How We Got Here

How We Got Here

The media has accurately reported how President Trump’s mismanagement of COVID-19 has exacerbated this global health crisis. But Trump’s damage to our public health goes back to the beginning of his administration — and for Congressman Lee Zeldin and the rest of the Republican Party, their culpability starts much earlier.

It begins with the universal Republican vow to eliminate the Affordable Care Act and is compounded by their ideological orthodoxy to starve every federal agency of funding, including those agencies that are charged with public health. Like every Republican, this was the platform Zeldin ran on in 2014, and this is how he has voted as a member of Congress.

But these dual GOP missions — repeal the ACA and reduce the size of government — have directly contributed to the disastrous federal response to this crisis.

The ACA, while primarily concerned with health insurance access and patient protections, also focused on public health issues through the Centers for Disease Control and Prevention. In 2010, the ACA established the Prevention and Public Health Fund (PPHF) at the CDC. It supported a public health mission that included the “early detection of and response to health threats.”

The GOP could not repeal the ACA while Obama was president, but once they took over the House after the 2010 election, largely on the strength of campaigning against the ACA, they worked hard to consistently weaken it, including weakening the PPHF. Then, in 2017, with the inauguration of Trump and complete control of the federal government, they went full-steam ahead to repeal the ACA and reduce the size of all federal agencies. The CDC and the PPHF were no exception.

In early 2018, Trump signed the budget bill that cut the PPHF by $1 billion over 10 years. Later, in 2018, Trump eliminated the global health security office within the National Security Council and made further cuts to public health programs by diverting money from the CDC and the National Institutes of Health for his policy to detain migrant children. Public health experts at the time warned that such drastic moves would harm the country’s ability to respond to and contain outbreaks of disease.

Trump and Zeldin are now working overtime to bury this history. To deflect blame, Trump insists that his name be stamped on the stimulus checks being mailed to desperate Americans. In a similar vein, Zeldin recently announced how he alone got much-needed medical equipment rushed to Suffolk County.

They would like you to forget how we got here.

Barbara Weber-Floyd

Westhampton Beach

Posted in ACA, Coronavirus, GOP, Health Care, Trump, Uncategorized, Zeldin | Tagged , , , , , | Comments Off on How We Got Here

Labradoodle dog breeder heads HHS response to the coronavirus

Submitted by Peggy Backman:

https://www.reuters.com/article/us-health-coronavirus-usa-hhschief-speci/special-report-former-labradoodle-breeder-tapped-to-lead-u-s-pandemic-task-force-idUSKCN2243CE

 

Letters from an American (April 22nd, 2020)

I’m going to start tonight with an important story that slipped under the radar on a day when one outrageous performance after another grabbed headlines.

On its surface, the story doesn’t seem terribly important. A number of congressional committees have asked the Office of Personnel Management for updates on how the OPM is handling working conditions for federal employees during the coronavirus crisis. OPM is declining to answer the requests. “It has always been difficult to get information from this administration, but the refusal to provide Congress with a basic briefing during a pandemic is especially egregious,” said a Democratic Senate aide to Politico reporter Daniel Lippman. “We’ve never been denied a briefing like this before.”

But the story is actually very significant. The OPM oversees the 2 million workers in the federal government. In mid-February, after Republican Senators acquitted him in his impeachment trial, Trump set out to purge the federal workforce of civil servants, whom he sees as “snakes,” and replace them with political appointees loyal to him.

To head the Presidential Personnel Office, which recruits candidates for the executive branch, Trump brought in John McEntee, who had been fired from a former position in the White House by former chief of staff, John Kelly, over a security clearance. On March 17, McEntee forced the director of the Office of Personnel Management, Dale Cabaniss, who had significant personnel experience, to resign. Michael Rigas, formerly of the right-wing Heritage Foundation, took his place. (Phew. I know… but this is going somewhere important.)

The change from Cabaniss to Rigas at the head of OPM transpired just as the novel coronavirus pandemic hit the nation hard.

Rigas has said he believes the 1883 Pendleton Act is unconstitutional. Congress passed the Pendleton Act, also known as the Civil Service Act, after a mentally-ill office seeker shot President James Garfield in 1881. Until then, government positions had been handed out to political loyalists, regardless of their capacity to do the job, but the assassination created a public outcry. Charles Guiteau shot Garfield with the expectation that, once elevated to the presidency, Garfield’s vice president would give Guiteau the position his delusions made him think he deserved. The assassination built momentum behind the idea that government should be non-partisan, and that positions should be filled by people actually equipped to do the job. This sentiment has ruled the nation ever since.

