I spoke with @CBCNews about the dire situation in Ontario.
The modelling is catastrophic.
The most vulnerable in our society are at risk. https://t.co/IxwfD87qvy
GOOD NEWS—Moderna expects to have a #COVID19 vaccine booster shot available by the fall adapted for likely the #B1351 variant. For the past month, NIH has been testing 3rd vaccine doses to enhance Moderna’s efficacy against emerging variants. https://t.co/RNvAH5pUPP
and big picture, makes me think how everything in health care of the near future could be upside down, all old opinions, presumptions, systems, out the window. First of all, a lot of people in it (globally, not just here!) are burned out and turned off to what they do and thinking of quitting! There'll be a whole new bunch who thinks and is trained differently. Then there's all the technology changes forced too soon without thinking it out, like telemed, etc. And there's things like patients losing belief that they need all that preventive stuff so often, like say, physical checkups or teeth cleanings or certain tests...
edit to add, hopefully but certainly not assured, we'll end up with more practitioners that realize this from the getgo:
"I cannot count the number of times that students told me they wanted to become physicians because they loved science, and then, as first-year students, were surprised to learn that medicine is not science." #NYTLettershttps://t.co/sHXIPNBs83 nytopinion
Journalist Vinay Srivastava died today while live-tweeting for help. Hospitals in India are struggling to cope with a growing wave of coronavirus pic.twitter.com/rAQrXykgMH
The State Department just announced it will issue "Level 4: Do Not Travel" advisories for roughly 80% of countries due to Covid-19 risk and urges U.S. citizens to "reconsider all travel abroad." pic.twitter.com/5BpCDKOgLc
The State Department announced that it would begin to update its travel advisories to more closely align with those from the CDC, a change that will increase the number of countries at Level 4: Do Not Travel to "approximately 80% of countries worldwide" https://t.co/CgbaHwk6dd
About this news there are of course lots of snarky tweets mentioning that, likewise, no one wants to travel to the U.S. because they are afraid of getting hit by a bullet.
The Johnson & Johnson pause has significantly undermined American’s confidence in this specific shot—but not overall confidence in covid-19 vaccines https://t.co/xeiVbeWGqT EconUS
Astonishing. Just two months ago, India was recording 11,000 infections a day. Today it recorded 312,731 cases, the most in any country on a single day since the pandemic began.https://t.co/CYg2cUxTPt
WITH GRAPH of 1910-2020 death rate above and below normal in the U.S.
A surge in deaths from the Covid-19 pandemic created the largest gap between the actual and expected death rate in 2020 — what epidemiologists call “excess deaths,” or deaths above normal.
Aside from fatalities directly attributed to Covid-19, some excess deaths last year were most likely undercounts of the virus or misdiagnoses, or indirectly related to the pandemic otherwise. Preliminary federal data show that overdose deaths have also surged during the pandemic.
A New York Times analysis of U.S. death patterns for the past century shows how much 2020 deviated from the norm [....]
1. The whole border policy is bonkers. Essential workers can cross but vaccinated go to a Covid hotel? What is the point of being vaccinated if you can’t do anything? How will Canada ever hope to attract global talent? People simply won’t come.https://t.co/agaEPasVSr
“In Surat, an industrial city in Gujarat, the grills used to burn bodies have been operating so relentlessly that the iron on some has actually melted.”https://t.co/iDcGe6n4z6
RIO DE JANEIRO — Rail-thin teenagers hold placards at traffic stops with the word for hunger — fome — in large print. Children, many of whom have been out of school for over a year, beg for food outside supermarkets and restaurants. Entire families huddle in flimsy encampments on sidewalks, asking for baby formula, crackers, anything.
A year into the pandemic, millions of Brazilians are going hungry.
The scenes, which have proliferated in the last months on Brazil’s streets, are stark evidence that President Jair Bolsonaro’s bet that he could protect the country’s economy by resisting public health policies intended to curb the virus has failed.
From the start of the outbreak, Brazil’s president has been skeptical of the disease’s impact, and scorned the guidance of health experts, arguing that the economic damage wrought by the lockdowns, business closures and mobility restrictions they recommended would be a bigger threat than the pandemic to the country’s weak economy.
The virus is ripping through the social fabric, setting wrenching records, while the worsening health crisis pushes businesses into bankruptcy, killing jobs and further hampering an economy that has grown little or not at all for more than six years.
Last year, emergency government cash payments helped put food on the table for millions of Brazilians — but when the money was scaled back sharply this year, with a debt crisis looming, many pantries were left bare.
