• Daily Digest

    Daily Digest 3/21 – Staggering Rise in Jobless Claims This Week, The Hammer And The Dance

    by Daily Digest

    Saturday, March 21, 2020, 8:45 AM


Economy

Coronavirus: The Hammer And The Dance (JK)

The UK has seen a similar set of measures: lots of recommendations, but very few mandates.

These two groups of countries illustrate the two extreme approaches to fight the coronavirus: mitigation and suppression. Let’s understand what they mean.

Before Virus Outbreak, a Cascade of Warnings Went Unheeded (Sparky1)

Many of the potentially deadly consequences of a failure to address the shortcomings are now playing out in all-too-real fashion across the country. And it was hardly the first warning for the nation’s leaders. Three times over the past four years the U.S. government, across two administrations, had grappled in depth with what a pandemic would look like, identifying likely shortcomings and in some cases recommending specific action.

The Arc Of The Long Descent (James W.)

The coronavirus marks the end of the long era of growth and the new era of deglobalisation, supply disruption, international balkanisation and state interventionism. We are now entering that era.

Last year, in my post “How to prepare for a dying future”, I wrote that “at some point, major pandemics will become inevitable, leading to huge disruption of global and regional supply chains, international tensions and the closure of borders to refugees.” I should have added everybody else as well!

Hell is Coming: Here is the Mathematical Proof (Alex M.)

In early February the Princess Diamond cruise ship was quarantined in Japan after one of the passengers tested positive. This was a bad idea for passengers as a total of 712 passengers were eventually infected and 7 of these people died. As far as I know all 3000+ passengers of this cruise ship were tested, so we have a reliable dataset with pretty accurate number of infections and number of deaths. The case fatality rate on Princess Diamond is 0.983%. We know that the fatality rate is higher among older people. Assuming that the median age of passengers on Princess Diamond is greater than America’s, which is 39, we can estimate that the new coronavirus’ fatality rate will be around 0.8% in America (maybe a little lower, but this is a nice round number).

Governors raise alarm as coronavirus taxes health systems (Sparky1)

In a conference call with other governors, Edwards warned Trump of the “worst-case scenario” modeling. But he also told reporters that Louisiana was on track for that “sobering” reality if the state’s residents don’t actively work to decrease contact with others — staying home more and distancing themselves from people.

Louisiana had nearly 400 positive tests for COVID-19 Thursday, up from 280 a day earlier, Edwards said. Ten people have died.

Netflix asked to slow down streaming so the internet doesn’t break (thc0655)

What that means is Netflix currently uses “adaptive streaming” which automatically adjusts picture quality based on a network’s capacity. The company has also distributed hubs of its content on servers worldwide so shows can be delivered locally and quickly rather than all steaming from one central source. In other words, Netflix has already taken steps to not be a bandwidth hog, though because of those steps we could see streaming quality reduced in some areas during the crisis regardless of whether the U.S. asks streamers like Netflix to scale back.

Brooklyn Count Soars, as Coronavirus Cases in N.Y.C. Near 4,000 (Sparky1)

The total as of Thursday afternoon was more than 5,200 cases statewide, up from about 3,000 cases on Wednesday. There were more than 750 people hospitalized statewide. At least 29 people had died of the virus in New York State.

Mr. Cuomo has said the virus has spread so widely that the increase in the number of confirmed cases reflected New York’s added testing capacity more than anything else.

What We’re Buying for the Quarantine (Sparky1)

Plenty of New Yorkers—including health-care providers, delivery couriers, and transportation workers—don’t have the luxury of withdrawing from the public, even if they desire to. One group that’s possibly busier than ever are the employees of the city’s grocery stores, one of the few types of businesses that remain open. At supermarkets across the city, shoppers have thronged the aisles, some anxiously provisioning for weeks of bunkering at home, others simply (and, perhaps, defiantly) going about their normal routines.

The Staggering Rise in Jobless Claims This Week (Sparky1)

Washington is an especially relevant case study because it imposed containment measures — including the closing of schools and restaurants and a ban on large gatherings — a week or so ahead of many other states. It seems likely that other states’ labor markets will also follow Washington’s path.

Although Washington has not revealed the most recent official figures, state officials said that claims increased 150 percent last week and that the state was seeing an “even more dramatic increase this week.” They also mentioned that call volume surged more than eightfold on Tuesday.

