This doctor was just on CNN and wrote this article 15 years ago about the next pandemic. He pointed out the US is worse off now, because we have been down sizing our hospital capacity since 2005. Much in his article is strikingly accurate to what we are facing.
Preparing for the Next Pandemic
List of authors.
Michael T. Osterholm, Ph.D., M.P.H.
May 5, 2005 N Engl J Med 2005; 352:1839-1842 DOI: 10.1056/NEJMp058068
Annual influenza epidemics are like Minnesota winters — all are challenges, but some are worse than others. No matter how well we prepare, some blizzards take quite a toll. Each year, despite our efforts to increase the rates of influenza vaccination in our most vulnerable populations, unpredictable factors largely determine the burden of influenza disease and related deaths. During a typical year in the United States, 30,000 to 50,000 persons die as a result of influenzavirus infection, and the global death toll is about 20 to 30 times as high as the toll in this country. We usually accept this outcome as part of the cycle of life. Only when a vaccine shortage occurs or young children die suddenly does the public demand that someone step forward to change the course of the epidemic. Unfortunately, the fragile and limited production capacity of our 1950s egg-based technology for producing influenza vaccine and the lack of a national commitment to universal annual influenza vaccination mean that influenza epidemics will continue to present a substantial public health challenge for the foreseeable future.
Sign up for the Weekly Table of Contents email.
Each week, receive an email with links to the articles published in the current week's issue of the New England Journal of Medicine.
An influenza pandemic has always been a great global infectious-disease threat. There have been 10 pandemics of influenza A in the past 300 years. A recent analysis showed that the pandemic of 1918 and 1919 killed 50 million to 100 million people,1 and although its severity is often considered anomalous, the pandemic of 1830 through 1832 was similarly severe — it simply occurred when the world's population was smaller. Today, with a world population of 6.5 billion — more than three times that in 1918 — even a relatively “mild” pandemic could kill many millions of people.Influenza experts recognize the inevitability of another pandemic. When will it begin? Will it be caused by H5N1, the avian influenzavirus strain currently circulating in Asia? Will its effect rival that of 1918 or be more muted, as was the case in the pandemics of 1957 and 1968? Nobody knows.So how can we prepare? One key step is to rapidly ramp up research related to the production of an effective vaccine, as the Department of Health and Human Services is doing. In addition to clinical research on the immunogenicity of influenza vaccines, urgent needs include basic research on the ecology and biology of influenzaviruses, studies of the epidemiologic role of various animal and bird species, and work on early interventions and risk assessment.2 Equally urgent is the development of cell-culture technology for production of vaccine that can replace our egg-based manufacturing process. Today, making the 300 million doses of influenza vaccine needed annually worldwide requires more than 350 million chicken eggs and six or more months; a cell-culture approach may produce much higher antigen yields and be faster. After such a process was developed, we would also need assured industrial capacity to produce sufficient vaccine for the world's population during the earliest days of an emerging pandemic.Beyond research and development, we need a public health approach that includes far more than drafting of general plans, as several countries and states have done. We need a detailed operational blueprint of the best way to get through 12 to 24 months of a pandemic.What if the next pandemic were to start tonight? If it were determined that several cities in Vietnam had major outbreaks of H5N1 infection associated with high mortality, there would be a scramble to stop the virus from entering other countries by greatly reducing or even prohibiting foreign travel and trade. The global economy would come to a halt, and since we could not expect appropriate vaccines to be available for many months and we have very limited stockpiles of antiviral drugs, we would be facing a 1918-like scenario.Production of a vaccine would take a minimum of six months after isolation of the circulating strain, and given the capacity of all the current international vaccine manufacturers, supplies during those next six months would be limited to fewer than a billion monovalent doses. Since two doses may be required for protection, we could vaccinate fewer than 500 million people — approximately 14 percent of the world's population. And owing to our global “just-in-time delivery” economy, we would have no surge capacity for health care, food supplies, and many other products and services. For example, in the United States today, we have only 105,000 mechanical ventilators, 75,000 to 80,000 of which are in use at any given time for everyday medical care; during a garden-variety influenza season, more than 100,000 are required. In a pandemic, most patients with influenza who needed ventilation would not have access to it.We have no detailed plans for staffing the temporary hospitals that would have to be set up in high-school gymnasiums and community centers — and that might need to remain in operation for one or two years. Health care workers would become ill and die at rates similar to, or even higher than, those in the general public. Judging by our experience with the severe acute respiratory syndrome (SARS), some health care workers would not show up for duty. How would communities train and use volunteers? If the pandemic wave were spreading slowly enough, could immune survivors of an early wave, particularly health care workers, become the primary response corps?Health care delivery systems and managed-care organizations have done little planning for such a scenario. Who, for instance, would receive the extremely limited antiviral agents that will be available? We need to develop a national, and even an international, consensus on the priorities for the use of antiviral drugs well before the pandemic begins. In addition, we have no way of urgently increasing production of critical items such as antiviral drugs, masks for respiratory protection, or antibiotics for the treatment of secondary bacterial infections. Even under today's relatively stable operating conditions, eight different antiinfective agents are in short supply because of manufacturing problems. Nor do we have detailed plans for handling the massive number of dead bodies that would soon exceed our ability to cope with them.What if an H5N1 influenza pandemic began not now but a year from now? We would still need to plan with fervor for local nonmedical