Coronavirus COVID-19 - Global Health Pandemic #88

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You are so right: the Federal Government ( Democrats and Republicans have been appalling)---

I sure as heck hope that they get this 2nd covid stimulus package agreed and passed before Christmas. The sooner, the better.

Judging by the food bank lines and unemployment figures, there are a lot of hurting people out there.
 
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I got chest pains at work today and basically hid until they went away. All I could think was I can't be going to a hospital now. (It went away. It's probably related to my autoimmune disease.)
Funny you should mention this. A few times yesterday, at work, I was feeling a weird twinges in my chest. My general theory of self care has evolved over time, and I'm now in the "ignore it til it goes away, unless it gets worse, at which time I will spend more hours than prudent trying to talk myself out of seeing a doctor," lol!
 
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You all can help them by using their takeaway food service. They can't stay in business by having five tables open, but they can stay in business if their regulars and others use their takeaway food service.

Now is the time the community needs to support their local restaurants and cafes.
It is not all up to the govt to provide them with money, which will only raise your taxes.

Local support does work. And there are already tax breaks in place for these businesses during this pandemic, which we have explored before.

People do not like change. But the federal leadership during this pandemic has been appalling. The least people can do is support their local leadership in trying to suppress this virus. IMO
The virus needs to be suppressed before businesses can be safe again.

The restaurants here whinge and whine as well, but we are supporting them. They are still in business.


"A lot’s changed, and continues to change, but throughout the crisis, takeout and delivery have remained constant. Now is the time to support a beloved restaurant or try something new. "
Where to Order Takeout and Delivery in LA Right Now
I agree, yet we have miles-long lines for free groceries. Many people don't have cash for regular food, let alone restaurant food. These businesses rely on a small pool of wealthy customers who expect to be allowed to break the "rules" (hello CA politicians). These are symptoms of a deeper failure of the nation to respond to crisis by returning our tax dollars to us in ways that allow us to feed ourselves and support our communities. For example, I know the UK was offering discounts in August for people to support local restaurants. I don't know if that's still going on, but I thought it was a great idea.
 
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I agree, yet we have miles-long lines for free groceries. Many people don't have cash for regular food, let alone restaurant food. These businesses rely on a small pool of wealthy customers who expect to be allowed to break the "rules" (hello CA politicians). These are symptoms of a deeper failure of the nation to respond to crisis by returning our tax dollars to us in ways that allow us to feed ourselves and support our communities. For example, I know the UK was offering discounts in August for people to support local restaurants. I don't know if that's still going on, but I thought it was a great idea.
The (non-franchise, non-chain) local restaurants aren’t making it with take-out and/or delivery around here. DoorDash and UberEats are not available in every area, even in large cities! These restaurants need in person dining and more than that - they need their bar area open. It’s the sense of gathering and community, talking to neighbors, playing trivia, local musicians, at the bar area. Some restaurants have tried but had to give up after 8 months. The ones that are still going - I doubt they can last another 6 months.
JMO
 
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Healthcare Workers From Across Country Arrive At Worcester COVID Field Hospital
Central MA field hospital opening today. With staff coming in from all over (travelers)



Hospital staffing issues
Central MA
Health workers battle COVID-19 and burnout
More at link
Maureen Horan, a registered nurse at UMMC, said 20 people in her intensive care unit, including personal care assistants, nurses and secretaries, have left since March, choosing a transfer, retirement or early retirement.
“Staff has not even come back to work — they just called and said not coming back,” said Martha Diaz, an RN at UMass Memorial. “The degree of mental, physical and emotional exhaustion among staff has gone up, absolutely. ... I try to be optimistic and find a solution, but this one I’m having trouble with.”
At St. Vincent Hospital, more than 100 nurses have left the facility for other hospitals with better conditions, pay and benefits, according to the Massachusetts Nurses Association.





If this is accurate the NEast part of the state is out of ICU beds
https://www.mass.gov/doc/covid-19-dashboard-december-5-2020/download
 
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Covid Survivors With Long-Term Symptoms Need Urgent Attention, Experts Say

This is why I am so careful. I could easily see myself in this group. Still struggling with Covid symptoms, and having to drag myself to work each day. There is zero safety net for these people. Unless they have someone who can support them while they apply for Social Security Benefits.

From the above link:

“There is an urgent need to address long-term symptoms of the coronavirus, leading public health officials said this week, warning that hundreds of thousands of Americans and millions of people worldwide might experience lingering problems that could impede their ability to work and function normally.

In a two-day meeting Thursday and Friday, the federal government’s first workshop dedicated to long-term Covid-19, public health officials, medical researchers and patients said the condition needed to be recognized as a syndrome, given a name and taken seriously by doctors.

“This is a phenomenon that is really quite real and quite extensive,” Dr. Anthony S. Fauci, the nation’s top infectious diseases expert, said at the conference on Thursday.

While the number of people affected is still unknown, he said, if long-term symptoms afflict even a small proportion of the millions of people infected with the coronavirus, it is “going to represent a significant public health issue.”

[...]

““Approximately three months after their acute illness, more than half of our patients have at least a mild cognitive impairment,” said Dr. Ann Parker, who co-directs a post-Covid clinic at Johns Hopkins. “We’re also seeing substantial mental health impairments.”

Dr. Janet Diaz, head of clinical care for the World Health Organization’s Covid-19 response, said the agency is planning a meeting focused on long-term coronavirus effects and will soon start collecting data on post-Covid symptoms and medical visits.

She said that while doctors are accustomed to prolonged recovery challenges for people hospitalized for serious illnesses, the lingering symptoms in younger people and those who were not hospitalized for the coronavirus “urgently needs to be better understood and investigated.””