Rich Socialist Restaurateur Lays Off Hundreds Amid Coronavirus Outbreak (thc0655)

On Saturday, Busboys and Poets addressed the coronavirus concerns on its Twitter feed, writing that it enacted “enhanced cleaning protocols.” The chain also said that it provides “paid sick leave for all employees.” “We are proud to have been at the forefront of this movement in Washington, D.C.,” said the restaurant group.

Trump says he would support government taking stake in certain companies (Sparky1)

The White House did not immediately respond when asked if purchasing shares in battered companies was really under consideration. The U.S. government rarely invests in public companies except in the case of bailouts to save ailing firms and jobs.

The COVID-19 disease caused by the novel coronavirus, which originated in China late last year, has sickened more than 11,000 people in the United States and killed more than 180, upending American life as it shutters schools, restaurants and businesses across the country.

‘If I get it, I die’: homeless residents say inhumane shelter conditions will spread coronavirus (Sparky1)

California has the largest homeless population in the US, with more than 40,000 people living in shelters on a given night. Advocates and shelter residents have warned for years that many of the facilities are underregulated and underfunded, and that conditions in some may pose significant health hazards. Amid the coronavirus crisis, they fear, those circumstances could make the spread of the virus in shelters near-inevitable.

California orders its nearly 40 million residents to stay home to prevent the spread of coronavirus (Sparky1)

California Gov. Gavin Newsom’s order marks the first statewide mandatory restrictions in the United States to help combat the outbreak. It went into effect at midnight Thursday, meaning Californians should not leave home except for essential things such as food, prescriptions, health care and commuting to jobs considered crucial.

COVID-19 In Canada (Evan G.)

Three people who tested positive for COVID-19 have recently passed away. Two were residents of the Lynn Valley Care Centre and one was a man in his 80s from the Fraser Health region.

American Red Cross faces ‘severe blood shortage’ as cancellations increase due to coronavirus (Sparky1)

As of Tuesday morning, nearly 2,700 Red Cross blood drives in the U.S. have been cancelled, resulting in approximately 86,000 fewer blood donations, according to a statement from the organization.

Why mass COVID-19 testing — even of those who are symptom-free — is key to stopping spread (Leo)

The initial round of testing that month showed three per cent of the population had been infected with the illness. Every single one of those residents was then put under isolation at home and not allowed to have any contact with others.

Ten days later, the entire town was retested — at which point the rate of infection had dropped to 0.3 per cent, marking a 90 per cent decrease.

Gold & Silver

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Article suggestions for the Daily Digest can be sent to [email protected]. All suggestions are filtered by the Daily Digest team and preference is given to those that are in alignment with the message of the Crash Course and the "3 Es."

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14 Comments

  • Sat, Mar 21, 2020 - 10:30am

    #1
    Time2help

    Time2help

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    Joined: Jun 08 2011

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    9+

    Congress Assures Nation They're Working Tirelessly To Figure Out How To Take Advantage Of This Crisis

    WASHINGTON, D.C.—Congresspeople from both sides of the aisle assured the nation Friday they’re going to try to take advantage of the current crisis in every possible way.
     
    “Rest assured, America, we’re working day and night to see how we can expand our unconstitutional powers, reduce individual liberty, and personally profit from this crisis,” said one Republican senator. “If there’s a liberty somewhere we haven’t tried to stamp out, don’t worry — we have good people working on it.”
     
    “If there’s a constitutional right to be trampled on in this — we’re on it,” said one Democratic congresswoman. “All our best people are looking into all the ways we can exploit this crisis for our own gain. We have committees working long hours to see what kind of terrible bills we can slip through while the nation is distracted. Anyone who thinks we would let a good crisis like this go to waste is sorely mistaken.”
     

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  • Sat, Mar 21, 2020 - 7:10pm

    #2

    AKGrannyWGrit

    Status: Bronze Member

    Joined: Feb 06 2011

    Posts: 845

    2+

    Goodby Kenny Rogers

    https://youtu.be/jGYJrjwiPC4

    And

    https://youtu.be/uRfibOHlN4Q

     

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  • Sat, Mar 21, 2020 - 9:18pm

    #3

    AKGrannyWGrit

    Status: Bronze Member

    Joined: Feb 06 2011

    Posts: 845

    2+

    Projections

     

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  • Sun, Mar 22, 2020 - 8:31am

    #4

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Fact checked and true: New Orleans mayor grants herself power to ban guns

    https://www.breitbart.com/politics/2020/03/21/usa-today-breitbart-correct-new-orleans-mayor-issued-order-allowing-gun-ban/

    On March 21, 2020, USA Today fact checked Breitbart News’s report that New Orleans Mayor LaToya Cantrell (D) issued a coronavirus emergency order giving herself the power to ban the sale and transportation of firearms in the city.

