Saturday, January 25, 2020

What Does A Centralized Responce Look Like In the USA?

2019-nCoV


Jan 30

*Well, this is what centralization looks like in the USA: President Trump announced the formation of a coronavirus task force, which the White House said has met daily since the start of the week.
Coordinated through the National Security Council, the group is led by Health and Human Services Secretary Alex Azar and includes national security adviser Robert O'Brien, Deputy Secretary of State Stephen Biegun, Department of Homeland Security acting Deputy Secretary Ken Cuccinelli, and Domestic Policy Council Director Joseph Grogan. 
Update Jan 26

It is amazing how siloed we have become. I looked over the US Pandemic strategy yesterday afternoon and realized it was grossly obsolete. I bet you I was the first one on the internet who realized the strategy wouldn't work based on the published characteristics of the virus. We live in a completely new world today from yesterday, tomorrow will be a completely different world than today.       
China says virus can spread before symptoms show -- calling into question US strategy to contain virus

China’s health minister Ma Xiaowei had some very bad news Sunday about the Wuhan coronavirus: He said people can spread it before they have symptoms.

A veteran adviser for a US health agency called the news a "game changer."

“When I heard this, I thought, ‘oh dear, this is worse than we anticipated.’ It means the infection is much more contagious than we originally thought,” said Dr. William Schaffner, a longtime adviser to the Centers for Disease Control and Prevention.

Schaffner added that this new piece of information called into question the current US practices for containing the virus so it doesn’t spread beyond the three cases that have already appeared in Washington state, California, and Illinois.

Schaffner, an infectious disease expert at Vanderbilt University Medical Center said that if Max is correct, “we’re going to have to re-evaluate our strategy, that’s for sure."

And if so – and information about this virus is constantly evolving -- for about two weeks, people who don’t even know they’re sick can spread the virus, which has killed more than 50 people in China and infected thousands.

The disease has spread as far as France, Canada, and the US, which now has three cases in California, Washington state, and Illinois.
The below two paragraphs speaks to our new reality: "We live in a completely new world today from yesterday, tomorrow will be a completely different world than today.
In a press briefing Friday, Dr. Jennifer Layden, an epidemiologist with the Illinois Department of Health, said the woman with the Wuhan coronavirus in her state had not been sick while traveling from Wuhan to the US on January 13, and “based on what we know now about this virus our concern for transmission before symptoms develop is low so that is reassuring.”

She explained that officials were following “close contacts” of the patient. She did not mention following other kinds of contacts, such as the other passengers on the woman’s January 13 flight.
*China Orders Centralized Response to Virus Outbreak as Alert Level Rises

Our worthless national pandemic plan is worthless because it is based on the avian flue like virus. It assumes we have a vaccine for virus. 

We should have had big studies and planning for a coronavirus like vaccine. A set of vaccines in waiting where a some change could give us protection. 

Do we have the vaccine production infrastructure in waiting for a pandemic.       

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