COVID-19 The SCIENCE

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SCIENCE and HISTORY


Pandemic Management

☣️  Britain and Germany offer opposite case studies in pandemic management, Current data show Covid-19 has claimed more than six times as many lives in the UK as in Germany, per 100,000 people.    Germany locked down more quickly, had more ICU beds, had a manufacturing sector that could produce medical equipment quickly, and developed testing and tracing efficiently…
But while it does compare the UK unfavorably, we conclude that countries do best when they display humility and learn from each other—which, Britain should do now, repeating a bit of history and studying Germany’s systemic investments and disease preparedness. 

☣️  In that spirit, it may be worth revisiting some lessons from East Asia  Plenty of attention has been given to the testing, tracing, and phone apps employed in places like South Korea, Taiwan, and Singapore, but Cha argues more strategic points.

One important lesson, he observes, is that in public communication and forging partnerships, leadership at the top is important. In Taiwan, Cha writes, “citizens trusted the daily briefings coming from the government as they were expert-based rather than political … Asian governments also fostered public-private sector partnerships for supplies of medical equipment, contact tracing, social distancing, and everything in between. 

☣️  In South Korea, national health authorities partnered with twenty medical and pharmaceutical companies to produce test kits under an expedited regulatory approval regime.”

Another is to recognize what shouldn’t be left to local authorities: East Asian governments “delegated implementation of response plans to the local levels; however, they also understood that some tasks could only be led at the national level.” South Korea’s government, for instance, bought up 80% of the country’s N95 mask production, set a government-controlled price of about $1.27, and distributed masks to hospitals.

☣️  Yet another may resonate in the US as fierce debates unfold over mask wearing. Cha argues it’s a facile mistake to see Asian cultures as more compliant, but he argues it’s not wrong to say East Asians were willing to sacrifice for the public good. 

☣️  Focusing on the adoption of contact-tracing apps despite privacy concerns, Cha writes, “Westerners might frame state and society in antagonistic terms on this issue, but one epidemiologist in South Korea distilled the concept of civic responsibility practiced in Asia: ‘Everybody’s freedom is affected. We have to ask ourselves if one person’s privacy is more important than the lives of a family or other people.’”

☣️  Test Early, Test Often, Ignore Politicians.


We Were Warned, He Caught It, No One Paid Attention
A Chinese doctor who tried to issue the first warning about the deadly coronavirus outbreak has died, the hospital treating him has said.  Li Wenliang contracted the virus while working at Wuhan Central Hospital.

He had sent out a warning to fellow medics on 30 December but police told him to stop “making false comments".  There had been contradictory reports about his death, but the People’s Daily now says he died at 02:58 on Friday (18:58 GMT Thursday).  Knowing China we cannot ascertain he died from the virus, bullets aren’t called viruses.  

Dr Li, an ophthalmologist, posted his story on Weibo from a hospital bed a month after sending out his initial warning.  The 34-year-old had noticed seven cases of a virus that he thought looked like Sars - the virus that led to a global epidemic in 2003.  On 30 December he sent a message to fellow doctors in a chat group warning them to wear protective clothing to avoid infection.

Four days later he was summoned to the Public Security Bureau where he was told to sign a letter. In the letter he was accused of “making false comments” that had “severely disturbed the social order".  

In his Weibo post he describes how on 10 January he started coughing, the next day he had a fever and two days later he was in hospital. He was diagnosed with the coronavirus on 30 January.  Rest in peace, you are a hero and will be remembered as one… we don’t forget the good guys…


Truth From Scientists Instead Of A Moron Reality Star

 COVID-19 is caused by NOVEL VIRUS structure called SARS-CoV-2.   Older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes are at a  higher risk for developing more serious complications from the COVID-19…  Now we understand younger people are more susceptible as well.  This spore has np favorites and has morphed to a higher exposure air wise droplets.

