WTF Community

🤮 Coronavirus (Community Thread)

No comfort here…Seattle-based infectious disease Doctor Chu was alarmed at some patients symptoms and proceeded to test them without a CDC protocol (approval) she knew there was a lot of ‘unreported’ cases.

WTF

(Seattle- folks @matt and @anon95374541…very sorry about that)

Fauci is beginning to send out louder alarm bells…it is going to be a way bigger number that we want to ever want to know.

NYTimes: ‘It’s Just Everywhere Already’: How Delays in Testing Set Back the U.S. Coronavirus Response
‘

A series of missed chances by the federal government to ensure more widespread testing came during the early days of the outbreak, when containment would have been easier.

Dr. Helen Y. Chu, an infectious disease expert in Seattle, knew that the United States did not have much time.

In late January, the first confirmed American case of the coronavirus had landed in her area. Critical questions needed answers: Had the man infected anyone else? Was the deadly virus already lurking in other communities and spreading?

As luck would have it, Dr. Chu had a way to monitor the region. For months, as part of a research project into the flu, she and a team of researchers had been collecting nasal swabs from residents experiencing symptoms throughout the Puget Sound region.

To repurpose the tests for monitoring the coronavirus, they would need the support of state and federal officials. But nearly everywhere Dr. Chu turned, officials repeatedly rejected the idea, interviews and emails show, even as weeks crawled by and outbreaks emerged in countries outside of China, where the infection began.

By Feb. 25, Dr. Chu and her colleagues could not bear to wait any longer. They began performing coronavirus tests, without government approval.

What came back confirmed their worst fear. They quickly had a positive test from a local teenager with no recent travel history. The coronavirus had already established itself on American soil without anybody realizing it.

“It must have been here this entire time,” Dr. Chu recalled thinking with dread. “It’s just everywhere already.”

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Yes…alarming rate of new cases with very little official testing done.

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Quotes from Anthony Fauci today, one of our best experts.

Pbs reporter

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Grossly irresponsible.

In 1918 Oregon enforced quarantines, jailed doctors failing to report cases, & informed the press.

Philadelphia held a parade of 200k people to support WWI.

3.5k Oregonians died during the whole epidemic.

The City of Brotherly Love lost 12k in 6 weeks.

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From a former FEMA administrator, suggesting that this is the time to deploy FEMA. What with the National Guard sent in to surround the city of New Rochelle, NY and
imminent spiking of the virus numbers, wouldn’t it make sense to deploy great ground coverage.

We’re trying to get people tested, quarantined, and keep the volume of people needing hospitalization to manageable levels. The need for temporary housing, to secure and stem the rising numbers would be key…Where would you find empty hotels, or RV’s for that…something that Fema might do.

The wholly centric response from HHS head, Azar, and VP Pence, with their measured messaging seems like the way T’s team wants to handle thsis situation. But let’s just say the time to ramp up was yesterday.

With every passing day, it’s becoming clear that the coronavirus epidemic is not just a health emergency but instead has the potential to become a major disaster. And that means it might be time to turn to the nation’s disaster response agency to assist.

Right now, the operational hub for the response is the Department of Health and Human Services headquarters in Washington. HHS Secretary Alex Azar highlighted this at the White House press conference on February 26 naming Pence chair of the coronavirus task force: “And I just want to say I could not be more delighted that you’ve asked the vice president, my old friend and colleague, to lead this whole-of-government approach with us under the Emergency Support Function #8 .”

For people who understand national emergencies, this bit of bureaucratese had a specific meaning: Emergency Support Function #8 is a provision in the nation’s disaster playbook—the National Response Framework—which designates HHS as the federal lead for health and medical responses.

While HHS is rightly focused on the health and medical aspects of the response, that statement also means something else: that the full breadth of the federal government’s capabilities have yet to be employed.

A truly “whole-of-government approach” would engage all of the 15 capabilities identified in the playbook, including, for example, Transportation (ESF #1), Mass Care and Temporary Housing (ESF #6), Logistics (ESF #7), Public Safety and Security (ESF #13). There’s even a function called Cross-Sector Business and Infrastructure (ESF#14) that focuses on, for example, “cascading impacts of health or medical infrastructure or service disruptions.” During a major disaster or emergency, it’s FEMA’s role to coordinate all of these capabilities.

An “All-Hazards” Agency

FEMA, traditionally thought of as the agency that supports state and local governments during natural disasters such hurricanes, tornadoes, and floods, is actually an “all-hazards” agency ready to respond to a range of crises—including pandemics. And FEMA has the experience and access to resources that could prove essential in the not too distant future.

…

Coordinating operations among numerous agencies with a wide array of missions would present a significant challenge to HHS. And it could take HHS away from its core mission of coordinating the medical response.