    The result of their fact check was that the Breitbart News report is true.

    On March 16, 2020, Breitbart News reported that Mayor Cantrell had issued her order in two parts, over the course of less than a week. The end result was Cantrell claiming power to ban the sale and transportation of firearms and “suspend or limit the sale, dispensing, or transportation, of alcoholic beverages,” among other things.

    USA Today reported that Breitbart had a “March 16…article claiming the executive order issued by New Orleans Mayor Latoya Cantrell in response to the coronavirus allows the city to ban the transportation and sale of firearms.” They noted that some secondary outlets on Facebook grabbed Breitbart’s article and ran with it, resulting in “exaggerated versions of the claim circulated on the platform.”

    However, USA Today found that Breitbart’s claim about Mayor Cantrell’s order is true, “New Orleans now has the power to suspend the sale and transportation of firearms.”

    USA Today “contacted Cantrell’s office with multiple requests to comment but did not receive a response.”

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  • Sun, Mar 22, 2020 - 8:35am

    #5

    thc0655

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    Joined: Apr 27 2010

    Posts: 1836

    2+

    Black, disabled woman advocates for armed self defense

    https://www.citizenfreepress.com/breaking/awesome-new-video-from-the-nra/

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  • Sun, Mar 22, 2020 - 8:57am

    #6

    AKGrannyWGrit

    Status: Bronze Member

    Joined: Feb 06 2011

    Posts: 845

    2+

    You Go Carletta!

    A gun is a great equalizer for the small, weak and vulnerable!

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  • Sun, Mar 22, 2020 - 10:58am

    Reply to #1

    Matt Holbert

    Status: Member

    Joined: Oct 03 2008

    Posts: 93

    Thanks for the link...

    It got me to this: https://babylonbee.com/news/trudeau-claims-he-was-known-as-corn-pop-until-a-cool-white-dude-turned-his-life-around

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  • Sun, Mar 22, 2020 - 12:04pm

    #7

    thatchmo

    Status: Silver Member

    Joined: Dec 13 2008

    Posts: 171

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    NYC ER doc report

    Hope this isn’t too long for y’all.  Forwarded from my sister, whose co-worker’s nephew, is apparently a ER doc in NYC.  One instance of serious Trump-bashing, so…Be well, Aloha, Steve

    Since my last correspondence, I have worked contiguous overnight shifts, I’ve tried to summate what I’ve learned and seen, and what remains critical for you all to know in fighting this pandemic.  To those in my life who have texted and reached out, thank you so much for your kind words. I never had time at work to reply to emails and texts consistently before this, now that my phone is another fomite for SARS-CoV-2, my polite and thankful reply is assumed.  Our usual overnight population in the Bronx has been changing by the hour. On top of the usual shootings, stabbings, MIs, and the agitated, we have an influx of COVID-19 potential patients within each of those cohorts and supplemental to them.  Below, I’ve tried to summate my personal experience as well as the collective understanding of this pandemic.  In a pandemic as such, scientific evidence does not have the benefit of time-consuming and rigorous empiric research trials.  Most of what we know is extrapolation of consistent anecdotal evidence and clinical case series.  It is not at any level of vetting that medicine otherwise uses to make societal recommendations, but it is the best we have available and potentially cutting edge.  
     
    I apologize for the lengthy read.  Please share this with whomever it may help.  The critical actions are at the bottom.
     
