Six on Coronavirus: The Best-Case Outcome for the Coronavirus, and the Worst; The coronavirus economy will devastate those who can least afford it; Public health expert says African Americans are at greater risk of death from coronavirus; Italian may

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panaritisp

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Mar 25, 2020, 10:34:01 PM3/25/20
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Six on Coronavirus: The Best-Case Outcome for the Coronavirus, and the Worst; The coronavirus economy will devastate those who can least afford it; Public health expert says African Americans are at greater risk of death from coronavirus; Italian mayors lose patience with #coronavirus lockdown dodgers; What Went Wrong with Coronavirus Testing in the U.S.; Doctors scramble for best practices on reusing medical masks during shortage





The coronavirus economy will devastate those who can least afford it

"If you think your new reality is inconvenient and stressful, here's some perspective: Tens of millions of people are trying to stave off the coronavirus without reliable access to basic needs like shelter, food or health care.

Why it matters: The people who were already vulnerable in a strong economy are facing severe hardship as jobs evaporate overnight and safety net services are strained to the max.

Here's a look at who's hurting the most:

People experiencing homelessness: You can't "socially distance" or shelter in place if you don't have shelter in the first place.

  • Transmissible diseases can spread quickly among those sleeping in close-quartered shelters and in outdoor encampments without hygiene facilities.
  • The homeless population is trending older, so they're more vulnerable to COVID-19.
  • "We don’t want people sleeping outside but don’t want to put them at risk in a shelter where others have been exposed," said Lauren Dunning, director of Milken Institute's Center for the Future of Aging. "We have to look at opening emergency shelters to so people can properly quarantine."

Low-income workers: Hourly-wage workers in retail, food service, janitorial jobs, and even preschool teachers often live paycheck to paycheck — and their incredibly slim margins are about to be obliterated.

  • 53 million Americans — 44% of U.S. workers — are making a median of $10.22 an hour, or about $24,000 a year.
  • About half of low-wage workers are sole earners for their families, per Brookings Institution fellow Martha Ross.
  • "As you see the economy shut down, it's a picture of a workforce that was already vulnerable that's now going to be in much deeper trouble," Ross said.

Older residents of rural areas: Rural residents tend to be older and less likely to have paid sick leave or access to health care services.

  • More than 100 rural hospitals have closed in the last decade.
  • Those who don't have a doctor nearby, or who don't have health insurance, are more likely to forgo testing and treatment.

Single parents: They're shouldering the burden of work (if they still have it) and childcare on their own.

  • According to a ParentsTogether survey of 1,500 families, two-thirds of families are struggling financially due to the coronavirus outbreak and have lost income or expect to soon.
  • 80% of families are worried about having enough money to cover housing and food costs within three months; 46% are concerned they'll run out within two weeks.

Parents of children with special needs: Children with physical, emotional and intellectual disabilities often rely on therapy and services provided through public school systems, the majority of which have closed for weeks.

  • Mounting financial pressures and jugging remote work while caring for special-needs children can create extreme stress for parents, especially those caring for multiple children.

Poor families: Children are at the mercy of their circumstances and, without school to offer routine and reliable meals, can take on the anxiety they see in the adults around them.

  • Among families with children receiving free or reduced-priced school meals, more than half are worried about being able to feed their children, per the ParentsTogether survey.
  • Nearly one-third of families whose schools have closed haven't been told by their districts where they can get food.

The mentally ill and immunocompromised: This group of patients has a host of complicated pre-existing conditions that often go untreated due to lack of access to care or social stigma.

  • People suffering from mental illness may have difficulty dealing with the stress of the crisis and not know where to seek help.
  • Those with weakened immunity require specialized care that can be hard to find, and are also more susceptible to the coronavirus itself.

Inmates: Social distancing is hard to achieve in overcrowded jails without putting everyone on lockdown or solitary confinement, Axios' Stef Kight reports.



  • Visits by family, friends and attorneys to people in federal prisons has been halted and several states have paused visitation for the time being.
  • Proper hand washing isn't always possible, and hand sanitizers are often considered contraband in prison because they can contain alcohol."
Public health expert says African Americans are at greater risk of death from coronavirus
"The reasons for the health inequities include access to health care, and differences in the quality of care African Americans receive. A lot of what makes you healthy happens outside the doctor’s office, so all the social determinants – including racism and discrimination, housing, access to transportation and education – are a factor. And I’ll say differences in individual behaviors that we all have based on our life experiences.