Horrifc HISTORIC DECIMATION IN TEXAS of low-income neighborhoods. Hispanic communities in South Texas, West TX; both Black and Brown communities our metropolitan areas, maybe the worst ever
Beyond sadness: Today Texas passed 50,000 deaths from COVID-19. 50,000 moms & dads, brothers & sisters, our low-income neighborhoods especially. "Historic decimation" I said in Hispanic communities in South Texas, West TX; both Black and Brown communities our metropolitan areas pic.twitter.com/oTu5MveyOA
Here are the demographics of our 50,000 Texas deaths according to Texas DSHS. As I forecast to the @HispanicCaucus in 2020, "historic decimation" of Hispanic communities pic.twitter.com/PsMgysBWnH
Much much worse than the losses mourned from "Galveston" of song and myth.
BUT no, let's focus on police killings of approx. 1,000 per year nationally, with a high percentage of those probably completely justified self-defense, and less than half of those minorities.
RATIONAL?!!! Or a hysterical, delusional reaction to trying to find meaning to the universe during a horrific pandemic, where U.S. death losses exceed the worst pandemic of the 20th century, using police authority as a scapegoat.
at least NOW we're better than India or Brazil, but could have been a way different story:
It's unforgivable what Modi has done to his people. Same for Bolsonaro. And it's scary to think how close we came in the U.S. to going further down the same road. https://t.co/e48jR1U3ic
Michigan’s Covid Wards Are Filling Up With Younger Patients
Even as vaccines roll out, more younger people in Michigan are being hospitalized than at any other point in the pandemic. And they’re coming in sicker.
Search Continues For Gunman In La Puente Shooting That Claimed Life Of 26-Year-Old Man – CBS Los Angeles https://t.co/FrOzR1cKh5
this is the problem of Public Health people in any open democratic society, in a nutshell
CDC suggesting that vaccinated people continue to wear masks is once again bureaucrats making choices for people rather than informing them of risk and letting them choose for themselves. Very low risk if you've been vaccinated.
Like all the other covid overwrought stuff (lockdowns, school closures) you get accused of wanting to kill grandma and then eventually the bureaucracy will relent and everyone will pretend nobody ever said that.
They operate on totalitarian authoritarian model, as sometimes with certain grave dangers that is what is needed. It is also the old model of practicing medicine in general, where your doctor is the boss and god and gives orders that you don't question.
But it just doesn't work out for them in a free society. They, like other medical practitioners, have to figure out a better way to communicate and incentivize. People rebel against dictatorial bureaucrats, so your work is counter productive. It's the "cry wolf" syndrome, you are not taken seriously then when society really does require everyone following orders. (And this also why you study the fall of the Soviet system folks.)
Caption: Erica Chang, a rising star in the Society
of Asian Scientists and Engineers, had
contemplated a career in medicine but decided
instead to become an engineer and focus on the
delivery of care. Credit...via Chang family
Armed with degrees in biomedicine and engineering, she wanted to administer health care. Her Covid-19 death came just five days before her father’s.
By Sam Roberts @ NYTimes.com, "Those We've Lost", April 27
Erica Chang, who was born in Flushing, Queens, graduated from Texas A&M University in 2019 with dual degrees. She was a rising star in the Society of Asian Scientists and Engineers. She had contemplated a career in medicine, possibly as a doctor. But when the coronavirus struck, she decided instead to focus on how to better deliver care.
“She made the career change to become a project manager,” the society said in a statement, “seeing the need for process improvements in the health care system, especially during a pandemic.”
Ms. Chang, who lived in Katy, Texas, just west of Houston, died on April 6 of complications of Covid-19, said Khanh Vu, the chief executive and executive director of the society. She was 24.
Her parents were also infected. Her father, Chi-Kai Chang, died of the coronavirus five days later. He was 57 [....]
Comments
you need only listen to the first 2 minutes:
(remember the old days when people used to be jealous of the Canadian health care system?)
by artappraiser on Fri, 04/16/2021 - 4:51pm
Canadian Richard Florida just retweeted this related:
by artappraiser on Fri, 04/16/2021 - 4:55pm
by artappraiser on Fri, 04/16/2021 - 4:52pm
by artappraiser on Fri, 04/16/2021 - 7:36pm
Joe:
by artappraiser on Mon, 04/19/2021 - 2:59pm
weird, once again, a reminder of when we used to envy Canada's health care system:
and big picture, makes me think how everything in health care of the near future could be upside down, all old opinions, presumptions, systems, out the window. First of all, a lot of people in it (globally, not just here!) are burned out and turned off to what they do and thinking of quitting! There'll be a whole new bunch who thinks and is trained differently. Then there's all the technology changes forced too soon without thinking it out, like telemed, etc. And there's things like patients losing belief that they need all that preventive stuff so often, like say, physical checkups or teeth cleanings or certain tests...