    ASSUMPTIONS & TAKE AWAYS
    -SARS-CoV-2 is now being transmitted through direct community spread in NYC
    -COVID-19 is thus, now endemic to all major US cities and unavoidable
    -Social Distancing must continue to slow the transmission to a rate that can be managed by our EDs and ICUs
    -The weekend prior to St. Patrick’s day did not see sufficient social distancing and very well may lead to an insurmountable ICU-Ventilator surge on par or exceeding the travesty seen in Italy
    -The SARS-CoV-2 virus has demonstrated spread among asymptomatic patients on the community level; You may be spreading it without signs or symptoms
    -A substantially larger pool of people potentially appear to be infected, contagious, and never develop symptoms
    -Young people are dying without any risk factors, seemingly inexplicably (see below)
    -A sudden surge in respiratory compromise is expected here any day now, assuming the sentinel wave of infection has now matured to reach the respiratory phase (explanation below)
    -Overall, the younger the age, the more protected one is.  Children seem to have no issue with this disease despite having lungs CT scans that look the same as adults who don’t survive.  But they spread it.
    -With incomplete social distancing, a failed centralized governmental response, and shortages of supplies, expect a situation as bad or worse than Italy, across all major cities in the US
    -Seeking testing for yourself is likely no longer helpful (why, below).  This may change.
    -The federal government has blocked all requests to release strategic supply of medical equipment held for a scenario like this; hospital administrators are making poor decisions based on incomplete data (status quo).  I am having to buy all of my own protective equipment to stay safe.
    -An alarming percentage of the American populace cares more about their conveniences than your safety, reference: Florida Beaches and Spring Break.
     
    THIS IS AS FASCINATING AS IT IS TERRIFYING:  SARS-CoV-2 Primer
    Coronavirus is a broad family of virus, with 4 strains that reliably cause the common cold across the world every year.  Coronaviradae have reservoirs in birds, small mammals, and potentially bats, we are the vectors (intermediate hosts) that receive infection when a virus mutates to be transmissible and virulent to humans.  Some mutations make extremely virulent Coronaviradae that have caused the initial SARS epidemic in 2002, recent MERS epidemic, and now COVID-19 pandemic.  SARS, MERS, and COVID-19 are severe viral pneumonias that can lead to Acute Respiratory Distress Syndrome (ARDS): destruction of the gas-exchanging lung tissue that prevents intake of oxygen and release of CO2.  SARS-CoV-2, the mutant virus originating from Wuhan Provence in China is most similar to the prior SARS Coronavirus, but more virulent and contagious.  It binds to receptors in your lungs to enter cells and infect your pneumocytes, causing pneumonia and potentially ARDS.  Viruses continue to mutate as they spread through an intermediate host (humans in this case), it is believe there are two predominant strains of SARS-CoV-2: one more severe and responsible for the disease seen in Wuhan, and one descendant of that strain now making rounds throughout the West.  In reality, there are probably hundreds of SARS-CoV-2 strains responsible for the variable severity of this disease and they could be categorically grouped into less severe versus more severe.
    3 UNDULATING PHASES OF ILLNESS
    COVID-19 infection follows approximately 3 phases of disease, each in varying severity, based on how viruses interact with our bodies and our bodies with them.  In between in each, many people feel much better before getting significantly worse.  
    Phase I:  Innate Immunity and Viral Replication – your antibodies and simple defense cells mount an infection against an identified, but undifferentiated threat (SARS-CoV-2 is new to your immune system).  Fever, myalgias, chest pain, and cough develop.  This response did not evolve to face viruses and the virus rapidly replicates in your cells, further spreading to susceptible tissues. It feels like a bad cold.  Your body then switches from the preprogramed immune response to an adaptive (responsive to individual threat) immune response.  In that transition, many people see falsely reassuring resolution of their cold symptoms.  
    Phase II: Adaptive Immune response – your body starts codifying the virus and building antibodies and cells directed exclusively at defeating it.  The virus colonizes and enters lung tissue, causing a viral pneumonia.  Mild cases describe this phase as a terrible flu.  At-risk patients develop respiratory failure due to pneumonia burden on gas-exchanging cells in your lungs.  In severe cases, gas-exchange fails and patients develop ARDS.  My services are required.  This represents the feared wave that will overwhelm ICU and ED staff as well as physical patient rooms and ventilators.  Italy has a case mortality rate of 7.7% currently because this phase occurred in far too many patients at once.  The respiratory phase can last for up to 14 days, requiring ventilation for far longer than most other respiratory illnesses.  For those unlucky to develop this variant, 10 days on average have passed since their first exposure or symptoms, it has been nearly 10 days since we’ve seen our first wave of suspected patients in the Bronx and we’ve intubated quite a few people already.  This phase is the burden of this disease’s morbidity and mortality.  The majority of COVID-19 deaths will be due to ARDS or HLH (below) and those who recover are feared to have permanently reduced lung function due to scarring and fibrosis.  Risk Factors for severe pulmonary disease include older age, heart disease, high blood pressure, diabetes, COPD, asthma, cancer, and smoking.
    Phase III: Resolution or hyperimmunity.  The vast majority of those infected eventually mount a response to the virus that eliminates it.  80%+ of those with symptoms have mild disease and reach this stage without the need for hospitalization or any physician intervention.  20% are hospitalized, 3/4ths of them recover.  Unfortunately, some patients develop a syndrome of hyperimmunity known as HLH, when macrophages (white blood cells that “eat” viruses and bacteria tagged by antibodies) are over-activated and start attacking host tissue.  This begins during Phase II and persists to cause even worse lung injury and multiple organ failure.  How this works and the risk factors leading to it are poorly understood as it anecdotally represents the rare cases of fatalities in the young & healthy.  This is seen in other disease and research into its treatment has since ramped-up across the world with clinical trials testing experimental drugs during this pandemic.  Those who get HLH and survive the pulmonary phase die of sudden cardiac death, either through direct infection of the heart with SARS-CoV-2 or severe physiologic derangements in the host, it is hard to tell.  Corticosteroids would hypothetically treat this variant, but data from China suggests that they do overall harm to populations infected.  NSAIDs are hypothesized to make this worse, but not supported in evidence.  Avoid steroids and NSAIDs (take Tylenol) should you develop respiratory symptoms
     
