Adonis Diaries

Posts Tagged ‘shelter-in-place

Another shut down due to COVID-19: San Francisco Bay Area and Lebanon

Santa Clara County Executive Dr. Jeff Smith stated, “The only treatment we have now is shelter-in-place.”

SAN JOSE, Calif. (KGO) — As of Friday, COVID-19 cases rose in more than 40 states. The CDC is forecasting there could be 175,000 deaths by August 15.

For the second day in a row, California reported a record daily number of deaths.

The state has more than 435,000 cases and a 7-day test positivity average of 7.9- percent.
(Positive testing need to be brought down to less than 2% for any re-opening to normal life)

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Among the signatories is them, Dr. Travis Porco. He’s a professor with the Francis I. Proctor Foundation for Research in Ophthalmology at UCSF.

“I believe everybody that signed that, endorses that, and sees this crisis for what it is- a crisis that’s not gotten any better,” Porco explained. “It’s only gotten worse.”

The letter came with the warning, “If you don’t take these actions, the consequences will be measured in widespread suffering and death.”

Dr. Porco adding America’s struggle to contain the virus is evident on the world stage.

“I think we’ve already failed in comparison to many countries,” he explained. “We’ve seen many countries act swiftly and efficiently to crush the pandemic. They’re reopening and they’re doing fine. We didn’t. We couldn’t do that.”

Additionally, State Senator Steve Glazer recently introduced a proposal that would require residents to once again shelter-in-place. His vision would keep residents across the state doing so until the rate of positive tests over two weeks dips below two-percent.

“If our objective is to kill this virus, a shelter-in-place, as difficult as it will be- is the medicine we need to take,” Glazer told ABC7 News.

“Unfortunately, we reopened too soon, and people didn’t respect the need to create physical distancing in their regular conduct of life,” he continued. “That has meant that infection rates continue to go higher, and higher, and higher. Hospitalizations are at record levels. People who have died, record levels.”

San Jose was recently named as one of 12 cities being tracked by the feds as COVID-19 cases rise.

County Executive Dr. Jeff Smith addressing what it would take to stop the spread.

“The only treatment we have now is shelter-in-place,” he told ABC7 News.

“So, a very vigorous effort at social distancing on a statewide level would be very effective in knocking down the spread of the virus and decreasing the amount of the virus in the community.”

He continued, “It doesn’t have to mean closing down a bunch of businesses. There are lots of businesses that can operate with social distancing by using certain protocols. But it does mean getting people to wear masks, to prevent gatherings, to decrease the number of people indoors, and to make sure that there is monitoring and enforcement of the rules.”

If we don’t, health experts fear inconsistent messaging, unenforced policies and push back over mask wearing can be devastating.

“There’s nothing that’s ever been less political than the coronavirus,” Dr. Porco said. “I mean, the coronavirus doesn’t care if you’re a Democrat or Republican. Or what your religion is, or what your ethnicity is. We’re just food to that thing.”

The letter also implores lawmakers to listen to the experts.
Writing:

“Public health professionals have made clear that even after we’ve contained the virus by staying at home, in order to reopen American cities and towns safely, we will need:

  • – Enough daily testing capacity to test everyone with flu-like symptoms plus anyone they have been in close contact with over the last 2 weeks (at least 10 additional tests per symptomatic person). We currently have only 35-percent of the testing capacity we need to meet that threshold. The more people get sick, the more testing is required.
  • – A workforce of contact tracers large enough to trace all current cases. That’s 210,000 more contact tracers than we had in April, but the number keeps going up as infections rise. Most states are far short of the number of contact tracers they need.

In addition, we need more personal protective equipment (PPE) to keep essential workers like health professionals, emergency responders, and grocery store clerks safe.”

VIDEO: Can coronavirus particles remain airborne longer than we thought?

Some doctors are suggesting coronavirus particles remain in the air for longer than we thought after an infectious person exhales.

Porco adding, without taking action, “We don’t want to see overwhelming healthcare institutions. We don’t want to see people running out of ventilators and the sort of death and economic disruption that that’s going to cause.”

Understanding a second shutdown would be devastating for many, he explained, “I think a lot of people would love to comply with the orders, but they need to put food on the table. A lot of small businesses need help. So I think as long as we support people that we’re asking sacrifices of, people will understand.”

“We need you to lead,” experts pleaded in the open letter. “We remind you that history has its eyes on you.”

To read the full letter, click here.

INTERACTIVE: Here’s the reopening status of every Bay Area county

If you have a question or comment about the coronavirus pandemic, submit yours via the form below or here.

