup Savored Alone (And Wash ‘N’ Wear ‘N’ Hide!) (March 30, 2020)

Posted in Covid / Coronavirus, Public Health on March 30, 2020 by e-commentary.org

. . .

J          “The greatest danger:  the Virus is aerosolized.  Three feet or six feet or nine feet or a dozen feet is not enough.  ‘Social Distancing’ should be defined as a person staying in his or her own isolated breathing bubble.  ‘Give me my space’ is the only way.  If one person in a room is infected even if asymptomatic, the entire room is and all those in it are tainted.”

K          “Most calamities require villagers to gather together to save heat and share food and trade resources and provide each other with aid and succor.  This menace requires villagers to disband and disperse and distance and hide from each other.”

. . .

J          “That said, I am drowning the Virus with warm fluids before it drowns me.  I drink warm liquids at every opportunity and create opportunities to drink warm liquids.  Coffee in the morning.  Tea – black or green – throughout the day.  And green tea when taking zinc.  Chicken noodle soup or other hot soups for lunch and at night.  Even merely microwaving water and honey and sipping it throughout the day may save or salvage the respiratory system.  Limit cold drinks but cold is better than not.  And wash hands regularly and thoroughly.”

K          “I now skip my nightly ration of one (1) cold beer and instead make one (1) glass of Glühwein substituting diluted elderberry juice.  I add raisins and cinnamon that are touted as ‘best if used before the outbreak of World War II’ discovered lounging in the back of the pantry.”

. . .

J          “They are so right.  Wash your hands.  Wash your hands.  Wash your hands.  Wash your hands.  Completely and thoroughly for a good 20 to 30 seconds.  And moisturize the skin to keep it moisturized.”

. . .

J          “The entire outside world is presumptively tainted.  Everyone needs to wear a set of outside clothes that can be removed at the door to the inner sanctum, placed in a bag and then laundered with soap and dried at the warmest setting for 30 minutes.  For the first time in two generations, our family is not hanging things on a clothes line.”

K          “And we are all counting on the gas and the water and the electricity to be flowing.”

. . .

J          “If possible, a couple should put up plastic and divide the house into two units.  Each can keep a watchful eye on the other.  Who knows, a little distance may bring a couple closer together.”

K          “Living alone limits the threat.  And the number of suspects failing to picking up socks is finite.”

. . .

J          “Stop smoking.  Full stop.  So easy to dictate and so very difficult to follow.  This is the time when twelve small steps must be collapsed and completed in one giant leap.  So easy to say.”

K          “Start sleeping.  Mindfully, if possible in these times.  I am on a regular schedule after a day filled with regularly scheduled activities.  At least that is the plan so far.”

. . .  

J          “Wipe every surface.  The life of the Virus seems to set new longevity records with every new study.  Then wipe the surface again.”

. . .

J          “Read, talk and form your own opinion about the efficacy of gargling.”

. . .

K          “When this is all or largely over, all of the single folks and ascetics and couples and successful social distancers who survive can get together and have a big kegger . . . with very cold beer.”

J          “And set up a committee to try to figure out how not to @#$% it up this go round.”

. . .

[The most valuable sources of information and commentary include Roger Seheult, MD at MedCram; Dr. John Campbell’s avuncular daily update; the many timely, insightful and informative articles and commentary by Chris Martenson and Adam Taggart at “Peak Prosperity”; the award-winning investigative reporting of Caitlin Johnstone at “Caitlin Johnstone”; the daily aggregation of articles cum commentary by Raul Ilargi Meijer at “The Automatic Earth”; and Charles Smith at “Of Two Minds”.]

[“The big mistake in the U.S. and Europe, in my opinion, is that people aren’t wearing masks.  This virus is transmitted by droplets and close contact.  Droplets play a very important role—you’ve got to wear a mask, because when you speak, there are always droplets coming out of your mouth.  Many people have asymptomatic or presymptomatic infections.  If they are wearing face masks, it can prevent droplets that carry the virus from escaping and infecting others.” in “Not wearing masks to protect against coronavirus is a ‘big mistake,’ top Chinese scientist says” in “Science” dated March 27, 2020 by Jon Cohen.]

[See “For Autocrats, and Others, Coronavirus Is a Chance to Grab Even More Power” in “The New York Times” dated March 30, 2020 by Selam Gebrekidan.]

