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A case of repeat COVID-19: What does this mean?

2020-07-12

Coronavirus studies by Engin Akyurt via pixabay.com

This report on Vox.com was published on July 12: “My patient caught Covid-19 twice. So long to herd immunity hopes.”  In the report, a doctor in Washington DC describes one of his patients a 50 year old man, who had COVID-19 twice, the first time as a mild illness, the second time more severe.  He had a mild cough and sore throat the first time, three months ago.  The second time, a couple of weeks ago, he had high fever, dyspnea (shortness of breath), and hypoxia (low oxygen levels in the blood.)

In between, he felt well for at least six weeks, and had two negative PCR (polymerase chain reaction, an antigen test for acute infection) tests.  He was exposed to another member of his family (“a young adult”) with the virus.  He was not able to get an antibody test after the first infection, so we don’t know if he had developed antibodies– which makes a big difference.

Other reports of similar cases have occurred, including this one from central New Jersey.  Two patients were reported by a doctor there, including one who had developed antibodies and donated plasma to treat other patients infected by SARS-COV-2.  Apparently both patients were from the same family.  The doctor who made this report also posted a video to Facebook, which I did not consult as I am averse to that particular medium.

We don’t know what these cases of reinfection mean or how common they are.  We don’t know how many people are susceptible to getting sick again.  We do know that laboratory tests of rhesus monkeys showed immunity after repeat challenge with known dosages of the same virus.  The likelihood is that most people will be immune but some will not.  It is also possible that there is more than one strain circulating, although the known mutation that caused increased efficiency of infection (without showing worse infections) apparently had the exact same antigenic characteristics.

After all that has been done to research this virus, there is still much that we don’t know.  The number of cases is rapidly increasing, so rarer complications and more unusual cases are surfacing.  What these things mean will not be revealed for some time.

As to Facebook: it may be a useful tool for making connections with people and exchanging information, but it is also a dangerous time-sucker.  I am averse to being used as a commodity.  I have avoided that platform for the last year.  Other media are available for communicating information and I don’t think I am missing anything by not going there.

 

The Development of Religion: Part Seven, Buddhism separates from Brahmanism and Hinduism

2020-07-11

photo by Manfred Antranias Zimmer courtesy of pixabay.com

(The following descriptions should be seen as a simplification based on the Wikipedia texts that describe the concepts of the two religions, the Vedas, and other specific pages.  I tried to make sense out of them but only succeeded partially.  Some of what I’ve written is correct, some is oversimplified; I’ve tried to avoid obvious errors but if Wikipedia is mistaken, then I’ve just repeated the mistakes.  If you know differently, please tell me.)

Buddhism and Hinduism share their origins in the Vedic literature of northern India (circa 1500-500 BCE.)  Brahmanism can be thought of as the precursor to Hinduism; its rituals were recorded in the Vedas.  Hinduism asserts the authority of the Vedic scriptures but Buddhism criticizes them.  Brahmanism was preceded by Vedism– the religion described in the earliest Vedas.

Vedism was the religion of the Indo-Aryans who migrated into the Indus River basin circa 1500 BCE.  It is described in the Vedic literature, including the early Upanishads.  In Vedism, there was an afterlife but no reincarnation.  Ancestor worship was prominent, with rites like offerings of food; this declined but did not completely disappear in Hinduism.  Vedism is described in Wikipedia as a complex animistic religion, with pantheism.  Vedic rituals that survived into Brahmanism and Hinduism include (among many others): fire rituals, horse sacrifice, cow sacrifice, royal consecration, and cremation.  Human sacrifice is alluded to in the Vedas, but whether it existed in pre-Vedic times is highly controversial.

Vedism included the gods Indra, Agni, and Soma among many others.  Hinduism began with the change in emphasis from these gods to others: Vishnu and Shiva especially.  The hymns of Vedism described in the Vedas were given a different interpretation by Brahmanism and Hinduism.