Non-partisan civil service has proved a blessing to the nation in two ways. First of all, over time, as more and more positions came under the act, the government got much more efficient. Second, a non-partisan corps of officials has kept the nation stable since they give their loyalty to the country’s government, rather than to any particular president. Administrations come and go, but government bureaucrats keep the nation on an even keel.

Now, Rigas, the man at the head of the federal government’s 2 million workers, wants to get rid of that system and make all employees of the executive branch political appointees, loyal not to the country but to Trump. Rigas is working with McEntee at the PPO. As of a few weeks ago, agencies now have to submit job openings to the PPO to see if they have anyone they want in the position before they can submit their own choice for it. PPO is filling positions with keen regard for their loyalty: recently it has hired four college seniors to become administration officials.

OPM is the office that is refusing to tell Congress what it’s up to.

Today offered some guesses. Dr. Rick Bright, the director of the Department of Health and Human Services’ Biomedical Advanced Research and Development Authority, or BARDA, claimed that he was let go from his job for crossing Trump. BARDA is charged with protecting us from pandemic influenza and emerging infectious diseases (EID) and Bright is a specialist in those areas. He headed the federal agency developing a coronavirus vaccine, and refused to use the agency’s significant budget to promote hydroxychloroquine, the anti-malarial drug Trump has been pushing as a treatment for the coronavirus. Bright was transferred to a less central position at the National Institutes of Health, but has refused to resign his position at BARDA.

Bright and his lawyers say his removal is retaliation and that he will be filing a whistleblower complaint. “I believe this transfer was in response to my insistence that the government invest the billions of dollars allocated by Congress to address the Covid-19 pandemic into safe and scientifically vetted solutions, and not in drugs, vaccines and other technologies that lack scientific merit,” he said in a statement. “I am speaking out because to combat this deadly virus, science — not politics or cronyism — has to lead the way.”

Bright’s defense of science over politics got a boost with Tuesday’s news that hydroxychloroquine is not only ineffective against Covid-19, but possibly worsens the outcome for those who take it. A study of 368 patients at Veterans Affairs showed that those given the drug were more likely to die than those who weren’t. After much hyping of the drug, Laura Ingraham and other Fox News Channel personalities have suddenly gone quiet on it. Trump, who hailed the drug as a “game-changer” but who has stopped talking about it lately, said he did not know of the bad report, “but we’ll be looking at it.”

Demanding loyalty to Trump is about cementing the power of the president, and service to that power means he will sacrifice his loyalists whenever necessary to protect himself. People are noting that Trump tossed Georgia Governor Brian Kemp under the bus today over Kemp’s reopening of certain Georgia businesses against the advice of public health officials. After a week of calling for states to reopen, Trump told reporters that he “disagree[s] strongly” with Kemp’s decision to start that process.

But Kemp and Trump have clashed before—Trump wanted Kemp to appoint key Trump supporter Doug Collins to the Senate seat that Kemp gave to Kelly Loeffler (now in trouble for insider trading)—so it’s not a huge surprise that Trump hung Kemp out to dry.

Today’s more significant underbussing was that of Alex Azar, the secretary of the Department of Health and Human Services, who was skewered in a piece in the Wall Street Journal for what appears to have been extraordinarily inept handling of the coronavirus crisis. My guess is that he is shortly going to be out of a job, taking the blame for the White House’s poor response to the pandemic.

Considering that Trump’s OPM wants to remove qualified civil servants from the government in favor of political cronies, the piece of the Azar story that has attracted the most outrage is ironic. Azar tapped a key aide with little experience or education in public health, management, or medicine to head up the response of Health and Human Services to the coronavirus crisis.

Before going to work for Azar, the aide, Brian Harrison, was a dog breeder who specialized in labradoodles.