[See the e-commentary at “Venturing A Few Unfounded And Unwarranted Predictions (July 13, 2015)”; on the need to build railroads in the new world order at “Amtrak – The (Rail) Road to National Security (January 23, 2006)”; the concern with the power failing and nuclear reactors heating up at “Lights Out:  Renegade Nuclear Plants (September 21, 2015)” and the paradox and curse of growth in “Stealing Resources . . . Through Time . . . and Across Space (February 20, 2017)”.]

Bumper stickers of the week:

Wash N Wear N Hide

#MasksForAll

Wash your hands; wear your mask

Love means not being in the same room

Wash your hands; wear your mask

Drown the Virus with warm fluids before it drowns you

Wash your hands; wear your mask

Give me my space

Wash your hands; wear your mask

“The greatest shortcoming of the human race is our inability to understand the exponential function.”  Professor Albert Allen Bartlett

Wash your hands; wear your mask

One person is currently presiding over the greatest crime against humanity in the history of humankind.  Do the math.  Think about it. 

Seen in the personals: single man with toilet paper wishes to meet single woman with hand sanitizer for some good clean fun.

What’s the difference between Covid 19 and Romeo and Juliet?  Covid 19 is a corona virus – Romeo and Juliet were a Verona crisis.

The ‘Great Disconnect’ between the ‘spot price’ for ‘paper precious metals’ and the ‘real price’ for ‘physical precious metals’ as assessed by SD Bullion is also true for Au (Gold).  The ‘real price’ has increased almost weekly from $130 to $140 to $155 an ounce over the ‘spot price’ for ‘paper precious metals’.  A real market is emerging in a country with no real free markets.

Toilet Paper Consumption Study (TPCS):  A new roll installed on Sunday

[Big bumper:]

Motion And Memorandum To Continue Trial And For Shortened Time

          COMES NOW . . . and files this Motion And Memorandum To Continue Trial And For Shortened Time.

          The Coronavirus and the resulting disease, COVID-19, are far more virulent and potentially much more fatal than is generally acknowledged.

          Both clients/citizens and both attorneys and the one likely witness are over 60 years of age.  They are all more vulnerable.

          When the hospital system becomes overwhelmed in a few weeks, the Triage Protocol will allocate scarce resources including ventilators to those under 65 or perhaps to those under 60 years of age.

          Regular handwashing is critical but not adequate by itself.

          Social distancing of three to six feet is not adequate.  The aerosolized particles float in an entire room and remain for a period of hours.  Conducting a trial wearing a 3M N95 valved mask and latex gloves is awkward.

          Marc G. Wathelet, a distinguished virologist who led a team studying the SARS virus COVID-19 and aerosol transmission, describes the transmission mechanism: 

The isolation measures to fight transmission of COVID-19 proposed today in Belgium recommend a distance of at least one meter between individuals. This recommendation is based on transmission of the virus by contact with contaminated material, or, when two people interact face to face, by the very small droplets generated during speaking, coughing and sneezing. Under the influence of gravity, these droplets quickly fall to the ground, within one meter.

However, there is a list of evidence that converges to indicate that COVID-19 is also transmitted by aerosol and when aerosol transmission occurs, it is imperative to have much stricter isolation measures.

An aerosol, literally a solution in air, consists of micro-droplets, which are so small that they stay suspended in the air or fall much slower than small droplets. They are produced during normal breathing and this production is accelerated by speaking or even more by singing, shouting.

The danger of aerosols is that they can spread the virus over greater distances and between people who do not interact face to face. Even more stringent control measures are therefore needed for viruses transmitted by aerosol.

While the conventional view is that the SARS-CoV-2 virus responsible for the COVID-19 disease is not transmitted by aerosol, it seems clear to me that this view does not take into account the following observations.

1) It should be noted first that most respiratory viruses are transmitted by aerosol.

2) SARS-CoV and MERS-CoV are uncommon among respiratory viruses, as there was very little evidence that they could be transmitted by aerosol, except during the few super-spreading events. For example, on one flight from Hong Kong to Beijing, 22 people were infected with SARS-CoV from one index patient in 2003, and the distribution of the cases represented on the seat plan for the plane favored the aerosol transmission interpretation. 

3) More than 3,000 medical personnel were infected by the new coronavirus in the Hubei province this year. All the images from Wuhan show the personnel with simple isolation masks, not type N95 or FFP2 “duck” masks. The difference between the two types? Isolation masks only protect against expectorated small droplets, not aerosols. 3,000 cases of infection for medical personnel aware of working with an epidemic respiratory virus is very strong evidence of aerosol transmission

4) In the age of ubiquitous videos, the Chinese government has documented two incidents of transmission in open markets, where an individual was responsible for several infections. In one of the markets, the shortest interaction leading to transmission lasted only 15 seconds and the two individuals were separated by a fruit and vegetable display, at a distance of more than two meters. In the other market, the shortest interaction only lasted 50 seconds. The Belgian government’s position heard on the radio that it takes 4 hours of close proximity in the classroom setting to consider a possible transmission certainly does not take into account the evidence. 