In this period, the concept of rebirth developed and the afterlife was changed; ancestor worship was de-emphasized.  Jainism, Hinduism, and Buddhism all adopted the idea of rebirth.  The concept of rebirth includes the doctrine of samsara, an eternal cycle.  In this cycle, a person is reborn after death, but not necessarily into another human body.  As a result of karma, you can be elevated or degraded.  A particularly bad person may be reborn as a cockroach.  A good person will be reborn into a higher caste and eventually into a Bodhisattva or enlightened being.

The religions share basic concepts that include dharma and karma.  Briefly, dharma is the “law” or prescriptive doctrine which everyone is obligated to obey.  Karma is a kind of causality, the effect of obeying or disobeying dharma.  Karma is not necessarily an immediate result of one’s behavior.  The consequences may not play out in someone’s present life, but be carried over into one’s next life.

Brahmanism probably began with the “monist” (unifying) doctrine of Brahman, or the universal soul.  This universal soul was postulated to be at the center of all living things and also the unifying principle of the cosmos.  Brahmanism also brought together people into a system of castes.

Basic caste (varna) theory holds that each person is born into a certain category, of which there are four: brahmin (scholars and priests), kshatriya (warriors, kings, and princes), vaishyas (farmers, merchants, and artisans), and shudras (workmen and service providers.)  Not mentioned in the original caste theory are untouchables, who are outside the caste system.  The theory of caste, although based on ancient Vedic scripture, was not practically applied in India.

Instead, a system called “jati” or birth groups was applied in practice.  There were many categories of jati, each applying to a hereditary group of specific occupations.  The varna categories were actually applied by the British when they took over control of India and Pakistan in the eighteenth century and thereafter.  This made the caste system more rigid, which is ironic considering the criticism of its static nature applied by British sources.

What distinguishes Buddhism from Hinduism (and Brahmanism) is the Buddhist emphasis on fluidity of one’s merit, regardless of caste.  To a Buddhist, what matters is one’s behavior, not one’s caste, in accumulation of merit.  Ordination as a priest is available to people of all castes in Buddhism, whereas a Hindu priest had to be a brahmin.  Buddhists did not deny castes, but felt that a person’s caste was a reflection of their behavior in a past life rather than an “accident of birth.”

This brings us to the concept of liberation, called “moksha” or “nirvana” depending on the religion.  The ultimate goal of existence is liberation from the cycle of samsara or rebirth.  To reach this stage, one must first live in harmony with dharma or the rules.  Then one must become enlightened.  This is achieved through jhana, which is usually done in meditation but can occur spontaneously.  The Buddha reached jhana momentarily during his childhood in a particularly auspicious time of perfect calm.

To Buddhists, it is necessary to have the correct perceptions– the permanent transcendence of the belief in the separate existence of the self is integral to the enlightenment of an arhat or arahant (enlightened one.)  The most important difference between the two religions is their disagreement over the existence of a permanent, separate self or atman– Buddhists say there is no cosmic self.  Instead, there is a state of change or impermanence called anicca and a void called shunyata.  There is no true self and no universal self– there is only non-self, anatman or anatta.

All sentient beings are capable of enlightenment, eventually.  Sentience is a quality of being that can include plants as well as animals, although it is more remote for more vegetable beings (even non-organic items like rocks can sometimes be described as sentient.)   During one’s experience of samsara (rebirth), one cycles through many sentient objects or bodies, possibly including rocks.

Wikipedia says that sentience is characterized by specific qualities: “Sentient beings are composed of the five aggregates, or skandhas: matter, sensation, perception, mental formations and consciousness.”  Plants are capable of sensation (light and touch, for example), but perceptions may not be present.  Whether perception, mental formations, and consciousness are characteristics that plants share is questionable.

This is important because both Buddhism and Hinduism share the dharma of ahimsa: nonviolence towards sentient beings.  The concept of ahimsa starts in the Rig Veda and is extended throughout the Vedas.   A hymn to Indra in the Rig Veda (the earliest Veda) mentions satya (truthfulness) and ahimsa.  The concept gradually developed during the Vedic period, from a mention of meat consumption and animal sacrifice as being undesirable to, eventually, elimination of sacrifices and promotion of vegetarianism.