👺  It is thought to spread mainly from person to person, mainly through respiratory droplets produced when an infected person coughs or sneezes, or in a closed space like a bar when drunk and screaming or yelling but now it can suspend in circulating air.   These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.  Spread is more likely when people are in close contact with one another (within about 6 feet or more).  And when the fans and AC are going, the spores can survive up to three hours in suspension.

👺  One loudmouth screaming drunk in a bar with the virus will contaminate the whole place.  In south Korea one person inebriated, delighting in his freedom restored to full stupidity,  got loud and one week later, the “King Bar”  crowd has caused 164 new cases, to be contaminated and all positive and have COVID-19.  And that means 164 new spreaders.

👺  It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes. This is not thought to be the main way the virus spreads, but we are still learning more about this virus.  

👺  Two things surfaced, a lot depends on how long you were in a contaminated area or state and air-conditioning spreads the contact area very nicely and even with regular filters might not kill the spores. Again estimated life on the spore is three hours and it can stay in suspension in the air.

👺  Trillions of dollars of new spending, and back-up measures by the Federal Reserve, suggest some of the damage to the economy could be mitigated.  But you are not going to get rid of this bad-boy so easy, and more will die.  Scientists are rapidly scaling up research into treatments for the virus and are seeking a vaccine that, within a year or two, could possibly vanquish the threat.  But, and there is a chance there may never be a vaccine, so some things since the beginning of time have no vaccines.  


Ignore T-Rump And His Words

♨️  All the opportunistic hoopla is political, not factual and get filed under Bullsh*t. especially under the World Series Of Incredible Bullsh*t from the WhiteHouse.  Frankly speaking, this will be no party, hunker down, and those optimistic views as our stupid leadership is showing it’s true colors of really knowing absolutely nothing.  Some of the announcements have been more like publicity releases for a company to drive the stock market and not factual at all.

♨️  COVID-19 testing in the United States is disorganized and needs coordination at the national level, infectious disease experts said in a new report released Wednesday.  Right now, testing is not accurate enough to use alone to make most decisions, the team at the University of Minnesota said. 

♨️  We know now that spores do have a coating.   Bacterial spores, the most resistant organisms on earth, carry an extra coating of protection previously undetected. The finding could shed light on why spores of the bacteria that cause botulism, tetanus, and anthrax might also and most likely COVID-19 might launch clues.

♨️  The microbiologists examined the proteins that comprise spores’ protective layers.  Previous research has shown that 70 different proteins make up these layers. Less understood is how these proteins interact to form the spores’ protective coats.  We know nothing about Corvid-19  T-RUMP took their money and facility away. And might take a year for a real vaccine to come on the market and thats gamble. Some never get a vaccine…


Mutations

♨️  The new COVID-19, like all other viruses, can mutateor undergoes small changes in its genome. A recently published study suggested that the last coronavirus, SARS-CoV-2, had already mutated into one more and one less aggressive strain. This might be different,  200,000 deaths in the US and no treatment is scary…

Mutations are alterations to a DNA sequence. If one thinks of the information in DNA as a series of sentences, mutations are errors in spelling the words that make up those sentences. Sometimes mutations are inconsequential, like a misspelled word whose meaning is still quite clear. At other times mutations have stronger ramifications, like a sentence whose meaning is completely changed.

COVID-19 illness Possible Mutation — And now my biggest fear was mutation or shifts and now that has happened with 150 cases of a new strain effecting children with five deaths.  It is new and unknown, mostly in the NY epicenter.  They are calling it Pediatric Inflammatory Multi-system Syndrome, or PIMS, is now being seen across the country and is striking newborns and teenagers alike.  
Several children have already died and at least 135 have been diagnosed with the condition in New York, New Jersey, Connecticut and Massachusetts.  The condition occurs six weeks after a child is exposed to COVID-19; common symptoms include fever, inflammation and rash.

♨️  A complication of the COVID-19 not even acknowledged by many a week ago, the new condition is now being seen across the country and is striking newborns and teenagers alike.  After fighting off the virus, a child’s immune system is in overdrive and can cause an inflammatory syndrome — similar to toxic shock or what’s called Kawasaki disease — that affects the skin, eyes and blood vessels, and can be deadly.