5) A group of Japanese epidemiologists calculates that one transmission in two is asymptomatic. Asymptomatic transmission, where the individual does not cough by definition, in such proportion is a clear indicator of aerosol transmission.

6) The difference in the clinical presentation of cases during the SARS and MERS epidemics, and that of COVID-19 cases. There are more cases where the first symptoms are pulmonary with the new coronavirus. Respiratory infections that are caused by small droplets or by contaminated surface begin in the upper respiratory mucosa because they cannot reach the lungs, first hitting another surface in the nose, mouth or throat, and this first infection can then descend into the lungs. The presence of more cases where the first symptoms are pulmonary for COVID-19 is a clear indication that transmission also occurs by aerosol.

7) Super-spreading events: when a single person in Daegu in South Korea can infect at least 37 others in a single episode, it is clear from the description of the event that aerosol transmission was involved.

8) Finally, the high base reproduction number of COVID-19 (~ 7) determined by three distinct groups of epidemiologists, in other words the fact that the virus diffuses with great ease, strongly suggests a transmission that also includes the aerosol mode.

When we consider these eight points as a whole, we come to the idea that aerosol transmission is an important vector for the spread of COVID-19. Therefore, isolation measures that do not take into account aerosol transmission are doomed to failure.

We should not meet in the court room.  We should if at all possible stay in our respective rooms and not endanger any other person.

          There is no urgent need to resolve this divorce case in the next few weeks.         

          Last night, the undersigned delivered a gift of one of the few remaining pulse oximeters in . . . to [Wife] who took her oxygen and pulse levels and then (hopefully after properly sanitizing it) went over to take [Husband’s] levels.  They need each other.  In a few weeks, they may call 9-11 and be told that they will not even be transported to the hospital.

          The entire political, economic and legal system is two weeks behind this pandemic.  The solution is to get two weeks ahead of it.  The court system needs to marshal its resources to deal with emergency cases and matters.

          . . .   In regular daily calls since late January, they emphasize:  self-quarantine, self-quarantine, self-quarantine, self-quarantine, self-quarantine, self-quarantine.  (Try to) save yourself and your community.  (Try to) save your community and yourself.                    

          This pandemic is not totally outside an individual’s control.  When presented with an opportunity, the individual simply must make the right decision.

          Let’s make the right decision.  Continue this trial to a later date.  Our lives will be much different then.  We can decide the proper course of action at that time.

[And, of course, because an American-trained lawyer was involved, the only reasonable course of action was stridently opposed.]

Covid-19: BAU v. BAU (February 24, 2020)

Posted in Bureaucracy, China, Covid / Coronavirus, Ebola, Public Health on February 24, 2020 by e-commentary.org

. . .

K          “BAU is not the most graceful acronym.”

J          “Its opposite – Business As Unusual – is not that graceful either.”

. . .

J          “Every American has a constitutionally-guaranteed right to buy a cheap tv and  drugs to go with it.  When Americans are unable to access the ‘plug-in drug’ and pop a few pills, the populace will disconnect and drop out.”

K          “If someone pulls the cord, you will see discord.  Without a 72 inch tv and a 72 day supply of prescription drugs, the populace will dissent.”

. . .

J          “When you think about it, do all cars really need a front bumper, a right side handle, a left side mirror and a rear gear box.”

K          “Three tires and an eight track player and you should be ready to hit the road.”

. . .

J          “Artificial medical devices already are in short supply.  Right now there are patients who need a left aorta or a right knee.”

K          “They may need to be patient.  Could they consider getting by with a right aorta or a left knee.”

. . .

J          “You can live without an Apple® but not without an apple.”

. . .

J          “You will not be economically impacted unless you buy stuff made in or sourced from China.” 

K          “Or Vietnam or South Korea or Malaysia or . . . fill in the blank.”

. . .

K          “It is bad.”

J          “It will get unimaginably bad, if you can imagine.”

. . .