A few “leaders” are Not about to take Covid-19 pandemics with a high level of seriousness

As COVID-19 surges in the US, are we all willing to take it seriously?: Opinion

We can control the path of this deadly, destructive virus.

In the United States we’ve learned that collective and individual action can slow the spread of COVID-19.

The progress seen in New York — which recently reported zero deaths on a given day — proves we can control the path of this deadly, destructive virus.

Despite these pockets of incremental progress, we’ve also learned that dealing with COVID-19 is a marathon, not a sprint, and that we, as a country,  are falling short of what’s needed to slow the spread of the virus and safely inch back to normal.

Initial shelter-in-place orders helped temporarily slow the spread, but upended our lives, closing schools and workplaces across the country.

Shelter-in-place allowed the health care system to prepare for a surge and was meant to buy precious time to develop and implement an effective contact tracing strategy as well as build a high-volume testing capacity that could have helped limit the virus’ spread.

Most of that, sadly, did not happen.

With the virus surging at ever-higher levels, we are on the brink of blanket restrictions that protect our health but also harm our economies and our psyches.

With nearly 140,000 people in this country dead from COVID-19, and potentially hundreds of thousands more suffering the long-term health impact of this still-baffling disease, can we all finally agree to make the investments needed for America to vigorously respond to this pandemic?

Build the public health infrastructure now

We have to develop a robust public health workforce that will allow us to contain the spread of COVID-19.

Other countries, including New Zealand and Taiwan that have beaten the virus or slowed its spread, already had the teams and infrastructure in place from their responses to past epidemic diseases.

In the U.S., decades of disinvestment created a frayed and disjointed infrastructure that didn’t stand a chance against COVID-19.

The cost to create the public health workforce of high-volume testers, contact tracers, support systems to enable isolation, coordinated lab facilities and vaccinators is unavoidably huge and dwarfed by the economic fallout of a prolonged pandemic that will occur if we do not invest in these solutions now.

Do the advance work

This critical infrastructure is needed right now to stop the spread.

And when a vaccine is developed, it will be needed even more to assist with distribution, administration and further containment.

We are already hearing rumblings about limitations of distributing a vaccine. Will there be enough glass vials to accommodate the billions of doses needed globally, or will they fall short the way testing swabs are today?

Additionally, an effective vaccine does Not guarantee eradication of COVID-19.

Research is now showing that antibody-based immunity may only last for a few months after recovery for some people, leaving victims potentially vulnerable to reinfection.

We must imagine that any vaccine could require periodic booster doses.

What would that look like in the U.S. for a population of 330 million people? We may need to create permanent COVID-19 centers where Americans can receive these frequent injections.

These are the types of issues we need to think about now, so we can get ahead of problems instead of continuing to play catch-up, with devastating consequences.

Communicate honestly

Perhaps the greatest travesty of this pandemic has been the mistrust and skepticism toward the scientific and public health communities sown through politicization and misinformation about the novel coronavirus.

The facts are simple: this disease does not discriminate based on political party, or whether you believe in it. Testing is essential to uncover cases and does not “create” new ones.

For the greater good, we must not only back down from the rhetoric, we have to redirect tremendous resources into communicating to the public the truth about the virus and the effective, proven steps everyone can take to reduce its spread.

Public health campaigns work. According to the Centers for Disease Control and Prevention, more than 1.8 million smokers attempted to quit smoking because of its nine-weeks long 2014 “Tips From Former Smokers” campaign.

With the viral nature of today’s mass communication channels we can save lives if we can first undo the harm that misinformation has already caused and replace those messages with ones that will save lives.

Think about the power of the ALS ice bucket challenge. Now the message to get out is about wearing masks.

Physical distancing. Washing hands. Staying home if you’re ill. These steps are all slightly inconvenient but simple to execute and hugely effective — if we can convince people to do them.

We should not fool ourselves that COVID-19 may be the last pandemic in our lifetimes.

A functioning society, for the foreseeable future, will necessarily include the public health professionals who can identify, isolate and mitigate this virus and potentially others.

No level of normal will be possible without that vital change.

Dr. Jay Bhatt is a practicing internist, an Aspen Health Innovators Fellow, and an ABC News contributor.

Dr. Bechara Choucair is a physician and chief health officer at Kaiser Permanente. His book, “Precision Community Health: Four Innovations for Well-being,” was published in May.

MORE: How New York has been able to keep coronavirus at bay while other states see surges

MORE: COVID-19 antibodies may fade in as little as 2 months, study says


adonis49

adonis49

adonis49

September 2021
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