The Jain sect of Hinduism, already well-developed in the early Vedic period, emphasized ahimsa as its first principle and included vegetarianism from the beginning.  Even in consuming vegetable foods, roots were frowned upon because pulling them up kills the plant and involves violence against soil organisms.  Consuming yeast-made bread, fermented foods, beer, and wine are now forbidden to Jains because the micro-organisms in such foods are killed (before the invention of the microscope, no-one knew that yeasts were living organisms or that bacteria existed.)  Previously, intoxicating beverages were proscribed for Jains only because they impaired thinking rationally about non-harm.

Ahimsa imposes restrictions on warfare and self-defense but allows violence to preserve the lives of potential victims.  Cruelty to one’s opponents and harming noncombatants, however, is considered always wrong.  Negotiation in an attempt to prevent war is strongly encouraged.  The doctrine of ahimsa is most famous in the work and thought of the Mahatma, Mohandas Gandhi.  Wikipedia says: “In Gandhi’s thought, Ahimsa precludes not only the act of inflicting a physical injury, but also mental states like evil thoughts and hatred, unkind behavior such as harsh words, dishonesty and lying, all of which he saw as manifestations of violence incompatible with Ahimsa.”

Both Buddhists and Hindus agree on ahimsa as an essential part of dharma.  They both practice meditation, although in different ways.  They also agree on the use of mantras, which are symbolic phrases or poems that help in attaining concentration when one meditates (and for other purposes.)  The word “yoga” is shared between the two religions but seems to mean different things– in Hinduism, it means the binding of one’s soul to the universal soul through physical means.  In Buddhism, it appears to mean any spiritual practice, including tantras.

I have to stop here.  No more work today.   I’ve been reading too much scientific stuff which makes it all too clear that our country has a major crisis that is not being addressed by the current government.  The only clarity I’ve gotten is in the importance of ahimsa and the difference between brahman (universal soul) and anicca (impermanence).  I’m going to go back to the beginning and start again tomorrow.  Let me know if you can articulate where I’m mistaken– please.

 

 

a personal note: first known friend who died from COVID-19; no flowers please, just vote in November.

2020-07-10

S Hermann and F Richter photo via pixabay.com

Someone we know, who was a friend, died from COVID-19 today after being in the hospital for two weeks.  We’re not surprised (but we still don’t think he should have died, and in a just world– not this planet– he wouldn’t have died…)  We will miss him, but his wife will miss him more.

Excess Deaths not including COVID-19 in Florida, Texas, and other states increased in early April

2020-07-10

photo by Jakub Orisek courtesy of pixabay.com

Examining this CDC “data dashboard” of weekly excess deaths shows that there were significant increases in early April even in states that did not report significant numbers of COVID-19 deaths.

Looking at Florida, for example, there was a 2.1-7.6% excess of deaths (of any cause) totalling 4,562 for the week ending April 11– when only an average of 36 deaths a day (252 a week) due to the virus were reported.  This suggests that there may have been a dramatic undercount of deaths due to COVID-19 during that period– or else something unexplained was killing about 5% more Floridians than usual that week.

If we examine New Jersey for this period, we find that over 200% more people died than normal in the week ending April 11.  If we exclude COVID-19, the graphs still show 57-68% more people than normal died.  This suggests that people either died from the virus that were uncounted, or else people died from not going to the emergency room even when they didn’t have the virus.  For example, people could have died of heart attacks because they didn’t go to the hospital with chest pains due to fear of the virus.

I can’t go into this in detail because of time limitations today, but you can examine the data yourself and you will see that states reporting few deaths from the virus had unexplained increases in total death rates starting in early April.  States that reported a lot of virus deaths, like New Jersey, had large increases in death rates that were unexplained.

Your take-home assignment today is to look at the larger states, like California, Texas, Illinois, and so on, and ask yourself– did some states have higher death rates than expected since April?  Why?  Was it undiagnosed COVID-19 in places where there wasn’t testing for political reasons?  After all, in blue states, people could be tested for political reasons, but the tests would have turned out negative anyway… and a death is only counted as being from the virus if someone suspects it, tests for it, and puts it on the death certificate.