as well as medical preparedness. Planning for a pandemic must be on the agenda of every public health agency, school board, manufacturing plant, investment firm, mortuary, state legislature, and food distributor. Health professionals must become much more proficient in “risk communication,” so that they can effectively provide the facts — and acknowledge the unknowns — to a frightened population.3With another year of lead time, vaccine might have a more central role in our response. Although the manufacturing capacity would still be limited, strategies such as developing antigen-sparing formulations — that is, intradermal formulations that take advantage of copious numbers of dendritic cells for antigen processing or formulations including adjuvants to boost the immune response — might extend the vaccine supply. Urgent planning efforts are required to ensure that we have the syringes and other essential equipment, as well as the workforce, for effective delivery. Finally, a detailed plan for vaccine allocation will be needed — before the crisis, not during it.What if the pandemic were 10 years away and we embarked today on a worldwide influenza Manhattan Project aimed at producing and delivering a pandemic vaccine for everyone in the world soon after the onset of sustained human-to-human transmission? In this scenario, we just might make a real difference.The current system of producing and distributing influenza vaccine is broken, both technically and financially. The belief that we can greatly advance manufacturing technology and expand capacity in the normal course of increasing our annual vaccination coverage is flawed. At our current pace, it will take generations for meaningful advances to be made. Our goal should be to develop a new cell-culture–based vaccine that includes antigens that are present in all subtypes of influenzavirus, that do not change from year to year, and that can be made available to the entire world population. We need an international approach to public funding that will pay for the excess production capacity required during a pandemic.Today, public health experts and infectious-disease scientists do not know whether H5N1 avian influenzavirus threatens an imminent pandemic. Most indications, however, suggest that it is just a matter of time: witness the increasing number of H5N1 infections in humans and animals, the documentation of additional small clusters of cases suggestive of near misses with respect to sustained human-to-human transmission, the ongoing genetic changes in the H5N1 Z genotype that have increased its pathogenicity, and the existence in Asia of a genetic-reassortment laboratory — the mix of an unprecedented number of people, pigs, and poultry.It is sobering to realize that in 1968, when the most recent influenza pandemic occurred, the virus emerged in a China that had a human population of 790 million, a pig population of 5.2 million, and a poultry population of 12.3 million; today, these populations number 1.3 billion, 508 million, and 13 billion, respectively. Similar changes have occurred in the human and animal populations of other Asian countries, creating an incredible mixing vessel for viruses. Given this reality, as well as the exponential growth in foreign travel during the past 50 years, we must accept that a pandemic is coming — although whether it will be caused by H5N1 or by another novel strain remains to be seen..Should H5N1 become the next pandemic strain, the resultant morbidity and mortality could rival those of 1918, when more than half the deaths occurred among largely healthy people between 18 and 40 years of age and were caused by a virus-induced cytokine storm (see diagram) that led to the acute respiratory distress syndrome (ARDS).4 The ARDS-related morbidity and mortality in the pandemic of 1918 was on a different scale from those of 1957 and 1968 — a fact that highlights the importance of the virulence of the virus subtype or genotype. Clinical, epidemiologic, and laboratory evidence suggests that a pandemic caused by the current H5N1 strain would be more likely to mimic the 1918 pandemic than those that occurred more recently.5 If we translate the rate of death associated with the 1918 influenzavirus to that in the current population, there could be 1.7 million deaths in the United States and 180 million to 360 million deaths globally. We have an extremely limited armamentarium with which to handle millions of cases of ARDS — one not much different from that available to the front-line medical corps in 1918.Is there anything we can do to avoid this course? The answer is a qualified yes that depends on how everyone, from world leaders to local elected officials, decides to respond. We need bold and timely leadership at the highest levels of the governments in the developed world; these governments must recognize the economic, security, and health threats posed by the next influenza pandemic and invest accordingly. The resources needed must be considered in the light of the eventual costs of failing to invest in such an effort. The loss of human life even in a mild pandemic will be devastating, and the cost of a world economy in shambles for several years can only be imagined.
This doctor was just on CNN and wrote this article 15 years ago about the next pandemic. He pointed out the US is worse off now, because we have been down sizing our hospital capacity since 2005. Much in his article is strikingly accurate to what we are facing.
Preparing for the Next Pandemic
List of authors.
Michael T. Osterholm, Ph.D., M.P.H.
May 5, 2005 N Engl J Med 2005; 352:1839-1842 DOI: 10.1056/NEJMp058068
Annual influenza epidemics are like Minnesota winters — all are challenges, but some are worse than others. No matter how well we prepare, some blizzards take quite a toll. Each year, despite our efforts to increase the rates of influenza vaccination in our most vulnerable populations, unpredictable factors largely determine the burden of influenza disease and related deaths. During a typical year in the United States, 30,000 to 50,000 persons die as a result of influenzavirus infection, and the global death toll is about 20 to 30 times as high as the toll in this country. We usually accept this outcome as part of the cycle of life. Only when a vaccine shortage occurs or young children die suddenly does the public demand that someone step forward to change the course of the epidemic. Unfortunately, the fragile and limited production capacity of our 1950s egg-based technology for producing influenza vaccine and the lack of a national commitment to universal annual influenza vaccination mean that influenza epidemics will continue to present a substantial public health challenge for the foreseeable future.
Sign up for the Weekly Table of Contents email.
Each week, receive an email with links to the articles published in the current week's issue of the New England Journal of Medicine.
