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  1. #1786

    Re: covid-19 Virus Updates and Discussion

    P3 WaPo Updates 4/10/20

    2:56 p.m.
    Cases increase in new areas, including Rhode Island, Pennsylvania and D.C.

    The first week in April was a trying time for the United States. The national case count of covid-19 doubled in a mere 6.5 days and two-thirds of those were concentrated in seven states — New York, New Jersey, Michigan, Louisiana, California, Massachusetts and Pennsylvania.

    Those findings, detailed in a new report on the geography of the coronavirus by the Centers for Disease Control and Prevention out Friday, show just how different the experiences of Americans have been in different parts of the country.

    Nationally, the paper estimated the total cumulative incidence of infection at 119.6 cases per every 100,000 people based on laboratory-confirmed tests of nearly 400,000 cases of covid-19 since Feb. 12. But several U.S. territories — American Samoa, Micronesia, Guam and Palau — had no cases at all.

    The analysis also turned up a few new areas that had a big jump: D.C. and Maryland, Rhode Island and Pennsylvania.

    Read more here.

    By Ariana Eunjung Cha

    3:26 p.m.
    Cities and states brace for economic ‘reckoning,’ eyeing major cuts and fearing federal aid isn’t enough

    New York could lose $10 billion in tax revenue. Pennsylvania has ceased paying 9,000 stuck-at-home state employees to save cash. In Illinois, an unprecedented crisis is brewing thanks to billions of dollars in unpaid bills.

    The economic carnage unleashed by the novel coronavirus nationwide hasn’t just shuttered businesses and left more than 17 million Americans seeking unemployment benefits — it has also threatened city and state governments with financial devastation, according to local leaders, who say their ability to maintain roads, schools and basic social services is at risk at a time when their residents need help most.

    Many states and cities, which were already cash-strapped, are now in dire straits, facing plunging tax revenue and spiking costs.

    Read more here.

    By Tony Romm

    3:36 p.m.
    People of color are ‘socially predisposed’ for coronavirus exposure and at higher risk, surgeon general says

    Surgeon General Jerome Adams shows his inhaler as speaks during the White House briefing on the coronavirus on Friday. (Jim Watson/AFP/Getty Images)

    People of color are more likely to be exposed to the coronavirus and to suffer increased complications from the disease it causes, Surgeon General Jerome Adams said Friday, pointing to social factors as driving “alarming” trends.

    “We do not think people of color are biologically or genetically predisposed to get covid-19,” he said during the coronavirus task force’s daily briefing. “There is nothing inherently wrong with you. But they are socially predisposed to coronavirus exposure and to have a higher incidence of the very diseases that put you at risk for severe complications of coronavirus.”

    Adams laid out circumstances he said have contributed to the virus’s disproportionate impact on people of color. African Americans and Native Americans develop high blood pressure at younger ages, which harms their organs. African American boys are three times as likely to die of asthma as their white counterparts, he said, noting that he himself has been “carrying an inhaler around in my pocket for 40 years out of fear of having a fatal asthma attack.”

    Additionally, people of color are less likely to be able to work from home and more likely to live in densely packed areas.

    The surgeon general urged communities of color to adhere to the task force guidelines, including staying home as much as possible and keeping six feet of distance. One of the recommendations he mentioned — avoiding alcohol, tobacco and drugs — prompted a backlash, with some questioning whether that advice applied to all Americans and whether he was assigning blame.

    Asked about that comment, Adams said the guideline was directed at everyone regardless of race.

    “It’s especially important for people who are at risk with comorbidity, but yes, all Americans,” he said.

    By Brittany Shammas

    4:12 p.m.
    Louisiana Gov. Edwards creates task force to address health inequities

    A task force of health experts and researchers is being formed immediately to study and find solutions to the stark disparities in health outcomes revealed by the coronavirus pandemic, Louisiana Gov. John Bel Edwards announced Friday, a day after Michigan leaders announced a similar initiative.

    The Louisiana Covid-19 Health Equity Task Force will be charged with making sure communities with health disparities are blanketed with good information on safety and prevention; providing the medical community with advice on best practices; ensuring testing is more widely available; and trying to improve access to health care.