 

 

Notes:

McEntee: https://www.axios.com/johnny-mcentee-white-house-d1c29eee-8b0a-4c4d-8ba4-9355f3c27f4f.html

Cabaniss resigns: https://www.politico.com/news/2020/03/17/opm-chief-resigns-134541

PPO and OPM: https://www.politico.com/news/2020/04/21/democrats-blast-trump-federal-workers-coronavirus-199026

Bright: https://www.nytimes.com/2020/04/22/us/coronavirus-live-coverage.html

https://www.nytimes.com/aponline/2020/04/22/business/ap-us-virus-outbreak-hhs-whistleblower.html

https://www.cnn.com/2020/04/22/politics/rick-bright-barda-trump-coronavirus/index.html

https://www.thedailybeast.com/study-of-hydroxychloroquine-trump-promoted-coronavirus-drug-finds-more-deaths

https://www.nytimes.com/2020/04/22/business/media/virus-fox-news-hydroxychloroquine.html

Kemp: https://www.nbcnews.com/politics/donald-trump/trump-reverses-course-says-too-soon-georgia-reopen-n1190061

https://www.politico.com/news/2020/04/22/trump-kemp-georgia-reopen-coronavirus-202117

If you liked this post from Letters from an American, why not share it?

 

Posted in Coronavirus, Health Care, Trump, Uncategorized | Tagged , , , , , , | Comments Off on Labradoodle dog breeder heads HHS response to the coronavirus

I am Pissed off!

Screen Shot 2020-04-23 at 1.25.38 PM
From Perry Gershon:
I am pissed off!
The Republican leader, Mitch McConnell, said yesterday that state and local governments should declare bankruptcy if they find themselves in a financial hole due to the Coronavirus pandemic.
Is he serious?
How in the world do we fight this crisis and bring jobs back if state and local governments are declaring bankruptcy?
Governor Cuomo called out what McConnell said as “offensive”, and “one of the saddest, really dumb comments of all time.” Exactly right.
Mitch McConnell is competing with Donald Trump to be the poster child for demonizing and politicizing a national health crisis.
But what I am really pissed off about is the complete and total silence from Lee Zeldin. Again and again and again, this guy never fights for us. Never!
Even his Republican colleague on Long Island, Peter King said the comments were “shameful and indefensible” and called McConnell the “Marie Antoinette of the Senate.”
But nothing from Zeldin. Nothing.
Nothing but his usual silence in the face of the most extreme in his own party.
Let me be clear, the money the states and local governments are asking for would go to our fire fighters, police officers, EMTs, and healthcare workers.
HEALTHCARE WORKERS!  This is who Zeldin will not fight for.
Folks, we need to defeat Lee Zeldin.
Perry
Posted in Coronavirus, Health Care, perry gershon, Peter King, Trump, Uncategorized, Zeldin | Tagged , , , , , , , , , , | Comments Off on I am Pissed off!

How Fast is the Coronavirus spreading?

Rt is a key measure of how fast the virus is spreading. It’s the average number of people who become infected by an infected and infectious person. Rt = 1 means one infected person infects one other person on average. If Rt is above 1.0, the virus will spread quickly or logarithmically.  For example, if Rt = 2, the progression of infected persons from that one index case goes 1,2,4,8,16,32,64,128,256,…etc.  When Rt is below 1.0, the total number of infected persons will start to decrease.

https://rt.live/ is a really cool site that tracks the Rt number, by State, and over time.

Here are some examples, but you really should go to the website and look for yourself.

These are the current data for every state in the Union. In green are the states with Rt  below 1.  In red are the states with Rt above 1:

Screen Shot 2020-04-21 at 1.42.48 PM

This was 3 weeks ago:

Screen Shot 2020-04-21 at 1.44.38 PM

This is current and highlights the states without stay-at-home (shelter in place) orders:

Screen Shot 2020-04-21 at 1.48.11 PM

Rt numbers over time per state:

Screen Shot 2020-04-21 at 1.45.11 PM

Screen Shot 2020-04-21 at 1.45.21 PM

Screen Shot 2020-04-21 at 1.45.44 PM

You can also superimpose these curves with the curves of new cases:

Screen Shot 2020-04-21 at 1.59.03 PM

Persistent low Rt numbers as in the case of New York since early April, seems to correlate with “flattening of the curve” of new cases.  The reverse also holds true in some states like Ohio where a recent uptick of the  Rt number between April 12-19 corresponds with increased numbers of new cases and no flattening of the curve.