An influenza pandemic has always been a great global infectious-disease threat. There have been 10 pandemics of influenza A in the past 300 years. A recent analysis showed that the pandemic of 1918 and 1919 killed 50 million to 100 million people,1 and although its severity is often considered anomalous, the pandemic of 1830 through 1832 was similarly severe — it simply occurred when the world's population was smaller. Today, with a world population of 6.5 billion — more than three times that in 1918 — even a relatively “mild” pandemic could kill many millions of people.Influenza experts recognize the inevitability of another pandemic. When will it begin? Will it be caused by H5N1, the avian influenzavirus strain currently circulating in Asia? Will its effect rival that of 1918 or be more muted, as was the case in the pandemics of 1957 and 1968? Nobody knows.So how can we prepare? One key step is to rapidly ramp up research related to the production of an effective vaccine, as the Department of Health and Human Services is doing. In addition to clinical research on the immunogenicity of influenza vaccines, urgent needs include basic research on the ecology and biology of influenzaviruses, studies of the epidemiologic role of various animal and bird species, and work on early interventions and risk assessment.2 Equally urgent is the development of cell-culture technology for production of vaccine that can replace our egg-based manufacturing process. Today, making the 300 million doses of influenza vaccine needed annually worldwide requires more than 350 million chicken eggs and six or more months; a cell-culture approach may produce much higher antigen yields and be faster. After such a process was developed, we would also need assured industrial capacity to produce sufficient vaccine for the world's population during the earliest days of an emerging pandemic.Beyond research and development, we need a public health approach that includes far more than drafting of general plans, as several countries and states have done. We need a detailed operational blueprint of the best way to get through 12 to 24 months of a pandemic.What if the next pandemic were to start tonight? If it were determined that several cities in Vietnam had major outbreaks of H5N1 infection associated with high mortality, there would be a scramble to stop the virus from entering other countries by greatly reducing or even prohibiting foreign travel and trade. The global economy would come to a halt, and since we could not expect appropriate vaccines to be available for many months and we have very limited stockpiles of antiviral drugs, we would be facing a 1918-like scenario.Production of a vaccine would take a minimum of six months after isolation of the circulating strain, and given the capacity of all the current international vaccine manufacturers, supplies during those next six months would be limited to fewer than a billion monovalent doses. Since two doses may be required for protection, we could vaccinate fewer than 500 million people — approximately 14 percent of the world's population. And owing to our global “just-in-time delivery” economy, we would have no surge capacity for health care, food supplies, and many other products and services. For example, in the United States today, we have only 105,000 mechanical ventilators, 75,000 to 80,000 of which are in use at any given time for everyday medical care; during a garden-variety influenza season, more than 100,000 are required. In a pandemic, most patients with influenza who needed ventilation would not have access to it.We have no detailed plans for staffing the temporary hospitals that would have to be set up in high-school gymnasiums and community centers — and that might need to remain in operation for one or two years. Health care workers would become ill and die at rates similar to, or even higher than, those in the general public. Judging by our experience with the severe acute respiratory syndrome (SARS), some health care workers would not show up for duty. How would communities train and use volunteers? If the pandemic wave were spreading slowly enough, could immune survivors of an early wave, particularly health care workers, become the primary response corps?Health care delivery systems and managed-care organizations have done little planning for such a scenario. Who, for instance, would receive the extremely limited antiviral agents that will be available? We need to develop a national, and even an international, consensus on the priorities for the use of antiviral drugs well before the pandemic begins. In addition, we have no way of urgently increasing production of critical items such as antiviral drugs, masks for respiratory protection, or antibiotics for the treatment of secondary bacterial infections. Even under today's relatively stable operating conditions, eight different antiinfective agents are in short supply because of manufacturing problems. Nor do we have detailed plans for handling the massive number of dead bodies that would soon exceed our ability to cope with them.What if an H5N1 influenza pandemic began not now but a year from now? We would still need to plan with fervor for local nonmedical as well as medical preparedness. Planning for a pandemic must be on the agenda of every public health agency, school board, manufacturing plant, investment firm, mortuary, state legislature, and food distributor. Health professionals must become much more proficient in “risk communication,” so that they can effectively provide the facts — and acknowledge the unknowns — to a frightened population.3With another year of lead time, vaccine might have a more central role in our response. Although the manufacturing capacity would still be limited, strategies such as developing antigen-sparing formulations — that is, intradermal formulations that take advantage of copious numbers of dendritic cells for antigen processing or formulations including adjuvants to boost the immune response — might extend the vaccine supply. Urgent planning efforts are required to ensure that we have the syringes and other essential equipment, as well as the workforce, for effective delivery. Finally, a detailed plan for vaccine allocation will be needed — before the crisis, not during it.What if the pandemic were 10 years away and we embarked today on a worldwide influenza Manhattan Project aimed at producing and delivering a pandemic vaccine for everyone in the world soon after the onset of sustained human-to-human transmission? In this scenario, we just might make a real difference.The current system of producing and distributing influenza vaccine is broken, both technically and financially. The belief that we can greatly advance manufacturing technology and expand capacity in the normal course of increasing our annual vaccination coverage is flawed. At our current pace, it will take generations for meaningful advances to be made. Our goal should be to develop a new cell-culture–based vaccine that includes antigens that are present in all subtypes of influenzavirus, that do not change from year to year, and that can be made available to the entire world population. We need an international approach to public funding that will pay for the excess production capacity required during a pandemic.Today, public health experts and infectious-disease scientists do not know whether H5N1 avian influenzavirus threatens an imminent pandemic. Most indications, however, suggest that it is just a matter of time: witness the increasing number of H5N1 infections in humans and animals, the documentation of additional small clusters of cases suggestive of near misses with respect to sustained human-to-human transmission, the ongoing genetic changes in the H5N1 Z genotype that have increased its pathogenicity, and the existence in Asia of a genetic-reassortment laboratory — the mix of an unprecedented number of people, pigs, and poultry.It is sobering to realize that in 1968, when the most recent influenza pandemic occurred, the virus emerged in a China that had a human population of 790 million, a pig population of 5.2 million, and a poultry population of 12.3 million; today, these populations number 1.3 billion, 508 million, and 13 billion, respectively. Similar changes have occurred in the human and animal populations of other Asian countries, creating an incredible mixing vessel for viruses. Given this reality, as well as the exponential growth in foreign travel during the past 50 years, we must accept that a pandemic is coming — although whether it will be caused by H5N1 or by another novel strain remains to be seen..Should H5N1 become the next pandemic strain, the resultant morbidity and mortality could rival those of 1918, when more than half the deaths occurred among largely healthy people between 18 and 40 years of age and were caused by a virus-induced cytokine storm (see diagram) that led to the acute respiratory distress syndrome (ARDS).4 The ARDS-related morbidity and mortality in the pandemic of 1918 was on a different scale from those of 1957 and 1968 — a fact that highlights the importance of the virulence of the virus subtype or genotype. Clinical, epidemiologic, and laboratory evidence suggests that a pandemic caused by the current H5N1 strain would be more likely to mimic the 1918 pandemic than those that occurred more recently.5 If we translate the rate of death associated with the 1918 influenzavirus to that in the current population, there could be 1.7 million deaths in the United States and 180 million to 360 million deaths globally. We have an extremely limited armamentarium with which to handle millions of cases of ARDS — one not much different from that available to the front-line medical corps in 1918.Is there anything we can do to avoid this course? The answer is a qualified yes that depends on how everyone, from world leaders to local elected officials, decides to respond. We need bold and timely leadership at the highest levels of the governments in the developed world; these governments must recognize the economic, security, and health threats posed by the next influenza pandemic and invest accordingly. The resources needed must be considered in the light of the eventual costs of failing to invest in such an effort. The loss of human life even in a mild pandemic will be devastating, and the cost of a world economy in shambles for several years can only be imagined.
