"Amid sterner warnings of virus spread, state reopens field hospital" by Matt Stout and Priyanka Dayal McCluskey Globe Staff, November 13, 2020
“We’ve done more than 10,000 inspections of operating businesses in Massachusetts that serve customers of one kind or another,” he said, “and the number that had been found in violation of our rules is very small,” but the data is pointing to an increasingly troubling reality.
"Mass. hospitals better prepared for a second virus surge; ‘We still face some pretty significant challenges,’ said one hospital system head. Chief among them: people’s behavior over the holidays" by Priyanka Dayal McCluskey Globe Staff, November 14, 2020
Massachusetts hospitals are bracing for another surge in coronavirus cases, preparing to quickly add beds and ramp up treatment should the number of seriously ill patients soar again as it did last spring.
Doctors and hospital officials are concerned about the growing numbers — hospitalizations in the state have nearly quadrupled since Labor Day — but so far, they don’t expect a sudden crush of patients who require life-saving treatment like last March and April. Around the United States, however, the number of COVID-19 hospitalizations hit all-time highs last week, with over 69,000 reported as of Saturday, including more than 13,000 people in intensive care.
COVID case numbers are also spiking again in Massachusetts — 2,841 new cases were confirmed on Saturday, and the state has passed 10,000 deaths in total — but there are important differences from the surge in the spring, and the experience in other parts of the country.
In Massachusetts, the rate of hospitalizations is rising more slowly than the rate of new cases, and more gradually than earlier in the pandemic. The people testing positive now tend to be younger and less likely to require hospitalization and intensive care. The death rate has improved, and because doctors now know more about COVID-19 and how to treat it, patients often recover more quickly and spend less time in hospital beds.
What a "merciless" virus!
The comparison with other parts of the country is complicated, with the differences due at least in part to local restrictions and people’s behavior.
Better put on your waders.
Some states, like Wisconsin, North Dakota, and Wyoming, are experiencing their first major surge and haven’t flattened the upward curve of the outbreak yet. Massachusetts' stay-at-home advisory, restrictions on gatherings, and closures of bars and indoor spaces are more stringent than in most other locales, and Massachusetts residents appear to be better at adhering to public health recommendations to wear masks and maintain distance from others, helping to keep transmission of the virus here below the levels now seen in many other states, hospital and state officials say.
Do you like it when the tyrants stroke you?
Local hospital leaders have been preparing for a second surge for months, and they’re more confident going into the winter now that they’ve had experience with COVID-19 and time to stock up on protective gear, medical equipment, test kits, and drugs.
Reading this is literally making me sick.
“We are stronger now than we were then because of fighting through that first wave,” said Dr. Kevin Tabb, chief executive of the Beth Israel Lahey Health hospital system, “but I don’t want to sugarcoat it: We still face some pretty significant challenges. The burden of responding to COVID is monumental for the people that do it on a daily basis.”
Dr. Paul Biddinger, head of emergency preparedness at Massachusetts General Hospital and the Mass General Brigham hospital system, said internal models predict a modest rise in hospitalizations, not the sharp climb seen in the spring. The models don’t yet indicate exactly when the next peak will occur, or how big it will be, but the increase in hospitalizations should remain slow and steady if people continue wearing masks and keeping distance from others.
They are still basing decisions on the wildly inaccurate models?
F**king CRIMINALS!
“We hope that a second surge will be less than what we went through in the first — ideally, dramatically less, but that requires us all to continue to follow restrictions," Biddinger said. “What we are all afraid of is changes in public behavior over the holidays, especially because of Thanksgiving, Christmas, New Year’s, [and] there are lots of people who are indoors with families, without masks," he said. "That really is a very significant risk for substantially changing community transmission, which would really accelerate the surge that we’ve seen.”
This really is getting sickening, and they can f**k off.
For now, hospitals are not planning widespread cancellation of routine appointments and procedures to make room for COVID-19 patients as they did in the spring, under direction from the state. Governor Charlie Baker said last week that state officials are “doing everything in our power to avoid that scenario happening again.”
Who in the world would want to go to hospital now?
After a lull in COVID-19 cases over the summer, hospital leaders have resumed regular communication with one another, and say that if cases rise precipitously again, they will work to balance the burden across Boston and the state so that no single hospital becomes overwhelmed.
Keep them the f**k out of my town and county.
If needed, they say, they again can add ICU beds and redeploy doctors and nurses. State officials also are planning to set up new field hospitals, as they did earlier this year to manage the potential strain on the health care system. The first will be at the DCU Center in Worcester, which functioned as a field hospital in the spring, and will be available for patients again the first week in December.