👺 ♨️  Health officials say symptoms include fever, and more than half of the cases reported having rashes, abdominal pain, vomiting or diarrhea. While it has been considered a direct symptom of COVID-19, less than half of the pediatric patients in New York City displayed any shortness of breath.  “Swelling of the hands or feet, eye redness, cracked lips, and this rash — all over rash — and you’ll very typically see it on the back,” said Dr. Tom Balcezak, chief clinical officer at Yale New Haven Health. “If you see those symptoms, call your medical professional, talk to your pediatrician and don’t delay your care.”


Two Very Stupid Ignorant Political Liars Interfering with Science Killing People

DONALD T-RUMP  — He claims too many testings?  Our sick President Donald T-RUMP said on Twitter that if the US stopped testing for COVID-19  we wouldn’t have a COVID-19 pandemic.   

              TRUE…Yes, this is true and if we didn’t sh*t for a week
most likely our eyeballs would turn brown.  

Further, "If you don’t test, you don’t have any cases. If we stopped testing right now, we’d have very few cases, if any,” he said, arguing the number of positive tests in the US is deceptive.  The man is a friggen moron and Pence agreed with him as most ass-kissers do but we knew he was a moron Evangelical Jesus Cult freak anyway.  He changed religions three times, lies like a crook and claims divine guidance, we wish him well when that giant black Angel takes him to hell for false idolatry.


Vice President Mike Pence — Who agreed with the leader, he gets his signals direct from T-RUMPS rear where he resides behind the chiefs behind.   Heads the administration’s COVID-19 task force, Ass-Kissing Ceremonies, Prayer requests to false Gods, makes runs to McDonalds for Bad Burgers, polishes T-RUMPS shoes and Offers Prayers-A-Lot, Waxes Trump’s Ego Baton and argued that the increase of COVID-19 in certain states is a matter of increased testing, not increased spread of COVID-19, we just call him the “ Number Two Responder”.    

EDITOR: In truth he is a Homophobic, total lying lowlife Evangelical fake liar and a coward.  He was hoping T-RUMP would fail sooner and he would become President.  As we have said from the beginning, his claims being a true believer are as full of sh*t as T-RUMPS painted eyeballs. This man too is a friggen moron.  His head is so far up the man’s ass he can tell you what T-RUMP  had for breakfast and a chance a bullet for T-RUMP might get him too since he is right behind him.


Prediction For Number Two ( Well-Named) 
 Pence truly showing his secret adoration for T-RUMP might one day find out when he gets dumped by T-RUMP for 2020.   Pence continued to ignore the tests and yet he encouraged state governors to emphasize that testing has expanded and that caused the rise. His job is to pacify the governor since if things keep up many will not be returning, hopefully we need a good coupe and some of these Trumpeteers need to be hanged and removed.
“I would just encourage you all, as we talk about these things, to make sure and continue to explain to your citizens the magnitude of increase in testing,” he said, according to the New York Times, which obtained audio of the call.  Thats contradicted T-RUMP and Pence was quiet for a while…


The Arc Of A Failed Pandemic Approach
Donald’s lie’s and bullsh*t  as usual lacking truth, certification, and transparency did not properly put the country on medical alert.  He had removed some of the early warning system and went on his hunches after all he is smarter than all of us, including Doctors, Scientists and remember the Generals and Admirals are not as smart as Donald.  

The virus has posed a particular test for President T-RUMP. He has polarized American politics, leading a substantial portion of the country to tune him out, while his constant stream of false statements has undermined faith in what he says, a dangerous situation in a crisis. 

He gets his info from all the fake make believe people at FOX news, Lou Dobbs, Hannity, Ingraham, and from noted boy wonder and cold-blooded pr*ck…  Jared Kushner,  White Nationalist Scumbag NAZI Racist Stephen Miller, and other slimeballs with an IQ not higher than pet rocks who advise the president.