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Didn't people on her attack China for stopping people speaking out about Corona?
***
Hospitals are threatening to fire health-care workers who publicize their working conditions during the coronavirus pandemic -- and have in some cases followed through.
“Hospitals are muzzling nurses and other health-care workers in an attempt to preserve their image,” said Ruth Schubert, a spokeswoman for the Washington State Nurses Association. “It is outrageous.”
Hospitals have traditionally had strict media guidelines to protect patient privacy, urging staff to talk with journalists only through official public relations offices. But the pandemic has ushered in a new era, Schubert said.
Privacy laws prohibit disclosing specific patient information, but they don’t bar discussing general working conditions.
/.../
NYU Langone Health employees received a notice Friday from Kathy Lewis, executive vice president of communications, saying that anyone who talked to the media without authorization would be “subject to disciplinary action, including termination.”
New York’s Montefiore Health System requires staff get permission before speaking publicly, and sent a reminder in a March 17 newsletter that all media requests “must be shared and vetted” by the public relations department.
“Associates are not authorized to interact with reporters or speak on behalf of the institution in any capacity, without pre-approval,” according to the policy, which was seen by Bloomberg News.
This doctor was just on CNN and wrote this article 15 years ago about the next pandemic. He pointed out the US is worse off now, because we have been down sizing our hospital capacity since 2005. Much in his article is strikingly accurate to what we are facing.
Preparing for the Next Pandemic
List of authors.
Michael T. Osterholm, Ph.D., M.P.H.
May 5, 2005 N Engl J Med 2005; 352:1839-1842 DOI: 10.1056/NEJMp058068
Annual influenza epidemics are like Minnesota winters — all are challenges, but some are worse than others. No matter how well we prepare, some blizzards take quite a toll. Each year, despite our efforts to increase the rates of influenza vaccination in our most vulnerable populations, unpredictable factors largely determine the burden of influenza disease and related deaths. During a typical year in the United States, 30,000 to 50,000 persons die as a result of influenzavirus infection, and the global death toll is about 20 to 30 times as high as the toll in this country. We usually accept this outcome as part of the cycle of life. Only when a vaccine shortage occurs or young children die suddenly does the public demand that someone step forward to change the course of the epidemic. Unfortunately, the fragile and limited production capacity of our 1950s egg-based technology for producing influenza vaccine and the lack of a national commitment to universal annual influenza vaccination mean that influenza epidemics will continue to present a substantial public health challenge for the foreseeable future.
Sign up for the Weekly Table of Contents email.
Each week, receive an email with links to the articles published in the current week's issue of the New England Journal of Medicine.
An influenza pandemic has always been a great global infectious-disease threat. There have been 10 pandemics of influenza A in the past 300 years. A recent analysis showed that the pandemic of 1918 and 1919 killed 50 million to 100 million people,1 and although its severity is often considered anomalous, the pandemic of 1830 through 1832 was similarly severe — it simply occurred when the world's population was smaller. Today, with a world population of 6.5 billion — more than three times that in 1918 — even a relatively “mild” pandemic could kill many millions of people.Influenza experts recognize the inevitability of another pandemic. When will it begin? Will it be caused by H5N1, the avian influenzavirus strain currently circulating in Asia? Will its effect rival that of 1918 or be more muted, as was the case in the pandemics of 1957 and 1968? Nobody knows.So how can we prepare? One key step is to rapidly ramp up research related to the production of an effective vaccine, as the Department of Health and Human Services is doing. In addition to clinical research on the immunogenicity of influenza vaccines, urgent needs include basic research on the ecology and biology of influenzaviruses, studies of the epidemiologic role of various animal and bird species, and work on early interventions and risk assessment.2 Equally urgent is the development of cell-culture technology for production of vaccine that can replace our egg-based manufacturing process. Today, making the 300 million doses of influenza vaccine needed annually worldwide requires more than 350 million chicken eggs and six or more months; a cell-culture approach may produce much higher antigen yields and be faster. After such a process was developed, we would also need assured industrial capacity to produce sufficient vaccine for the world's population during the earliest days of an emerging pandemic.Beyond research and development, we need a public health approach that includes far more than drafting of general plans, as several countries and states have done. We need a detailed operational blueprint of the best way to get through 12 to 24 months of a pandemic.What if the next pandemic were to start tonight? If it were determined that several cities in Vietnam had major outbreaks of H5N1 infection associated with high mortality, there would be a scramble to stop the virus from entering other countries by greatly reducing or even prohibiting foreign travel and trade. The global economy would come to a halt, and since we could not expect appropriate vaccines to be available for many months and we have very limited stockpiles of antiviral drugs, we would be facing a 1918-like scenario.Production of a vaccine would take a minimum of six months after isolation of the circulating strain, and given the capacity of all the current international vaccine manufacturers, supplies during those next six months would be limited to fewer than a billion monovalent doses. Since two doses may be required for protection, we could vaccinate fewer than 500 million people — approximately 14 percent of the world's population. And owing to our global “just-in-time delivery” economy, we would have no surge capacity for health care, food supplies, and many other products and services. For example, in the United States today, we have only 105,000 mechanical ventilators, 75,000 to 80,000 of which are in use at any given time for everyday medical care; during a garden-variety influenza season, more than 100,000 are required. In a pandemic, most patients with influenza who needed ventilation would not have access to it.We have no detailed plans for staffing the temporary hospitals that would have to be set up in high-school gymnasiums and community centers — and that might need to remain in operation for one or two years. Health care workers would become ill and die at rates similar to, or even higher than, those in the general public. Judging by our experience with the severe acute respiratory syndrome (SARS), some health care workers would not show up for duty. How would communities train and use volunteers? If the pandemic wave were spreading slowly enough, could immune survivors of an early wave, particularly health care workers, become the primary response corps?Health care delivery systems and managed-care organizations have done little planning for such a scenario. Who, for instance, would receive the extremely limited antiviral agents that will be available? We need to develop a national, and even an international, consensus on the priorities for the use of antiviral drugs well before the pandemic begins. In addition, we have no way of urgently increasing production of critical items such as antiviral drugs, masks for respiratory