    COVID-19 AND PRE-EXISTING CONDITIONS
    As aforementioned, many disease common to Americans put us at-risk for worsening severity. Here is a summation of dealing with each:
    Hypertension (HTN):  The receptor targeted by SARS-CoV-2 is what ACI inhibitors (-prils) and ARBS (-sartans) work-on.  Some anecdotal sources say these medications are protective, some say they are risk factors themselves.  It probably doesn’t matter because HTN is an independent risk factor. Keep taking you medications as prescribed.
    Asthma:  Asthma is a risk factor for worsening disease and disease will cause asthma exacerbations.  Overall, the use of corticosteroids (pill or inhaled) seems to worsen things.  Physicians should be doing their best to keep you off of steroids if you develop symptoms.  Nebulizers aerosolize SARS-CoV-2, which can than linger in the air for up to 3 hours.   Avoid nebulizers at all costs.  Use an inhaler with spacer for any asthma symptoms.  The same goes for COPD.
    Heart Disease:  continue to take all prescribed medications given the risk of cardiac stress with infection.
    Diabetes:  higher blood sugars appear to increase risk of worsened infections, this has been demonstrated with many other diseases.  Continue to take your prescribed medications and focus on eating appropriately to control sugar.
    Age:  take all precautions for social distancing.  Should anyone in your household or circle develop even mild cold-like symptoms, keep a separate room and bathroom for yourself to avoid transmission.  Don’t share things.  Wash your hands incessantly.  Don’t touch your face.
     
    AN ENDEMIC UNITED STATES
    Everything I have written is from my own experience treating this disease and reading the limited literature we have available, it is anecdotal, but representative of the collective thoughts on this issue. I believe NYC is now as endemic as Italy or China.  Within 4 consecutive overnights, I went from testing a few people with mildly suspicious symptoms to testing few because the vast majority of those I saw clearly had it and didn’t need to waste our limited testing supplies. This means far more people originally brought it back to the city weeks ago than believed by authorities (ask any epidemiologist and this is always the case). It is no longer spreading in a way that can be tracked.  We know from Italy that asymptomatic spread is a leading pathway, we are already seeing everything that they described at their onset: massive influx of patients with obvious disease and no obvious source.  Interacting with anyone or touching any surface is a potential infection in this city and I presume any other major US city.  The same pattern was seen in Washington just two weeks before.  Respiratory Droplets from infected patients carry the virus to others when they enter the mouth, nose or eyes.  More importantly, droplets landing on surfaces may carry an active virus that lives anywhere from 3 hours to 9 days.  Every time you touch your face in public, you risk inoculation.
     
