A Famine of COVID-19 Patients?

In the great state of Michigan, there is this news:

Beaumont Health announced Tuesday morning it is laying off about 2,475 workers and will permanently cut about 450 positions because of the financial effects of the COVID-19 pandemic.

Most of the temporary layoffs involve hospital administrative staff and others who are not directly caring for patients with or without COVID-19. Of the 450 permanent job cuts, most are part of the corporate staff or are serving in other administrative roles.

At the same time, the governor of Michigan has imposed some strict StayAtHome orders. So strict that citizens are protesting in the street.

The scene from Lansing is pretty insane … hundreds of protesters lining the streets around the Capitol — very few wearing masks — to pull off what they call “Operation Gridlock.” Drivers in about 400 vehicles leaned on horns while protesters shouted with megaphones.

And yet Michigan ranks 4th in the nation for COVID-19 deaths:

“Michigan has over 27,000 confirmed cases of COVID-19 and the virus has killed 1,768 people … fourth-most in the country. Federal health officials still consider the state a “hot spot.”

How does one reconcile a major health system laying off 2,400 staff members, having   27,000 confirmed cases, and yet people are protesting to re-open for business?

Not enough COVID-19 Patients?

Was the curve broken (not flattened) in Michigan because of the Governor’s orders or is something else at play?

Open to your thoughts…

The IDIOTS! OMG!

Oh man, oh man, oh Manochewitz! What is wrong with educated people? I am so happy I never went to college  because they turn out idiots!

For most of us who are practicing social distancing and making only occasional trips to the grocery store or pharmacy, experts agree that it’s not necessary to change clothes or take a shower when you return home. You should, however, always wash your hands. While it’s true that a sneeze or cough from an infected person can propel viral droplets and smaller particles through the air, most of them will drop to the ground.

Studies show that some small viral particles could float in the air for about half an hour, but they don’t swarm like gnats and are unlikely to collide with your clothes.

“A droplet that is small enough to float in air for a while also is unlikely to deposit on clothing because of aerodynamics,” said Linsey Marr, an aerosol scientist at Virginia Tech. “The droplets are small enough that they’ll move in the air around your body and clothing.”

What is wrong with them?

Of course, the likelihood is small that one person walking within six feet of a nose breather once in a while will become infected by droplets. But what if the other person is a mouth breather or worse yet, spits when he speaks?

…unlikely to deposit on clothing…??????

Sheesh. And the aerodynamics of air movement around the body will protect you? When pigs fly!

Oh, Lord, protect the innocent from the evils of education. Please.

If the store is practically empty and you are there for a few minutes, there is no need to change your clothes or shower. But if you are in the store for an hour going up and down the aisle AND your area has an outbreak of the virus, you would be wise to shed your clothes and change into home clothing. There’s a lot of things you can’t control but you can control your hygiene and your clothing.

I talked before about Strike Zone Sanitization. When you are in a store, you are likely touching things between your shoulders and your knees. For goodness sake, you are touching them with your clothing, too.

If you have a sexagenarian like me, be careful, don’t wear infected clothing around them.

And BY THE DANG WAY:

Do we really need to tell people that doctors wear masks to protect themselves? Do we really need to say that nurses need masks to protect themselves, too?

WTF is wrong with people who believe they only need a mask if they themselves are sick? Do you think every doctor who looks down your throat is wearing a mask so they don’t infect you? When pigs fly, my friends, when pigs fly….

Why do you think there are all these complaints about nurses not having N95 masks? Why do you think there is a shortage of masks for doctors and  nurses? Is it because they are all sick?

Give me a break. So let me be the first to tell you: masks protect you and the person to whom you are speaking.

There I told you. Now go and sin no more. If you are worried about catching or giving COVID-19 to someone, wear a blasted mask. Your mucosal areas will thank you.

Change your clothes when you spend time in public or within crowds, too. You can’t always control social distancing. You can control yourself though, so just do it.

COVID-19 and John Galt?