protection, or antibiotics for the treatment of secondary bacterial infections. Even under today's relatively stable operating conditions, eight different antiinfective agents are in short supply because of manufacturing problems. Nor do we have detailed plans for handling the massive number of dead bodies that would soon exceed our ability to cope with them.What if an H5N1 influenza pandemic began not now but a year from now? We would still need to plan with fervor for local nonmedical as well as medical preparedness. Planning for a pandemic must be on the agenda of every public health agency, school board, manufacturing plant, investment firm, mortuary, state legislature, and food distributor. Health professionals must become much more proficient in “risk communication,” so that they can effectively provide the facts — and acknowledge the unknowns — to a frightened population.3With another year of lead time, vaccine might have a more central role in our response. Although the manufacturing capacity would still be limited, strategies such as developing antigen-sparing formulations — that is, intradermal formulations that take advantage of copious numbers of dendritic cells for antigen processing or formulations including adjuvants to boost the immune response — might extend the vaccine supply. Urgent planning efforts are required to ensure that we have the syringes and other essential equipment, as well as the workforce, for effective delivery. Finally, a detailed plan for vaccine allocation will be needed — before the crisis, not during it.What if the pandemic were 10 years away and we embarked today on a worldwide influenza Manhattan Project aimed at producing and delivering a pandemic vaccine for everyone in the world soon after the onset of sustained human-to-human transmission? In this scenario, we just might make a real difference.The current system of producing and distributing influenza vaccine is broken, both technically and financially. The belief that we can greatly advance manufacturing technology and expand capacity in the normal course of increasing our annual vaccination coverage is flawed. At our current pace, it will take generations for meaningful advances to be made. Our goal should be to develop a new cell-culture–based vaccine that includes antigens that are present in all subtypes of influenzavirus, that do not change from year to year, and that can be made available to the entire world population. We need an international approach to public funding that will pay for the excess production capacity required during a pandemic.Today, public health experts and infectious-disease scientists do not know whether H5N1 avian influenzavirus threatens an imminent pandemic. Most indications, however, suggest that it is just a matter of time: witness the increasing number of H5N1 infections in humans and animals, the documentation of additional small clusters of cases suggestive of near misses with respect to sustained human-to-human transmission, the ongoing genetic changes in the H5N1 Z genotype that have increased its pathogenicity, and the existence in Asia of a genetic-reassortment laboratory — the mix of an unprecedented number of people, pigs, and poultry.It is sobering to realize that in 1968, when the most recent influenza pandemic occurred, the virus emerged in a China that had a human population of 790 million, a pig population of 5.2 million, and a poultry population of 12.3 million; today, these populations number 1.3 billion, 508 million, and 13 billion, respectively. Similar changes have occurred in the human and animal populations of other Asian countries, creating an incredible mixing vessel for viruses. Given this reality, as well as the exponential growth in foreign travel during the past 50 years, we must accept that a pandemic is coming — although whether it will be caused by H5N1 or by another novel strain remains to be seen..Should H5N1 become the next pandemic strain, the resultant morbidity and mortality could rival those of 1918, when more than half the deaths occurred among largely healthy people between 18 and 40 years of age and were caused by a virus-induced cytokine storm (see diagram) that led to the acute respiratory distress syndrome (ARDS).4 The ARDS-related morbidity and mortality in the pandemic of 1918 was on a different scale from those of 1957 and 1968 — a fact that highlights the importance of the virulence of the virus subtype or genotype. Clinical, epidemiologic, and laboratory evidence suggests that a pandemic caused by the current H5N1 strain would be more likely to mimic the 1918 pandemic than those that occurred more recently.5 If we translate the rate of death associated with the 1918 influenzavirus to that in the current population, there could be 1.7 million deaths in the United States and 180 million to 360 million deaths globally. We have an extremely limited armamentarium with which to handle millions of cases of ARDS — one not much different from that available to the front-line medical corps in 1918.Is there anything we can do to avoid this course? The answer is a qualified yes that depends on how everyone, from world leaders to local elected officials, decides to respond. We need bold and timely leadership at the highest levels of the governments in the developed world; these governments must recognize the economic, security, and health threats posed by the next influenza pandemic and invest accordingly. The resources needed must be considered in the light of the eventual costs of failing to invest in such an effort. The loss of human life even in a mild pandemic will be devastating, and the cost of a world economy in shambles for several years can only be imagined.
Didn't people on her attack China for stopping people speaking out about Corona?
***
Hospitals are threatening to fire health-care workers who publicize their working conditions during the coronavirus pandemic -- and have in some cases followed through.
“Hospitals are muzzling nurses and other health-care workers in an attempt to preserve their image,” said Ruth Schubert, a spokeswoman for the Washington State Nurses Association. “It is outrageous.”
Hospitals have traditionally had strict media guidelines to protect patient privacy, urging staff to talk with journalists only through official public relations offices. But the pandemic has ushered in a new era, Schubert said.
Privacy laws prohibit disclosing specific patient information, but they don’t bar discussing general working conditions.
/.../
NYU Langone Health employees received a notice Friday from Kathy Lewis, executive vice president of communications, saying that anyone who talked to the media without authorization would be “subject to disciplinary action, including termination.”
New York’s Montefiore Health System requires staff get permission before speaking publicly, and sent a reminder in a March 17 newsletter that all media requests “must be shared and vetted” by the public relations department.
“Associates are not authorized to interact with reporters or speak on behalf of the institution in any capacity, without pre-approval,” according to the policy, which was seen by Bloomberg News.
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
One of the reasons Peesident Trump doesn't seem to be his usual self is simply because he doesn't currently have a scandal hanging over his orange head.
Peace
*We CAN bomb the World to pieces, but we CAN'T bomb it into PEACE*...Michael Franti
*MUSIC IS the expression of EMOTION.....and that POLITICS IS merely the DECOY of PERCEPTION*
.....song_Music & Politics....Michael Franti
*The scientists of today think deeply instead of clearly. One must be sane to think clearly, but one can think deeply and be quite INSANE*....Nikola Tesla(a man who shaped our world of electricity with his futuristic inventions)
Already in September, it is hoped to be able to start trials on people and the goal is to have a corona vaccine completed early in 2021.