And Americans are dying and getting sick as a result.  Thats just truth  …  He blames everybody else and its time the people fought back… Free speech if not true or validated rumors and conspiracies should be investigated and surfaced and those spreading lies should be charged as conspirators, if we had a legitimate legal part of our government which T-RUMP killed with Barr getting the DOJ. 

It’s free speech, I would defend with my life,  but has to be honest free speech.  Lies just don’t count and T-RUMP has spewed 20,000 of them. What you don’t believe that?  Check with Politico and the Washington post. When he lies people will die.

And “The United States is on track to have the worst outbreak of COVID-19 among wealthy countries, largely because of the ineffectiveness of its government,”  “This is the new face of American exceptionalism.”  We simply refer to it as the complete T-RUMP Supreme Regime F•ckup.  

The United States is paying the price today for decades of defunding government, politicizing independent agencies, fetishizing local control, and demeaning and disparaging government workers and bureaucrats,”   The federal government has added layers of inefficient bureaucracy, while a patchwork of 2,684 state, local, and tribal health systems is unwieldy. As a result, the weakness of US governance is being exposed,  all in the past 3.5 years, his legacy. 

The US health system has rated highly on the Johns Hopkins-led Global Health Security Index,  “Rich, strong, developed, America is supposed to be the readiest of nations,”  “ That illusion has been shattered”. Despite months of advance warning as the virus spread in other countries.  Thats what happens when a schmuck in the WhiteHouse denigrates all the world allies and associations that works toward the preservation of mankind.

A US response hampered by President Trump’s reluctance to invoke emergency production powers and unwillingness to heed warnings. Disease experts have been predicting for years that an epidemic could challenge the American health system,  but the government’s failure has been worse than any of them had imagined possible. 

If the most prudent strategies are followed, the country and the world are now in for a long haul—a “protracted game of whack-a-mole with the virus, stamping out outbreaks here and there until a vaccine can be produced”—and a future in which COVID could return seasonally in different forms, like the flu…

We understand the inbred GOP base and Evangelicals lack common sense but the problem is they are believers, they believe any sh*t he makes up and tells them.    Such talk is not a slip of the tongue. It hurts real people in real ways to call COVID-19 THE CHINESE or KUNG FLU VIRUS,  as T-RUMP insists on doing.   Spoken like a true retard.  And innocent Chinese who are born and raised here also called AMERICANS have been attacked because of the idiot remarks by T-RUMP and cohorts.


COVID-19 Is Not Alone, Other Centers of Disease Are Doing Nicely

👺 DENGUE   In Indonesia, dengue—which is spread through mosquitoes—has infected some 40,000 people so far this year, a nearly 16% rise from last year. Compounding the problem, most of Indonesia’s hospitals are now tasked with prioritizing patients with Covid-19, leaving those suffering from the painful and sometimes fatal symptoms of dengue without treatment.
👺 Argentina right now has more reported cases of dengue than COVID-19. 

👺 And experts note that Brazil is about to become the next epicenter of the COVID-19 pandemic just as its own dengue outbreak peaks and 57,000 have died already.
👺 The Centers for Disease Control and Prevention is reporting large dengue outbreaks in Singapore, the Philippines, Sri Lanka, Pakistan, Bangladesh, and Nepal.

👺 EBOLA  -  Meanwhile, the Democratic Republic of the Congo is scrambling to contain a new flare-up of an Ebola outbreak that began in 2018. The World Health Organization (WHO) reported a new series of cases there in April. As of May 5, there have been more than 3,500 confirmed or probable cases of Ebola in the region.

👺 YELLOW FEVER —  Health workers are also racing to vaccinate against yellow fever in Ethiopia, where an outbreak killed four people at the end of April. 

👺 MEASLES —  Both Mexico and Burundi are facing large outbreaks of measles

👺 MIDDLE-EAST RESPIRATORY SYNDROME — Saudi Arabia continues to battle an outbreak of as MERS.

