Coronavirus COVID-19 - Global Health Pandemic #39

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Yikes, and they are worried about NYers coming down? It is way too late for that IMO. Akin to rushing to shut the barn door after the animals have all escaped and are cavorting on the nearby beaches...

I was born and raised in FL. Very worried about the high senior population in FL - to me, it is an Italy just waiting to happen and I fear they are going to be too late when they finally really shut things down there. :(

There were pictures posted today with crowds of people again on beaches in the northern coast of Florida. Reports too of beaches open in the panhandle. Nothing is being done about it but he has a roadblock on I-95 looking for NY plates.

SMH. As far as Rhode Island is concerned they seriously need to step up testing.
 
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NEW YORK

While heroic staffers beg for protective equipment and don garbage bags to treat coronavirus patients at a Mount Sinai hospital, two of the system’s top executives are waiting out the public health catastrophe in the comfort of their Florida vacation homes, The Post has learned.

Dr. Kenneth Davis, 72, the CEO of the Mount Sinai Health System who pulled down nearly $6 million in compensation in 2018, is ensconced in his waterfront mansion near Palm Beach.

Davis has been in the Sunshine State for weeks and is joined by Dr. Arthur Klein, 72, president of the Mount Sinai Health Network, who owns an oceanfront condo in Palm Beach.

As the duo work from “home,” the Upper East Side-based hospital system seems to be imploding.

Mount Sinai West assistant nursing manager Kious Kelly succumbed Tuesday to COVID-19; maintenance workers scrambled to create patient pods in the main hospital’s vast lobby to deal with patient overflow, and specialists were called to the front lines to treat the sick.

A photo of nurses at Mount Sinai West near Columbus Circle wearing trash bags because they said there were no more gowns highlighted the dire supply shortage. City Council Speaker Corey Johnson called the photos and situation “shameful and shocking.”

Some nurses continued to say they lacked personal protective equipment Thursday despite claims by the hospital administration, and even Gov. Andrew Cuomo at his daily briefing, that there were enough supplies.

But staffers across the system talked about hospitals under siege.

“People come in, they get intubated, they die, the cycle repeats,” Dr. Steve Kasspidis, of Mount Sinai Queens in Astoria, told Sky News. “The system is overwhelmed all over the place.”


The head of the New York State Nurses Association blasted the ghost leaders.

How can you inspire confidence in your employees who are in the front lines of the epicenter that you have their best interests at heart when you are 1,000 miles away? Even more important, what are you doing to procure the PPE that is proven to save lives of caregivers and, ultimately, the patients we care for? We are not protected. And every day it is getting worse,” said Judy Sheridan-Gonzalez, the union president.

Davis, reached at his six-bedroom, eight-bathroom home by The Post Friday, said he was told by his own doctor to stay in Florida because he was older than 70. He said he was already there on a fundraising trip for the hospital “before this started.”

Mount Sinai hospital leaders holed up in Florida vacation homes during coronavirus crisis
at least he has 8 bathrooms
 
I really don't understand the rationale of opening up the lower density counties with fewer cases
1 They are all going to be exposed eventually anyway
And
2 The buying power and industry is in the populated, more infected counties.

The economic engine of South Dakota is going to pull us out of this recession.
 
There were pictures posted today with crowds of people again on the beaches of the northern coast of Florida. Reports too of beaches open in the panhandle. Nothing is being done about it but he has a roadblock on I-95 looking for NY plates.

SMH. As far as Rhode Island is concerned they seriously need to step up testing.
what are they doing if they find NY plates? (On I 95)
 
NEW YORK

While heroic staffers beg for protective equipment and don garbage bags to treat coronavirus patients at a Mount Sinai hospital, two of the system’s top executives are waiting out the public health catastrophe in the comfort of their Florida vacation homes, The Post has learned.

Dr. Kenneth Davis, 72, the CEO of the Mount Sinai Health System who pulled down nearly $6 million in compensation in 2018, is ensconced in his waterfront mansion near Palm Beach.

Davis has been in the Sunshine State for weeks and is joined by Dr. Arthur Klein, 72, president of the Mount Sinai Health Network, who owns an oceanfront condo in Palm Beach.

As the duo work from “home,” the Upper East Side-based hospital system seems to be imploding.

Mount Sinai West assistant nursing manager Kious Kelly succumbed Tuesday to COVID-19; maintenance workers scrambled to create patient pods in the main hospital’s vast lobby to deal with patient overflow, and specialists were called to the front lines to treat the sick.

A photo of nurses at Mount Sinai West near Columbus Circle wearing trash bags because they said there were no more gowns highlighted the dire supply shortage. City Council Speaker Corey Johnson called the photos and situation “shameful and shocking.”

