Saturday, March 14, 2020

Trump Declares A Coronavirus National Emergency On March 13

This will help put me in the future remember the context of the times we live.

Coronavirus in Italy: More Younger Patients Going Into Intensive Care and Sicker

The second wave is younger and sicker. Is this guy mutating right in front us. There is absolutely no reason this won't happen in the USA. And it just might get more deadly!  
Coronavirus: More young patients being admitted to hospital, Italian doctor warns

Over 17,600 people are infected by Covid-19 in Europe’s worst-hit country

Italians admitted to hospital for coronavirus are getting younger, a health official has claimed.

“The type of patient is changing,” Luca Lorini, the head of anaesthesia and intensive care at a northern Italian hospital, has said.

“They are a bit younger, between 40 to 45 years old and the cases are more complicated.”

Dr Lorini, who works at a hospital in Bergamo, told radio programme RaiNews24: ”People are arriving who got ill six or seven days ago and treated themselves at home – and then their conditions became more and more critical.”

Twelve per cent of those who have been treated in intensive care are aged between 19 and 50, according to official figures released last week. Around 52 per cent are between 51 and 70 years old, with the rest all over 70. 

Recently, hospitals in Lombardy have seen people aged between 25 and 50 diagnosed with Covid-19 and subsequently hospitalised for treatment, according to local media reports.

“Even if the data is only preliminary, the fact there are more young people hospitalised and in intensive care compared to the first wave can be interpreted as a natural phenomenon,” Pierluigi Lopalco, a professor from Pisa University, told Italian newspaper Il Corriere della Sera.

“In Italy, the first clusters of the infection started around hospitals, more commonly frequented by older people, and in small towns,” he said.

“Now the virus has spread, it is travelling around the whole country way more and it is younger people, with lots of social contact, that are more at risk of contracting the disease if they do not stick to the rules of social distancing.”...

When Will A Insurance Conglomerate Go Bankrupt?

These guys were some of the weak links in 2008.

Friday, March 13, 2020

self-aggrandizement

Basically Trump's speech was just filled corporate advertisement, deregulation, bully-ism and self-aggrandizement plus stinks with a extremist Ideology. 

Coronavirus: Brattleboro, Keene Hospitals Are Going to Be A Massacre Zone!


March 16

The most critical issues facing us today: Coronavirus USA Update: 2 Emergency Room Doctors Hospitalized In ‘Critical Condition’

March 15. One is 40 years old and the other 70 years old. A lot of emergency personnel and doctors caught the virus and died in China. There is something going on different with infections with the emergency staff than the normal public. They think it has something to do with the elevated virus levels they see in their work.      

March 15

Sorry, It was Kent State not Keene State. 

Keene State has a maintenance worker they suspect has an infection of coronavirus. He has been all over the facility. 

*All New York City hospitals will be required to cancel elective surgeries, mayor says
*Here it comes or it was always here and we just realized it: 


Coronavirus in Massachusetts: Brigham and Women’s Hospital worker tests positive for COVID-19

March 14

*Italy:“It’s a massive overload,” said Unks. “They have triage tents outside hospitals so if you and I walk in together, they decide: ‘Is Brian going to live or Shannon going to live?’ They pick the one most likely to live. They have to pick the person they think is going to survive the most. They do not have enough beds, respirators, not enough personnel to care for everyone.”

*Why isn't this happening here: N.Y. Hospitals Pitch Tents, Nix Surgeries to Prepare for Influx

*NYT: Coronavirus in N.Y.: Will a Surge in Patients Overwhelm Hospitals?

“We are not prepared,” one doctor said. New York City’s hospitals may be moving too slowly as the outbreak spreads, experts say.

In a stark email to colleagues across Europe, the doctor, who wishes to remain anonymous, wrote: ‘It is true that most patients have flu-like symptoms and recover, but there is a significant proportion – not only old people – who develop acute unexpected severe respiratory distress requiring breath assistance and intubation [inserting an airway tube].’

‘Hospitals are crowded with sick people, while emergency rooms are empty because people are afraid to go there,’ he wrote, adding that outpatient visits in the region’s hospitals were likely to be cancelled from tomorrow as colleagues around the country reported an ‘alarming shortage of doctors and nurses, making them unable to cover duties and shifts’.

