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Thursday, March 26, 2020

Daily Digest 3/26 – Ending Social Distancing Will Lead To More Deaths, That Discomfort You’re Feeling Is Grief

Economy

Hospitals consider universal do-not-resuscitate orders for coronavirus patients (Jade M.)

The conversations are driven by the realization that the risk to staff amid dwindling stores of protective equipment — such as masks, gowns and gloves — may be too great to justify the conventional response when a patient “codes,” and their heart or breathing stops.

A Hard Look at the Remaining Hospital Capacity across America (thc0655)

Atlanta mayor Keisha Lance Bottoms said in a television interview with the city’s CBS affiliate Tuesday afternoon that the city’s hospitals are at capacity. But I notice this interview is not the lead story on the affiliate’s website, nor is that news anywhere in the Atlanta Journal-Constitution as of this writing.

How we know ending social distancing will lead to more deaths, in one chart (tmn)

This did not just happen in St. Louis. Analyzing data from 43 cities, the JAMA study found this pattern repeatedly across the country. Howard Markel, an author of the study and the director of the University of Michigan’s Center for the History of Medicine, described the results as a bunch of “double-humped epi curves” — officials instituted social distancing measures, saw flu cases fall, then pulled back the measures and saw flu cases rise again.

Blame game escalates between US and China over coronavirus disinformation (Sparky1)

Tensions have been brewing for weeks between Washington and Beijing over who is to blame for the outbreak. China continues to deny that the virus originated there while top US officials, including Secretary of State Mike Pompeo, have pointed the finger directly at Beijing.

US officials have long been skeptical about information coming from China, including the number of cases it has publicly reported, but the diplomatic row between the two countries has escalated in recent days.

Testing is hard, but the FDA makes it harder (Matthew S.)

Jeff Shuren, director of the FDA’s Center for Devices and Radiological Health, said: “Since the beginning of this outbreak, more than 60 developers have sought our assistance with development and validation of tests they plan to bring through the Emergency Use Authorization process.”

Countries are starting to hoard food, threatening global trade (thc0655)

Consumers across the globe are still loading their pantries — and the economic fallout from the virus is just starting. The specter of more trade restrictions is stirring memories of how protectionism can often end up causing more harm than good. That adage rings especially true now as the moves would be driven by anxiety and not made in response to crop failures or other supply problems.

Clinical Pearls Covid 19 for ER practitioners (DJ)

Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT’s of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.

Lock ’em up or let ’em out? Coronavirus prompts wave of prisoner releases (Sparky1)

Germany’s most populous state, North-Rhine Westphalia, announced on Wednesday it would release 1,000 prisoners who are close to the end of their sentences, with sex offenders and violent inmates excluded from the list.

The aim is to free up cells so that quarantined areas can be set up for inmates that contract the disease, with many expected to do so given the tight confinement in any prison facility and the ease with which the virus spreads.

The EARN IT Bill Is the Government’s Plan to Scan Every Message Online (newsbuoy)

It’s true that the bill’s authors avoided using that word. But they did propose legislation that enables an all-out assault on encryption. It would create a 19-person commission that’s completely controlled by the Attorney General and law enforcement agencies. And, at the hearing, a Vice-President at the National Center for Missing and Exploited Children (NCMEC) made it clear [PDF] what he wants the best practices to be. NCMEC believes online services should be made to screen their messages for material that NCMEC considers abusive; use screening technology approved by NCMEC and law enforcement; report what they find in the messages to NCMEC; and be held legally responsible for the content of messages sent by others.

Robert Kiyosaki on coronavirus crisis: ‘This is a deception to steal our money!’ (Herman J.)

“The good thing is, people as they sit in quarantine, as they lose their jobs, their homes, their pensions, their businesses and all this, I think they’re waking up at [the fact that] they’re being screwed,” Kiyosaki told Kitco News.

NYPD Hiding Number Of Officers Showing Coronavirus Symptoms (thc0655)

“If you call up and ask to be quarantined – I haven’t heard of anybody who has been ordered to go back on the street,” he told Blue Lives Matter. “But for the stats they’re collecting to share with the public, they don’t even want to know who is showing symptoms and who has been ordered by a doctor to be quarantined.”