edit to add, hopefully but certainly not assured, we'll end up with more practitioners that realize this from the getgo:
by artappraiser on Mon, 04/19/2021 - 9:03pm
by artappraiser on Mon, 04/19/2021 - 3:12pm
About this news there are of course lots of snarky tweets mentioning that, likewise, no one wants to travel to the U.S. because they are afraid of getting hit by a bullet.
by artappraiser on Mon, 04/19/2021 - 10:47pm
by artappraiser on Mon, 04/19/2021 - 10:48pm
by artappraiser on Tue, 04/20/2021 - 7:04pm
by artappraiser on Tue, 04/20/2021 - 7:06pm
by artappraiser on Tue, 04/20/2021 - 10:20pm
by artappraiser on Wed, 04/21/2021 - 12:10am
by artappraiser on Wed, 04/21/2021 - 7:10pm
and that's just the tested!
by artappraiser on Thu, 04/22/2021 - 12:18am
‘Excess Deaths’ in 2020 Surpassed Those of 1918 Flu Pandemic
The U.S. death rate in 2020 was the highest above normal ever recorded in the country — even surpassing the calamity of the 1918 flu pandemic.
By Denise Lu @ NYTimes.com, April 23
WITH GRAPH of 1910-2020 death rate above and below normal in the U.S.
by artappraiser on Sat, 04/24/2021 - 1:23am
Richard Florida thread on Canada's border mess:
by artappraiser on Sat, 04/24/2021 - 11:13am
by artappraiser on Sat, 04/24/2021 - 11:36am
Ravaged by Covid, Brazil Faces a Hunger Epidemic
Tens of millions of Brazilians are facing hunger or food insecurity as the country’s Covid-19 crisis drags on, killing thousands of people every day.
By Ernesto Londoño and Flávia Milhorance @ NYTimes.com, April 23
Photographs by Victor MoriyamaLeer en español
by artappraiser on Sat, 04/24/2021 - 12:04pm
Horrifc HISTORIC DECIMATION IN TEXAS of low-income neighborhoods. Hispanic communities in South Texas, West TX; both Black and Brown communities our metropolitan areas, maybe the worst ever
Much much worse than the losses mourned from "Galveston" of song and myth.
BUT no, let's focus on police killings of approx. 1,000 per year nationally, with a high percentage of those probably completely justified self-defense, and less than half of those minorities.
RATIONAL?!!! Or a hysterical, delusional reaction to trying to find meaning to the universe during a horrific pandemic, where U.S. death losses exceed the worst pandemic of the 20th century, using police authority as a scapegoat.
by artappraiser on Sat, 04/24/2021 - 10:14pm
at least NOW we're better than India or Brazil, but could have been a way different story:
by artappraiser on Sun, 04/25/2021 - 5:33pm
by artappraiser on Sun, 04/25/2021 - 6:08pm
by artappraiser on Sun, 04/25/2021 - 8:16pm
by artappraiser on Mon, 04/26/2021 - 1:13pm
Michigan’s Covid Wards Are Filling Up With Younger Patients
Even as vaccines roll out, more younger people in Michigan are being hospitalized than at any other point in the pandemic. And they’re coming in sicker.
by artappraiser on Tue, 04/27/2021 - 1:40am
this is the problem of Public Health people in any open democratic society, in a nutshell
They operate on totalitarian authoritarian model, as sometimes with certain grave dangers that is what is needed. It is also the old model of practicing medicine in general, where your doctor is the boss and god and gives orders that you don't question.
But it just doesn't work out for them in a free society. They, like other medical practitioners, have to figure out a better way to communicate and incentivize. People rebel against dictatorial bureaucrats, so your work is counter productive. It's the "cry wolf" syndrome, you are not taken seriously then when society really does require everyone following orders. (And this also why you study the fall of the Soviet system folks.)
by artappraiser on Tue, 04/27/2021 - 1:17pm
Saw because Bill Scher retweeted, he sees the political import)
by artappraiser on Tue, 04/27/2021 - 1:47pm
by artappraiser on Tue, 04/27/2021 - 11:21pm
Erica Chang, Motivated by the Pandemic to Help, Dies at 24
of Asian Scientists and Engineers, had
contemplated a career in medicine but decided
instead to become an engineer and focus on the
delivery of care. Credit...via Chang family
Armed with degrees in biomedicine and engineering, she wanted to administer health care. Her Covid-19 death came just five days before her father’s.
By Sam Roberts @ NYTimes.com, "Those We've Lost", April 27
by artappraiser on Wed, 04/28/2021 - 4:45am