I signed up on https://rt.live/ to get updates by email and twitter.  I recommend that all those making COVID-19 related decisions, whether nationally or locally, follow these data carefully. They may provide a guide for cautiously reversing stay-at-home orders in some locations.

Please remember: our health and our economy are one and the same.

 

 

Posted in Coronavirus, Health Care, Trump, Uncategorized | Tagged , , , , | Comments Off on How Fast is the Coronavirus spreading?

#Votebymail

Screen Shot 2020-04-21 at 12.41.40 PM

The 2020 election season moves onward and, across America, people have been asked to either put their health at risk thanks to this pandemic—or not vote.

That’s completely inexcusable. In this time of crisis, we have to protect our health AND protect our democracy.

As New Yorkers, and especially as Long Islanders, we know exactly how important this is.

The solution is simple: nationwide #votebymail.

Sign the petition: urge Congress to take action on vote-by-mail right now.

There is no good reason to delay taking action. Not one.

Voting by mail is safe, secure, and proven. It would allow Americans to exercise their most fundamental democratic rights, all while helping flatten this pandemic’s infection curve by staying home.

This is critical for vulnerable populations – our seniors, Americans with compromised immune systems, workers who have lost their health care – Americans who deserve a voice and a vote, no matter what. Vote-by-mail is also critical for heroes on the front lines – doctors, nurses, biomedical researchers – who shouldn’t be asked to leave work to stand in line at polling places.

Unfortunately, this has become a partisan fight. Donald Trump has even suggested that he’d prefer having fewer voters vote:

“They had levels of voting, that if you ever agreed to it you’d never have a Republican elected in this country again.”

A president of the United States… actually downplaying our civic duty. Unbelievable. And you can bet that Rep. Lee Zeldin is doing nothing to stand up for democracy.

Congress must act immediately to require states to make voting from home easier and to provide the funds to make it happen. In Congress, I will always put democracy first.

Perry Gershon

Posted in 2020 elections, Coronavirus, Uncategorized, voting by mail | Tagged , , , , | Comments Off on #Votebymail

Finally, Biden speaks out

Screen Shot 2020-04-20 at 8.11.46 PM

 

Watch the video on YouTube!

The Trump agenda:

  • Let’s make America poor again.
  • Let’s make America sick again.
  • Let’s make America jobless again.
  • Let’s make America the laughing stock of the world.
  • Let’s make America powerless again.  (Putin’s goal!)

 

 

Posted in Biden, Coronavirus, Health Care, Trump, Uncategorized, Zeldin | Tagged , , , | Comments Off on Finally, Biden speaks out

We’re all in this together, dear Earth Day

 

person holding green vegetables

Photo by Daria Shevtsova on Pexels.com

 

To my niece, sheltering with her cat in Queens,

I am thinking of you in your little apartment in the epicenter of a global pandemic. I am wishing you good health and safety, and am offering some thoughts on the future and personal empowerment as we look to celebrate Earth Day, April 22, 2020, in the time of Covid.

I was a little younger than you are now on the first Earth Day, 1970.  A college freshman then, I was hopeful that a national day would galvanize world collective action to honor our earth: to protect it; to stop polluting it; to bring us all together — my day-to-day life held news reports of the increasing count of body bags coming home from Viet Nam.  We had reached an awful peak by then, 54,000 dead, the vast majority my age, 20 and 21.  After graduation I moved to New York at a time when my generation faced a recession, high inflation, high unemployment. 

So I feel for you, living in this uncertain time, with an uncertain future, marking Earth Day.  We are living a different kind of disaster now, fifty years later, one of health.  Our nation, and the world, is in shock over a deadly pandemic, and it’s dawning on us that we are all in this together.  

The numbers we hear today in the news, as horrible as they are, link directly to our actions. Infections are going down, our Governor Cuomo tells us, because we brought them down.  We are all in this together, and we will get through it together.

To me that is hopeful and empowering.  I’ve seen wonderful acts of kindness, generosity, our community coming together here on the North Fork, which you know is a virus “hot spot.”  Local chefs are making dinners for nurses and doctors, farmers are delivering fresh greens to community food banks, neighbors are calling neighbors to see if they are ok.  Thankfully we are all heeding the medical experts and scientists.  The infection numbers are down because we are bringing them down. 

man in black shirt standing on top of mountain drinking coffee

Photo by Yogendra Singh on Pexels.com

If you look for it, there are some good news reports:  dolphins and swans returning to the canals of Venice, the snowy Himalayas again visible as pollution drops, white-tailed eagles appearing in England after two centuries. This month in Orient we have witnessed a wealth of young bald eagles.   