    “This is something we can do now to minimize the spread of covid-19 across the state, but particularly in these communities where members are the most vulnerable,” Edwards (D) said. “Maybe [the pandemic] gives us an opportunity to really drive some changes in behavior, and some changes in society, some changes in the way we deliver health care — all of it — to elevate the health of the people in Louisiana.”

    Task force members will be drawn from experts already being nominated by universities and research centers across the state.

    Louisiana reported Monday that African Americans make up more than 70 percent of those killed by covid-19, the disease caused by the novel coronavirus, even though they are only about 33 percent of the state’s population. Underlying conditions that make a person vulnerable to contracting the coronavirus — such as diabetes and hypertension — are disproportionately prevalent in the black community, but a range of other factors are believed to play a role, including lack of healthy groceries in some communities, poverty and unequal access to regular health care.

    Late Thursday, covid-19 claimed the life of Rep. Reggie Bagala (R), 54, a member of the state legislature, Edwards said.

    Updated data on infections and deaths in the state suggest the pace of spread in Louisiana has slowed since last week, while the state still has the fourth-highest number of deaths nationwide.

    By David Montgomery
    “No matter how cynical I get, I just can't keep up.” – Lily Tomlin.

  2. #1787

    Re: covid-19 Virus Updates and Discussion

    Quote Originally Posted by JazzNU View Post
    You shouldn't disregard Virginia's appearance on the map as it is largely accurate. The data is pulled from CMS data and it's in a Kaiser Foundation report. Virginia could have flawed reporting to CMS, but I wouldn't assume that's a serious issue.

    The map is a look at states and counties. Virginia is a strange state that has counties and independent cities. The map is mildly different than it would be if it showed the independent cities, but it is the count of the beds that would be the most different, the appearance of the actual map wouldn't change all that much. The majority of independent cities in Virginia are going to be the bigger ones and the college towns, but looking at the map, there's another hospital in those same areas that is marked on the map. So for instance, UVA is in Charlottesville, that is an independent city so not captured by the map, but the surrounding county has a hospital with an ICU bed so it doesn't make a difference in terms of how it shows up on the map. So going to the edges of Virginia, towards DC like in Alexandria and Fairfax, towards Richmond and Norfolk, and to the bigger college towards like Charlotteville, Roanoke, Lynchburg, and Harrisonburg, the hospital bed count is definitely more than what you see here because there are hospital systems there to support those larger communities, sometimes associated with the universities, but looking at the map, it would only look marginally better, because little is changed color wise since those independent cities don't overpopulate the rural interior of Virginia.

    If you want to see the interactive map for bed counts, you can see it here.
    Jazz, I think I get what you're saying, but tell me if this is what you mean: Those large splotches on the map that look like there are many large counties without hospitals in fact represent the "counties", which in fact probably don't have hospitals. But the cities, which are independent from the counties, probably have hospitals, such that hospitals are in fact spread all over the state. Those independent cities sit right in the middle of a county, so, in fact, there is a hospital in the middle of the area encompassed but the county, but since it sits in an independent city, the county doesn't get credit. In most cases, therefore, the people of the "county" are not that far from a hospital in an independent city.

    Please let me know if I'm not interpreting that correctly. If that's what you meant, I get it. Thanks...GH
    Last edited by GlennHarman; 04-10-2020 at 02:16 PM. Reason: typo

  3. #1788

    Re: covid-19 Virus Updates and Discussion

    'No miraculous recovery': Some ICU doctors say hydroxychloroquine isn't helping sickest patients

    Many doctors suspect that if the drug does turn out to be beneficial, it may work better early on in the course of the illness.

    By Erika Edwards

    The federal government's guidance on emergency usage of the antimalarial drug hydroxychloroquine for COVID-19 patients may have actually set the medication up for failure.

    That's because the guidance limits the drug's usage to those sick enough to be hospitalized. Many doctors suspect, however, that if the drug does turn out to be beneficial, it may work better early on in the course of the illness.

    "That's the case for any therapeutic," Dr. George Diaz, an infectious disease specialist at Providence Regional Medical Center in Everett, Washington, said. "Generally the earlier you use it, the more effective it is."