[See “COVID-19 Pandemic:  The Complacent Are Clueless” dated February 17, 2020 and “When Will We Admit Covid-19 Is Unstoppable and Global Depression Is Inevitable?” dated February 23, 2020 in “Of Two Minds” by Charles Hugh Smith; “Easily overlooked issues regarding COVID-19” in “Our Finite World” dated February 19, 2020 by Gail Tverberg; “The white swan harbingers of global economic crisis are already here” in “The Guardian” dated February 19, 2020 by Nouriel Roubini; “‘Dominoes falling’ in global shipping as coronavirus continue to grip China’s economy” in “The Telegraph” dated February 20, 2020 by Ambrose Evans-Pritchard; the daily aggregation of articles cum commentary by Raul Ilargi Meijer at “The Automatic Earth” and the many timely, insightful and informative articles and commentary on the “Virus” by Chris Martenson at “Peak Prosperity”.]

[See the e-commentary at “Seeing 2020:  Panda < Eagle > Bruin; Panda + Bruin > Eagle.  Oh, And Happy Chinese New Year! (January 27, 2020)” and the other e-commentary linked at that post.]

Bumper stickers of the week:

Covid-19 f.d.b.a. Coronavirus:  Coming to a town near you

Keep calm and panic

JIT —> NIT

The Toyota Production System (TPS) may not systematically produce Toyotas

Is it possible to go through the day and encounter something or anything not made out of oil and not made in China?

Seeing 2020:  Déjà vu All Over Again.  Oh, And Happy Groundhog Day! (February 3, 2020)

Posted in Collapse, Covid / Coronavirus, Ebola, Health Care, Public Health, Wall Street on February 3, 2020 by e-commentary.org

. . .

K          “Contagion in the market and contagion outside the market.”

J          “I have seen this before.”

. . .

J          “No matter how much things stay the same, they stay the same.”

. . .

Bumper stickers of the week:

Coronavirus:  Coming to a town near you

No one ever died from overexposure to education

Ebola: Doctors And Spin Doctors (October 20, 2014)

Posted in Ebola, Health Care, Insurance, O'Bama, Public Health on October 20, 2014 by e-commentary.org

. . .

L          “A spin doctor rather than a doctor.  One group of ‘D’ students was not doing us proud, so O’Bama turned to another group of ‘D’ students more familiar to him.  A JD is now nominally in charge of the MDs.”

D          “That will not end well.  By training, temperament and experience, lawyers are more effective playing spin doctors than doctors.”

L          “He is described as the ‘Ebola czar.’  When the government props up a ‘czar’ to address a problem, the government is tacitly admitting that everything undertaken to date by the government to address the problem has been a failure.”

D          “The Surgeon General is the one who should be overseeing the Ebola response.  The National Rifle Association will not allow the Senate to consider O’Bama’s nominee, Dr. Vivek Murthy, because he made some comments about guns and public health.  With time of the essence, the Acting Surgeon General Rear Admiral Boris Lushniak is a more appealing point person than a lawyer and Democratic political player.”

L          “By appointing an operative as the ‘czar,’ O’Bama is treating this matter as a public relations problem that can be managed by controlling the memes and dictating the themes.”

D          “Montesquieu’s discussion of the separation and balance of powers failed to acknowledge that Mother Nature has absolute veto power over the President and over Congress.  Of course, Montesquieu was a lawyer, not a doctor.”

L          “And she has veto power over the courts that will venture into this morass.  Judges will find their decisions automatically appealed and then likely reversed and remanded with much different instructions and consequences by Mother Nature, the Ultimate Judge.”

D          “Arrogance and its privileged cousin – hubris – are also mutating.”

. . .

D          “Those who test positive for the virus now are getting disproportionately expensive treatment and excessive attention.  The decision to fly the nurse Nina Pham from Texas to Maryland to an NIH facility that specializes in research and not treatment may prove to be exceptional.  No insurance company will provide for others to fly on a private jet to a national medical facility.  Insurance companies dictate health care policy in America and dictate that a person be treated locally and cheaply.”

L          “Some of those who were exposed have now gone 21 days without symptoms.  Conventional commentators are proclaiming victory.  I wonder if some tenacious ‘Type A personality’ virus will remain virulent for a longer period of time.”

D          “Some of the viruses will become benign in a fortnight and others will remain malignant for a month.  However, the amount and quality of care for each successive patient will decline exponentially at the same time that the virus is mutating exponentially.”

L          “When the celebrity patients are no longer on the screen, ordinary patients will be given numbers and partial bus fare with a substantial co-payment by the insurance companies and left to secure whatever medical care they can hustle.”

. . .

D          “Third world countries are often defined by their third world medical facilities and services.  Russia and China are each mutating into first-rate military powers, yet each country operates second world medical systems.  Someone who is able to obtain treatment from a Russian doctor – who is much more likely to be female than a doctor in America – must personally supply the medicines and medical supplies from black or brown market sources.”