The clearing, right before our eyes, of air pollution in LA and in cities around the world  shows us the healing and regenerative power of nature.    

IMG_2049In honor of Earth Day, I would like to share some hopeful things I’ve learned from Project Drawdown.  Both a book and an ongoing climate solutions project, its roadmap for a livable future inspired a group of us to launch Drawdown East End to implement local solutions to reverse the climate crisis.  Our first rally last May, at the Southampton Town green attracted about 75 interested people, which has mushroomed into 2,000 wanting to know “what can I do?”

IMG_5225

A lot, it turns out.  Project Drawdown has identified 80 top “solutions” — opportunities for lifestyle changes that are less polluting, less wasteful, healthier, more economical, that achieve “drawdown” — the point when levels of greenhouse gases stop climbing and begin to come down. The Drawdown book outlines a path for this achievable goal.  Actions that can get our lives and economy humming with innovation.  Drawdown’s cost benefit analysis shows that starting now to address climate change could save the world $145 trillion. 

So, in honor of “we’re all in this together” this Earth Day I’ve pledged to change my life — to align my personal actions with my top 20 Drawdown solutions.*   Taking them one by one, making forever changes.  Because what I do matters. Because carbon emissions can come down if I (and we, together) bring them down. 

I call it my Drawdown lifestyle.

I’m starting with food: Drawdown Solution #3 Reducing Food Waste.  It will save me money,  it is extremely consequential — avoiding tons and tons of greenhouse gas emissions. IMG_5229 2

It’s something I can measure, it’s something I can do, it’s empowering.  We Americans waste 40% of our food, worldwide it’s over 30%.  Cutting that in half would reach Drawdown’s goal for food-emissions reductions.  I’m pledging to do better than 50%  — to get as close as I can to zero food waste. 

“This in an invitation to innovate and effect change, a pathway that awakens creativity,” says Drawdown editor Paul Hawken. 

So, right now, our freezer is stuffed, as usual, because I live with a packrat.  Mysterious packages from last year, or even beforesit unlabeled. Unlike previous years, my push to “let’s eat from the freezer” has not been met with resistance.  Rather, “OK. Good idea.”

Let’s do food the Drawdown way.

Pull out that unmarked package.  Get creative.  What can we make from this?

Veggie scraps go into freezer bags to later make stock.  All leftovers get eaten —  for lunch or given new life as a dinner dish.  All bones, fish or meat, become stock, or reduced to glaze, to add depth to another creation. The final destination for bones or eggshells is:  to the compost (my March birthday present);  ultimate destination: enriching the garden. 

We are hoping our nearby farmstand will open in May.  In the meantime, I’ve joined a local CSA for greens, another one for quail, and have bookmarked this updated list of East End farms open for business. Some send out weekly offerings, which you can order and pay ahead, and pick up curbside.  Fresh, local and keeps food-mile emissions down too.

How to reach zero?  Use everything.  No scraps to the landfill, where they just turn into polluting methane. 

Instead, all food is honored, never wasted, any tidbits that remain are tossed into our compost [you can even bury bones (deeply) in your garden.]  Composting  — Drawdown Solution #60 —  is a super solution to me.  It’s a win for soil, for farmers, for the climate.  Rich carbon soil is created from organic waste, safely sequestering carbon. Spread on farmland, compost increases the capacity of soil to retain carbon (plus aiding water retention and lowering the need for irrigation, fertilizers and pesticides.)IMG_5244

Two more reasons I want to reduce my food waste: 1) rain forests — avoiding their deforestation for additional farmland;  2) methane — avoiding methane-release from landfills, 34 times more powerful than carbon dioxide.  Why pollute? Why not consume our food?  Why not compost our scraps?  Why let any food waste go to a landfill?  All this waste. 