Near the beginning of the COVID-19 crisis, I proclaimed, “WHO is John Galt.” A slight play on words of the famous line at the beginning of Ayn Rand’s novel Atlas Shrugged. John Galt is a character in the novel who protests collectivism by going on strike. John Galt is a producer in a world of consumers and communists. Quoting Wikipedia, John Galt

“believes in the power and glory of the human mind, and the rights of individuals to use their minds solely for themselves. He serves as a highly individualistic counterpoint to the collectivist social and economic structure depicted in the novel, in which society is based on oppressive bureaucratic functionaries and a culture that embraces mediocrity in the name of egalitarianism, which the novel posits is the end result of collectivist philosophy. “

..and this quote:

The use of Galt as a symbol in the context of political or social protest has taken root in some places. The phrase “going John Galt” or simply “going Galt” has been used by psychologist Helen Smith[12] and others[13][14] to describe productive members of society cutting back on work in response to the projected increase in U.S. marginal tax rates, increased limits on tax deductions, and the use of tax revenues for causes they regard as immoral. “Who is John Galt?” signs were seen at Tea Party protests held in the United States and at banking protests in London in April 2009.[15]

When I said, “WHO is John Galt,” I was referring to the World Health Organization (WHO) and its impact on the industrial engine of the world. While John Galt is fictitious, the result of WHO’s pronouncements is not. The effort to preserve and protect the lives of people around the world comes at the expense of our abundant and productive livelihood. What legacy of poverty will we leave our grandchildren if preventing the spread of COVID-19 reduces our standard of living?

We are seeing early signs of economic collapse in the US. Store shelves once full of goods are now about 66% full. The price of oil has fallen to unheard-of levels. The future price of oil is -$37/barrel. There is such a glut of fuel it’s now thought you’ll have to pay someone to consume it.

Protesters wish to open the country for business. The thought among working-class people is, “If this continues, where are we going to work, and how are we going to make money to buy food, shelter, and clothing?” Good questions.

Removing social distancing and opening the economy to profitability means there will be more people infected with COVID-19 and more deaths. Until there is a treatment plan, and until there is a vaccine, COVID-19 will spread throughout the world. In terms of fatalities, we are at the beginning of the curve. There is a whole continent, Africa, that will be infected and die in huge numbers due to lack of healthcare.

But American issues are closer to home.

HOW WILL WE LIVE WITH COVID-19 UNTIL THERE IS A TREATMENT PLAN AND A VACCINE?

This is the question we must answer very soon.

These supply chain interruptions will grow and grow. Fewer and fewer goods will be produced. There will be fewer goods to buy anywhere, of any kind, if factories close and if consumers don’t have money to buy them.

Right now, we are living off the wealth in our storehouses. When the storehouses are empty, people will die. When the producers can’t produce, and the transporters have nothing to transport, people will suffer. We are six weeks into this crisis, and we still struggle to find toilet paper, paper towels, and hand sanitizer. This is not the result of a thriving economy but a struggling one.

I suspect we have another four weeks of food supply before shortages hit the major cities and become news. I heard today that local food suppliers could fill only about 60% of food orders. The number of brand options is already reduced. Coca Cola is no longer producing its off-brands. Others are doing the same.

 

 

 

 

 

How to operate a government building during the COVID-19 crisis

Here are my thoughts on the operation of a government facility during the COVID-19 crisis. It’s time we start talking about living with the risks instead of avoiding them with Stay-At-Home orders. If you have a better process than local control, let me know. —-ReasonableCitizen

Living with COVID-19 is a reality. This operational plan doesn’t prevent all possible occurrences of public transmission of COVID-19; however, it reduces the risk that a mass outbreak will occur as a result of a single infected person.

Top government officials within a function or a facility should be responsible for establishing an Infection Control policy for employees and citizens it serves. In addition, an Infection Control Committee should be established in functions or facilities that have more than 30 employees. The size and scope of the Committee should also be determined by top government officials. The purpose of the Committee is to reduce the propensity for an outbreak infection when conducting government affairs. The purpose is not to prevent all possible infections; these infection risks occur naturally in our environment. The Committee is to reduce, not eliminate, the risks that one infected person may infect many others.

Infection Control Policy should include:

1. Developing a Function or Facility Sanitization Plan

Strike Zone Sanitization: Sanitize all horizontal surfaces in the Strike Zone that the public or employees may touch when entering, conducting their business, or exiting the building. The Strike Zone is between the knees and shoulders of an average height adult. Sanitize all Strike Zone areas of vertical surfaces like doors and windows and trim, which the public or employees may encounter.