‘Where I work, routine surgeries – for breast, kidney and colon cancers and other procedures – are postponed or reduced because of the shortage of intensive care assistance,’ he wrote. ‘My concern is whether – and for how long – our system can tolerate this.’

*Surgeon General Calls On Hospitals To Consider Stopping Elective Surgeries

“It’s a massive overload,” said Unks. “They have triage tents outside hospitals so if you and I walk in together, they decide: ‘Is Brian going to live or Shannon going to live?’ They pick the one most likely to live. They have to pick the person they think is going to survive the most. They do not have enough beds, respirators, not enough personnel to care for everyone.”


*My coronavirus quarantine in Italy: Learn from our mistakes
Do not ignore the warnings as we did in Italy

Italy is living through an incomprehensible tragedy, the likes of which the world has never seen. All 60 million of its residents are squirreled away at home, leaving only when necessary for food or medicines, armed with ID cards to show the police when we are inevitably stopped.

We’ve been asked to stay home and finally, we are listening, but it is too late for many.

I believe America is the most incredible nation to have ever existed but this virus does not care about that. Please learn from our mistakes. Do not ignore the warnings as we did.As I write this, there are nearly 136,000 official cases worldwide, 15,113 in Italy with 2,651 new cases in just the last 24 hours, and 1,016 deaths.


*Ex-Obama official warns US health system faces 'tsunami' over coronavirus

*Hospitals in the US could be overrun by coronavirus cases in little more than a week, a former Obama administration senior health official has warned, fearing a “tsunami-like” escalation that would leave tens of thousands in need of inpatient medical care but unlikely to receive it.

*Coronavirus Death Rate Soars to 7% in Italy – Is America Next?
Boston globe: 
Hospitals must now plan for pandemic’s worst


The number of people infected by coronavirus in Italy has risen by around 20% in one day to 21,157.

***The whole nation has been talking about hospitals in the last 24 hours. The governor of the state of Washington expects greater than 60,000 infected in two week with an additional 400 dead. We are going to have to completely destroy our economy to save our hospitals and prevent a massacre. We are deep into a national panic...shortages all over the place.  

***Our fatality rate in coronavirusville will be starting higher than average. 

Just saying, how much would you bribe your doctor or senior hospital administrator to get you "cuts" in the ventilator line to save your mother. What is the going rate: $50,000 to $100,000?  

Trump is going to declare a national emergency and get FEMA this afternoon. It is months late. We have to anticipate a Pandemic instead waiting for triplicate perfect proof with the Pandemic. We live in a world of incomplete information and are required to make judgement on fragmentary information and intuitions on a daily and hourly bases. The example is going out to get a gallon of milk. You never know in details what the road conditions are and even if the milk is in stock. We are completely capability of operating in a environment with incomplete and fragmentary information.       
"That analysis, based on data from the American Hospital Association, U.S. Census, CDC and World Health Organization, is purposely conservative. For example, it assumes all beds will be empty. Since two thirds of them are not, the reality could be far worse: about 17 people per open bed."
The US Gov's worst case based their analysis on a 7.5% infection rate for the population. The medical experts say the coronavirus infection rates can end up being 70%.
Honestly, I think this is baked into the cake. 
When are you going to stand up for us? 
Brattleboro Memorial Hospital
Dartmouth-Hitchcock Keene  
So 17 patients will be competing for one hospital beds. I believe around here, it will be 28. We have a high population of poverty. We got nurses and doctor shortages leading to a diminution of skills and discipline all around. Not many medical people favor this kind of region. The flu at this point is ravishing our population with it being worst than normal. Heroin and other drugs are again ravishing our poor population. It is a perfect storm of death. 

You get what is going to happen. There will be 2 or more people competing for one ventilator or advanced services. The doctor will choose what patient gets the ventilator based on medical triage. The other will die. In normal times, the dead person would be saved. I'd make the case these doctors who choose who gets the ventilators...they will be force to kill (triage) more patient than to cure patients. There will be a ton more medical or medicine errors...this will be a sin against the medical community. 

There will be problems getting the dead bodies out of the hospitals and more big troubles with burying the dead.

I predict the biggest 2020 story in our area won't be coronavirus...it will be about startling levels deaths in our hospitals.