The U.N. has adopted a planet-wide goal of reducing food waste by 50% by the year 2030.  A good article in TIME outlines 4 concrete steps: 1) shop smart, 2) ignore expiration dates—unregulated, set by companies to get you to buy more, 3) divert away from landfills (where 60% ends up) — San Francisco has diverted nearly all its waste from the landfill transforming food waste into compost and selling it back to farmers, 4) transportation spoilage — spoiled while moving food from farm to market, a waste of food, resources, money, which can be corrected. 

We now know that we’re all in this together.  

And we have an achievable goal: drawdown.  Carbon emissions can come down, because we can bring them down, individually, as families, as neighbors, as communities.  Want to do something significant for Earth Day?  Why not reduce your food waste by 50%?

Here’s more ways to celebrate this Earth Day: Drawdown Earth Day events,  Roundup of Digital Earth Day activities.

Next time I’ll write about another top 20. 

Love you,

Aunt Mary

*P.S. If I piqued your interest: my top 20 solutions are lifestyle changes I can personally make around food, materials, transportation, and energy, as well as community regenerative best practices I can support regarding land and ocean use.

#WhatsYourDrawdown?

 

 

Posted in Uncategorized | Comments Off on We’re all in this together, dear Earth Day

Children as Likely to Get Coronavirus as Adults, but Don’t Get Sick.

Screen Shot 2020-04-19 at 4.38.45 PM

Does Your Kid Have to Wear a Mask Outside?  The CDC is asking all adults to wear masks. But what about kids? By Tara Santora  Apr 10 2020, 8:25 AM

 

Why is this question so important?  If children were “immune” as suggested by Elon Musk, we could open up the schools and thus free the parents to return to work.  It might boost the sagging economy.  So goes the reasoning.

However, many experts disagree:

  1. Children get infected at the same rates as adults:

“At the beginning of the pandemic, it was thought that children are not getting infected with the coronavirus, but now it is clear that the amount of infection in children is the same as in adults,” explains Andrew Pollard, professor of pediatric infection and immunity at the University of Oxford. “It’s just that when they do get the infection they get much milder symptoms.

This opinion rests on research on people in Shenzhen, China, with confirmed SARS-CoV-2 infections and data from their close contacts:

In total, they looked at 391 people with confirmed COVID-19 and 1,286 individuals who were in close contact.

The researchers’ aim was to find out whether close contacts of people with COVID-19 would test positive for SARS-CoV-2 (the name of the virus that causes the disease COVID-19).  And would they transmit virus to their close contacts even when they presented no obvious symptoms?

The investigators found that children under 10 who were in close contact with people who had COVID-19 demonstrated a 7.4% infection rate — very similar to the 7.9% infection rate in adults.

However, the researchers also determined that children were less likely to develop symptoms, even though they seemed just as likely as adults to contract the virus.

“Kids are just as likely to get infected [as grownups] and they’re not getting sick,” notes co-author Justin Lessler, Ph.D., from the Johns Hopkins Bloomberg School of Public Health, in Baltimore, MD.

The researchers also report that people who lived with individuals who had diagnosed COVID-19 were more likely to develop the infection than other close contacts.

  1. Coronavirus Disease 2019 in Children — United States, February 12–April 2, 2020

Whereas most COVID-19 cases in children are not severe, serious COVID-19 illness resulting in hospitalization still occurs in this age group. Social distancing and everyday preventive behaviors remain important for all age groups as patients with less serious illness and those without symptoms likely play an important role in disease transmission.

  1. A study from Wuhan in the New England Journal of Medicine: “Asymptomatic infections not uncommon” in children

The study describes 1391 children assessed and tested from January 28 through February 26, 2020, a total of 171 (12.3%) were confirmed to have SARS-CoV-2 infection. They conclude: “In contrast with infected adults, most infected children appear to have a milder clinical course. Asymptomatic infections were not uncommon.2 Determination of the transmission potential of these asymptomatic patients is important for guiding the development of measures to control the ongoing pandemic.”