Frequency of Strike Zone Sanitization: Door handles, customer windows, and public work counters/surfaces: every two hours. Trim and other Strike Zone areas before and after the work shift.

Equip all customer-facing personnel with disinfectant to clean as often as they feel it is necessary.

Establish a Sanitization Station at public entrances/exits for the public and employees to sanitize when entering and leaving a government building.

2. Reducing human-to-human (H2H) droplet transference:

Employ transparent plastic shielding between employees and the public at all public-facing windows and counters.

Employ masks and gloves where appropriate. Changing as needed throughout the day.

Implement a “No Sticky People” policy for employees and the public. People with runny noses, sneezy, coughing, drooling, or leaking bodily fluids are not permitted to enter unless they have an appointment. They should be escorted to and from the appointment area wearing appropriate PPE. A designated meeting area for Sticky People is preferred but not required.

3. Signage and Cautions: Deploying signage throughout the facility explaining the Sanitization Plan for the building and the No Sticky People Policy. The signage should remind everyone that personal responsibility to prevent infection is just as crucial as Sanitization Plans for the public-at-large. People should be told they are in control of themselves. They may choose to accept risks for themselves; however, they should also be mindful of risks to others. Because the nature of COVID-19 allows for asymptomatic transmission, all adults are encouraged to protect their mucosal areas from virus infiltration.

4. Protecting personnel:

  1. Government employees should be provided with the necessary PPE for the performance of their responsibilities. Such PPE is determined by top government officials in conjunction with the Infection Control Committee.
  2. Personnel may employ additional personal protection as they feel necessary to perform their responsibilities. If those additional protections interfere with other departmental employees or the departmental work, the department supervisor will provide coaching and set PPE standards for the ongoing performance of the department. The employee has the right to appeal those standards to Human Relations and Infection Control Committee for adjudication. A decision by HR and the Infection Control Committee is binding on the employee.
  3. Social distancing policy is to be utilized in areas where the public-at-large has access. Social distancing rules may be relaxed in non-public areas of the building, as determined by the Infection Control Committee and top government officials. Meeting rooms and conference rooms should have the sanitization schedule posted in a visible location.

5. Change the operational nature of government and citizen interaction:

  1. Provide phone assistance with e-form completion and provide web-based tutorials on the use and purpose of government services.
  2. Change the business hours for all governmental public-facing activities from 11:00 AM to 7:00 PM. Retain the hours for non-public-facing activities as appropriate. These hours may assist employees in finding convenient and suitable childcare and provides greater opportunity for flexible work hour arrangements. This will also ensure citizens are able to fit government services into their daily schedule as many working Americans work 8-5 pm.

6. Special Conditions and Rules:

Cafeteria and restaurants: Within a government facility, cafeterias and restaurants are subject to the policies established by the Infection Control Committee and may include: sanitization efforts sufficient to prevent the transmission of surface-to-human infections, droplet protection for sanitized utensils and dinner ware, droplet protection for foods and condiments, and caution signage that advises and informs users of the risks in utilizing the food service, i.e., increased human contact and increased risk of infection.

Handling of money: It is the responsibility of government facilities to accept traditional monetary method of payment employed by citizens. Traditional methods are checks, money orders, cash, credit cards, and e-technologies that represent the traditional methods. The Infection Control Committee is charged with reducing the infection risk associated with each type of payment.

Childcare for Employees: It’s the responsibility of the employee to provide safe custody and care for his/her children during normal business hours. The supervisor of the department may grant, upon request and suitability, flexible hours and flexible work conditions to employees with safe-childcare obstacles.

Closure of childcare facilities present such an obstacle. Supervisors are not required to provide alternatives to childcare obstacles but are requested to be flexible where possible.

The closure of schools does not present an obstacle to safe childcare. It is common for schools to close for three months of the year and to have specific dates in which schools are closed while a government facility is open. These are standard closures under normal conditions for parents to problem solve their childcare needs. The COVID-19 crisis does not require additional childcare mitigation.

Open Beaches! OMG, YES!

What the heck is wrong with opening beaches? If golf courses are open, why not beaches? If bike trails are open, why not beaches?

Hot sun, UV, sterilization? Should be on everyone’s list!

Egads! Six feet of separation is normal on the beach.

Ok, salt water does not sterilize but it does prevent the growth of bacteria under some conditions. So go to the beach, just stay out of the water to be safe. The water goes into your mucosal areas and then comes out. It does that with infected people, too.