—-

Doc T’s comments on this issue from Oct. 30, 2020 / 3 persons also shared their own personal experiences
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WHO Director-General's opening remarks at the media briefing on COVID-19 - 30 October 2020
30 October 2020
  • [...]
  • Over the past few months, I have heard first hand from people who face mid to long-term effects of COVID-19 infection. WHO will continue to do more research to establish best standards of care to accelerate recovery and prevent such complications. “

[...]

“Over the past few months, I have heard first hand from people who face mid to long-term effects of COVID-19 infection.

What’s really concerning is the vast spectrum of symptoms that fluctuate over time, often overlap and can affect any system in the body.

From fatigue, a cough and shortness of breath, to inflammation and injury of major organs - including the lungs and heart. And even neurological and psychologic effects.

Although we’re still learning about the virus, what’s clear is that this is not just a virus that kills people.

To a significant number of people, this virus poses a range of serious long-term effects.

While people do recover, it can be slow – sometimes weeks or months – and it is not always a linear route to recovery.

Though exact numbers of people experiencing the long-term affects are not yet clearly defined, post COVID-19 symptoms and complications have been reported in both non-hospitalised and hospitalised patients.

There have been cases in women and men, both young and old. And even in children.

WHO will continue to do more research to establish best standards of care to accelerate recovery and prevent such complications.

It is imperative that governments recognise the long-term effects of COVID-19 and also ensure access to health services to all of these patients.

This includes primary health care and when needed specialty care and rehabilitation.

I’d now like to hand over the floor to three patients who are still combatting the long-term effects of COVID-19 so that we can hear their stories.
First, Professor Paul Garner from Liverpool School of Tropical Medicine who has himself been recovering from COVID-19 since March.

Paul the floor is yours.

===

Thank you so much Professor Garner for sharing your experience.

And now to Martha Sibanda, a nurse who is joining us from Jo’burg, South Africa. Marta, the floor is yours.

===

Thank you Martha for taking the time to share your experience with us.

I would now like to hear from Lyth Hishmeh from the United. Lyth is a member of Long COVID SOS, a patient advocacy group in the UK.

You have the Sir

===

Listening to Paul, Martha and Lyth share their experiences and array of symptoms, it really reinforces what a dangerous virus COVID-19 is.

Your stories underscore that those facing the long-term effects of the virus must be given the time and care they need to recover fully.

It also reinforces to me just how morally unconscionable and unfeasible the so called ‘natural herd immunity’ strategy is.

Not only would it lead to millions more unnecessary deaths, it would also lead to a significant number of people facing a long road to full recovery.

Herd immunity is only possible with safe and effective vaccines that are distributed equitably around the world.

And until we have a vaccine, governments and people must do all that they can to suppress transmission, which is the best way to prevent these post-COVID long-term consequences.

[...]
 
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White House vaccine chief praises Biden's plan to ask Americans to wear masks for first 100 days - CNNPolitics

BBM:

“Vaccine distribution

Slaoui said Sunday that he expects the US Food and Drug Administration to issue emergency use authorization of the vaccine manufactured by Pfizer after a meeting of its Vaccines and Related Biological Products Advisory Committee on Thursday. The FDA has said it is considering EUA, not full approval -- a process that would take months -- for coronavirus vaccines.
"I expect them to recommend approval, based on the data I'm aware of. And I saw the vaccine is highly effective, the vaccine is safe, its safety profile is comparable to that of many other vaccines that have been in use for years," he said.
"Overall, I really hope they do it quickly, and that the vaccine will be available to our population starting later this week," Slaoui added.
While Slaoui used the word approval, what the FDA is considering falls short of full approval. The FDA has said it will require close to full approval standard for a coronavirus vaccine, but will use the quicker emergency use authorization route while the companies pull together all of the information needed for the full approval process, known as a Biologics License Application or BLA.
The agency will meet with the advisory committee again next week to review a vaccine application submitted by Moderna.“
 
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I agree, yet we have miles-long lines for free groceries. Many people don't have cash for regular food, let alone restaurant food.

Yes. I agree. But this is not the fault of the Governor shutting down outside dining to try to suppress the spreading virus. This is a deeper problem. This is because an ongoing or 2nd federal stimulus package has not yet been forthcoming, and because the virus is running rampant throughout the whole country - which has deeply disturbed the economics of the country as a whole.

The local govts are battling to stop their healthcare systems from collapsing. They (many of them) are battling to get their constituents to do the right thing. Their focus is on an extremely urgent issue.
The finer details - such as local discounts - cannot even get onto the agenda just yet. IMO

Our state govt has offered discounts ($100 travel vouchers) to stimulate hotels and accommodations, they were quickly snapped up. And round two of these discounts is about to happen. But they have the time to focus on these kinds of economic stimuli because our healthcare systems are healthy, because federal aid has been available for all, because the virus is being suppressed.

South Australia Travel Voucher | SA Tourism
 
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The (non-franchise, non-chain) local restaurants aren’t making it with take-out and/or delivery around here. DoorDash and UberEats are not available in every area, even in large cities! These restaurants need in person dining and more than that - they need their bar area open. It’s the sense of gathering and community, talking to neighbors, playing trivia, local musicians, at the bar area. Some restaurants have tried but had to give up after 8 months. The ones that are still going - I doubt they can last another 6 months.
JMO

Yes, they do need that. But first the whole country needs the virus to be suppressed. IMO
If you don't get the virus suppressed, these businesses will continue to struggle as people avoid them, as people grow sick, as people die.
This has gone on for way too long now, and businesses are falling by the wayside all over the place there.
 
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