    TESTING, NO MORE 
    The White House apparently declined access to the WHO Testing Kits in January.  Because of this, all testing in the US has been done by individual hospital or private labs, which are restricted by lengthy approval processes.  The testing capability in the NY area is only now ramping up to meet demand.  We have two hour tests at one of my campuses and 7-day tests at the other.  WIth community spread and an endemic NYC, the role of testing to trace and stop spread is long past useful.  Testing does not change outcomes aside from identifying SARS-CoV-2 as a cause of severe respiratory disease in the hospitalized.  I am personally sending only a handful of swabs each day, and otherwise diagnosing COVID-19 by history, exam, ultrasound/CT Scan, and labs; collectively this is demonstrated to be more accurate. While it is a shame that we cannot get tests to know our status and that we likely are suffering from a pandemic that could have been slowed with early comprehensive testing, it is my recommendation that those in the NYC area do not seek testing.  If you have symptoms, you need to stay home, testing will change nothing.  Save the tests for those I treat who absolutely need an answer when we intubate them.  We’ve seen an influx of healthy patients requesting testing.  If you make it to an ED without the infection, I promise you SARS-CoV-2 was on the doorknob as you left after getting your swab. STAY HOME IS YOU ARE WELL, STAY HOME IF YOU ARE SICK.
    THE IMPENDING WAVE
    I’ve experiences what I think matches what Chinese and Italian doctors described before the collapse of their healthcare system.  One day, a few mildly ill, but well-appearing patients.  The next, many with those symptoms and many requesting testing without.  The 3rd, inexplicable respiratory illness, terrible appearing lungs on ultrasound or CT, miserable gas exchange on ABG, but a patient who doesn’t look as sick as their tests.  The 4th night, the usual nursing home crowd suddenly getting intubated in droves.  We think we’re on the way to experiencing a surge just as bad as Italy in the city, it is just a matter of days away. It is probably already happening, these events aren’t apparent until well after the fact.
     
    THE YOUNG & DYING?
    Every ICU physician I know seems to have “that 20-something year-old healthy patient with no medical history, never a smoker, intubated, now proned, maxed on pressors, and on VA ECMO” without any hope of survival.  This is entirely anecdotal.  The population of the ventilated patients in Italy is much younger than you would like to hear.  Physicians my age are allegedly on ventilators.  This is a phenomenon that is occuring, it’s significant I am unsure of.  Many people in their 20s and 30s believe they are protected entirely by their age and have been defying social distancing.  It is clear that this is not trueMany young people will die inexplicably.  The case fatality rate for ages 10-40 is 0.2% from a large pool of data in China.  This should be reassuring if it were not for these anecdotal reports.  My guess here is that with asymptomatic spread and minimal symptoms among young healthy people, that age group is likely a few-fold more infected that what we believe, leading to a falsely elevated percentage of critically ill within.  Nonetheless, those 20-30 year-olds defying social distancing right now have an appreciable risk of death (I am looking at you, spring breakers).  No one is entirely safe.
    SURVIVAL & OUTCOMES & STATISTICS
    I suppose I’ve already touched on this.  Here’s the data from China:
    This is only an approximation and unlikely to be predictive of the US.  The Chinese population at-risk was likely more unhealthy than age-matched US counterparts and smoking is rampant there.  The CFR notes the percentage of patients who TESTED POSITIVE & HAD SYMPTOMS & DIED;  it does not represent overall death rates, which are likely much lower. That being said, a complete collapse of the intensive care system in the US could make these numbers higher.
    image.png
    GOVERNMENTAL RESPONSE, DISASTER PREPAREDNESS
    There’s too much to dive into here about our federal government’s response (particularly the WH administration) to this crisis.  It has been abysmal and will lead to an immense loss of human lives and economic prosperity.  That ship has sailed.  We elected a neurosyphilitic clown to the White House and got a venereal disease circus.  What did anyone expect to happen in a crisis?  My life (and yours too) is at-risk because we don’t have protective gear due to inaction at the national level, disbarment of the pandemic response team, and an administration that is anti-science and has down-played this crisis and cut access to available equipment we need. Please contact your representatives and demand PPE and ICU equipment be mobilized from the federal strategic reserve.  Remember this come November.
    SELF QUARANTINE
    Continue to socially distance.  Reduce all contacts if you have symptoms. Wash your hands.  This can’t be said enough and it our first line of defense.  Support your local businesses as best as you can.  I think ordering delivery or take-out is perfectly safe right now if you transfer your food out of any external containers or bags that have been touched by someone else.  Small businesses will suffer dramatically as will all of their employees.  Do you best to keep some cash flow to them. I am still paying all the membership fees to my climbing gym and other social activities otherwise barred.  Going outside in nature where you are not around densely populated areas is safe and recommended.  NY State Parks are open to the public for free.
    THE GOOD NEWS LAST
    An immense workforce of physicians, nurses, oderlies, delivery drivers, cooks & chefs, postal deliverers, researchers, and public infrastructure are risking their health to save yours.  We are working extremely hard here in the Bronx for you and are delivering the same care as we did before this despite the hurdles of the surge and difficulty with protective equipment. Many of us will fall sick, but that has always been a risk and has not deterred any one of my friends and colleagues.  There is impressive research trials being conducted across the world on potentially effective experimental drugs.  This will pass however scary, and there will one day be an end to this.  There are millions of people across the world carrying the worry and anxiety of this crisis so you don’t have to.  Please stay home for us and enjoy your life as best you can.
    A PLEA FOR HELP
    We have minimal access to protective equipment with a national shortage.  If you’ve benefitted from my updates, I ask two things of you: stay inside unless you are severely ill and help us stay safe.  If you or anyone you know has stockpiled gloves or masks or any kind (or you have an industrial business with extra), please call your local hospital to see if they would take them.  Please click this link, provided by my specialty’s governing body to quickly email your representatives and demand additional resources be allocated to us: https://p2a.co/neN42Md