68% of people in NYC working class neighborhood test positive for COVID-19 antibodies: NYT. Poor people are worst affected by SARS-COV-2

2020-07-10

photo courtesy of Gerd Altmann (geralt) via pixabay.com

From the New York Times on July 9:

At a clinic in Corona, a working-class neighborhood in Queens, more than 68 percent of people tested positive for antibodies to the new coronavirus. At another clinic in Jackson Heights, Queens, that number was 56 percent. But at a clinic in Cobble Hill, a mostly white and wealthy neighborhood in Brooklyn, only 13 percent of people tested positive for antibodies.

The novel coronavirus has hit poor people and people of color harder than anyone else during this pandemic.  New York City experienced a wave of infections from March through May, mostly brought in by visitors from Europe.  Overall, the city showed some 20% positive results on antibody testing.  Upper-class neighborhoods were not affected as much as lower-class places.  People who had to continue coming to work, travelling on the subway and on buses, and coming home to crowded households, were hit the hardest.

People who are of African-American and Caribbean-American ethnicity, Hispanic, and Native Americans and people from the Marshall Islands, were hit hardest of all.  A third of the population of the Marshall Islands– 30,000 people– migrated to the United States over the last thirty to fifty years (partly because unemployment there was as high as 40%.)  Most of them are permanent non-citizen residents of the US; many settled in Arkansas, Washington State, and Oregon.

Many people from the Marshall Islands were forced to relocate after their homelands (the Bikini Atoll in particular) were rendered uninhabitable by radioactive contamination from atomic testing.  Many of these people, poor and uneducated, took jobs working in meatpacking plants.  Now they are suffering from frequent infection with SARS-COV-2 and are often getting sick or dying as a result.  In northwest Arkansas, Marshall Islanders represent 3% of the population and half of the deaths.

COVID-19 affects non-white people more than anyone else.  Well-to-do, mostly white, people, can work from home or have moved to their second homes in rural areas.  Poor people have lost their jobs or work in “essential” but poorly-paid industries; they also live in crowded households and are unable to isolate.  The result is more infections.  They also have more co-morbidities like high blood pressure and diabetes, so they get sicker.  When they do get sick, they don’t have as much health insurance.  They have to go to hospitals in poorer parts of the city that have a lower quality of care.  So they die more often.

Nowhere is this disparity as great as with Native Americans and Marshall Islanders.

The bottom line is that, in the US, poor people of color are being hit the hardest by COVID-19.  Poorer parts of the world are also more affected; South America and India are the worst off.

The system is failing, and it is failing the hardest for poor people.  The federal government must take this into account when allocating resources to help with this pandemic– but it won’t.  There is no better argument for not re-electing Republicans in November.

 

 

Coronavirus deaths increasing: Florida, Texas, Arizona, California. Pro Publica says sudden deaths at home increasing in Houston.

2020-07-09

photo by Jakub Orisek courtesy of pixabay.com

Texas had only 20-23 deaths a day on average at the end of May.  Now it is seeing a 7-day average of 60 deaths a day, and the last two days had 90 and 119.  Florida, which averaged 32 a day at the end of May, now averages 48– and it had 63 on July 7 and 48 yesterday (Florida’s daily case average has increased more than ten-fold in the last 6 weeks.)  Arizona, which averaged 12 deaths a day at the end of May, is averaging 32 now– and had 101 on July 7 and 40 yesterday.  California had 83 deaths on July 6, 111 deaths on July 7 and 145 yesterday (pushing the 7-day average to 77)– after a low point of 56 average on June 8 and 60 average on June 28.

These are the four biggest states with increasing outbreaks at the moment.  All have posted record new case days during the last week.  All are now pushing record new deaths and 7-day averages.  Data comes from the New York Times interactive pages on coronavirus counts.  Here is a piece in the Miami Herald on the same subject.

This comes with a Pro Publica report yesterday noting a dramatic increase in deaths at home in Houston.  The Pro Publica piece begins with a description of a case that occurred on June 22, in which a 54 year-old woman with diabetes died suddenly at home after complaining of chest pain and fatigue to her daughter.  She noticed that her mother was breathing rapidly and called 911.  Then the mother stopped breathing altogether.  The daughter tried to do CPR (without really knowing how) but when the ambulance arrived, the mother was already dead.  She had not been suspected of having COVID-19 before she died; she had no headache, fever, or cough.  An autopsy found that she had the virus.