Remember the severe patients usually gets shipped off to specialized big city hospital. These hospitals will get overrun with sick patients first and they will be unavailable to hospitals like Keene and Brattleboro!   
Hospitals won’t have enough beds if coronavirus spikes


No state in the U.S. will have enough room for novel coronavirus patients if the surge in severe cases here mirrors that in other countries.
A USA TODAY analysis shows that if the nation sees a major spike, there could be almost six seriously ill patients for every existing hospital bed.
That analysis, based on data from the American Hospital Association, U.S. Census, CDC and World Health Organization, is purposely conservative. For example, it assumes all beds will be empty. Since two thirds of them are not, the reality could be far worse: about 17 people per open bed.
“Unless we are able to implement dramatic isolation measures like some places in China, we’ll be presented with overwhelming numbers of coronavirus patients – two to 10 times as we see at peak influenza times,” said Dr. James Lawler, who researches emerging diseases at the University of Nebraska Medical Center and the Global Center for Health Security.
Lawler added that “no hospital has current capacity to absorb that” without taking crisis care measures, such as postponing elective procedures and reserving finite resources for those coronavirus patients most likely to recover. The American Hospital Association wrote to congressional leaders in February to ask for money to build hospitals and housing to isolate patients.
USA TODAY’s analysis estimates 23.8 million Americans could contract COVID-19, the illness caused by the novel coronavirus that first appeared in Wuhan, China.
That number is based on an infection rate of 7.4% – similar to a mild flu year. Experts say this infection rate will likely be far higher.
The Johns Hopkins Center for Health Security estimates that 38 million Americans will need medical care for COVID-19, including as many as 9.6 million who need to be hospitalized – about a third of whom might need ICU-level care. In a February presentation to the American Hospital Association, Lawler estimated that as many as 96 million Americans could be infected.
Most people with COVID-19, however, will have only mild symptoms. Studies of cases in other countries suggest that some of those responsible for community spread were never identified as infected because they didn’t develop any symptoms...

Thursday, March 12, 2020

Italy's Hospitals At The Stage of Collapse

Our trend of coronavirus cases mimics Italy's cases eleven days ago. We are eleven days behind them.  
Monday March 23 is that day!

This is us in eleven days. We have seven times the population as Italy. You can't deny the rate of the intensifying Pandemic is extraordinarily scary.  


Coronavirus: Italy’s hospitals overflow with the dead as toll tops 1,000

Officials in hard-hit Lombardy region have cut red tape for burials and processing of death certificates

Hospitals in Italy’s hard-hit Lombardy region, already overwhelmed trying to care for the increasing number of sick people in limited intensive care units, are overflowing with the dead.

Lombardy’s top health care official, Giulio Gallera, said at the request of the hospitals, the region had simplified the bureaucracy needed to process death certificates and bury the dead, with the death toll in Lombardy alone reaching 617 by late Wednesday.


Ok, We Got Millions Of Square Feet Of Empty Stores and Malls...How Do We Put This To Use

The stores and malls shuttered by eBay and Amazon. It is a huge resource and would be easy to be put back to use. 

In our battle to contain coronavirus, how could we use this resource efficiently? 

What Is The Coronavirus Pandemic Going To Teach Us

Sometimes for wrong reason, we set things in motion or neglect to fix problems when known, until it ignites a situation that is uncontrollable. The only way it stops is until the energy in system exhausted. Usually in the big failures,  it ends in the deaths of millions.

Why Did Trump Really Stop All Flight From Europe

This president is noted for political scams. Like the Biden/Ukraine and Russian scams. Personally I think Trump stopped air traffic from Europe as a current and future  political talking points for his kooks. He can stick out his chest and brag publicly that he limited the size of the Pandemic even as nobody trust his fight against the pandemic. It is all about what you can pump into the new sphere over and over again even if it counteracts the truth. The air stoppage is the politics he thinks can get him reelected.    

Electric Utility Stocks are Dropping Like a Rock

I see a lot more maintenance not happening and bankruptcies all around.

Maximizing Hospital Surge Capacity...Nationize all the hospitals Nationwide

Basically right now we got to reduce the patient population by 50% in a emergency manner all across the nation. Nationalize all our hospitals. 
maximizing
1) All non patient civilians must be prohibited from interring the hospitals. The family medicine-doctor side of the hospital must be spirited from the hospital.  