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  • Sun, Mar 22, 2020 - 2:02pm

    #8

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    3+

    My self image is suffering

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  • Sun, Mar 22, 2020 - 2:03pm

    #9

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    4+

    How’s your quarantine going?

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  • Sun, Mar 22, 2020 - 5:08pm

    #10

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Right on cue: the scammers are out now

    https://www.bloomberg.com/news/articles/2020-03-19/n-y-warns-of-door-knocking-scammers-offering-cdc-virus-tests

    New York Attorney General Letitia James warned residents of people purportedly knocking on doors claiming to be from the Centers for Disease Control and Prevention and offering tests for the new coronavirus for a fee.

    “New Yorkers should know that no one from the CDC, or any other health agency, is knocking on doors to provide tests for the COVID-19 virus,” James said in a written statement.

    The scams were reported in Otsego County, a region of central New York that includes Cooperstown, home of the National Baseball Hall of Fame and Museum.

    James has promised to protect residents from coronavirus-related scams. Her office has sent cease-and-desist letters to individuals and companies hawking products they claim are treatments or cures for the coronavirus, including conspiracy theorist Alex Jones and televangelist Jim Bakker.

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  • Mon, Mar 23, 2020 - 5:06am

    #11

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    1+

    Despite quarantined and lockdown, violent crime not declining in Philadelphia

    Well, there goes the hope for less crime when everybody has to stay in the house.

    https://www.inquirer.com/news/murder-homicide-philadelphia-violence-shot-police-stabbed-coronavirus-20200320.html

    Even as the coronavirus pandemic has led officials to largely shut down Philadelphia and left its streets and subways nearly empty, violent crime has continued unabated.

    From Monday — when schools were closed and most public and private sector employees began working from home — through midday Friday, the city recorded three homicides, nine shootings, three stabbings, and one police-involved shooting of a man with a gun, according to the Philadelphia Police Department.

    That violence follows an even deadlier three-day period from March 13 through Sunday, during which seven people were killed, including Sgt. James O’Connor IV, 46, fatally shot in Frankford while his SWAT unit was trying to arrest a man wanted for murder. That man, Hassan Elliott, 21, now also is charged with murder and other counts in the officer’s death.

    As of Friday, police said, the city’s homicide total for the year stood at 86, compared with 66 at the same point last year — a 26% increase.

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  • Mon, Mar 23, 2020 - 6:50am

    #12

    Jodi Stanley

    Status: Member

    Joined: Feb 05 2014

    Posts: 23

    1+

    The Big Picture: Why China Did It

    We know not all incoming figures can be trusted, i.e., China, Russia (how could Russia only have 361 cases and India 391?), but we will disregard that. What about these considerations?