  1. Notes from a pediatrician colleague at Weill Cornell Medicine, Dr. Seth Gordon:

I have found no antibody studies in children. (In case you need a primer on the different types of Coronavirus tests, check here). For the most part, children have been NEGLECTED from the beginning. This has been a tremendous oversight and continues to be a blindspot. Every parent knows children spread infection. They congregate in large groups and are the least hygienic among us. They don’t even make proper masks for children. Children have [likley] been a major vector of COVID-19 spread yet only about 1% of COVID-19 positive tests (RT-PCR swab tests which detect viral RNA) were performed on children.  But I believe they represent the vast majority of actual infections. Early on, when I advocated for the closure of schools it was because I was detecting asymptomatic children who were COVID-19 positive. Isn’t this why our schools are closed? I don’t see any evidence that we solved or addressed this issue at all and I see daily evidence of new COVID-19 cases in children. How are we supposed to reassimilate children in schools or camps when we have so little knowledge and testing.  It is not even known whether children will develop protective antibodies.  This is a HUGE problem in my estimation. While most children do well it is not a universal truth. I have taken care of many sick children during the last two months. As a physician, I feel helpless and frustrated when I can not treat or cure a patient. When Doctor Oz endorses a 2-3% child mortality rate upon returning to school, it really leaves me bewildered as a pediatrician and a parent. If a second wave of COVID-19 comes as predicted, it may be driven by non-immune children in Nov/Dec getting infected and spreading infections to adults again. So it is important to determine the immune status of children BEFORE we return them to school. This way we can make informed decisions.

  1. I would like to add a comment:

If we study the apparent natural resistance in children to the disease (COVID-19), we might gain important knowledge that will help those adults that don’t have that resistance, those that end up in the ICU and on the ventilators. The first step is to test all children, not only adults. Testing and contact tracing is key.  It is key to economic recovery too.

 

Posted in Coronavirus, Health Care, Uncategorized | Tagged , , , , , , | Comments Off on Children as Likely to Get Coronavirus as Adults, but Don’t Get Sick.

No Surprise

Screen Shot 2020-03-25 at 2.38.53 PM

From Southampton Press: No Surprise

For those of us inclined to pay close attention to the Trump administration, this aspect in particular stands out: the undoing of all varieties of federal regulation. Environmental, banking, consumer and health regulations have been targeted for extinction or reduction. In the words of former Trump advisor Steve Bannon, “Our job is the deconstruction of the administrative state.”

Deconstructing important parts of the “administrative state” increases the threats to our health and safety, with loss of life an all-too-common outcome.

Shortly after President Trump was inaugurated, he issued an executive order directing federal agencies to use their administrative powers to begin dismantling the Affordable Care Act “to the maximum extent permitted by law.”

Last July, the federal Centers for Medicare and Medicaid Services, or CMS, proposed a reversal of Obama-era rules that aimed to protect nursing home patients by requiring all nursing home facilities to hire at least one full-time specialist in infection control. Seema Verma, the CMS administrator and a presence at President Trump’s daily coronavirus briefings, expressed concern about not “micromanaging the process.”

It should come as no surprise to learn that a nursing home lobbying group has contributed to the Trump campaign (New York Times, “Regulator Intends to Relax Oversight In Nursing Homes,” March 16, 2020).

The first novel coronavirus hotspot in the United States occurred at the Kirkland Life Care Center for the elderly in Washington State. In neighboring New Jersey, COVID-19 is running through St. Joseph’s Senior Home in Woodbridge Township. And, closer to home, Peconic Landing, an elderly community on the North Fork, is experiencing a heartbreaking toll of infected COVID-19 patients.

Is there a direct cause-effect relationship between regulatory rollback and any one positive COVID-19 case? No, but having a full-time infection control specialist knowledgeable about the science of infectious disease and vector control would have established policy and protocol ready to take the most efficacious approach to life-saving measures.

Mike Anthony

Westhampton

Mr. Anthony is a former Southampton Town Democratic Committee chairman — Ed.

Posted in ACA, Coronavirus, dergulation, Health Care, Trump, Trump atrocities, trumpcare, Uncategorized, Zeldin | Tagged , , , , , , | Comments Off on No Surprise

Are we Failing our Seniors by not Providing COVID-19 Testing?

Laura Ahearn just released the following:

STATEMENT FROM STATE SENATE CANDIDATE  DEMOCRAT LAURA AHEARN (SD-1)

Nearly Half of Suffolk County COVID-19 Deaths Occurred at Nursing Homes and Assisted Living Facilities 

– Transparency Will Bring Needed Resources –

 

“On Monday April 13th state health officials released the COVID-19 county-level death toll in assisted living facilities and nursing homes. The coronavirus has killed more than 2,722 people living in such facilities, or about 27% of all virus-related deaths (10,056) statewide as of that date.