👺 AFRICAN SWINE FEVER  —  Viral outbreaks are hitting animals around the world, too. India and South Africa are both fighting outbreaks of African Swine Fever, which is highly contagious. In 2018, the virus shot through Asia, killing some 10% of the total pig population in some countries.  
5/28/2020  The United States Department of Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS) has updated its African swine fever (ASF) strategic plan and expanded it into a full response plan as part of its ongoing efforts to strengthen response capabilities in the event of an outbreak.
This new plan – USDA APHIS ASF Response Plan: The Red Book May 2020 – elevates preparedness activities in the United States, particularly given USDA’s recent Veterinary Services’ National Training and Exercise Program’s ASF activities. The Red Book is a comprehensive response plan for the United States in the event of an ASF incursion in the country. To view or download the Red Book, visit www.aphis.usda.gov/fadprep. .

This plan incorporates and supersedes previous versions of the ASF Disease Response Strategies, from which this plan evolved. The following list highlights important aspects included in this expanded ASF Response Plan.

👺 AVIAN INFLUENZA  —  In the US, officials confirmed in April that a fatal strain of avian influenza had infected a commercial turkey flock in South Carolina. If it spreads, the disease could be devastating for a poultry industry already struggling with the economic impacts of Covid-19. In 2014 and 2015, more than 50 million chickens and turkeys across 15 states were killed to stop the spread of the virus, and much of the world banned American chicken and turkey products to avoid transmission.

ZOONOTICS

No Borders Are Safe

That the coronavirus has no nationality should be obvious. It’s no more the fault of the Chinese people, or of their government.  The Chinese reporting was off by 50%, and not that it is that unusual or understandable ( China is not that transparent)  because no one wants to go door to door to find dead people while the spores are active. Nevertheless they screwed up.

Many pandemics originate or are animal borne and have a name. They are called Zoonotic’s.  Animals provide many benefits to people. Many people interact with animals in their daily lives, both at home and away from home.  Animals provide food, fiber, livelihoods, travel, sport, companionship, and education for people across the globe. 

However, animals can sometimes carry harmful germs that can spread to people and cause illness — these are known as zoonotic diseases or zoonoses. Zoonotic diseases are caused by harmful germs like viruses, bacterial, parasites, and fungi. These germs can cause many different types of illnesses in people and animals, ranging from mild to serious illness and even death. 

Zoonotic diseases are very common, both in the United States and around the world. Scientists estimate that more than 6 out of every 10 known infectious diseases in people can be spread from animals, and 3 out of every 4 new or emerging infectious diseases in people come from animals. 


THE COVID-19 

What Does The Coronavirus Do To Your Body? 

Everything You Need To Know About The Infection Process 
 (Edited USA Today and CNN)


Americans are taking precautions against the new coronavirus that causes the disease sickening and killing thousands worldwide.  The World Health Organization and US Centers for Disease Control and Prevention advise the public be watchful for fever, dry cough and shortness of breath, symptoms that follow contraction of the new coronavirus known as SARS-CoV-2.  

