Friday, April 24, 2020

South Shall Rise Again

And by that I mean fevers.  The reality is while I respect the idea of "personal responsibility" as if there is one thing that came out of this is that most Americans have NONE.  They apparently cough, sneeze, wipe their hands everywhere and never wash and apparently don't even when they do know how.  We see how they act when in panic mode, hoard, buy cold medicine to cover symptoms and then when they are gone think they are well enough to spread some more, are basically idiots times ten when it comes to respecting others let alone themselves with their rude arrogance and ignorance about a wealth of subjects including self care so this was coming.

And this is why we cannot have nice things.  As a President actually gets on television and says bleach and blue light can cure Covid.  You first sir, drink up.

At the present time New York is running antibody tests on random people they find out as they are clearly well enough to be out and through screening are trying to determine if they are immune. This is early days but this is how herd immunity is established, those in the clear can return to normal if not careful and moderate activities and in turn the at risk remain quarantined until a vaccine is in place, which means two years.

The new normal is that the new normal as Science that thing the CDG does not respect in the least is working overtime to track, trace and determine how long the virus has been here and the idea of contact via the original protocol of China or through infected persons seem now to be in fact not the sole way the virus has traveled.  The New York Times has done two different articles paralleling the Frontline on the origins of who was Patient Zero in Washington state and in turn the second case who had none of the determining factors when he walked into a clinic and tested POS.  And in California they too believe that the virus was there much earlier and may have found their Patient Zero.  And we are a long way from finding all of the individuals infected who did not meet the protocol let alone the ones who did and did not contract the virus.  But we know travel, contact and of course lack of personal responsibility when one became ill or were literally in contained petri dishes such as old folks warehouses or the floating versions of them.

And none of that is comforting as each day the paranoia screeds do little to ensure that a comprehensive coherent message is presented let alone logical and proactive.  Here in New Jersey our idiotic Governor moves the goal posts on a daily basis with no real concept of how that affects the overall perception that he has any fucking clue what he is doing.  And all of it can be charted by reviewing the never ending Executive Orders that are issued daily. Daily, which is the red flag that they have not one fucking clue what they are doing.

My favorite is that while they enacted personal distancing which changed from 3 to 6 feet, and demands for stores to put in screens and cut entry to a limited number of shoppers creating more crazy, none of enforceable, all of this weeks after the initial outbreak.

Closing parks with no logic (such as closing/limiting parking and using the Troopers to enforce compliance)   so crowding city streets along with the confusion in varying cities as they enacted their own kind of crazy.

Then there was  the testing fiasco with not enough equipment, trained staff, shipping tests out of state delaying results and the ability to lie to get the test.

The lack of oversight from the beginning to get into nursing homes knowing it was ground zero and in turn leading to 17 plus dead bodies in a closet.

 Then the demand for face masks on public transit but no way of enforcing it and of course now demanding that all transit must only with 50% of passenger load all while all transit has been cut back from lack of use and so the lack of frequency means we grab what comes along and the buses are free due to a lack of personal protection to collect fares so that means less revenue for a bleeding system.

Finally shutting down construction but with all the loopholes they basically are running at half mast but they are still very doing so.

The absurd hysteria of field hospitals and the like that have little, to few to none there and unclear what they are being treated for.  Let alone the numbers that float (and yes they do) but have little to do with again actual testing of a major portion of the population in which to establish herd immunity and secure quarantine and treatment for those who need it and enforce it as well.

And lastly the lack of tracking and tracing plans which means that this virus is still out there thriving.

So the South and oddly Denver but then again it is a largely rural state with only two major cities, Denver and Boulder so this is not shocking, has decided to drink the Bleach (the new kool-aid) and open the gates.  There is again the notion of personal responsibility but having lived in Nashville that means maybe brushing your tooth.  (yes tooth)

As the Governor of Tennessee is a plumber he is good at cleaning up shit so this will work out fine.  Good luck fuckwits you are going to need it. But I am going to go to Georgia get a tat and a haircut. See ya there.

‘Complete disbelief’: Governors blindside front-line staff with abrupt reopening plans

April 23, 2020

Governors preparing to roll back restrictions put in place to slow the spread of the novel coronavirus are in some cases acting without the input and against the wishes of their own medical and emergency management staff.

Georgia’s Republican governor, Brian Kemp, announced he would let tattoo parlors, hair salons and bowling alleys reopen without receiving guidance from the panel of doctors tapped to advise him and without giving advance notice to regional health departments responsible for carrying out his orders, according to physicians and state officials.

In Utah, the governor lifted a statewide lockdown on elective procedures before his medical supply team had finished estimating how quickly hospitals would exhaust their supply of personal protective equipment, according to members of the state’s response team.

And plans to ease restrictions on economic activity and public assembly in Tennessee have been met by dread among emergency management officials, who are in “complete disbelief that we are reopening the state,” according to a person involved in the planning who, like others, spoke on the condition of anonymity for fear of professional retribution.

In these states, among the fastest to jump-start their idle economies, plans are proceeding without the full approval of medical professionals and emergency response officials closest to the ground-level unfolding of the outbreak, which has claimed nearly 50,000 lives in the United States. The quest by certain governors to reopen by May 1 — the date favored by President Trump — has blindsided some of the officials advising them.

Kemp, for example, did not seek consensus among the doctors on his task force before proceeding with his reopening plan, according to one of its members, Andrew Reisman, who is president of the Medical Association of Georgia.

Kemp and other governors pursuing aggressive reopening plans say they are following data-driven strategies in line with White House guidelines that make a downward trajectory of new cases in a 14-day period a condition of a phased reopening.