2) All elective surgeries must stop...surgeries and procedures of all kinds needs to be stopped if possible. 

3) We need to think of hospitals as one system. Temporarally no more isolated single hospitals     
or corporate hospitals. 

4) Again, the purpose is to reduce hospital patient population  by 50%...have 50% of the hospitals beds not being use. The surge capacity.

I idea of this is certain hospitals in certain locations would be overwhelmed or inundated with sick people. Some hospitals on the other side of the state would be intentionally limited to 50% patient  capacity So you begin transferring the patients at the inundated hospital to the low patient hospital.

.

It Is Just a Matter of Time Before Trump Has A Massive Heart Attack

Maybe God will take him out!

We Are At the Precipice Of A Severe Deflationary Depression

Down 2500 now heading for another circuit breaker. We should shutdown the stock market for a month!

***Do you know the what the function is of a Deflationary Depression is? It cleans out bad debt at a massive level.

The newscasters on the cable business channels today are starting to get crackling voices and talking with very nervous energy.

Stock market is shutdown at 1697.


.

Wednesday, March 11, 2020

Historic Electricity Demand Shock Is Coming to the USA

Grid operators cancel travel, shift to remote meetings, as industry preps for broad coronavirus absenteeism

Electric companies could see up to 40% of their workforce out sick as the coronavirus continues to spread, according to a bulletin issued by the Edison Electric Institute (EEI), which represents investor-owned utilities.
***A electricity demand shock is right around corner. I'll bet the scale of the  demand shock is beyond any grid system analysis. Will we see limited blackouts.

World Health Organization Declares Coronavirus Is a Pandemic Two months Late

The WHO rules define A Pandemic when there is proof of world wide community spread of a Pandemic. They have to wait to have evidence of world wide community spread. Like, we know many nations at the beginning most nations didn't have test. The USA still don't have sufficient testing to meet our current needs.

The WHO need to have a criteria where when they discover a new virus or a old one behaving more dangerously, then the world has to just throw unlimited amounts of money on research. Figure out what the dangerousness is of the virus. Declare a Pandemic based on its potential to become a Pandemic.  

Saturday, March 07, 2020

Coranavirus: Hospitals A Threat to Everyone

update

*We keep testing for a horrendous coronavirus outbreak at hospitals. This guy was running around in two hospitals: Connecticut confirms hospital worker has coronavirus

Connecticut Gov. Ned Lamont (D) on Friday said a hospital employee had tested positive for the novel coronavirus, the first confirmed case in the state — though the patient does not live there.

The employee, who worked at the Danbury and Norwalk hospitals, is a resident of New York state, Lamont said in a tweet. The governor said he was meeting with health officials in Danbury.


*The World Health Organization says we don't know yet how heat and humidity affect the virus. “There is currently no data available on stability of 2019-nCoV on surfaces,” it says in its guidance on preventing infections.

***I guess US hospital have areas with closed air ventilations systems and HEPA filters to prevent the spread of pathogens. But the rest of the hospital would not have these systems. Why wouldn't the heating ventilation system have the same problem? So much for the idea the coronavirus doesn't become aerosolized. Most of the building ventilation system's heating and air-conditioning systems share the same duct work. Would the elevated heating ducts temperatures kill the coronavirus?
The scenario I worry about is there will be a car accident. The driver just caught the virus. In the early stage of the infection, a lab test would not pick up the infection. The accident injured him enough so he would be in  hospital for weeks. He would be shedding the virus till he got a elevated temperature gaining the nurses attention. We don't know at what point the hospital takes a coronavirus test. There, the hospital's ventilation system is contaminated with coronavirus and it spreading wildly through the hospital.   
 