Some nurses continued to say they lacked personal protective equipment Thursday despite claims by the hospital administration, and even Gov. Andrew Cuomo at his daily briefing, that there were enough supplies.

But staffers across the system talked about hospitals under siege.

“People come in, they get intubated, they die, the cycle repeats,” Dr. Steve Kasspidis, of Mount Sinai Queens in Astoria, told Sky News. “The system is overwhelmed all over the place.”


The head of the New York State Nurses Association blasted the ghost leaders.

How can you inspire confidence in your employees who are in the front lines of the epicenter that you have their best interests at heart when you are 1,000 miles away? Even more important, what are you doing to procure the PPE that is proven to save lives of caregivers and, ultimately, the patients we care for? We are not protected. And every day it is getting worse,” said Judy Sheridan-Gonzalez, the union president.

Davis, reached at his six-bedroom, eight-bathroom home by The Post Friday, said he was told by his own doctor to stay in Florida because he was older than 70. He said he was already there on a fundraising trip for the hospital “before this started.”

Mount Sinai hospital leaders holed up in Florida vacation homes during coronavirus crisis
Deport them North on a Greyhound Bus full of people, and a stopped up toilet, with no toilet paper......moo
 
"3 agencies in the U.S. responsible for detecting and combating threats like the coronavirus failed to prepare quickly enough. Even as scientists looked at China and sounded alarms, none of the agencies’ directors conveyed the urgency required to spur a no-holds-barred defense."
The New York Times on Twitter

Dr. Robert Redfield is the director of the CDC and trusted the agency’s veteran scientists to develop a test for the coronavirus. But when test flaws became apparent in mid-February, Dr. Redfield promised a quick fix, though it took weeks to settle on a solution. The New York Times on Twitter

Dr. Stephen Hahn is the commissioner of the FDA. He enforced regulations that paradoxically made it tougher for hospitals and laboratories to deploy diagnostic tests in an emergency. The New York Times on Twitter

Alex Azar, who led the HHS, oversaw the 2 other agencies and coordinated the government’s public health response to the pandemic. Even as he grew frustrated as public criticism over the testing issues intensified, he was unable to push the CDC or FDA to speed up or change course. The New York Times on Twitter

Together, the challenges resulted in a lost month, when the U.S. squandered its best chance of containing the coronavirus’s spread. Instead, Americans were left largely blind to the scale of a looming public health catastrophe. The Lost Month: How a Failure to Test Blinded the U.S. to Covid-19
 
In at least 10 government reports from 2003 to 2015, federal officials predicted the United States would experience a critical lack of ventilators and other lifesaving medical supplies if it faced a viral outbreak like the one currently sweeping the country.

The drumbeat of warnings undermines President Donald Trump's claim last week that "nobody in their wildest dreams" could have imagined the demand for ventilators that now exists. The demand is pushing hospitals to the brink in New York City and threatening to do so in parts of Washington state, California, Louisiana and beyond.

In addition, a 2017 study funded by the National Institutes of Health and the Centers for Disease Control and Prevention found that "substantial concern exists that intensive care units (ICUs) might have insufficient resources to treat all persons requiring ventilator support" and that even the supplies held in the so-called Strategic National Stockpile "might not suffice to meet demand during a severe public health emergency."

Federal officials repeatedly warned that US hospitals lacked enough ventilators

Why would warnings issued by the feds to the states from 2003 to 2015 not be the states' fault when they failed to take heed? Where's the proof Trump was even aware of those reports when he made his comments? My state followed the recommendations in 2005. Nebraska Medicine and the CDC worked together to create a very important biocontainment unit at Nebraska Medicine.

It is irresponsible for the media to try to politicize this pandemic.

JMO
 
Gov Cuomo needs to up his meds. He’s loud begging for vents, supplies, beds, healthcare workers, etc. I get that his state is an epicenter. He was all the federal assistance but doesn’t want the feds to shut his state down. I say shut it down.
Governor Cuomo would like to control the nation’s entire stockpile of 20,000 ventilators. He wants to have them sitting in his warehouse, to dole out only when NY no longer has a need for them. :rolleyes: I’m glad that seems to have been nipped in the bud. MOO
 
ANDY SLAVITT

I think this is the week when we start talking in millions and never look back. Only a few weeks ago, we were breaking a thousand cases. We have a lot more testing now so we have likely been in the millions for a while.
That is somber. 2/

Remember the lag that occurs. What shows up as reported cases could be new or could be weeks old. But the hospital beds don’t fill up for a couple weeks and casualties don’t happen for a few more weeks after that. 3/