    Antiviral treatments work by reducing the amount of virus in the body. They're best given early on, as symptoms are starting and the viral load is still low. For example, Tamiflu, an antiviral used to treat the flu, works better the earlier a person takes it.

    "When you give it to somebody who is already super sick, it's likely not going to make an impact because the damage is already done," said Dr. Ken Lyn-Kew, a pulmonologist in the critical care department at National Jewish Health, a hospital in Denver.

    At least anecdotally, a handful of critical care physicians across the country have told NBC News they've seen no evidence the drug is helping their sickest patients in intensive care.

    "We've been using it," said Dr. Hugh Cassiere, a pulmonologist and medical director of Respiratory Care Services at North Shore University Hospital in Long Island, New York, a hot spot for the pandemic in the United States. "But we really haven't seen any efficacy."

    "I'm not convinced it works," said Lyn-Kew, adding, "I've not seen anybody have anything near what I would call a miraculous recovery because of hydroxychloroquine."

    In Louisiana, Dr. Josh Denson, a pulmonary medicine and critical care physician at the Tulane University Medical Center in New Orleans, said that "many patients do fine and tolerate it, but I don't think it's making a difference."

    "We're using it; it's all we have," Denson added. Louisiana has also been hit hard by the coronavirus, with at least 16,284 cases and 582 deaths.

    "I can't honestly say that I think that it's necessarily an effective agent at this point," said Diaz, of the Providence Regional Medical Center in Washington state. Diaz was involved in the treatment of the first patient in the U.S. diagnosed with the coronavirus.

    New use for decades-old drug?

    Hydroxychloroquine, and a related compound called chloroquine, is a medication that's been around for decades. It's used to treat malaria, as well as certain autoimmune diseases including lupus rheumatoid arthritis.

    President Donald Trump and other political and corporate leaders have touted use of the medication after a few small studies suggested it might be effective against the coronavirus.

    Last month, the Food and Drug Administration issued an emergency use authorization, allowing health care providers to use the medicine for illness, even though the drug has not been approved as a specific treatment for COVID-19.

    It's unclear how many hospitals across the country have tried hydroxychloroquine. While it appears many are, some are not.

    "UC San Diego Health does not support the use of medications in ways for which there is not yet scientific evidence to support safety and efficacy," the hospital system wrote in an email to NBC News, adding investigators there are preparing to enter clinical trials to do their own studies of the drug.

    Critical care physicians at Northwestern Medicine in Chicago aren't using it either. "It's the view of our ICU group here that the data supporting its use are insufficient for routine use for COVID-19 patients, particularly when they become critically ill," Dr. Ben Singer, assistant professor of medicine in pulmonary and critical care at Northwestern University's Feinberg School of Medicine, said.

    This week, the Centers for Disease Control and Prevention pulled back on its guidance for hydroxychloroquine usage for COVID-19 on the agency's website, no longer offering recommendations for dosage. The CDC has also deleted information on those early studies of the drug.

    The science so far

    One of the first studies to look at hydroxychloroquine as a potential treatment for COVID-19 came out of China in early February. That study looked at how the drug behaved on a cellular level, but did not examine how it would work in patients.

    Small studies from China and France later hinted that the drug may be effective in treating patients with COVID-19. The journal that published the French study, however, later said that the article did not meet their expected standard.

    But, "those reports were talking about patients who received a particular drug and then got better. We know most people with COVID-19 get better on their own," said Dr. Wesley Self, an emergency physician at Vanderbilt University Medical Center in Nashville, Tennessee, who is studying the drug.

    "If you took those same people, and didn't give them medicine, many of them would report, we think, similar rates of recovery," Self said.

    In other words, it's possible those patients would have improved clinically whether they got hydroxychloroquine or nothing at all.

    What's more, those studies were published online before undergoing what's called peer review, meaning other scientists hadn't had the chance to analyze the data and point out potential flaws. Peer review is considered essential to quality research.

    "People take these tiny studies, and quote them as gospel," Lyn-Kew said. "We need real science behind this disease," adding physicians are "desperate for something to help people."

    The science yet to come

    Physicians across the country are investigating, in real time, to see whether the drug might indeed be beneficial to treat severe cases or even prevent coronavirus infections.