So go to the beach and stay out of the water.

COVID-19 Made in Wuhan?

https://listverse.com/2020/03/20/top-10-reasons-to-believe-the-wuhan-virology-lab-caused-2019-ncov/

Hmmmm… is the bat out of the bag?

It appears there is un-vetted information on the internet that the COVID-19 virus came from a research lab in Wuhan, China.

But IDK anymore. There is so much false information out there that who can believe any thing reported anywhere?

Let’s face it:

a) The President lies; not just this one, all of them

b) The new media doesn’t vette their stories

c) The CIA plants phony stories in servers around the world, aka disinformation

d) The Chinese government controls their media

e) Partisan politics have gotten absurd about everything

Our problem is not that we have too little news, we have too much of it and cannot sort out the truth of it anymore.

 

 

 

 

 

COVID-19 Timeline

To view the timeline of COVID-19 and federal government response, CLICK HERE.

What’s important to note is just because somebody in the federal government is aware; it doesn’t mean everyone in the federal government is aware.

I used to say that a “thing” must happen to a person on the production line three times before he raises the issue to the supervisor. The supervisor has to hear this three times before he raises it to management. Management will look into it in earnest when it hears about it three times. So the incident happens nine times before management looks into it. Before there is a solution, the “thing” may have occurred 27 times, and the person on the production line thinks management doesn’t care.

So, too, the President of the United States.

It’s important to respond when the person on the production line says, “Hey, something’s wrong here.” Some “things” may occur 27 times before action.

One other point to make, only important sh@t gets to the President. Everything on his/her desk is essential every day. The President must have the ability to correctly and accurately determine what is the MIT (Most Important Task) for the day. If approving Tweets to be sent out under his name is his MIT, his priority is flawed. When the President messes up his priorities, people die, people are hurt, and people suffer.

And all of that is on the President. It comes with the job.

The criticism and the legacy come with the job, too. And every President has deserved his criticism and his legacy. Especially this one.

 

 

 

 

“Red Dawn” Email

WASHINGTON — As the coronavirus emerged and headed toward the United States, an extraordinary conversation was hatched among an elite group of infectious disease doctors and medical experts in the federal government and academic institutions around the nation.

Red Dawn — a nod to the 1984 film with Patrick Swayze and Charlie Sheen — was the nickname for the email chain they built. Different threads in the chain were named Red Dawn Breaking, Red Dawn Rising, Red Dawn Breaking Bad and, as the situation grew more dire, Red Dawn Raging. It was hosted by the chief medical officer at the Department of Homeland Security, Dr. Duane C. Caneva, starting in January with a small core of medical experts and friends that gradually grew to dozens.

 

The link is below. I was particularly struck by this item that occurred in the third week of February:

Dr. Kadlec and other administration officials decided the next day to recommend to Mr. Trump that he publicly support the start of these mitigation efforts, such as school closings. But before they could discuss it with the president, who was returning from India, another official went public with a warning, sending the stock market down sharply and angering Mr. Trump. The meeting to brief him on the recommendation was canceled and it was three weeks before Mr. Trump would reluctantly come around to the need for mitigation.

Read the story. This is more evidence federal agencies are on top of events even if the President and other political appointees are not.

https://www.msn.com/en-us/news/politics/the-red-dawn-emails-8-key-exchanges-on-the-faltering-response-to-the-coronavirus/ar-BB12uMDp?li=BBnb7Kz&ocid=mailsignout

Medical Supply Constriction

As if there aren’t enough problems, countries around the world are stopping exports of medical supplies IF/WHEN they believe their country needs them more than other countries.

The EU placed a six-week ban on exporting PPE out of the bloc. That ban ends soon.

The US temporarily blocked a few ventilator shipments headed for Barbados and attempted to halt shipments of PPE made by 3M destined for Canada and Mexico. In both cases, the US rescinded its ban on exporting these products. Canada reminded the US that Canada provides most of the raw material for 3M face masks.

And India blocked all shipments of Hydroxychloroquine until President Trump called the Prime Minister on Sunday and complained. India supplies about 40% of the US market.

Perhaps when this is all over, we will see some mfg return to the US. No country can be dependent on another to provide protection in a global crisis. This pandemic is proving this to be true.