L          “America is following that model.  So the first world and the second world and the third world are not prepared.”

. . .

Bumper stickers of the week:

“America’s health care system is neither healthy, caring, nor a system.” Walter Cronkite

Be prepared

Be calm and panic

Ebola: The Halcyon Days Of The Panic-demic In A “Peak” Health Care-less System (October 13, 2014)

Posted in Book Reference, Bureaucracy, Civil Rights/Civil Liberties, Ebola, Health Care, Military, Pogo Plight, Population, Privacy, Public Health on October 13, 2014 by e-commentary.org

. . .

1          “Who can you trust?  Events are moving so quickly.  Fraud and deception work effectively in finance and politics, but Mother Nature is indifferent to and immune from the shenanigans and machinations of mortals.”

2          “The government and the public are still mired at Stage 1.  The government is denying the threat because it has no plan.  The public is denying the threat because it has no idea.”

1          “I am collecting the quotations of the major players to document the response in real time.  Dr. Frieden with the CDCE and Dr. Fauci with NIAID/NIH are not prepared and have not been candid.  A test patient, Dr. Nancy Snyderman with NBC, agrees to a voluntary quarantine and then brazenly violates the quarantine, refuses to accept responsibility and escapes accountability.”

2          “We as a society need to move through the stages from denial to anger to bargaining to depression to acceptance of a plan more quickly than the virus is moving.”

1          “The health care-less system will peak after it fills the nineteen available beds.”

. . .

2          “Easy to say that everything reasonable must be done to contain and eliminate the menace in West Africa.”

. . .

2          “Viewers of Fox tv are yelling at the tube for the government to do something.  The Republicans who advertise on the network cut funding to the CDCE and other programs.”

1          “If the Democrats had provided an additional five billion dollars in funding to the CDCE, what would have happened?”

2          “The CDCE would have lobbied for another five billion dollars.”

1          “Or ten.  And yet the Democrats cut funding, as if any amount of funding matters.  Some researcher who sent repeated e-mails to those in power warning of the dangers of Ebola is not happy.”

2          “I can forward some of the e-mails.”

. . .

2          “A communicable disease is communicated by public transportation.  Even if the disease is not transmitted at this time via air, the public is transmitted via air.  Ebola is small enough to fit in a ‘carry on’ bag.  Ebola will hitchhike and stow away.  Air travel must be purposefully restricted.  Restrictions are costly, but the costs of limiting air travel must be weighed against the costs of not limiting air travel.”

1          “All costs should be calculated.  We need to address the resulting deprivations of privacy and limitations on constitutional rights before the public is too terrified to think.”

. . .

2          “One of the bench marks will be bleach sales.”

1          “Or overflow patients camping in tents in parking lots.”

. . .

1          “The female RNs are underpaid to do the work while the male MBAs who make the decisions take almost all the profits.  The RNs are underpaid to care for the sick and the dying and are not paid anything to get sick and to die in the process.  When a nurse is called in to care for someone sick with Ebola at an institution unprepared for the challenge, she or he should in good conscience call in sick.”

2          “She or he will get there and then be blamed for the negligence of the hospital.”

1          “The American military personnel being deployed to Africa are not being provided combat pay.  The ‘charge of the blight brigade’ should occasion charges against those giving the orders.”

2          “No one gets it.”

1          “Everyone will get it unless all of us get it.”

. . .

[See http://prosperouswaydown.com/category/subtopics/healthcare-subsystems/ebola-healthcare-subsystems/  Five stages of grief and five stages of collapse in a dire scenario.  http://cluborlov.blogspot.com/2014/10/ebola-and-five-stages-of-collapse.html#more.  Consider Earth Abides by George R. Stewart.]

Bumper stickers of the week:

Be clean

Get a flu shot

Wash your hands

Take your kids to the park

Prepare to hunker down

Be calm and panic (but do so with poise and dignity)

e-bola: Goin’ Internet-y (September 22, 2014)

Posted in Ebola, Health Care, Public Health on September 22, 2014 by e-commentary.org

. . .

C          “Some Internet postings go viral; some viruses go Internet-y.  e-bola is spreading as quickly as an e-mail attachment or a YouTube video.”

Doc     “Scary.”

C          “When a small minor localized flu outbreak occurs even in a large major metropolitan region with a variety of medical facilities, the health care system quickly borders on collapse.”

Doc     “Scary.”

C          “e-bola has hit the ‘Reply All’ button rather than the ‘Reply’ button.” Continue reading