    Researchers at NYU Langone in New York City and the University of Washington Medical Center in Seattle are recruiting 2,000 people who have been in contact with a COVID patient, but haven't developed symptoms themselves.

    Participants will receive either hydroxychloroquine or vitamin C every day for two weeks, and undergo regular testing for COVID-19.

    The study "could provide answers by summer on whether a preventive dose of the drug is safe and effective," according to a press release posted online from NYU Langone. "If so, the strategy could give health officials a much needed boost in slowing person-to-person transmission."

    New York Gov. Andrew Cuomo said Monday physicians in that state are moving forward with testing hydroxychloroquine for COVID-19 patients because "there has been anecdotal evidence that it is promising."

    But until there's definitive, robust research on the matter, physicians are left with dueling anecdotes about hydroxychloroquine's effectiveness. Some anecdotes suggest a benefit; others don't.

    Self, from Vanderbilt, is leading a randomized clinical trial investigating the drug.

    Patients will be randomly selected to receive either hydroxychloroquine or a placebo. Neither the patients, the physicians, nor people who will assess the results at the end of the project will know which patients got the actual medication, and which patients got a dummy pill.

    Ten patients have been enrolled in the past four days. But "it's just too early to know if the drug is working or not," Self said.

    Potential for harm — and hope

    All medications come with potential side effects. Hydroxychloroquine is no different.

    The drug can lead to an irregular heartbeat, which can be deadly in some patients. Very sick people in intensive care units may be at particular risk, Self said, because they tend to be more susceptible to drug side effects in general.

    "We have to understand whether the side effects of this drug are worse than any benefits," Self said

    Because it's thought the drug might work best early on, the Vanderbilt study is only enrolling patients within 10 days of developing coronavirus symptoms, such as cough, fever, extreme fatigue or shortness of breath.

    Hydroxychloroquine "clearly has promise," Self said. "But we really need the clinical trial data to understand what this is doing in our patients."

    "We have a duty to know that before we start prescribing to thousands and potentially millions of people."

  4. #1789

    Re: covid-19 Virus Updates and Discussion

    Mexico reports first deaths of pregnant women from coronavirus
    MEXICO CITY (Reuters) - Mexico has recorded its first two deaths of pregnant women from the coronavirus as the overall number of fatalities in the country reached 194, the health ministry said on Thursday. One of the two women gave birth to a son before passing away, deputy health minister Hugo Lopez-Gatell told a news conference, noting that pregnant women are highly susceptible to infection caused by the virus. For a short time the baby boy had respiratory problems and is still delicate, he added.

    Adding to their risk factors for developing complications from coronavirus, both women were clinically obese, while one had hypertension and the other had diabetes, Lopez-Gatell said. Mexico has one of the world’s highest rates of diabetes and obesity, conditions that have been complicating factors for many people in the country who have died from the virus.

    Mexico’s cases of coronavirus rose to 3,441 from 3,181 a day earlier, when the tally stood at 174 deaths, the ministry said. Neighboring Guatemala on Thursday reported 31 new cases of coronavirus, with 126 in total. It has registered three deaths.
    Reporting by Daina Beth Solomon in Mexico City and Sofia Menchu in Guatemala City; Editing by Dave Graham and Sandra Maler
    "And for my next fearless prediction..."

  5. #1790

    Re: covid-19 Virus Updates and Discussion

    Quote Originally Posted by GlennHarman View Post
    Jazz, I think I get what you're saying, but tell me if this is what you mean: Those large splotches on the map that look like there are many large counties without hospitals in fact represent the "counties", which in fact probably don't have hospitals. But the cities, which are independent from the counties, probably have hospitals, such that hospitals are in fact spread all over the state. Those independent cities sit right in the middle of a county, so, in fact, there is a hospital in the middle of the area encompassed but the county, but since it sits in an independent city, the county doesn't get credit. In most cases, therefore, the people of the "county" are not that far from a hospital in an independent city.