"I do not believe that"
Matti Sällberg is a professor of biomedical analysis at the Karolinska Institutet in Stockholm and does not believe that Johnson & Johnson is likely to complete a vaccine in such a short time.
- I do not believe that. If they start doing Phase 1 studies this fall, it would be impossible to have a vaccine ready by the beginning of next year, but instead rather by the end of that year. Under the assumption that safety data from animal studies is good. If it's not good, then their schedule will crash, says Matti Sällberg.
"Mostly I think that people react sensitively because they know you’ve got a point"
You walk right back in and piss around about China. Nothing has changed.
Why are you so sensitive about China? Do you live there? Are you of Chinese background? Did you read what I shared in that article and did you watch that video? Why are you not allowing me to be critical of China? Why are you criticising me for criticising China? So you have no issue with their secrecy which led to thousands of innocent people dying around the world? Why did they not alert the WHO and other countries and stop flights leaving Wuhan when they first knew of this new virus? Doing so would have prevented this outbreak. I don't understand you and others here.
How would isolationism and protectionism solve this? They are both failed foreign policy. Good luck putting that genie back in the bottle. We live in an internationally integrated economy. Do better.
China should be treated the same way North Korea is treated by the foreign community. Shunned. I'd be more than glad to buy Australian made clothes and appliances. Even if I have to pay more. This is the world's fault for being greedy (in wanting cheap labour).
You have it backwards. The North Korea government has shunned the rest of the outside world. North Korea practices isolation and protectionism. And nothing good has come from it.
You pay more for domestic goods. And the North Korean people suffer under an oppressive regime. It's economic inequality on a massive multinational scale.
So how would you stop this over-reliance on China so that they can no longer get away with their behaviour?
Staying in the TPP agreement would have been a good start...
Their diplomats here and around the world keep chastising our government and other governments as soon as they say something critical about China. Sick of being ruled by them. This has been going on even during the TPP. Our government here tiptoes around them, we are scared of them. It's like we don't run our own countries anymore.
You know why I am mad? My friend's fiance just gave birth to their first child and she is so isolated because we are not allowed out of our homes. She would love to go to mother's groups and get support from new mothers and do baby yoga and go for a walk with a pram. But she's seriously stressed and isolated. She's on her own with her baby. She reached out on Facebook asking if anyone has baby paracetamol as her baby is unwell and none is available at her local pharmacies because greedy idiots stockpiled. All this because China did not alert the world.
Everyone is pissed and is making sacrifices to some degree.
We dont need to invent something to levy blame on. Things arent always so easy and black and white... even though the human mind seeks that clarity. At some point, when this is over, the international committee will figure it out and hopefully work together to prevent this from happening again.
Everything I have read from reputable sources says that there is no way this virus is man-made.
If not man made, then why does the CCP continue to allow the sale and consumption of animals know to carry the virus? Why does the CCP allow unhygienic wet markets to exist? The CCP needs to change its behaviour to prevent this happening again. SARS, swine flu, MERS, Covid-19, all from China thanks to the CCP.
Good question: why don't rural areas in a developing economy have widespread access to modern refrigeration and established food distribution channels?
Could it be due to decades of protectionist and isolationist foreign policy?
Will continuing these policies lead to more or less pandemic outbreaks?
🐔 /🥚 ?
Fair point. But what about stopping people from eating Pangolins and bats?
Why would we stop it? Did we stop eating pork after swine flu? Did we stop eating chickens after bird flu?
I'm not sure it's been proven where the virus came from yet.
I supposed the solution would be to commercialize and regulate pangolin and bat farming for food consumption.
The world must never forget this act by China. I hope after this crisis is over that Australia, the USA, and other countries stop relying on China and take back manufacturing. Time to stop this over-reliance on China as they keep getting away with a lot of bad things.
You do know that everything you say can be used against e.g. the USA (as you brings up as an example in your post) too, right? Or other nations.
Where does the purity testing stop?
China is in the Paris Agreement, e.g. the US is not. Why would any sound country deal with a country that in 2020 refuses to e a part of it and to acknowledge climate change? China might be polluting - but they at least acknowledge it and is part of the agreement. Should all of EU stop trade with the US when they left the agreement? Climate Change will kill more people than corona. And the US today, sides with changing the climate for the worse over fighting the problems.
The US started an unjust war in the middleast - why did the world let them get away with it? Or not stop our over-reliance on them? As they keep getting away with a lot of bad things.
To my knowledge the Iraq war has killed more people than the Corona so far?
So, why should e.g. VOLVO build a plant in North Carolina - instead of in a Country that 1) acknowledges Climate Change and 2) doesn't do war crimes with no retributions ?
I personally think the world should - by using soft power and capitalistic tools (like putting their production in other "cheap" countries that atleast are democratic) stop the over-reliance on China ans stop building them up as the leading nation in the world.
But why does your irritation focus this much solely on China? Because of an anger-filled convenience?
Post edited by Spiritual_Chaos on
"Mostly I think that people react sensitively because they know you’ve got a point"
You know why I am mad? My friend's fiance just gave birth to their first child and she is so isolated because we are not allowed out of our homes. She would love to go to mother's groups and get support from new mothers and do baby yoga and go for a walk with a pram. But she's seriously stressed and isolated. She's on her own with her baby. She reached out on Facebook asking if anyone has baby paracetamol as her baby is unwell and none is available at her local pharmacies because greedy idiots stockpiled. All this because China did not alert the world.
Everyone is pissed and is making sacrifices to some degree.
We dont need to invent something to levy blame on. Things arent always so easy and black and white... even though the human mind seeks that clarity. At some point, when this is over, the international committee will figure it out and hopefully work together to prevent this from happening again.
Everything I have read from reputable sources says that there is no way this virus is man-made.
If not man made, then why does the CCP continue to allow the sale and consumption of animals know to carry the virus? Why does the CCP allow unhygienic wet markets to exist? The CCP needs to change its behaviour to prevent this happening again. SARS, swine flu, MERS, Covid-19, all from China thanks to the CCP.
Good question: why don't rural areas in a developing economy have widespread access to modern refrigeration and established food distribution channels?