Let’s talk about the uninsured. Obviously, we still have too many people of color who are uninsured, particularly in those states that chose not to expand the Medicaid program. They certainly don’t cover the non-African Americans either, but African Americans have had real challenges in those communities, which tend to be in the South and the Midwest.

We have lots of folks who work in the gig economy, so they don’t necessarily have coverage. Looking at this coronavirus, the whole issue of not having paid sick leave is an issue where we have people of color who are disproportionately working in the service industries, in the restaurant industries, working for hotels, or places where they are not in unions that have bargained for benefits that give them sick leave. They are hourly workers who don’t have certain kinds of benefits, so that if they don’t work, they don’t eat. And that’s a challenge. Obviously, if you get sick and we tell you to stay home, you should stay home. But you’re less likely to do so because you’ve got to work. You’ll probably come to work during the early part of your illness and the challenge with that, of course, is you’ll infect others.

Why is there so much distrust between African Americans and the medical community?

Everyone obviously goes back to the Tuskegee experiment. The syphilis study where African American men were not treated for syphilis and they continued not to be treated even after we had treatment available. Ultimately the Public Health Service apologized, as well as President Clinton apologized on behalf of America.

We also have experiences where people go into academic health centers and the word on the street is you go in, but you don’t come out. That’s a reality, but the reason they don’t come out is because people go into those places in a much later state of disease. Quite often we have far too many women who are found to have breast cancer. They have a lump in their breast, but they still show up far too late to get the best cancer care.

Also, when you go in and you have someone who doesn’t look like you or doesn’t communicate with you in a culturally competent way, that’s a problem. We still have lots of clinicians out there that talk down to patients. They don’t give us the full range of options."

Public health expert says African Americans are at greater risk of death from coronavirus




Italian mayors lose patience with #coronavirus lockdown dodgers

"Many people in Italy have not been heeding the instructions to stay indoors as the country battles #coronavirus - now a number of mayors of Italian towns and cities are taking matters into their own hands" [h/t to ASCP]




 




What Went Wrong with Coronavirus Testing in the U.S.

"On February 5th, sixteen days after a Seattle resident who had visited relatives in Wuhan, China, was diagnosed as having the first confirmed case of covid-19 in the United States, the Centers for Disease Control, in Atlanta, began sending diagnostic tests to a network of about a hundred state, city, and county public-health laboratories⁠. Up to that point, all testing for covid-19 in the U.S. had been done at the C.D.C.; of some five hundred suspected cases⁠ tested at the Centers, twelve had confirmed positive. The new test kits would allow about fifty thousand patients to be tested, and they would also make testing much faster, as patient specimens would no longer have to be sent to Atlanta to be evaluated.

The kits were shipped in small white cardboard boxes. Inside each box were four vials, packed in stiff gray foam⁠, which held the necessary materials, known as reagents, to run tests on about three hundred⁠ people. Before a state or local lab could use the C.D.C.-developed tests on actual patients, however, it had to insure that they worked the same way they had in Atlanta, a process known as verification. The first batch of kits, sent to more than fifty state and local public-health labs⁠, arrived on February 7th. Of the labs that received tests, around six to eight were able to verify that they worked as intended. But a larger number, about thirty-six of them, received inconclusive⁠ results from one of the reagents. Another five, including the New York City and New York State labs, had problems with two reagents. On February 8th, several labs reported their problems to the C.D.C. In a briefing a few days later, Nancy Messonnier, the director of the National Center for Immunization and Respiratory Diseases, said that although “we hoped that everything would go smoothly as we rushed through this,” the verification problems were “part of the normal procedures⁠.” In the meantime, she said, until new reagents could be manufactured, all covid-19 testing in the United States would continue to take place exclusively at the C.D.C⁠.