That "strain" never came, and you are being told the same lie again!
Another big change: This time as cases rise, an effective vaccine may be in sight — and distribution could begin in time to combat the winter surge, said Dr. Eric Dickson, chief executive of UMass Memorial Health Care, which was a test site for the Pfizer vaccine candidate.
“It’s this race to keep the transmission rate low enough that we can manage the care while we work to get the vaccine done," Dickson said. “I think we’ll be vaccinating people in January."
Whether they need it or not!
Massachusetts hospitals also have spent the past several months building up their stores of personal protective equipment and are not as desperate for masks and other supplies as they were in the spring — though health care facilities in other states are scrambling to find enough protective gear.....
That was it for me, and yeah, “for the most part I'm tired” of the Globe's contradictory bullshit and lies!
Time to lockdown again:
"With cases rising, is Massachusetts avoiding a lockdown because it doesn’t have to, or can’t afford to?
In Europe, robust stimulus plans are softening the blow of wider lockdowns. The United States has no such backstop" by Tim Logan and Shirley Leung Globe Staff and Globe Columnist, November 13, 2020
Just a few weeks ago, much of Europe was where Massachusetts is now in responding to a resurgent virus, restricting some but not all business activity in the hopes that those regulations would be enough to contain infections.
They were not, and now countries from Ireland to Italy, England to Germany, have closed up much of their economies, a hard but effective step that is starting to slow the spread in Europe. It could prove even harder in the United States.
But they are playing football anyway!
The key difference is that European countries have backed up their more stringent closures with stimulus spending that softens the blow on workers and the economy. In the United States, similar programs kept the economy afloat in the spring and summer, but their absence now is robbing governors such as Charlie Baker and local mayors of a crucial backstop for the day when they may have to directly confront the question of a harsh lockdown.
OMFG!!!!
As if that money belongs to them!
$crew you, Globe!
As the number of new infections has mounted, Baker has struck an increasingly ominous tone, but he has so far stopped short of tightening the restrictions that he rolled out in early November, which include curfews, early closings for restaurants, and smaller indoor gatherings.
Now shutting down is no longer shutting down according to the Globe!
The seven-day average of new cases in Massachusetts is higher per capita than in Germany, but below the US national average and lower than that of other European countries — about half that of Italy, for example, according to data tracked by Applied XL and Stat. Still, the spike in cases is approaching those seen during the first peak of the virus in the spring, with new infections well over 2,000 a day over the past week.
Many experts fear the coming winter and holiday celebrations could quicken the spread even more, and they’ve stepped up their responses. On Monday in New York City, for example, Mayor Bill de Blasio was warning of widespread restrictions if a resurgence in cases is not brought under control. By Friday, governors from Vermont’s Phil Scott to New Mexico’s Michelle Lujan Grisham were announcing new restrictions to stop COVID’s spread.
Yeah, the $atani$ts in charge and their political minions don't want any joy of any kind while others are resisting.
Still, most officials here are loath to lock down again with the state’s economy just barely treading water: In Massachusetts alone, hundreds of thousands of people remain out of work, and industries from restaurants to hotels to tourism are seeing little sign of a rebound.
The reality, said Alan Clayton-Matthews, a professor of economics and public policy at Northeastern University, is that businesses won’t really bounce back until the virus gets knocked down, and that could be an argument to take another hit, hopefully for just a few weeks, and shut down more fully.....
We were told two weeks to flatten the curve and spare the health system, and the false promises from these fucks never end!
In fact, things only seem to get worse despite their efforts if this slop is to be believed!
Related:
Now roll up your sleeve:
"Missing from state plans to distribute the coronavirus vaccine: money to do it" by Abby Goodnough and Sheila Kaplan New York Times, November 15, 2020
With the prospect that a coronavirus vaccine will become available for emergency use as soon as next month, states and cities are warning that distributing the shots to an anxious public could be hindered by inadequate technology, severe funding shortfalls and a lack of trained personnel.
Good.
While the Trump administration has showered billions of dollars on the companies developing the vaccines, it has left the logistics of inoculating and tracking as many as 20 million people by year’s end — and many tens of millions more next year — largely to local governments without providing enough money, officials in several localities and public health experts involved in the preparations said in interviews.
Public health departments, already strained by a pandemic that has overrun hospitals and drained budgets, are racing to expand online systems to track and share information about who has been vaccinated; to recruit and train hundreds of thousands of doctors, nurses and pharmacists to give people the shot and collect data about everyone who gets it; to find safe locations for mass vaccination events; and to convince the public of the importance of getting immunized.