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Chilling thread from a doctor on the front lines in Bergamo, Italy.

https://twitter.com/silviast9/status/1236933820122890241




https://twitter.com/silviast9/status/1236933826896683008
https://twitter.com/silviast9/status/1236933828209512448



https://twitter.com/silviast9/status/1236933833653653505


https://twitter.com/silviast9/status/1236933837550223360
https://twitter.com/silviast9/status/1236933838871367680

https://twitter.com/silviast9/status/1236933841509666818
https://twitter.com/silviast9/status/1236933845167017984
https://twitter.com/silviast9/status/1236933843900346369

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https://twitter.com/NPR/status/1237446138950815750

Coronavirus: Sacramento County Gives Up On Automatic 14-Day Quarantines

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NEW YORK, March 11 (Reuters) - Health officials scheduled to testify at a congressional hearing on the fast-moving coronavirus outbreak on Wednesday are being called to an “emergency meeting” at the White House later today, Rep. Carolyn Maloney said, noting that the hearing would have to end early.

The witnesses, who include National Institute of Allergy and Infectious Diseases Director Anthony Fauci and Centers for Disease Control and Prevention Director Robert Redfield, will have to leave early, so the meeting will end at 11:45 ET, she said.

Maloney said that she did not have additional details about the meeting, except that it is urgent. (Reporting by Michael Erman, Editing by Franklin Paul)

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IN A WORLD BURNING UP WITH FEVER, THE DUMBEST MAN ALIVE IS IN COMMAND OF THE EFFORT TO STOP IT.

THE DAILY SHOW BRINGS YOU… PANDUMBIC.

If only it was a parody…
https://youtu.be/VcEnG7qxnLY

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When somebody shows you who they are, believe them.

This is the GOP: monsters and trolls “joking” about murdering a legal icon they see as a political rival.


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I don’t even begin to comprehend this. The University of Dayton does the responsible thing and shuts down its campus due to an epidemic… and people riot over it?

Police in riot gear clear crowd of more than 1,000 on UD campus

Coronavirus: 1,000 Cases Now In U.S. And ‘It’s Going To Get Worse,’ Fauci Says




https://twitter.com/Amy_Siskind/status/1237766942376722432

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CNN

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This pertains to the ‘what you can’t see’ part of this influenza outbreak. And it does mention the Italian doctor who saw dramatic changes in Italy, hospitals etc that @Windthin Italian doctor posting posted about above.

There’s an old brain teaser that goes like this: You have a pond of a certain size, and upon that pond, a single lilypad. This particular species of lily pad reproduces once a day, so that on day two, you have two lily pads. On day three, you have four, and so on.

Now the teaser. “If it takes the lily pads 48 days to cover the pond completely, how long will it take for the pond to be covered halfway?”

The answer is 47 days. Moreover, at day 40, you’ll barely know the lily pads are there.

…

But go back to those lily pads: When something dangerous is growing exponentially, everything looks fine until it doesn’t. In the early days of the Wuhan epidemic, when no one was taking precautions, the number of cases appears to have doubled every four to five days.

The crisis in northern Italy is what happens when a fast doubling rate meets a “threshold effect,” where the character of an event can massively change once its size hits a certain threshold.

In this case, the threshold is things such as ICU beds. If the epidemic is small enough, doctors can provide respiratory support to the significant fraction of patients who develop complications, and relatively few will die. But once the number of critical patients exceeds the number of ventilators and ICU beds and other critical-care facilities, mortality rates spike.

Daniele Macchini, a doctor in Bergamo, Italy, recently posted a heart-stopping account to Facebook of what he and his colleagues have endured: the hospital emptying out, the wards eerily silent as they waited for the patients they couldn’t quite believe would come … and then, the “tsunami.”

“One after the other the departments that had been emptied fill up at an impressive pace. … The boards with the names of the patients, of different colors depending on the operating unit, are now all red and instead of surgery you see the diagnosis, which is always the damned same: bilateral interstitial pneumonia.”

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Walmart officially is treating workers better than the GOP Senate.




This move guarantees that the coronavirus epidemic will spread faster as Americans are forced to choose between their health and their jobs.

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Trump Is Seething Over Having to Work With Pelosi on a Coronavirus Response

Among other things, the president fears that the House Speaker would use a private meeting to try and embarrass him.


https://www.yahoo.com/news/trump-seething-over-having-pelosi-181336075.html

All of official Washington has come to an agreement that swift, bold action is needed to counteract the dramatic economic impact of the coronavirus’ spread. But negotiations around such a package have been complicated by the fact that President Donald Trump can’t stand the idea of negotiating one-on-one with his chief counterpart, Speaker of the House Nancy Pelosi. Indeed, he suspects that she would use the moment to try to humiliate him.

Two senior Trump administration officials described a president who, out of an intense bitterness toward the House Speaker, has shuddered at the prospect of being in the same room with her during the ongoing public-health crisis and economic reverberations.