In June, Houston ambulances responded to 300 cases in which the patient was already dead when they arrived– 75 more than in either of the previous two Junes.  On July 3, they had 18 such calls in a single day.  Something similar happened at the height of the outbreak in New York City, where 300 calls a day were for cardiac arrests; only 65 calls a day were recorded last year at the same time.  The Pro Publica piece ends with a discussion of the risks for post-traumatic stress disorder in the survivors as well as the ambulance technicians.

The Houston woman whose mother died suddenly says she and her siblings are in a constant state of panic now.  She wants to take CPR classes after trying and failing to revive her mother.  Her father is grieving alone– and she can’t face being in the same house where her mother died.

The number of new cases per day for the country as a whole hit a nadir between May 26 and June 9.  Since then, the rate of new cases has tripled.  Deaths over the whole country peaked at an average just above 2,000 a day the third week of April, then dropped to around 600 by the end of June.  New deaths hit a daily low of 292 on June 21 and 270 on June 27, then 209 on July 5 and 242 on July 6.  On July 7, there were 922 deaths reported, on July 8, 897, and this morning, 867.  Suddenly, rates are going back up again.

So, to the erstwhile leader of our country who claims that deaths have plummeted: just wait.  They’ll start dying soon enough.

Post-script: the rate of new coronavirus cases in Tulsa, Oklahoma has been increasing since the ill-omened rally for the Republican presidential candidate.  Since June 20, there have been 8.459 new cases reported in Oklahoma and the total of cases has almost doubled; the rate of new cases per day has doubled in the last three weeks.  The number of people currently hospitalized has more than doubled  (see COVID tracking project data for Oklahoma.)

 

 

The development of religion in northern India: Part Six (a work in progress)

2020-07-09

photo by Manfred Antranias Zimmer courtesy of pixabay.com

The Vedic period (1500-500 BCE) was characterized by a transition from dominance of a post-animist religion in which specific gods began to play a larger part in the story of religion.

Animism is a form of religion, thought to be the most primitive, in which every object, both animate and inanimate, has an inner “god” or “spirit” that “animates” it and gives it specific characteristics.  Thus, a stone has an inner spirit that causes it to behave like a stone.  A place, such as a meadow or a mountain, also has an inner spirit.  Even non-material objects, such as words and concepts, have their own spirits.

Dravidian religions were post-animist, but continued the worship of sacred trees and animals.  They subscribed to belief in a Mother Goddess and had a complex metaphysical system.  Shakti (or Parashakti) or Devi (or Mahadevi) is the Hindu version of the Dravidian Mother Goddess.  Harappan (Indus Valley) civilizations included a female figure in many small sculptures that were found in Harappan ruins.  There is a possibility that worship of the Mother Goddess involved human sacrifice with the blood of the victim offered to obtain fertility for the crops.

Wikipedia says that the scholar Lockard stated: “Hinduism can be seen historically as a synthesis of Aryan beliefs with Harappan and other Dravidian traditions that developed over many centuries.”

The Aryan religions probably included the gods Indra (supreme god), Agni (fire god), and Varuna (sky god.)  They also probably included the ethical concepts of satya (truthfulness) and rta (the concept of the natural order.)

The Dravidian and Aryan religions were synthesized into the historical Vedic religion, which is memorialized in the Rig Veda.  The language of the Rigveda is Sanskrit, which is separated from the Iranian language and evolved from the hypothetical proto-Indo-Iranian language.  After separation, the Iranians evolved a religion called Zoroastrianism (from the prophet Zoroaster or Zarathustra.)  In the early Iranian religion, Zoroaster preached a form of dualism in which Ahura Mazda was the supreme deity and was all good– opposed to Angra Mainyu, all evil.  This religion was memorialized in the Avestas, the foundational Zoroastrian religious documents.