    Please let me know if I'm not interpreting that correctly. If that's what you meant, I get it. Thanks...GH
    So, let me say plainly first in case I complicate things further, I'll post links below about this, but I think rural Virgina just doesn't appear to be well served by hospital care in terms of having a facility right in their immediate county at times. They seem to have a large network of health clinics and health centers that serve those populations.

    In terms of Virginia with their independent city and county thing. Let's use Dayton as an example instead since I'm not sure what in Virginia you're familiar with. Looking up Dayton, OH it sits mostly in Montgomery County but also in Greene County. Let's say there are ICU hospitals in the independent city of Dayton. Whatever is in Dayton no longer counts as being in either Montgomery or Greene county at all because it belongs to the separate city jurisdiction. Remove all shading for both counties and turn it white on the map for a clean slate. Let's now say there's are two mid-size hospitals in other towns in Montgomery County and it has ICU beds. Montgomery is able to get a green-blue shading on the map because of this. Now Greene County, it has a small community hospital on the outskirts, but when patients get really sick, they need to get transferred because there are no ICU beds at this hospital. Greene County becomes orange on the map. In reality, Dayton geographically sits right in the middle of these counties and has many ICU beds that can serve populations of both of these areas. This might be missing from the overall bed count associated with the map, but didn't truly affect the color shading of the map.

    The VA websites don't give any confidence that this information is anywhere near incorrect. They have 7 designated critical care hospitals to serve their rural areas. I hope there's more than that, but am not clear that there is. The good news is that some of these areas, aren't that far from a university town since though possibly not classified as rural, are hardly a bustling metropolis.

    You can take a random white spot on the map and look to see what you find. Dinwiddie County is one I'm unfamiliar with. I don't see anything more than health clinics there. But nearby there's two medical centers in Petersburg, VA. And Petersburg is one of the independent cities and I see it is geographically within Dinwiddie, so maybe that's one that the map missed, right? I think it is. Although one "medical center" appears to just be a skilled nursing facility, the other one is a legitimate hospital, not captured on the map.

    Here are things I found before on hospitals in rural Virginia-,

  6. #1791

    Re: covid-19 Virus Updates and Discussion

    Niagara Falls guardsmen called on to help New York City retrieve its dead

    NYC morgue.jpg
    Pallets of supplies are loaded off a truck and into a makeshift morgue at Bellevue Hospital. The morgue was created to accommodate the growing number of covid-19 deaths in New York City.

    At a base down the road from Niagara Falls, a specialized unit from the New York Air National Guard had spent years preparing for one of the military's grimmest missions: find and recover the bodies of those killed in a chemical attack, natural disaster or other mass tragedy.

    But when their deployment orders arrived March 21, they were sent to do a job their practice sessions didn't foresee.

    New York City was facing a mounting emergency owing to the spread of covid-19, and it wasn't just hospital emergency rooms and intensive care units facing a crisis. The city's medical examiners, who pick up the bodies of those who die unattended by a physician or in unexplained circumstances, were on the verge of being overwhelmed.

    "When we train, we never really think that it's going to be more like real life, like a virus," said Staff Sgt. Gabrielle Bellina, a 24-year-old member of the Niagara Falls unit who normally works as a nurse at an eldercare facility. "When we go out and train, it's more like chemical warfare . . . so this was a real eye-opener."

    Bellina and her fellow guardsmen have been carrying body after body out of New York City homes and apartment buildings, in some cases winding 200 pounds down the narrow staircases of walk-ups without an elevator.

    For more than two weeks, they have been at it, pulling 12-hour shifts that run from 8 a.m. to 8 p.m. and heading out in teams composed of two guardsmen and one New York medical examiner.

    More than 28,400 members of the National Guard are deployed across the United States as part of the pandemic response, helping build makeshift hospitals, swabbing people at test sites and delivering masks, medical supplies and food. But few are undertaking a more difficult task than the airmen from Niagara Falls.

    They are aiding the Office of the Chief Medical Examiner, known as the OCME, which typically collects about 25 bodies for investigation in New York City on a normal day and now is retrieving as many as 150, said Gen. Joseph Lengyel, chief of the National Guard Bureau. The OCME has posted dozens of job advertisements in recent days in a scramble to further augment its staff.