Could it be due to decades of protectionist and isolationist foreign policy?
Will continuing these policies lead to more or less pandemic outbreaks?
🐔 /🥚 ?
Fair point. But what about stopping people from eating Pangolins and bats?
Why would we stop it? Did we stop eating pork after swine flu? Did we stop eating chickens after bird flu?
I'm not sure it's been proven where the virus came from yet.
I supposed the solution would be to commercialize and regulate pangolin and bat farming for food consumption.
I believe the pangolin theory has been found to be in error and dismissed at this point.
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
An unintended consequence of Gov DeWine push to talk Coronavirus and prepare prepare prepare has been the complete and utter lack of care for individuals in need of medical attention right now for things other than coronavirus.
My mother fell and broke her leg last week. She was in hospital, but they decided not to do surgery right away and get her out cause of coronavirus. A little premature in reality. Well, they moved her to a "rehab" facility. Only, since they are clearing wings of the hospital many people are being moved, including the mentally ill. She is basically in an insane asylum that is on lockdown with no guests. She has had 2 different men enter her room a total of 5 times. The one was incoherent. Took the staff 22 minutes to come to her room. The second man was screaming at her to get out of his house and where was his wife. 3 times in one night with that fellow. Staff not responding fast nor really fixing the problem. These are staff that are not prepared to deal with the psych ward patients. But, they aren't even meeting the base expectation of keeping people safe. There is some more, and she has only been there less than a week.
I wish we could actually balance our approach appropriately. Ignoring it does't work. Neglecting care for those that need it to prepare for something that isn;t there yet doesn;t work either. Not allowing visitors allows these facilities to get away with not providing basic needs. I have no idea what to do.
So yeah, fuck the chinese government and fuck Trump for downplaying and fuck all those that dramatize it for 24 hour news coverage while we as a society continue to fuck over others that actually need our help today, this very instance.
Ok so no one is to blame cool so the same can be said of no one takes responsibility correct? And who do you think will take credit when this is over?
Blah blah blah. I never said trump didn’t drop the ball holy shit. Cool down dude. Not everything is a personal political attack. I’m just saying both sides acted irresponsibly. That’s a fact. Hopefully we’ll all be better prepared for the next one.
lol both sides please tell me the sides or teams you speak of? Who will take responsibility for saving the world I’m asking a question..
I wasn’t defending trump. I’m just showing how completely unprepared everyone was and how neither side took this seriously until it was too late. And of course he’ll claim he saved the world. We’re in the middle of it and all he does is talking about the terrific job he’s doing. It’s old news. His actions don’t shock or surprise me anymore.
Here is my take. Most of the Western World did not do a good job with this. But....There is only one US President right now. There is only one WHite House Administration right now. There is only one Republican controlled Senate.
It is the President's job to lead, and then people follow. The governors were left to fend for themselves and took the lead from the WHite House that this wasn't a big deal and was an impeachment hoax. The different government organizations take the lead from the administration. You can say everyone was unprepared, but there was information out there in Dec/Jan and the leader/party that is in power and asked for votes so they could be in power and in-charge failed to act soon enough. If someone that works for me fails to start a project and the client gets mad, they are calling me because it is my fault and failure to lead.
Sure, we were unprepared before Trump took office. But there were two months practically that the US failed to lead and take action.
Not trying to poke the bear, but in all fairness the only thing the Democrats were focused on was the ongoing impeachment when the initial news broke. Not saying this is their fault, just stating that they had their minds elsewhere as well. I do agree with many of your points.
So last year 37,000 Americans died from the common Flu. It averages between 27,000 and 70,000 per year. Nothing is shut down, life & the economy go on. At this moment there are 546 confirmed cases of CoronaVirus, with 22 deaths. Think about that!
Your recollection is vastly inaccurate. Think about that.
I’m not following you on this. My comment was in response to the early news in Dec/Jan, and how nobody was really focusing on the looming pandemic because everyone was in impeachment mode. I don’t recall politicians or professionals calling for immediate action prior to the initial travel ban that was questioned at the time. This tweet obviously spread a false sense of security, but I don’t know how it relates to what I said or how what I said is seen as an endorsement.
The Democrats do not run the CDC or other agencies to prepare for a crisis like this. It is literally the presidents job to do so. So to create a comparison of what the democrats were doing in january is dangerously ignoring what the potus job was to do at that time. Go ahead and take a look at how Clinton handled his impeachment. He focused on his job. As recently as March 9 trump was not taking this seriously and there were significant delays in testing and shelter in place recommendations that will cost tens of thousands of lives. That has nothing to do with what democrats were doing up to feb 5.
That “false sense of security” is exactly what is costing lives.
An unintended consequence of Gov DeWine push to talk Coronavirus and prepare prepare prepare has been the complete and utter lack of care for individuals in need of medical attention right now for things other than coronavirus.
My mother fell and broke her leg last week. She was in hospital, but they decided not to do surgery right away and get her out cause of coronavirus. A little premature in reality. Well, they moved her to a "rehab" facility. Only, since they are clearing wings of the hospital many people are being moved, including the mentally ill. She is basically in an insane asylum that is on lockdown with no guests. She has had 2 different men enter her room a total of 5 times. The one was incoherent. Took the staff 22 minutes to come to her room. The second man was screaming at her to get out of his house and where was his wife. 3 times in one night with that fellow. Staff not responding fast nor really fixing the problem. These are staff that are not prepared to deal with the psych ward patients. But, they aren't even meeting the base expectation of keeping people safe. There is some more, and she has only been there less than a week.
I wish we could actually balance our approach appropriately. Ignoring it does't work. Neglecting care for those that need it to prepare for something that isn;t there yet doesn;t work either. Not allowing visitors allows these facilities to get away with not providing basic needs. I have no idea what to do.
So yeah, fuck the chinese government and fuck Trump for downplaying and fuck all those that dramatize it for 24 hour news coverage while we as a society continue to fuck over others that actually need our help today, this very instance.
damn. up here in Columbus they are sectioning off each hospital or were last week. allowing for usual care and isolation for corona. . running trauma type triage for ambulance runs so they know who can take what. and walkins wil be directed to closest with room for x condition.