  • From infection, it takes approximately five to 12 days for symptoms to appear. 
  • According to the CDCthe virus can spread person-to-person within 6 feet through respiratory droplets produced when an infected person coughs or sneezes. 
  • It’s also possible for the virus to remain on a surface or object, be transferred by touch and enter the body through the mouth, nose or eyes.
  • “It’s a respiratory virus and thus it enters through the respiratory tract, we think primarily through the nose,” he said. “But it might be able to get in through the eyes and mouth because that’s how other respiratory viruses behave.”
  • When the virus enters the body, it begins to attack. Fever, cough and other COVID-19 symptoms 
  • It can take two to 14 days for a person to develop symptoms after initial exposure to the virus, Hirsch said. The average is about five days.
  • Once inside the body, it begins infecting epithelial cells in the lining of the lung. A protein on the receptors of the virus can attach to a host cell's receptors and penetrate the cell. Inside the host cell, the virus begins to replicate until it kills the cell. 
  • This first takes place in the upper respiratory tract, which includes the nose, mouth, larynx and bronchi.
  • The patient begins to experience mild version of symptoms: dry cough, shortness of breath, fever and headache and muscle pain and tiredness, comparable to the flu.
  • Some say some patients have reported gastrointestinal symptoms such as nausea and diarrhea, however it’s relatively uncommon. 
  • Symptoms become more severe once the infection starts making its way to the lower respiratory tract.
  • More than eighty-eight thousand Americans are dead ( 86,000 on the books, 1900 pending) from the virus and thousands are overflowing in the hospitals and the vulnerable in the nursing homes is a greater threat now as many in the Intensive Care Unit mostly unconscious being fed breathing by machine is basically keeping them alive.  
  • Younger people respond better to the ventilators but critical care ICU patients of age are having a rough go, they are not making it. It is estimated we will hit the 100,000 mark by August 3.  I think sooner as we open up the rules for political pressure by the Fuehrer we will spike again.  So say the scientists. One kid with a virus in a bus can imprint the virus in the other fifty kids
  • While the best defenses include basic precautions like hand washing, staying calm, and protecting medical workers, we face more difficulties. The disease is transmitted with relative ease (evidently between people, through the air, like influenza and unlike Ebola, SARS, and MERS), and the timing seems to be bad. Currently there are seven other virus’s like Ebola doing their piece all over the world… It sustains on metal objects longer than most thus rails, metal chairs etc are susceptible as transmitters.


Pneumonia And Autoimmune Disease

  • The WHO reported last month about 80% of patients have a mild to moderate disease from infection. A case of “ Mild" COVID-19 includes a fever and cough more severe than the seasonal flu but does not require hospitalization.
  • Those milder cases are because the body’s immune response is able to contain the virus in the upper respiratory tract, Hirsch says. Younger patients have a more vigorous immune response compared to older patients.
  • The 13.8% of severe cases and 6.1% critical cases are due to the virus trekking down the windpipe and entering the lower respiratory tract, where it seems to prefer growing.  “The lungs are the major target,” Hirsch said.
  • As the virus continues to replicate and journeys further down the windpipe and into the lung, it can cause more respiratory problems like bronchitis and pneumonia. 
  • Pneumonia is characterized by shortness of breath combined with a cough and affects tiny air sacs in the lungs, called alveoli, Viscidi said. The alveoli are where oxygen and carbon dioxide are exchanged.  When pneumonia occurs, the thin layer of alveolar cells is damaged by the virus. The body reacts by sending immune cells to the lung to fight it off. 
  • "And that results in the linings becoming thicker than normal," he said. "As they thicken more and more, they essentially choke off the little air pocket, which is what you need to get the oxygen to your blood." “So it’s basically a war between the host response and the virus,” Hirsch said. “Depending who wins this war we have either good outcomes where patients recover or bad outcomes where they don’t.”
  • Restricting oxygen to the bloodstream deprives other major organs of oxygen including the liver, kidney and brain. In a small number of severe cases that can develop into acute respiratory distress syndrome (ARDS), which requires a patient be placed on a ventilator to supply oxygen. 
    However, if too much of the lung is damaged and not enough oxygen is supplied to the rest of the body, respiratory failure could lead to organ failure and death. 
  • Viscidi stresses that outcome is uncommon for the majority of patients infected with coronavirus. Those most at risk to severe developments are older than 70 and have weak immune responses. Others at risk include people with pulmonary abnormalities, chronic disease or compromised immune systems, such as cancer patients who have gone through chemotherapy treatment. 
  • Viscidi urges to public to think of the coronavirus like the flu because it goes through the same process within the body. Many people contract the flu and recover with no complications.   "People should remember that they're as healthy as they feel," he said. “And shouldn’t go around feeling as unhealthy as they fear.” 
  • For the ignoramuses that thought COVID-19 came from Mexico, you truly exemplify mental illness and should be buried underneath T-RUMPS wall for f*cked-up idiots.  ( Not a joke some schmucks thought it was revenge) 
ATCH 05-07-2020 aljacobsladder.com