    New York Mayor Bill de Blasio, a Democrat, in a CNN interview on Wednesday, described what it meant for New York City to be retrieving 100 to 200 people who have died in their homes and other non-hospital locations. "I mean, think of what this means for the families, think of the pain they're going through," de Blasio said. "There's no question that coronavirus is driving it. We never saw anything like this in normal times."

    The city's funeral homes are overwhelmed.

    "We've trained for the bird flu. We've trained for Ebola. Those nightmares never materialized. This nightmare materialized, and nobody was ready for it," said John D'Arienzo, who runs a funeral home in Greenpoint, Brooklyn, and is president of the Metropolitan Funeral Directors Association. "Nobody was aware of the magnitude and the sheer volume."

    Skyrocketing numbers
    Home to more than 8.5 million people, New York City is the worst hit area of the United States. As of Thursday, the city had seen 87,725 confirmed cases of covid-19, including 21,571 hospitalizations, and 4,778 deaths, according to the city's health department.

    Those statistics may not fully capture the number of New Yorkers dying at home.

    Michael Lanza, a spokesman for the New York City Health Department, said every person with a lab-confirmed covid-19 diagnosis is being counted in the fatality numbers the city tabulates. The health department is working with medical examiners to include in their reports people whose deaths may have been related to covid-19 but didn't received a lab-confirmed diagnosis, Lanza said.

    Of all the military units that have shown up to help New York City's medical examiners handle the dead, the group from Niagara Falls arrived first. They had been scheduled to travel to New York City anyway this spring for a training session with the medical examiner's office. Instead, the guardsmen ended up rescuing the office as it faced one of its biggest crises since the Sept. 11, 2001, terrorist attacks.

    Bellina, who joined the guard because her grandfather was in the military, was at her mother's house having breakfast when she got the call to deploy. Days later, her team arrived in a midtown Manhattan that was eerily empty, where a few scattered people walked around in masks.

    The team set to work the next day at a makeshift command center that the medical examiner's office had set up near Bellevue Hospital and equipped with refrigerated trailers to store recovered bodies.

    The Niagara Falls group quickly realized that without serious reinforcements, they and the medical examiner's office were about to be overwhelmed.

    "I think the biggest challenge is just seeing all of these numbers skyrocket and just trying to work together as a team and go out and get all of these deceased people," Bellina said. "Now we have more teams, which has really helped take the load off."

    As of Wednesday, the U.S. military had assigned a total of 220 personnel to assist New York City in the collection of bodies, including 49 active-duty Army soldiers trained in mortuary affairs and 171 members of the New York Army and Air National Guard. In addition to a day shift, service members have begun helping man a night shift as well.

    The house calls aren't necessarily always for those who have died of complications of covid-19. Guardsmen like Bellina are also helping recover those who die in other circumstances, such as an apparent suicide where she helped retrieve a man's remains on one of her most difficult days.

    "That was very hard to see," she said.

    The Niagara Falls unit, which the military calls a fatality search-and-recovery team, wears its uniforms under personal protective equipment and treats every case as if it could be covid-19.

    The appearance of uniformed military personnel handling body bags on the streets of the city has unnerved some New Yorkers, a number of whom began taking pictures when members of the unit showed up at buildings in fatigues with the medical examiner.

    "I think they see us come in with uniforms on and their initial thought is we're here to take over and it's really bad," Bellina said. "We just say we're here to help."

    'Very challenging'
    To carry out the work, she and her fellow guardsmen have formed pairs based on their strengths.

    Senior Airman Anita Walker, a 26-year-old member of the unit from North Tonawanda, New York, said she is 5-foot-2, so she is paired up with a larger guy in the group.

    "He's a big guy, but I have a stronger stomach," Walker said.

    "We train on this stuff, but it's nothing like when you get thrown into it. I work out, but I'm no macho, I'm only 115 pounds," she said, noting that so far the physical labor has been fine. "We practice all our safe lifting techniques, so I'm good on that end."

    Walker said the unit had trained extensively in search and recovery, but going into people's homes and interacting with family members who have lost loved ones is incredibly sad. The smells and the places, she said, "something about seeing the real thing just hits you a little different."