In the Rigveda, the gods are numerous, beginning with Indra.  Agni is the second most important and is closely associated with Indra.  Soma or Chandra is the Moon god and is also the name of a drink made from the juice of a plant, for which preparation instructions are given in the text (the exact source of this plant is uncertain as it is not described, but it may have been ephedra sinica– the source of ephedrine.)   The Rigveda includes hymns to at least 33 major gods and goddesses, in addition to numerous minor deities.  Many of these divine personages have indistinct or overlapping identities.  Some are personifications of concepts or natural forces.  Others are associated with heavenly bodies.

That’s as far as I’ve gotten in the last few days.  To be continued.  I was distracted by a Pro Publica article about sudden deaths in Houston– see next post.

 

 

SeaBoard Foods Pork Processing Plant in Guymon OK employs 2600, invests $100 million in plant but can’t do anything about hospital for town of 11,000 with 840 COVID cases.

2020-07-09

photo by David Mark courtesy of pixabay.com

This town and its hospital was the subject of an article in Medpage Today dated July 5.  The hospital is called Texas County Memorial Hospital, and it has been in trouble for several years.  The hospital has been run by management companies which have extracted fees but failed to come up with plans that developed sufficient funding to keep an obstetric wing open (it closed in 2018 after losing $1M a year) or to stock emergency drugs like rattlesnake antitoxin or Activase for strokes and heart attacks.

The town of Guymon has a population 11,000– it is the county seat of Texas County– and its largest employer is a pork-processing plant that employs 2,700 people.  The plant is run by Seaboard Foods Corporation and has been there at least 25 years.  The town is isolated, to say the least; the nearest other hospital is 40 miles away.  There is nothing around Guymon except empty prairie and a few circular irrigated fields.  Liberal, Kansas is the nearest town of any size, with 20,000 people.

The issue with Guymon is that Seaboard Foods in February 2020 planned to spend $100 million on the pork-processing plant there, including $20 on real property and $80 on capital improvements.  They agreed to pay $1 million in 2018 to settle a civil suit by the federal government for hiring “undocumented” foreign workers (the plant is staffed by people from multiple foreign countries.)

Yet they couldn’t spend anything to help the hospital.  This is important because there was a COVID-19 outbreak at the plant this spring.  As of May 21, there were 641 positive tests, almost a quarter of the employees.  In the county (which has only twice as many people altogether as live in the town) there were 820 cases and four deaths reported.  Supposedly no-one at the plant died.  The father of one worker, who was 56 and had been recovering from coronary bypass surgery, did die– despite never leaving the house except to walk the dog while wearing a mask.

The hospital was unable to treat the people who died because they couldn’t accommodate them with their antiquated ventilation system and physical plant.  The hospital laid off half of its almost 200-person staff due to the financial problems over the past few years.   Patients who needed hospitalization for the virus were often transferred by ambulance to larger hospitals a hundred miles away.  With $1.3 million in emergency funds from the US Army Corps of Engineers, the hospital was able to convert the closed maternity wing to a COVID ward– but not until June.

Parenthetically, there has been scientific speculation that the low temperatures (4 degrees Celsius) at which meat processing plants work are ideal for transmission of coronavirus because the virus survives longer outside the body at low temperature and high humidity.  This is one reason (of many) why there are such huge outbreaks of COVID-19 at these plants.

Why didn’t Seaboard Foods put some money into the hospital?  Because they had to make a profit on pork processing for human consumption.  By the way, the county went for he-who-must-not-be-named in a big way in 2016, partly because most of the people who work at the plant can’t vote.  It seems to me that the company should be fined at least $1.3 million to recoup the emergency funds the feds spent on the hospital.  At least.

The problem here is something that conservatives are really good at: socializing costs and privatizing profits.  This is why Walmart can pay minimum wage, and then its employees have to get Medicaid and food stamps to survive.  This is not right.  Poor people shop at Walmart, and the federal government subsidizes the cost.  Meanwhile, the family that owns Walmart is one of the richest families in the world.  This is not right.

Geopolitics: Where do we stand? Why does the US retreat from involvement in the world, as China increases its influence?