The public-health-laboratory network was never intended to provide widespread testing in the event of a pandemic. To offer tests to anyone who wanted them, as President Trump did, on March 6th, was always going to require commercial testing facilities to come on line. Still, the three-week delay caused by the C.D.C.’s failure to get working test kits into the hands of the public-health labs came at a crucial time. In the early stages of an outbreak, contact tracing, isolation, and individual quarantines are regularly deployed to contain the spread of a disease. But these tools are useless if suspected cases of a disease cannot be tested. The void created by the C.D.C.’s faulty tests made it impossible for public-health authorities to get an accurate picture of how far and how fast the disease was spreading. In hotspots like Seattle, and probably elsewhere, covid-19 spread undetected for several weeks, which in turn only multiplied the need for more tests. “Once you’re behind the eight ball, it’s very hard to catch up,” Alberto Gutierrez, the former head of the F.D.A. Office of In Vitro Diagnostics and Radiological Health, which regulates tests, told me. “The problem was that containment was not done very well. At this point, we’re looking at exponential growth, and we need to figure out how to meet an exponential demand.”


Doctors scramble for best practices on reusing medical masks during shortage

Related: 13 coronavirus myths busted by science

"Referring to a paper published in the journal Annals of Occupational Hygiene in 2009, among others, the researchers compared and contrasted these different methods for sterilizing N95 masks, many of which were ineffective:



  • Heat in an oven for 30 minutes at 58 degrees Fahrenheit (70 degrees Celsius)
  • Use ultraviolet light for 30 minutes
  • Soak the mask in 75% ethyl alcohol, then let it dry
  • Clean the mask with liquid or vapor hydrogen peroxide
  • Clean the mask with bleach
  • Steam the mask with hot vapor from boiling water
  • Microwave the mask
  • Use extreme heat in an oven or autoclave
  • Soak in soap and water

"To be useful, a decontamination method must eliminate the viral threat, be harmless to end-users and retain respirator integrity," they wrote."

Different masks coronavirus.jpg
The coronavirus economy will devastate those who can least afford it.jpg
Chevalier_Roze_à_la_Tourette_-_1720-768x500Contemporary engraving of Marseille during the Great Plague in 1720 coronavirus.png
aa-4811-censor-science coronavirus.png
Texas Lieutenant Governor Dan Patrick said he was willing to give up his life to preserve the US economy from the effect of efforts to tackle the coronavirus..jpg
Travelers being screened for fever Thursday at an arrival hall at Changi Airport in Singapore coronavirus.jpg
Medical personnel waited Tuesday for the next patient at a Seattle drive-through coronavirus testing station.jpg
People out shopping in Shanghai after the city’s emergency alert level was downgraded. coronavirus.jpg
Staff at Dongfeng Honda in Wuhan eat lunch – while maintaining a safe distance – after returning to work. coronavirus.jpg
With the coronavirus, Trump cannot bend the harsh realities of the world to his fantasies..jpg
CDCTestingIssues n February, as a first set of covid-19 test kits sent out by the Centers for Disease Control failed to work properly, labs around the country scrambled to fill the void. coronavirus.jpg
A guide to social distancing coronavirus.jpg
social-distancing-58 St. Marks Place is empty in the East Village, Manhattan. coronavirus.jpg
Restrictions for New Yorkers over 70 Cuomo called Matilda's Law, after his 88-year-old mother coronavirus.png
This is the most drastic action we can take, Governor Cuomo told reporters. coronavirus.jfif
Lines on the ground help customers stay six feet apart at Dick’s Drive-In in Seattle. coronavirus.jpg
Protecting the most vulnerable among us coronavirus.jpg
Are we there yet coronavirus.jpg
Fearless leader coronavirus.jpg
Olympians coronavirus.jpg
Afghanistan - Worried about the homefront coronavirus.jfif
Harris County Public Health and Houston Health Department and are not identifying the locations of the sites to prevent people from showing up and being turned away coronavirus.jpg
Avenida De Las Americas in front of the George R. Brown Convention Center was nearly a ghost town due to the coronavirus Tuesday, March 24, 2020, in Houston.jpg
Traffic is more sparse than usual along the Southwest Freeway near Montrose Boulevard at 9-15 a.m. Wednesday morning, March 25, 2020, in Houston coronavirus.jpg

Luciano Lucenti Vielka (10X080)

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Aug 16, 2020, 2:09:18 PM8/16/20
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I love the images/cartoons!!!!

And everything else, although late to read!

Vielka LL

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Greenwald Lisa

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Aug 16, 2020, 2:19:04 PM8/16/20
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Lisa Greenwald, Ph.D./Social Studies Department/Stuyvesant High School


Daughters of 1968: Redefining French Feminism and the Women's Liberation Movement

https://www.nebraskapress.unl.edu/university-of-nebraska-press/9781496207555/




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