    The guardsmen have been doing runs with long-standing medical examiners who Walker said have seen "everything in the book," and mentally prepare them and assess the scene.

    The officer in charge of the Niagara Falls unit, 39-year-old 1st Lt. Shawn Lavin, left behind his children, ages six months and 2 1/2, to oversee the mission. Lavin, who normally works as an Erie County personnel official and serves as a Democratic member of the Amherst, New York, town board, keeps tabs on the health and the spirits of the unit, which he said faced a steep learning curve.

    "You take someone who has passed away with their loved one off a couch, off a chair, into a human remains bag and transport them here, it's a very challenging situation, but I think my team has answered that call incredibly," Lavin said in an interview from the makeshift command center.

    "This situation, as sad as it is, this job is necessary — and everybody here is part of the solution, there is now a camaraderie building with the team that got here," he said. "We can help them and we can really make a difference."

    The group gets together each day and talks about what they have experienced, sharing the more difficult stories to help one another get through a mission that is necessary but often overlooked.

    Bellina said they've become like a big family, and the negative aspects of the situation have reminded her of the importance of her own relationships, on the team and elsewhere.

    "It helps to remember to cherish the people that you love and cherish moments with your friends and family," she said. "That's my big takeaway from this whole thing."
    "And for my next fearless prediction..."

  7. #1792

    Re: covid-19 Virus Updates and Discussion

    Jazz, There is really only one part of Virginia I am very familiar with, outside of Richmond, and that is the corridor of the Appalachian Trail. The counties over there are underserved in every manner of civilized function. That aside, what concerned me about the map of Virginia was all the counties across the middle of the state without hospitals. I truly never guessed that to be the case. Still, your clarification made this clear enough. I still suspect, away from the Appalachian counties, that ICU beds in the rather densely populated state of Virginia, are closer to most people than that map would initially have one think (for the reason covered by your Dayton example). I have no trouble thinking that parts of Montana and Wyoming, for example, not to mention Alaska, have people living amazing distances from ICU beds. One wouldn't think that when driving through the non-mountainous parts of VA.


  8. #1793
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    Dallas, Texas

    Re: covid-19 Virus Updates and Discussion

    This was from a Facebook friend of my brother's:


    Dr. Anthony Fauci is deep state & heavily invested in China, CDC, WHO, Big Pharma, Bill Gates Foundation & YES...the Clinton Foundation. Research it! What he is NOT telling us is that our immune systems will NATURALLY fight off this virus & other viruses which our healthy bodies are exposed to on a daily basis. Statistics for Coronavirus cases are confirming that almost all people who ARE getting sick are already predisposed; they have been compromised by other severe medical conditions... in particular diabetes, cancer & heart disease.

    According to noted scientist & engineer Dr. Shiva Ayyadurai & others, vitamins A, C & D3 are SUFFICIENT for a normal healthy immune system to successfully fight off this Coronavirus as well as most other viruses. BUT Fauci & Big Pharma won’t tell you that!

    We cannot allow our economy, our freedoms, our way of life, our Country to be destroyed because of the LIES & COVER UPS relating to the origins, false information, intentionally misleading statistics, media hype AND state & local governments’ drastic emergency measures taken with respect to this pandemic! USE your God given reasoning & LOGIC!

    They want to keep us separated. They want to keep us from congregating. They want our JOBS. They want us to shelter at home in a constant state of fear & panic. They want neighbors to turn upon their neighbors. They want conformity. They want mandatory vaccinations. They want you to be so AFRAID that you will unquestionably submit to all directives they tell you you must follow!



    Sent from my SM-J737P using Tapatalk

  9. #1794

    Re: covid-19 Virus Updates and Discussion

    Conspiracy theorists, snake oil salesmen and armchair experts are never in short supply whatever happens. Sad, but true...
    Roger forever

  10. #1795

    Re: covid-19 Virus Updates and Discussion

    And this from the great sage of the far right:

    RUSH LIMBAUGH (HOST): It's a fascinating case study to me, and it's worrisome and it's troublesome. And then the other side of it is, through all of this, I've never had any doubt we're going to come out of it. I've never had any doubt we're going to come out of it stronger, and we're going to come out of it healthy. And I think it's imperative that we have somebody like Donald Trump, who is outside the establishment, expert class, who has a history of solving problems, to actually lead the country through this.