The federal Centers for Disease Control and Prevention have sent $200 million to the states for the effort, with another $140 million promised in December, but state and local officials said that was billions of dollars short of what would be needed to carry out their complex plans.
“We absolutely do not have enough to pull this off successfully,” said Dr. Thomas E. Dobbs III, the state health officer of Mississippi. “This is going to be a phenomenal logistical feat, to vaccinate everybody in the country. We absolutely have zero margin for failure. We really have to get this right.”
Health departments have asked Congress for at least $8.4 billion more for “a timely, comprehensive, and equitable vaccine distribution campaign”; the CDC director, Dr. Robert Redfield, has said that at least $6 billion is needed, but negotiations for further funding are caught up in the stalemate between House Democrats and the Trump administration over the coronavirus stimulus bill.
“There’s a lot of anxiety,” said Rebecca Coyle, executive director of the American Immunization Registry Association, which has been helping states prepare. “I don’t think we are ready today.”
Congress has allocated $10 billion to Operation Warp Speed, the federal effort subsidizing vaccine companies’ clinical trials and manufacturing costs. Dr. Mandy Cohen, the secretary of health and human services in North Carolina, said her state had received just $6 million for distributing and promoting the shot. She expects $3 million more by the end of the year and called the money “a down payment” for what is likely to be $30 million worth of work over the first year of vaccine distribution.
Dr. Nirav Shah, director of the Maine Center for Disease Control and Prevention, said that more than anything, insufficient funding would slow the rate of vaccination, particularly among disadvantaged populations that are harder to reach.
“The speed at which we vaccinate the population in Maine is directly dependent on the funding,” he said. “We will still get the job done, but it will take longer if I can’t train the people to give it.”
There are myriad other costs too — including, Shah noted, paying for secure convoys to transport the vaccine once it gets to states. “We can’t just throw it into Bob’s pickup truck and drive it down the road,” he said.
One official working on distribution plans at the CDC, who did not have authorization to speak publicly, said the slow drip of money had made it difficult for states to carry out plans and to hire for vaccine-related jobs. “It’s unfortunate and inefficient to do it this way,” the official said.
Preliminary plans that almost every state has shared with the CDC offer a glimpse of urgent preparations for a mass vaccination campaign larger than the United States has never seen. Although the vaccine will be available to only a very small slice of Americans at first, probably starting with health care workers, access could expand rapidly over the first half of 2021.
They had them on the shelf, and the time to kill is fast approaching.
Michigan is enlisting pharmacies to tell their customers with chronic conditions — like diabetes, asthma and high blood pressure — about the vaccine, as they will be prioritized to get it. Tennessee is recruiting more than 1,000 volunteer doctors and nurses to help administer the vaccine initially. Nebraska is making plans to promote it on gas station video screens and in robocalls. New Hampshire — the only state without an online immunization registry — is scrambling to build one to track which residents have received the shot and to report the information to the CDC.
The first vaccine that is likely to be authorized by the Food and Drug Administration, made by Pfizer, comes with especially daunting logistical challenges, including the fact that every recipient will need a booster shot three weeks after the initial dose. Keeping track of which people need the follow-up dose, and getting them to return for it, are among the steepest hurdles that public health officials face. So is a requirement that providers report, for every dose administered, demographic and other data to their state within 24 hours; states, in turn, will quickly report it to the CDC.
A new federal platform, called the Immunization Gateway, aims to connect state vaccine registries so they can share information with one another — for example, if someone gets an initial coronavirus vaccine in New York and then goes to Florida for the winter, a doctor there can look up that person’s first dose information in order to give the correct second dose, but most registries have not yet connected to the platform. Between that and another new federal platform to track vaccines, public health officials are haunted by the spectacular crash of HealthCare.gov, the federal online insurance marketplace set up under the Affordable Care Act, when it went live in 2013 after being finished in a rush.
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To ease the burden on health departments, the federal government is contracting with CVS and Walgreens pharmacies to vaccinate residents of nursing homes and other long-term-care centers around the country, but it could be difficult to reach those in isolated regions, and some might opt out of the program. Last week, the administration announced it would contract with pharmacies across the nation to provide the vaccine generally, as they do with flu shots, once supplies of it increase next year.
Will we have that option?
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Yeah, we “need a vaccine, now.”
Related:
The findings suggest the state should take more dramatic steps to stop the spread of the virus by temporarily halting indoor dining and closing gyms, because imploring residents to avoid large gatherings won’t be enough to keep them healthy, one of the researchers said Saturday.
Yeah, the tyranny is for your own good!
Now go protest or celebrate Biden's alleged win.
Time to head north:
"Citing COVID spike, Vermont governor closes bars, bans multi-household gatherings" by Travis Andersen Globe Staff, November 13, 2020
They are going to "tighten the screws" in Vermont.