According to state health officials, 252 people died at either a nursing home or an assisted living facility in Suffolk County as of Monday April 13th.  There were a reported 529 total deaths in Suffolk County as of that date which means that nearly half of all coronavirus deaths in Suffolk County (47.6%) were people living in nursing homes and assisted living facilities.

Our most vulnerable population, our parents and grandparents, are being attacked by a vicious killer and the percentage of deaths in these facilities compared to hospital deaths is disproportionately increasing at an alarming rate.  In fact, according to the Governor’s reports, COVID deaths in hospitals and nursing homes on March 20th indicated that 1.4% of overall deaths were occurring in nursing homes but by April 13th that number jumped to 17.1%.

Patient advocates and families with loved ones in these facilities are asking the state to release the total number of deaths and positive cases for each facility across the state.  According to Elder Care advocates, disclosure of this information is a public health necessity to raise public awareness so that we can properly gauge the scope of the problem and direct the resources needed to stop the spread and to save lives.  Families of loved ones and folks living in these facilities themselves are desperately seeking expansive testing not only of residents but also of staff working there who come and go on a daily basis. If private companies can access testing tools it seems that nursing homes and assisted living facilities who care for our most vulnerable can and should too.

Vaccines are reportedly 12-18 months away, new medical treatments are being explored and discussions are beginning about how to build the bridge to reopen our lives and the economy.  Let’s not forget our seniors, one of our most vulnerable populations right now in nursing homes and assisted living facilities that need our immediate help. The very first step is to understand the scope of the problem which begins with releasing the total number of deaths and positive cases for each facility across the state so that policy and lawmakers can direct the appropriate resources to help our most vulnerable.”

 

Commentary (by D. Posnett MD):

  1. There is no reason for the absence of testing in nursing homes and senior assisted living comunities! Not when there is an ongoing out break in a home like Peconic Landing in Greenport. Not when I can get a test for myself. Not when local physicians in Suffolk are getting tests for their patients.  Yes, I know first hand, it is a pain in the neck and may involve hours on the phone or in line at a drive through.  But it is feasible.
  2. Why is it important to test  everyone at Peconic Landing? They are the largest job provider in Greenport.  Some 300-400 people work there and they go home every night to their families.  Regardless of whether they work in direct patient care or in the kitchen or on a maintenance crew, they are at risk of bringing the virus out of the facility and spreading it in the community.  I am worried about the elderly frail and susceptible residents at Peconic Landing, but I am also concerned about the entire community. Ultimately I am worried about the economic disaster that may follow.
  3. What would we do differently  if we had test results?  Workers that test positive would have to stay home under strict quarantine, regardless of whether they have symptoms or not (see below).  Residents that test negative would have to quarantine, but they might be able to leave the facility after 14 days if symptom free.  That is what occurred with passengers on the cruise ships. Workers who develop antibodies (a different kind of test) will likely be safe to return to work, as they may be immune.  Finally, we are heading towards massive tracking of positive cases as already done in other countries.  Tracking allows one to identify contacts that are in danger of getting the disease.  It is useful to start with the origin and in Greenport that would be Peconic Landing.
  4. For every symptomatic person, there are 7 asymptomatic people out there! Note a recent study that just appeared in the New England Journal of Medicine.  They tested all women who came in to Labor and Delivery at New York Hospital (Weill Cornell).  Only 1.9% (4 patients) had symptoms of COVID-19 and all 4 tested positive by RT-PCR.  But 13.5% had NO symptoms and yet tested positive.  This means that a lot of people are infectious and spread the disease without even knowing it.   That is why EVERYONE NEEDS TO BE TESTED!
  5. In Florida, nursing homes are petitioning the Governor to be shielded from law suits! It sure looks like they are running scared.  Perhaps they should be, if they refuse to test when tests are available:
    Ron DeSantis Has No Power to Shield Florida Health Care Providers From Coronavirus Lawsuits
    The Florida governor is mulling an unconstitutional order that would protect negligent medical professionals. Read in Slate: https://apple.news/AMjfN9BVfSoaCZtukOcphTQ
Posted in Coronavirus, Health Care, Uncategorized | Tagged , , , , | Comments Off on Are we Failing our Seniors by not Providing COVID-19 Testing?