“Our next measured step is driven by data and guided by state public health officials,” Kemp said this week when Trump, after initially cheering efforts to end lockdowns before May 1, second-guessed Georgia’s approach. The governor’s office did not respond to a request for comment.

The apparent rush in Georgia and other states has alarmed some local leaders, who fear political considerations are overriding detailed assessments of the data.

“I have great concerns about federal and some state pressure to reopen the economy without the guidance of the public-health data,” said Erin Mendenhall, the Democratic mayor of Salt Lake City.

“No one doubts the gravity of this economic crisis, but the cost of human life is also grave.”

She added: “I think politics permeates crisis. And this crisis we are in is not exempt from that.”

Reisman said Kemp’s physician task force had grown less active following an initial burst of activity about two weeks ago. Its chairman, Republican state Sen. Ben Watson, who is a physician, emphasized that the state’s stay-at-home order continues through the end of the month and until May 13 for vulnerable populations.

Epidemiologists said the Trump administration’s guidelines are so vague as to sanction potentially any strategy, no matter how hasty.

In Tennessee, Republican Gov. Bill Lee this week hailed a “steady decline in the growth rate” of new cases, explaining why he would begin a phased reopening May 1.

But arriving at the state’s growth rate by dividing new cases by total cases is off the mark, said Joshua M. Epstein, an epidemiologist at New York University. And the calculation has also raised eyebrows internally, according to an official familiar with the state’s planning.

Along with metrics such as hospitalizations, states should simply be tracking new cases per day, Epstein said, and looking to see whether they are rising or falling. In Tennessee, it is not yet consistently falling, even if the percentage growth is diminishing.

“The guidelines are tremendously vague in many respects, but in the cases they’re not vague, they’re certainly not being satisfied by these states,” Epstein said.

Gillum Ferguson, a spokesman for the Tennessee governor, confirmed the growth rate — calculated by dividing new cases by the prior day’s total — was the figure informing the state’s plans.

Tennessee’s approach allows local authorities to maintain stricter orders even as statewide restrictions are rolled back. Health officials in Shelby County, which includes Memphis, said the area would not be ready to reopen ¬May 1. That view was shared by Memphis Mayor Jim Strickland (D), whose city is home to the state’s largest African American community, which has been disproportionately affected by ¬covid-19, the disease caused by the novel coronavirus.

Some local orders will also still stand in Colorado, where the governor, Jared Polis, is among the Democrats moving fastest to end statewide orders, saying Thursday he was counting on “personal responsibility” when businesses gain permission to reopen at limited capacity Monday.

Polis also contradicted his own ¬covid-19 incident commander, Scott Bookman, who just days earlier had told reporters the state would not reopen “until we have the capacity to make everyone safe.” By that metric, Polis said, “we would have to be closed forever.”

Asked for input on the governor’s plan last week, Colorado’s association of local public health agencies drafted guidance that the reopening should not start until all symptomatic people can be tested and all cases monitored.

Denver Mayor Michael Hancock (D) said restrictions in his city could last longer, warning, “This will be a different summer for those of us here in Denver.”

In Georgia and South Carolina, by contrast, statewide directives lifting restrictions on businesses preempt local orders, incensing mayors of some hard-hit cities. Atlanta Mayor Keisha Lance Bottoms (D), who has decried the governor’s decision, on Wednesday posted a tweet of a text message she received referring to her by a racist epithet and telling her to “just shut up and re-open Atlanta!”

The Atlanta mayor’s trepidation about allowing a range of businesses to reopen Friday — and others, including movie theaters and dine-in restaurants, on Monday — was shared by regional health departments.

Officials in two districts said they learned of the governor’s plans when he announced them publicly at the start of the week.

“We found out from the announcement,” said Dave Palmer, a spokesman for a regional department covering a northeastern expanse of the state. He said the district is committed to following the governor’s directive, including to ramp up testing, which has lagged behind other states.

The breakdown in communication and planning runs deeper, according to officials in other Georgia health districts who spoke on the condition of anonymity because they feared losing funding from the state.

An official in one district said there wasn’t proper infrastructure for the recent rollout of a testing hotline required by the state, forcing health workers to scramble and use their cellphones, missing a number of calls. Similarly, districts learned only the night before that they were being required to extend their weekday hours at testing sites and add a half day on Saturday.

Reisman, the medical association president, said he understood the governor’s impulse to move quickly. He also said the sweeping stay-at-home orders were never taken especially seriously by the public. “Georgia was never closed for business, in my opinion,” said the doctor, who recounted a recent visit to a Home Depot in Gainesville, Ga., where “none of the employees were wearing a mask, and no one was social distancing.”

“So when I hear the governor say, ‘Okay, you can get your hair cut or your nails done, you can go to the gym, and I have confidence owners of these places are going to do their utmost to sanitize,’ I don’t feel like it’s hugely different,” Reisman said.

In Utah, a spokesman for the state’s covid-19 task force acknowledged that “analysts are still working on what the appropriate 90-day moving average burn rate for PPE should be.”

“But because of current supplies and our close monitoring of demand, we feel that it is actually most helpful to relax standards on elective procedures so that flow can factor into our burn rate,” task force spokesman Paul Edwards said. “We can always dial this back down if necessary.”

In South Carolina, reopening plans are being devised by the governor, Republican Henry McMaster, and “the team they’ve assembled with the private sector,” said Derrec Becker, a spokesman for the state’s emergency management division. At McMaster’s news conference Monday announcing that he would let certain businesses reopen, the state’s epidemiologist, Linda Bell, continued to ask that “people only participate in essential activities.”

Bell noted that the state has not seen a “consistent decline,” only “a plateau for a few days.”

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