In a dramatic escalation in the fight against COVID-19, Governor Phil Scott of Vermont on Friday issued an executive order closing bars and clubs and banning multi-household gatherings of any size, telling reporters the surge across the country is “exploding” and “coming to our doorstep.”
Scott announced the strict new order during a news conference, adding that restaurants will have to close at 10 p.m. for dine-in service, all recreational sports except “school-sponsored sports activities” will be suspended, and college students returning home will have to quarantine for a minimum of seven days.
That means they are KIDNAPPING the KIDS!
If I were you I would NEVER COME BACK, kiddo!
“We continue to see a rise in cases,” said Scott, a Republican, “which is concerning to all of us.”
Proving there are tyrants in both parties.
It was a striking reversal for a state that had fared far better than the rest of New England since the beginning of the coronavirus outbreak in the spring. Month after month, the numbers in Vermont looked far rosier than in Massachusetts, where Boston and other cities were hit hard early.
The Green Mountain State seemed like an oasis to outsiders, many of whom reportedly descended on Vermont from neighboring states and bought properties for safe harbor during the pandemic, but the surge of cases sweeping the country seems to have finally made its way to Vermont, which at one point this summer enjoyed a 43-day stretch with no deaths from the virus. The contagion, federal statistics show, has spread far more rapidly in Vermont in recent weeks.
That's according to the state’s seven-day moving average of new cases, which at this point is arguable given the flawed and faulty tests, 90% false positives on-infectious cases, and I get sick of repeating myself.
All these politicians spewing these distorted or simulated "cases" -- remember when it was two weeks to flatten the curve that never came and now it's nearly nine months later -- are f**king criminals who should hung for treason.
Clusters and outbreaks have been linked to private social gatherings including baby showers, tailgate parties, barbecues, and other multi-household events, and the state is “at a tipping point," Scott said, stressing that “we still have an opportunity” to stanch the “alarming case growth.”
On Thursday, the state Department of Health said anyone who attended two Halloween parties on Oct. 31 in Marshfield, Vt. and Milton Vt. should get tested for COVID-19; it requested the same for anyone who participated in bowling league games at Spare Time in Colchester, Vt. on Nov. 4 and Nov. 5.
State Health Commissioner Dr. Mark Levine urged Vermont residents to wear face coverings, practice physical distancing, stay home if they feel sick, avoid non-essential travel, and cooperate with contact tracers if they call.....
NOPE.
Time to turn east?
The border war between Massachusetts and New Hampshire over housebound commuters' payroll taxes intensified on Friday when Governor Chris Sununu declared that his administration would challenge the Baker administration in federal court.
Can't head south in either direction:
Related:
Looks like another cull is underway.
Time to put this post on ice:
I'm told “hockey is a game that could facilitate transmission of COVID-19 for several reasons. It’s played indoors, the plexiglass shields around the rink limit ventilation, and the exertion of the players mean they are breathing heavily while close to each other — either during play or on the bench, and also in the locker rooms,” said Dr. Paul Sax, clinical director of the Division of Infectious Diseases at Brigham and Women’s Hospital. The Vermont Department of Health is investigating an outbreak among members of youth and adult recreational hockey and broomball teams playing at a facility in Montpelier....."
Yeah, never mind the face shields, gloves, and other equipment they are wearing and the lack of positive tests during the sham NHL playoffs as I am waiting for a whistle:
"
A hockey referee who tested positive for COVID-19 may have exposed of hundreds of people at games he officiated last weekend in Maine and New Hampshire, a public health official said Thursday. Dr. Nirav D. Shah, director of the Maine Center for Disease Control and Prevention, disclosed the information during his regular remote briefing with reporters. Shah said the referee, whom he didn’t name, officiated eight games Saturday and Sunday. The games were played at the Biddeford Ice Arena in Biddeford, Maine; North Yarmouth Academy in Yarmouth, Maine; and Merrill Faye Arena in Laconia, N.H He said the referee’s Biddeford games were played at 8:35 a.m. and 10:05 a.m. Saturday, and Sunday games were played at 7:40 a.m., 9:20 a.m., 11 a.m., and 1 p.m. The official’s North Yarmouth Academy games were played Sunday between 6:30 p.m. and 10:15 p.m., and the single Laconia game started at 5:45 p.m. Saturday, according to Shah. “If you or a family member was on the ice for one of these games, you should consider yourself a close contact of someone who has COVID-19,” quarantine for 14 days and also get tested, he said."
{@@##$$%%^^&&}
All I am going to say is UN-F**KING-REAL!