So it’s easy to see what’s coming in the near term. Millions of cases will mean tens of thousands of losses (probably around May). It depends on where the infections are (nursing homes vs. college kids) & what shape the hospitals are in in a few weeks. 4/

If the hospitals are over-crowded in some areas, 10k could be come 20 or 30k or more. So job 1 is protect our frontline health care workers, get them equipment and vents, keep them safe & on the job. 5/

Sorry I have to pause there. We’ve reached 2000 deaths in the US and in a couple days will be passing 9/11 totals. And 10s of thousands is unheard of.
Mr. President, fly the flag at half-mast. Acknowledge our losses. 6/

What happens beyond that point is history not yet written. We know #StayHome works. It’s working in Seattle, in California, in NY, in the UK, in Wuhan. The more strict, the better it works.
If we had the data, we would measure it in R0 (how many people each person infects).7/

This is where the tree branches. If we buckle down (6 weeks-10 weeks?) with social isolation, the curve flattens and in a really strong effort, can decline. If we let up, we are in for a very rocky and lethal extended period of time. 8/

So job 1 is support the front line workers and job is to figure out how to sustain the next few weeks. Job 2 is to bend the curve with social isolation.
Most scientists believe it is both completely necessary and that we are incapable of doing it. 9/

Andy Slavitt @ on Twitter
 
what are they doing if they find NY plates? (On I 95)

Last I heard is that Florida and Rhode Island want people from NY and NJ to self quarantine 14 days before going out and about in their State. Unsure how they are following up and ensuring every one is quarantining. Obviously those states have some free time on their hands.
 
Governor Cuomo would like to control the nation’s entire stockpile of 20,000 ventilators. He wants to have them sitting in his warehouse, to dole out only when NY no longer has a need for them. :rolleyes: I’m glad that seems to have been nipped in the bud. MOO
He didn't say anything remotely like that on the presser yesterday. He said that the ventilators are still in Fed inventory and as they need them, they will draw them out. Clearly NY is going to go through the peak first. The country needs to work together to manage the resources across the country.
 
ASTOUNDING....THEY GAVE AWAY OUR PPE...I'm going to assume they thought we wouldn't need it.
-------------------------------------------


FEB 7, 2020,
This week the State Department has facilitated the transportation of nearly 17.8 tons of donated medical supplies to the Chinese people, including masks, gowns, gauze, respirators, and other vital materials
. These donations are a testament to the generosity of the American people.

The United States Announces Assistance To Combat the Novel Coronavirus - United States Department of State

It clearly states the U.S. facilitated the transportation of donated medical supplies. Nowhere does it say the U.S. paid for the manufacturing of those medical supplies.

JMO
 
You can’t shut us down. This is the busiest travel area in the entire country. You would cripple travel between Boston and DC. It would be a nightmare.

Looking forward to a continued lockdown for the next 3 weeks. Does that mean I won’t be able to cram into my church on Easter?

China closed down travel between Hubei and other provinces. That worked for them as Hubei was the center of the outbreak and the cases in other provinces had come 'from' Hubei. They were able to send doctors, nurses, and medical supplies from all the other provinces into Hubei, and keep the infection from coming out from Hubei. We all said at the time that that would be extremely difficult to do such a lockdown in pretty much any other country in the world.

I am heartened that countries are trying to emulate that lockdown in Hubei as much as possible and try to make use of the extra preparation time to work out ways to do that in ways that are more consistent with our cultural norms.

The thing is that unlike the situation in China in January and February, most countries won't have one province at the centre of their outbreak, and resources from outside to be sent in from far less affected regions of the country. So we're not going to have exactly the same course of spread and limit that occurred with the Wuhan/Hubei/Greater China 'model'.

I think personally that we need to look at saving lives as our priority, using scientific methods to do that rather than emotional and arguing over politics. Of course that's going to be hard the more personal this gets. But that's when it's most important to have those guidelines in place.

I think we also need to remember that every country is learning as it goes. This has happened so swiftly. Governments aren't used to working at these speeds other than for very local and temporary emergencies like local floods, earthquakes, tornadoes and hurricanes. This is happening on a national and global level in every country at the same time...there will be waves of infection rolling across countries, focusing in nodes of large cities, waves across the globe. There will be suffering and death.

We don't really have any modern equivalent to this to use as a guidebook.

In the UK we have some awareness of plague outbreaks in the middle ages, villages trying to keep themselves segregated from the outside world, turning away traveling traders. Then there were religious groups traveling around village-to-village, town-to-town, praying, self-flagellating, etc. We have some beginnings of understanding about infection control, though they thought of infection more in terms of miasmas (bad airs) they also knew that contact between people played a huge part in the spread of infection.