    You know, we've talked about the “Deep State” all these years since Trump was elected — the Trump-Russia collusion, the FBI — well, the Deep State extends very deeply. And the American people did not elect a bunch of health experts that we don't know. We didn't elect a president to defer to a bunch of health experts that we don't know. And how do we know they're even health experts? Well, they wear white lab coats, and they've been in the job for a while, and they're at the CDC and they're at the NIH, and they're up, well — yeah, they've been there, and they are there. But has there been any job assessment for them? They're just assumed to be the best because they're in government. But, these are all kinds of things that I've been questioning.

    And I've been watching people routinely accept whatever the authorities say. Where I live, the local town government is driving around town, trying to spot people violating the social distancing ordinances. And when they see it, they publish it on their web site, “This is very troublesome. We at the town are very troubled by groups of people congregating, violating the social distancing.” Well, what do you think people are going to do? People are not just going to sit around here and stop living.

    Anyway, most of this is for next week, I'm just kind of setting the table. Because once I get going, the time starts flying here, and I'm going to be out of here before I know it.
    Roger forever

  11. #1796
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    Re: covid-19 Virus Updates and Discussion

    And my local wfaa news channel ran a story about one woman who just happened to have hydroxychloroquine on hand .... and by the way, wasn’t tested for COVID-19, and she felt better after a fever. Grossly irresponsible.

    Sent from my SM-J737P using Tapatalk

  12. #1797

    Re: covid-19 Virus Updates and Discussion

    A bit bored so I spent the last 10 min looking for the craziest Covid-19 conspiracy theory out there. I now proudly present the winner

    Roger forever

  13. #1798

    Re: covid-19 Virus Updates and Discussion

    And on that note, part two of HOW ARE YOU DOING?

    Starting to feel some angst here. Reading SHTexas FB post (not his, of course) I believe this: Yes, we are being lied to. But not on that sense. We are being lied to with bad statistics and numbers. The total number of people dead from COVID is not 100K. It is more. The numbers from China are not reliable, as neither are the numbers from the USA. In the first case, we know the Chinese GOVT has under-counted the figures. In the USA numbers, improper testing (or lack of it) simply will not tell us the real number of dead or infected.
    Worldwide, there is no way that the total number of cases is the same as the number of reported cases. And that would not be bad if we are saying a few thousand are not counted. In this case, I believe that at best the number of reported cases is 50% of the true cases. It is a worldwide problem so I can believe the numbers coming from Germany or France (examples) but there is no way I believe the numbers from the USA, China, Russia (basically non-reporting) and all the less developed nations where testing is also very hard to come by and therefore not a clear picture is available. So we may be going through this entire thing without data and, as a scientist, that makes me anxious.
    I am also wondering about a few months from now. How are our food systems working? Africa is facing a possible devastating locust infestation, and because of lack of people moving, farm produce is already not being harvested. In a few months, are we going to be facing food shortages? If it is worldwide, get ready. One thing is to hoard toilet paper and N95 masks. Another is to hoard cans and non-perishables (something I have experienced, being Venezuelan).

    The economic shattering will eventually be unsustainable and we will have to make a terrible choice. I have money in the bank; what about those that don't? I am already going through my regular unemployment symptoms: very irregular sleep patterns, waking up with a mild feeling of panic, clamping down. How do those that are not seeing any money coming in and have no reserves dealing with this situation? How long before we say: "Ok, the devil inside or the devil outside. I'll take my chances"
    And without testing, again, how to make the proper decision?

    How are YOU doing?
    Face it. It's the apocalypse.

  14. #1799

    Re: covid-19 Virus Updates and Discussion

    Quote Originally Posted by suliso View Post
    A bit bored so I spent the last 10 min looking for the craziest Covid-19 conspiracy theory out there. I now proudly present the winner

    It actually made me laugh. Thanks. It is good to know there are people out there going crazier than one
    Face it. It's the apocalypse.

  15. #1800
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    Re: covid-19 Virus Updates and Discussion

    I just can't.
    Oh Grigor. You silly man.

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