Instead, Trump has deputized some of his more prominent lieutenants to handle the delicate negotiations. Treasury Secretary Steve Mnuchin, in particular, has emerged as one of the administration’s top envoys to Capitol Hill, as Team Trump and lawmakers attempt to cobble together some form of economic stimulus in the wake of a now-declared global pandemic.

“At this time, the president does not see it as productive to [personally] negotiate directly with Nancy Pelosi,” said one of the senior administration officials. “For now, it’s best for her to deal directly with Sec. Mnuchin and others in the administration.” The official recalled how Trump bristled at Pelosi for, in the president’s estimation, “immediately” leaving recent private meetings the two had to leak its contents and try to, in the source’s characterization, “make the president look bad and score political points.”

“When you’re in the middle of a public health crisis, you don’t need that kind of theater,” this official added.

Fears of that happening have animated the president as he has charted out a response to the growing coronavirus threat. During one recent meeting, the president mentioned that he didn’t want to “waste my time” right now “with Nancy” and Democratic leaders given how “horrible” Pelosi has been lately, according to a person with knowledge of the meeting. At the same meeting, the president made sure to specifically reference Pelosi tearing up a physical copy of his “beautiful” State of the Union speech, as a reason for him believing discussions with her would be fruitless.

Accordingly, while Mnuchin and Pelosi have spoken several times this week—including at an in-person meeting in the Speaker’s office on Tuesday—the president and the Speaker have not spoken at all in recent days, according to her office. The president has also not spoken to Democratic Senate leader Chuck Schumer (D-NY), according to his office.

At a moment when federal officials are attempting to swiftly address an growing biomedical crisis, the inability of the legislative and executive branches to communicate at the highest levels would seem suboptimal. Whether that lingering animus between Pelosi and Trump will ultimately doom a legislative response to coronavirus seems unlikely, however.

House Democrats are planning to unveil a package on Wednesday that targets their specific coronavirus relief priorities: expanding paid sick leave and unemployment insurance, beefing up federal labor protections for health care workers, and broadening access to food stamps and free school lunches.

The refrain from Democrats on both sides of the Capitol has been that the most effective way to mitigate the economic effects of the virus is to implement measures that help to slow its spread—like sick leave, which would make it easier for people to stay home.

Trump has reportedly been willing to consider backing Democratic-endorsed measures. But his own approach—at least publicly—looks quite different. The administration has floated targeted relief to industries economically harmed by the virus’ spread, such as the hotel, airline and cruise ship businesses. And it has embraced the idea of a lengthy, if not permanent, payroll tax cut to get more money directly to employers and employees.

Congressional Republicans have sounded squeamish about the price tag for a stimulus measure like the one Trump may be envisioning, and on Wednesday several said that they would be open to quickly passing a House Democratic-drawn bill. After Trump visited them for lunch on Tuesday, Senate Republicans sounded uncertain as to when the White House would roll out a specific set of proposals. But they were certain the president wanted swift action.

“The president sort of pitched a number of ideas that his team has looked at and recommended them for consideration,” said Sen. Josh Hawley (R-MO). “What was clear was that he certainly urges action and thinks action should be taken soon. I think he would prefer sooner rather than later.”

In that vacuum, Pelosi is making her play. By moving quickly—with a vote possibly as soon as this week—Democrats have an opportunity to set the legislative framework for the debate on how to respond to coronavirus, possibly boxing in the White House and Senate Republicans.

Rep. David Cicilline (D-R.I.) said Democrats should work with Republicans on areas of common concern, but “if the Senate is unwilling to engage in a serious way on that, then my hope would be that we would move forward on what we think is right and then press them to adopt what the House does.”

But most on the Hill, in either party, recognize that whatever agreement does take shape is going to have to go through Pelosi and Trump—no matter how abysmal their relationship may be.

“We need a two-way agreement between the House and the President,” said Rep. Hakeem Jeffries (D-N.Y.), a top-ranking House Democrat. “And if we reach that agreement, I’m confident that we’ll be able to move a bill through the Senate… We did that on criminal justice reform, we did that on the U.S.-Mexico-Canada trade agreement… We’ll have to do it in this particular instance as well.”

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It did not take much time either.

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Trump is apparently giving a speech tonight about the coronavirus… written by Stephen Miller, with Jared Kushner deciding how we should handle it all.

We’re doomed.



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Sobering thread on what we could face if we don’t quickly ramp up our public health mitigation approach:



https://twitter.com/BuzzFeedNews/status/1237886018348412928

The Coronavirus May Linger On Plastic And Stainless Steel For Days, A Preliminary Study Found

A preliminary study sheds more light on the virus’s ability to linger in the environment.


https://twitter.com/howroute/status/1237858397539581958

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Trump Is Withholding Coronavirus Testing Kits From Governors

https://www.politicususa.com/2020/03/08/trump-coronavirus-testing-kits.html/amp?__twitter_impression=true

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Jared in charge…arrrggghh

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