I don't think we have such an awareness of what happened in the days of the 1918/1919 Spanish Flu pandemic, or any flu pandemics between that one and this Coronavirus pandemic. I think there will be basic infection control measures that will be applicable, but then governments have the difficulty of how much our world has changed since then, and how to utilise modern technology in the fight, but how do we cope when some of that technology aids the spread of disease (modern travel)?

How do we cope when a village can't lock itself away from the rest of the region, the rest of the country, the rest of the world, and feed itself with the produce from its own fields? When we need food, clothing, and medicine from 'outside'? When this is happening all across the globe at one time? When it's not just a single region of a single country having a massive disaster and the rest of the globe can step in to help? When every country, rich and poor, is fighting to get the same resources (PPE, medicines, the eventual vaccines, ventilators, oxygen cylinders) for its own people?

I haven't been in this thread for a while now, and it looks so different now. For the USA it would appear that the global conundrum is occurring at a national level? That it's not just countries fighting over border rules and over attempting to get their hands on ventilator supplies, but it's happening there at state level?

China was able to have cities like Beijing and Shanghai send resources to Wuhan/Hubei. A country like the US is going to be having simultaneous outbreaks in all cities, and all cities will be 'Wuhan'. But just as the Chinese used their culture to fight the virus, the US and other countries have to find the most useful parts of our cultures to fight the virus...not fight each other!

How about we ask for the input of epidemiologists and virologists for their input on things like travel between cities? How about we work together against the virus, forget about political campaigns and campaign against the virus. Forget how you're perceived 'now' as a politician and think more about how history will be the ultimate judge, and it won't accept your "buts". Prioritise saving lives over gaining vote shares over the other party.

Yes, unlike the average flu season, our freedom to go out and infect others is going to have to be curtailed in some ways. Most people seem to be accepting that on the ground. It doesn't matter to the doctor and nurse treating the patient what party the patient voted for. It doesn't matter to the patient how the doctor or nurse voted. Those doctors and nurses don't have the luxury of standing around finger-pointing and blowing their own trumpets as if it was election season. What can we all learn from them and the way they go about fighting the virus?
 
It would be helpful, if we said where we are reporting from.
Tia
I seemingly survived my outings with little to no issues and shouldn’t have to go back “out” for at least 2 more weeks if I want fresh food again.
Farrier was interesting but kept our spaces and there was no coughing or sneezing and I mainly talk to his *advertiser censored* as he’s bent over trimming hooves.

grocery store one had a line outside around the front of the building, limiting access and sanitizing carts before you went into store. Did a slow drive by. People were in line with carts prior to sanitization so I’m not quite sure how they thought that was working. Armed guard at entrance. This is the big store, swung by after picking up our amazing takeout from my favorite small restaurant. Opted to wait and go to small store with understanding they may not have much.

Small store was its usual Sat afternoon quiet. They even had individual wrapped toilet paper rolls for sale. You could only buy 2 but at least it’s something. I didn’t need any. Meat selection was fine, none of the kielbasa I buy for sauerkraut soup and the frozen veggies were pretty much gone but they seemed to have everything else. I bought enough for breakfast, lunch and dinner for the next two weeks supplemented with the pantry. Brought some chlorox wipes with me in zip lock bag so I was able to wipe down cart and hold it when I opened doors and such. Wiped down cc machine before I used it and wiped down my card.
Only troubling thing was a small child with her finger so far up her nose I couldn’t see it, hanging out in the produce section. Her dad was oblivious and on the phone. I didn’t see her touch anything but gross. No coughing or sneezing that I noticed anywhere. Baggers wore gloves. DH waited in car.

have to get gas tomorrow and will follow my one glove protocol before heading into work quick. Swinging by a friend to drop off duck eggs, will leave them on his porch. My girls are laying like crazy and no one wants to buy them so I give them to a friend who gives them away to church members. I easily have 36 dozen eggs to give away. Even giving away some goose eggs. Going to keep a few but I cant eat all that we have.
 
Governor Cuomo would like to control the nation’s entire stockpile of 20,000 ventilators. He wants to have them sitting in his warehouse, to dole out only when NY no longer has a need for them. :rolleyes: I’m glad that seems to have been nipped in the bud. MOO

Seriously! Why give ventilators to the state with thousands of people in ICU units when they could be sitting in states with three people positive resting at home?? Where’s the fairness in that. Each state gets an equal number of ventilators like Senators. What we need to care about in a deadly pandemic is equality and feelings not being hurt, not actually saving people’s lives where they’re in the greatest danger of imminent death.
 
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