Coronavirus COVID-19 - Global Health Pandemic #40

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MS Zaandam - Wikipedia

Port of Registry- Netherlands.

Are they going to quarantine everyone for 14 days? In a hotel? Military base?
No temperature doesn’t mean they don’t have COVID-19 or possibly infect others. How are the passengers supposed to get home if they come to Florida? Are international flights still being flown out of Florida?

All excellent questions. I would be livid if I lived in South Florida.
 
SINGAPORE: Singapore reported 42 new COVID-19 cases on Sunday (Mar 29) and a new cluster at a bridal studio.

The ministry also reported on Sunday a new cluster linked to bridal studio The Wedding Brocade, which is at 1 Yishun Industrial Street 1. Two cases announced previously - Cases 745 and 802 - and a patient announced on Sunday - Case 810 - are linked to this cluster.

In a post on its Instagram page, The Wedding Brocade said all three COVID-19 cases are its employees.

The bridal studio was closed after the first case was confirmed on Mar 26, it said, adding that all employees who were in the studio from Mar 23 to 26 have been issued a quarantine order.

On Mar 27, it ordered a "thorough disinfection" of the studio, which will be closed for the next two weeks.

"We have provided all contact tracing details to MOH, as well as conducted our due diligence in contacting all our clients who were in the studio during the time period, including those that were in contact with the affected staff (members) outside of the studio," the post read.

Singapore reports 42 more COVID-19 cases; new cluster at The Wedding Brocade bridal studio
 
SCOTT GOTTLIEB

I’ll be releasing later today with expert thought leaders a detailed plan for how we transition between population based mitigation now being employed in many cities to case based interventions and other tactics as chains of epidemic spread are hopefully broken in mid/late April Scott Gottlieb, MD on Twitter

Staying at home is what we need to be doing now. But as we get through April, and chains of epidemic transmission are hopefully broken through our current mitigation steps, we can start to transition to different approaches that gradually rely more on case based interventions.

April will be hard month but we'll get through it. This will end. We need to stick with current strategies. We can look toward May as month when we carefully transition to new posture. For now focus must be on supporting healthcare systems, preserving life, ending epidemic spread.

Scott Gottlieb, MD on Twitter

Henry, you are a Godsend to this thread! Thanks so much for sharing as you have been here since the beginning to share scientific information in addition to MSM ( MSM... know from cases here on WS the difference when we look at the evidence, vs. bloviation from defense or mis information from MSM, yet when we have the science, we can correctly interpret what MSM is saying).

Thanks to all here that share scientific links so we can see the "evidence" vs. interpretations from MSM.

Please post what Dr. Gottlieb says when it's posted. TIA
 
Has this been posted? Very Interesting article...

The U.S. Tried to Build a New Fleet of Ventilators. The Mission Failed.
As the coronavirus spreads, the collapse of the project helps explain America’s acute shortage.

The U.S. Tried to Build a New Fleet of Ventilators. The Mission Failed.

Thirteen years ago, a group of U.S. public health officials came up with a plan to address what they regarded as one of the medical system’s crucial vulnerabilities: a shortage of ventilators.

The breathing-assistance machines tended to be bulky, expensive and limited in number. The plan was to build a large fleet of inexpensive portable devices to deploy in a flu pandemic or another crisis.

Money was budgeted. A federal contract was signed. Work got underway.

And then things suddenly veered off course. A multibillion-dollar maker of medical devices bought the small California company that had been hired to design the new machines. The project ultimately produced zero ventilators.

That failure delayed the development of an affordable ventilator by at least half a decade, depriving hospitals, states and the federal government of the ability to stock up. The federal government started over with another company in 2014, whose ventilator was approved only last year and whose products have not yet been delivered.


Today, with the coronavirus ravaging America’s health care system, the nation’s emergency-response stockpile is still waiting on its first shipment. The scarcity of ventilators has become an emergency, forcing doctors to make life-or-death decisions about who gets to breathe and who does not.


Federal officials decided to re-evaluate their strategy for the next public health emergency. They considered vaccines, antiviral drugs, protective gear and ventilators, the last line of defense for patients suffering respiratory failure. The federal government’s Strategic National Stockpile had full-service ventilators in its warehouses, but not in the quantities that would be needed to combat a major pandemic.
 
Last updated 29 Mar 8:25am EST Source: Johns Hopkins CSSE *Note: The CSSE states that its numbers rely upon publicly available data from multiple sources

State/territory Confirmed cases Deaths
New York 53,520 834
New Jersey 11,124 140
California 5,648 120
Michigan 4,659 112
Washington 4,311 189
Massachusetts 4,257 44
Florida 4,038
Coronavirus map of the US: latest cases state by state
(Didn’t C & P well, second column=deaths)
 
SCOTT GOTTLIEB

"Our plan for reopening America. This is a national epidemic. When cases peak, and we've seen sustained declines in new infections for 14 days, we can gradually re-open businesses and institutions. We must have key capacities in place, like ample screening."

READ HERE: National coronavirus response: A road map to reopening | American Enterprise Institute - AEI

Scott Gottlieb, MD on Twitter

Slow the Spread in Phase I.
This is the current phase of response. The COVID-19 epidemic in the United States is currently growing, with community transmission occurring in every state. To slow the spread in this period,1 schools are closed across the country, workers are being asked to do their jobs from home when possible, community gathering spaces such as malls and gyms are closed, and restaurants are being asked to limit their services. These measures will need to be in place in each state until transmission has measurably slowed down and health infrastructure can be scaled up to safely manage the outbreak and care for the sick.

State-by-State Reopening in Phase II.
Individual states can move to Phase II when they are able to safely diagnose, treat, and isolate COVID-19 cases and their contacts. During this phase, schools and businesses can reopen, and much of normal life can begin to resume in a phased approach. However, some physical distancing measures and limitations on gatherings will still need to be in place to prevent transmission from accelerating again. For older adults (those over age 60), those with underlying health conditions, and other populations at heightened risk from COVID-19, continuing to limit time in the community will be important.

Public hygiene will be sharply improved, and deep cleanings on shared spaces should become more routine. Shared surfaces will be more frequently sanitized, among other measures. In addition to case-based interventions that more actively identify and isolate people with the disease and their contacts, the public will initially be asked to limit gatherings, and people will initially be asked to wear fabric nonmedical face masks while in the community to reduce their risk of asymptomatic spread. Those who are sick will be asked to stay home and seek testing for COVID-19. Testing should become more widespread and routine as point-of-care diagnostics are fully deployed in doctors’ offices.

While we focus on state-by-state reopening of activities in a responsible manner and based on surveillance data, we note that states may move forward at a county or regional level if these conditions vary within the state and that coordination on reopening among states that share metropolitan regions will be necessary.

Establish Immune Protection and Lift Physical Distancing During Phase III.
Physical distancing restrictions and other Phase II measures can be lifted when safe and effective tools for mitigating the risk of COVID-19 are available, including broad surveillance, therapeutics that can rescue patients with significant disease or prevent serious illness in those most at risk, or a safe and effective vaccine.

Rebuild Our Readiness for the Next Pandemic in Phase IV.
After we successfully defeat COVID-19, we must ensure that America is never again unprepared to face a new infectious disease threat. This will require investment into research and development initiatives, expansion of public-health and health care infrastructure and workforce, and clear governance structures to execute strong preparedness plans. Properly implemented, the steps described here also provide the foundation for containing the damage that future pathogens may cause.
 
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