Coronavirus could be spread by air-conditioning and may be more contagious than previously thought, scientists believe after finding traces of the virus in hospital air-duct

  • The rooms of three coronavirus patients were tested in a Singapore hospital   
  • The room of a 'mild' infectee had trace amounts of the virus in an air vent
  • Concerns have been raised in recent weeks of the spread of the deadly coronavirus through air-conditioning units after many became ill on cruise shi
Traces of the coronavirus found in a hospital air duct has led scientists to believe the disease could be spread through air-conditioning units, making it more contagious than initially thought. 
Swab analysis of rooms used by three coronavirus patients by experts at the National Centre for Infectious Diseases in Singapore suggest that the respiratory illness spreads easier than previously thought. 
An air duct connected to the room of one of the patients, thought to be only suffering from 'mild' symptoms', was found with traces of the virus, suggesting 'suggests small, virus-laden droplets may be displaced by airflows and deposited on equipment such as vents'.
The research, published in the Journal of the American Medical Association, comes shortly after it was reported that 142 Britons were reported trapped on a Princess Cruise ship anchored for patients to undergo testing, off the coast of California yesterday. 
Health authorities have had a suspicious eye on cruise ships in recent weeks ever since a number of voyages were disrupted by virus scares.
In the most serious case, 705 people tested positive for the virus on board the Diamond Princess during a two-week lockdown in Japan.  
Japanese authorities said last week that a British tourist who had been on board the Diamond Princess had died after contracting coronavirus.
On Thursday, a patient with underlying health conditions became the first person in the UK to die after also testing positive for the virus.   
It is standard practice for buildings and cruise ships to use recycled air through air-conditioning systems. 
Professor James G. Dwyer, from Purdue University in Indiana, told the Telegraph: 'The problem is that these systems can't filter out particles smaller than 5,000 nanometers.'
The size of the coronavirus is not yet known, but a similar respiratory illness, Sars, was recorded at just 120 nanometres. 
Professor Dwyer said that if the current COVID-19 is a similar size, 'the air conditioning system would be carrying the virus to every cabin.  
'Cruise ships could minimise this problem by just using outside air and not recirculating it,' he added.       
Airlines have already sought to reassure passengers that their air-conditioning systems are fit to prevent the coronavirus spreading in the cabin, with Etihad suggesting their system is as watertight as a hospital operating theatre.      
'In any confined area, there is a risk of contracting illnesses from other people,' an airline statement reads. 
'However, the risk is considered lower on aircraft because of the use of high efficiency particulate air filters, which are effective in capturing more than 99 per cent of airborne microbes in filtered air.' 


Coronavirus Infected Petroleum: The Great Competition Of Nations In A World Crisis.

We and the world have been sanctioning Russia over a host of issues. It has severely degraded the  Russian economy and squeeze the Russian people. Basically because of the coronavirus the Chinese have greatly reduce using petroleum on a massive scale. Seems the world is heading that way with social isolation. So OPEC and the other oil producers want to make a deal to cut the petroleum  production to boost the price of petroleum. I am hearing from  the cable business shows their there is a agenda underneath baulking on the cutback deal. Our miracle fracking natural gas and petroleum industry sits on the edge of profitability. The market price of electricity has been drastically cut due to fracking. So here is Russia trying to get even with our sanctions. They see the USA at this time as extraordinary vulnerable. Their intention is to drive down the world price of petroleum until they wipe out our fracking business. They know the speculative fracking business is highly loaded up with debt. It is huge. The experts think Russia can carry this out. 

The sub prime mortgage lit off the 2007-2008 financial crisis. Basically this ended freezing up our financial system. The Russians think the fracking  industry's debt is enough to freeze up our financial system and wipe out the fracking industry. Especially in the terror of coronavirus.        
Oil just had its worst day in 11 years as OPEC and Russia fall out over the coronavirus crisis
Vienna (CNN Business)Oil prices crashed more than 9% to their lowest level in nearly three years on Friday as major producing nations failed to agree on supply cuts aimed at addressing the collapse in global demand caused by the coronavirus outbreak.
The OPEC cartel led by Saudi Arabia on Thursday had proposed a two-pronged approach to its key ally Russia: extend existing production cuts of 2.1 million barrels through to the end of 2020; and make further cuts of 1.5 million barrels per day.
But Russia refused to back the plan at a meeting with OPEC in Vienna on Friday, leaving the future of its three-year alliance with the cartel in doubt and raising the prospect of a huge supply glut.

'This is a crisis.' Airlines face $113 billion hit from the coronavirus

OPEC Secretary General Mohammed Barkindo, speaking to reporters after the meeting broke up, said there was no consensus to extend the policy of supply restraint beyond the end of March and OPEC would not act unilaterally. Discussions would continue, he added, but gave no further detail.