Sanderson Farms slaughterhouse worker tests positive for COVID-19 (Sparky1)

Farmers and traders have been worried that slaughterhouses could shut if workers or government inspectors fall ill. Closures would remove markets for farmers to sell their livestock and threaten to tighten meat supplies as consumers are stocking up due to concerns about the pandemic.

That Discomfort You’re Feeling Is Grief (tmn)

We feel the world has changed, and it has. We know this is temporary, but it doesn’t feel that way, and we realize things will be different. Just as going to the airport is forever different from how it was before 9/11, things will change and this is the point at which they changed. The loss of normalcy; the fear of economic toll; the loss of connection. This is hitting us and we’re grieving. Collectively. We are not used to this kind of collective grief in the air.

What I Learned When My Husband Got Sick With Coronavirus (tmn)

“How are you doing, love?” I call to my husband from the living-room floor, where I now sleep each night on a roll-up foam sleeping pad that my daughter has used on camping trips, topped with a couple of thin blankets. It’s quite literally hard to sleep on the floor, but after trying the couch and then, on the floor, the couch mattress — a bit of fabric stretched over some coiled rings — the floor itself has been a relief.

A Century After the Spanish Flu (Mary)

A century ago, the “Spanish Flu” decimated populations globally. Flu season 2018 is reminiscent of that event, already breaking records, so the claims go, with more North Americans than ever affected, according to media and announcements by the Centers for Disease Control and Prevention (CDC). The H3N2 virus strain has been reported by the CDC to cause severe symptoms that are potentially deadly, especially for vulnerable populations such as children and the elderly. What’s more, the reports add, the flu shot developed is showing signs of being less effective this year. Messages like these dominate the media, undermining health by spreading fear and worry among the public. However, is this any surprise? This pattern repeats every year, sounding the alarm that every man, woman, and child needs a flu shot.

Not Even The $2 Trillion Stimulus Package Can Save Oil Markets (Michael S.)

Now, we’re left watching and waiting to see to what extent (if at all) the current stimulus talks in congress, as well as negotiations on upcoming bills, will consider the renewable power sector’s recent push for modification and extension of tax incentives amidst the flood of cheap oil. This initiative is backed by some Democrats. This is an important consideration, as Axios points out, because “solar and wind industry groups are starting to provide early projections of the economic fallout as the frozen economy hits development and coronavirus forces workers home.”

U.S. farm bankruptcies hit an eight-year high: court data (Sparky1)

According to data released this week by the United States Courts, family farmers filed 595 Chapter 12 bankruptcies in 2019, up from 498 filings a year earlier. The data also shows that such filings – known as “family farmer” bankruptcies – have steadily increased every year for the past five years.

Surviving COVID-19: How US Farmers Are Coping In Uncertain Times (Sparky1)

In an attempt to get ahead, Jarosz and her husband decided they would create an online order form for their customers and implement free home deliveries the following week. They notified followers of their transition over social media and the Bozeman Winter Farmers’ Market was cancelled the next day.

On the road through a pandemic, some truckers fear for their lives (thc0655)

“What our work shows is that there is a real increase in the frequency of these rare heat and humidity extremes, and limiting global warming is the best measure we can take to prevent them,” the climate scientist told the Thomson Reuters Foundation.

Previous research has examined the potential increase in extreme heat days as the Earth’s climate changes.

Largest Decline in U.S. Dairy Farms in 15-Plus Years in 2019 (Sparky1)

Annually, the U.S. has seen the average number of milk cows decline since 2017, from an average of 9.406 million head to an average of 9.336 million head in 2019. However, the growth in milk production has only slowed, not declined. This is due to the ever-increasing productivity of the milking cows. Milk produced per cow in the U.S. averaged 23,391 pounds for 2019, 241 pounds above 2018’s 23,150. Unlike the fluctuating overall number of cows, milk production per cow has steady increased approximately 10.6% from 2010.

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