2020-07-08

photo by Einfach-Eve courtesy of pixabay.com

After World War Two, the United States was the strongest country.  China was just finishing up a bloody civil war that left the entire country in ruins.  Europe had been bombed back into the Stone Age.  The Soviet Union (Russia) had lost millions of soldiers and civilians to the war against the Nazis.  Japan had been hit with two atomic bombs, after firebombs had killed hundreds of thousands in cities.

Now, after almost four years of destruction by he-who-must-not-be-named, the US has withdrawn from its involvement with the rest of the world.  After over 70 years of rebuilding, the world is totally different, but until four years ago, the US was still the country with the most involvement in other countries.  We gave the most support for democracy and human rights.  Today, we have given up our role in the world and are in danger of ceding our power to China.

This is a very dangerous thing, because the Chinese government has no interest in democracy or human rights.  The government is a product of its leaders, who from the beginning of the Chinese Revolution have been interested only in amassing power, first to overthrow the warlords, then to rebuild the country.  They have always looked on democratic government as a weakness.  They have never been interested in protecting freedom of expression or allowing cultures to continue their indigenous growth.  Their leader, Mao, had a similar personality to our current leader, and he set the tone for the current Chinese government.

The US has long been an aspirant to democracy and to the rights of all humans.  All the injustices and oppression that have taken place in the US have been opposed by the arc of its aspirational self-governance.  Just when the equality of peoples has been nearly approached, it is in danger of being snatched away by the disinterest and active sabotage of our current leaders.

Drawing away from leadership towards equal representation in other countries, the administration in this country has turned towards re-oppressing its own peoples.  Corruption and malfeasance in our government has not only encouraged state violence against our own people, but allowed tyrannical leaders in other countries to oppress their own people without fear of disapproval from our leaders.  We must fight to return our country to a path towards equality and freedom for everyone by ending the current leadership and electing new leaders.  We need leaders who respect everyone’s rights in this country and fight for the rights of peoples in other countries.

Persistent shortage of masks and other personal protective equipment hinders medicine and dentistry during pandemic: NYT

2020-07-08

photo by Juraj Varga courtesy of pixabay.com

This report in the New York Times July 8 details a persistent shortage of personal protective equipment like N95 masks, gloves, and gowns that is preventing medical offices and dentists from seeing patients during the pandemic.  Hospitals are able to obtain protective gear to cover most of their needs, but smaller groups are still struggling to obtain essential equipment.  From the article:

 Neurologists, cardiologists and cancer specialists around the country have been unable to reopen their offices in recent weeks, leaving many patients without care, according to the American Medical Association and other doctor groups.

Lubbock Kids Dental of Lubbock, Texas, which serves low-income children, has been unable to obtain masks and gloves for dental surgery and has a list of over 50 children with abscesses waiting for care.  Treatment with antibiotics has not relieved the need for surgical drainage, and these patients are at risk of developing septicemia if the bacteria enter the bloodstream.

Other outpatient clinics also cannot obtain sufficient masks to re-open.  Many hospitals are forcing their staff to re-use N95 masks, and some staff dealing with coronavirus patients can’t get the N95 masks at all.  The article describes numerous cases of re-use and shortages.

The US is dependent on foreign manufacturers for most of its protective equipment; domestic companies are unable to make sufficient supplies to meet demand.  The federal government could help by invoking the Defense Production Act, but it has done nothing to encourage or mandate supply improvements.  Small amounts of PPE are being distributed by the Federal Emergency Management Administration (FEMA), but nowhere near enough to meet demand.

The shortage is felt most at the level of individual medical and dental practitioners, who cannot band together to order PPE supplies.  The federal government is still doing nothing to help, and spokesmen like the Vice President are lying about the situation.  From the article:

In a coronavirus briefing on Wednesday, Vice President Mike Pence downplayed the shortages, but said the government was preparing to issue new guidance on the preservation and reuse of protective gear. “P.P.E., we hear, remains very strong,” he said.

With the pandemic worsening every day in the South and West, this situation is critical and unconscionable, especially in a supposedly affluent country.  The resulting suffering and deaths are entirely the responsibility of our leaders, especially he-who-must-not-be-named.