    1. Politics, power, money behind the virus.

    2. In January, we signed the trade agreement with China.

    3. Part of the idea was to address China’s propensity to devaluate their currency to boost selling power.

    4. Foreign businesses investing in China through manufacturing or other must technology-share as part of their business arrangements.

    5. Two weeks after the agreement was signed, the virus starts gaining traction. And it’s a real virus.

    6. The worldwide deaths still remain under 5%. Stressful, but not cataclysmic in volume.

    7. Over the last 10 days, the virus has been all but vanquished in China. Not considering the accuracy of their numbers at all, here, just listing what we see as observers. 1.4 billion people, almost overnight problem over. India, another 1.4 billion, close to China geographically, with only 391 cases.

    8. Query this: China didn’t like the agreement they signed with US. They decided to release the virus.

    9. The world markets plummet. China nationalizes their companies to buy stock like mad. Where is the Chinese stock market today and where has it been? It’s the highest performing market in the world. https://www.economist.com/graphic-detail/2020/03/14/control-of-the-coronavirus-gives-china-the-worlds-best-performing-stockmarket

    10. Gold down. China buying.

    11. Adidas announced recently that all their China mfg facilities are back at 100%. This is an example of what to expect: as our stateside businesses come to a halt, and we run low on critical supplies, who will benefit? Who is “back up?” China. The Chinese economy stands to explode.

    12. How did China slow the virus so quickly? Why doesn’t anyone know how they are containing it? If it is naturally so suddenly contained, then shouldn’t we expect the same?

    13. The media is complicit, inflating the blame against the US administration (not opining on partisan actions. This is a time when “Parties” should have the love of country enough to STOP politicizing.) I am noting the media responses, reporting and how they play into the fear mongering and further bolstering China’s position, even lauding and defending China to the detriment of the United States of America.

    14. ALL American’s should be uniting. Yes, the coronavirus is real. But the big picture is potentially even deadlier.

     

     

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  • Mon, Mar 23, 2020 - 7:23am

    #13

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    1+

    First time gun buyers getting educated on all the restrictions they voted for

    https://www.ammoland.com/2020/03/viral-run-on-guns-shows-america-wants-firearms/#ixzz6HWD6YFhR

    Not So Easy

    First-time gun buyers are learning the gun control tropes of people being able to buy guns over the internet just isn’t true. Omaha Outdoors reported they were having to tell many Californians, despite what gun control politicians claim, they can’t sell and ship guns online. Those in even more restrictive states are learning the harsh realities that gun owners must endure to buy a gun and exercise rights.

    • In Illinois, Massachusetts, Hawaii and New Jersey, gun owners must get a firearms owner identification card. That’s not so simple when health concerns are causing government offices to shutter.
    • California requires a Firearms Safety Certificate to purchase a gun. Buying ammunition in California can only be done with its own background check.
    • Connecticut requires an owner to obtain a handgun eligibility certificate. Long guns in Connecticut require their own long gun eligibility certificate. Iowa requires a five-year permit to buy a handgun.
    • Maryland law requires a handgun qualification license. Those buying modern sporting rifles, or what the state defines “assault weapons” must obtain a Regulated Firearms Purchase.
    • Michigan law states anyone buying a handgun must have a valid handgun purchase license issued by local law enforcement or concealed carry license.
    • Nebraska buyers must have a handgun certificate or a concealed weapon permit to buy handguns.
    • New York has licensing requirements for handguns that require photographs and fingerprints and the state has six months to process the license.
    • North Carolina requires a permit to purchase from the county sheriff.
    • Rhode Islanders must complete a two-hour safety class to obtain a safety certificate from the state’s Department of Environmental Management.
    • Washingtonians must complete safety training within five years to buy semiautomatic rifles.
    • Those living in Washington, D.C., don’t have to get a license to buy, but the District’s registration requirements serve the same purpose as it must be completed and signed off before purchases can be made.

    Gun sales were already trending higher before widespread health concerns. Since April 2019, each month of NSSF’s adjusted NICS Reports has been higher than the year previous. Much of that can be attributed to the near-constant hammering by gun control presidential candidates who have made threats of outright confiscation to Vice President Joe Biden’s threats to allow frivolous lawsuits against the firearm industry to send it into bankruptcy by overturning the bipartisan Protection of Lawful Commerce in Arms Act.

    The latest drive is showing Americans want to know they can provide for their own safety, especially when those vying to run the government vow to take that ability away.

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