Russian energy minister Alexander Novak told CNN Business that producers would make their own decisions on what to do from April 1.
Brent crude, the global benchmark, settled 9.4% lower at $45.27 a barrel. That was its worst level in nearly three years. It was the worst one-day percentage drop since December 2008.
US oil prices settled 10.1% lower at $41.28 on Friday -- the biggest one day percentage drop since November 2014. It was the lowest close since August 2016.
OPEC has faced immense pressure to act since oil prices fell into a bear market last month, or 20% below their previous peak, as the coronavirus outbreak destroyed demand for fuel, initially in China. Prices have now fallen 33% since early January.
 

Friday, March 06, 2020

Real Fatality Rate

update
Pat Herrick said her mother, Elaine, was a resident at Life Care but died on Wednesday at 3:30 a.m. 

She explained a staff member called her early in the morning to say her mother had died, and then a different staff member called her at 10 a.m. to say her mother was doing fine. Herrick said she had to correct the employee that her mother had already passed away.
Herrick said her mother was not exhibiting symptoms of coronavirus and was told she died from natural causes but is fighting to get her mother's body tested for the virus.

“This is so tragic. I am so sorry for everybody involved, and I am so sorry for us as a country,” said Her...

There is more to this story. It goes like this. The daughter became irritated with the confusion going on with her mother. The facility told her that her mother death was not related to coronavirus. But then the facility was full of coronavirus cases. The mother wanted a determination on what cause her mother's death. She asked the facility to test her mother's body for coronavirus. The center came back that we can't do the test on a assortment of red tape issues. She said a dead person doesn't meet the criteria for getting tested for coronavirus and nobody will pick up the cost for the testing.

There just is a lot of incentives and disincentives for a body not to get tested for coronavirus. Some flaws in the system and some intentional. We should have begun testing for coronavirus weeks ago on all deceased people in the USA. A least a targeted area suspected with having an outbreak. There you could have gotten a picture with all bodies infected with coronavirus not included in the offical virus numbers. 

***I don't buy it we can't get a fatality rate. You would need a 50 to 100 population of people in a local area. It would have to be in a representative area of our society. Once you get to say a hundred people infected, you closely monitor the medical condition of these people  for reasonable amount of time. Then you count all the dead by medical detectives. It could come in numerous smaller group numbers and or chose a random group throughout the USA. It would have to be a represented sample of people.

When Is Catching Coronavirus Going To Be A Badge Honor By our Media

When are we going to heroize them all and all the people around them.

What if Burnie, Trump or Joe Dies From Coronavirus

update

It was a high level CDC official who got the all clear. 

The CDC is under attack by the virus. President Trump cancelled the CDC trip because a agency employee was presumed to have coronavirus. He didn't want to walk into a group infected by the virus. He says the employee was tested clean. A reporter asked if he is now going to go to the CDC today. He answered in a vague manner.  

Update


It could happen here no doubt: Coronavirus strikes top levels of Iranian government as infection rate soars. 

A top Iranian diplomat died of coronavirus infection Thursday, according to state media reports, continuing the heavy toll the outbreak has taken on the country’s leadership as the rate of infection continues to mount dramatically.

*Trump just cancelled his trip to the CDC today. CNN is all over this. This just came out five minutes ago. The feeling is they are trying to socially isolate him because of coronavirus. I'll put my money on the CDC in Atlanta is riddled with coronavirus infections. The stock market would go absolutely crazy if coronavirus was in the CDC. It would ruin the reputations of all the nations agencies fighting coronavirus if the CDC was infected.

*Because these guys are so old, the risk of their death is high if they catch the virus. These guys come in direct contact with a lot of people, they come in indirect contact with a unimaginable number of of other people. I wonder if these guys are under special coronavirus procedures and controls? Imagine if one of these candidates disappears into a intensive care room for weeks at a time. Take a look at our congress, they are all old bastards. Same with state government. Our political system is extraordinarily vulnerable and fragile because the system is loaded with the elderly. What if politicians disappear from direct public exposure because they are so fearful of dying. Would the governance by  a old man and a young man be any difference because one of them is much more susceptible to a coronavirus. 

I can't wait to see the envy with the special medical care and all the expensive accommodations the billionaires will get verses all the rest of us will get whom is lost in coronavirus land.