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
I am seeing 5 or 6 new york plated vehicles headed west every night. last couple of days with uhaul equipment too.
and that's just between columbus and indy on I-70
Comments such as those coming from the FL governor where NYers are being treated like we all have the plague are deplorable (not saying that’s your comment, it is an interesting observation you provided). NY kept it’s borders open to the world while this virus was brewing. Any state that had residents pass thru NY from overseas during 2020 should respect that benefit it received and share responsibility and community.
I am seeing 5 or 6 new york plated vehicles headed west every night. last couple of days with uhaul equipment too.
and that's just between columbus and indy on I-70
Comments such as those coming from the FL governor where NYers are being treated like we all have the plague are deplorable (not saying that’s your comment, it is an interesting observation you provided). NY kept it’s borders open to the world while this virus was brewing. Any state that had residents pass thru NY from overseas during 2020 should respect that benefit it received and share responsibility and community.
have no doubt. they'll take your dollars and retirees but..... seems most of these gop trump asslicker governors really dropped the ball believing douchefuck.
finding it odd its just NY vehicles . No NJ or CT..
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
It's total bullshit to blame the impeachment for the slow response to COVID-19. The whole world was slow to respond.
I would be embarrassed to be trolling (in the fishing sense) the same line as Mitch McConnell 🤦♂️
Particularly since Team Trump Treason stated unequivocally in his propaganda conference yesterday that he would not have done anything differently even if impeachment hadn’t happened. Very. Stable. Genius.
It's total bullshit to blame the impeachment for the slow response to COVID-19. The whole world was slow to respond.
I would be embarrassed to be trolling (in the fishing sense) the same line as Mitch McConnell 🤦♂️
Clinton was impeached and found a way to do his job to help the county.
Trumps impeachment trial ended on feb 5. Later in feb Pelosi urged the president to act and he mocked her with a flu comparison.
The “whole world” was not slow to respond. Countries such as S Korea started testing immediately and were able to track, isolate and minimize death to only 165 and they are much closer to China than US
An unintended consequence of Gov DeWine push to talk Coronavirus and prepare prepare prepare has been the complete and utter lack of care for individuals in need of medical attention right now for things other than coronavirus.
My mother fell and broke her leg last week. She was in hospital, but they decided not to do surgery right away and get her out cause of coronavirus. A little premature in reality. Well, they moved her to a "rehab" facility. Only, since they are clearing wings of the hospital many people are being moved, including the mentally ill. She is basically in an insane asylum that is on lockdown with no guests. She has had 2 different men enter her room a total of 5 times. The one was incoherent. Took the staff 22 minutes to come to her room. The second man was screaming at her to get out of his house and where was his wife. 3 times in one night with that fellow. Staff not responding fast nor really fixing the problem. These are staff that are not prepared to deal with the psych ward patients. But, they aren't even meeting the base expectation of keeping people safe. There is some more, and she has only been there less than a week.
I wish we could actually balance our approach appropriately. Ignoring it does't work. Neglecting care for those that need it to prepare for something that isn;t there yet doesn;t work either. Not allowing visitors allows these facilities to get away with not providing basic needs. I have no idea what to do.
So yeah, fuck the chinese government and fuck Trump for downplaying and fuck all those that dramatize it for 24 hour news coverage while we as a society continue to fuck over others that actually need our help today, this very instance.
I'm so sorry, Cincy. I hope she gets better & home real soon.
It's total bullshit to blame the impeachment for the slow response to COVID-19. The whole world was slow to respond.
I would be embarrassed to be trolling (in the fishing sense) the same line as Mitch McConnell 🤦♂️
Particularly since Team Trump Treason stated unequivocally in his propaganda conference yesterday that he would not have done anything differently even if impeachment hadn’t happened. Very. Stable. Genius.
Mitch must be slipping. still trying to cover for douchefuck.
he needs to just chalk up the win for the judges he's gotten through and let trump flail here...
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
An unintended consequence of Gov DeWine push to talk Coronavirus and prepare prepare prepare has been the complete and utter lack of care for individuals in need of medical attention right now for things other than coronavirus.
My mother fell and broke her leg last week. She was in hospital, but they decided not to do surgery right away and get her out cause of coronavirus. A little premature in reality. Well, they moved her to a "rehab" facility. Only, since they are clearing wings of the hospital many people are being moved, including the mentally ill. She is basically in an insane asylum that is on lockdown with no guests. She has had 2 different men enter her room a total of 5 times. The one was incoherent. Took the staff 22 minutes to come to her room. The second man was screaming at her to get out of his house and where was his wife. 3 times in one night with that fellow. Staff not responding fast nor really fixing the problem. These are staff that are not prepared to deal with the psych ward patients. But, they aren't even meeting the base expectation of keeping people safe. There is some more, and she has only been there less than a week.
I wish we could actually balance our approach appropriately. Ignoring it does't work. Neglecting care for those that need it to prepare for something that isn;t there yet doesn;t work either. Not allowing visitors allows these facilities to get away with not providing basic needs. I have no idea what to do.
So yeah, fuck the chinese government and fuck Trump for downplaying and fuck all those that dramatize it for 24 hour news coverage while we as a society continue to fuck over others that actually need our help today, this very instance.
Sorry to hear that totally sucks , his crisis has such a trickle effect that it will affect everyone. Hoping you mom get the help she needs..
The world must never forget this act by China. I hope after this crisis is over that Australia, the USA, and other countries stop relying on China and take back manufacturing. Time to stop this over-reliance on China as they keep getting away with a lot of bad things.
You do know that everything you say can be used against e.g. the USA (as you brings up as an example in your post) too, right? Or other nations.
Where does the purity testing stop?
China is in the Paris Agreement, e.g. the US is not. Why would any sound country deal with a country that in 2020 refuses to e a part of it and to acknowledge climate change? China might be polluting - but they at least acknowledge it and is part of the agreement. Should all of EU stop trade with the US when they left the agreement? Climate Change will kill more people than corona. And the US today, sides with changing the climate for the worse over fighting the problems.
The US started an unjust war in the middleast - why did the world let them get away with it? Or not stop our over-reliance on them? As they keep getting away with a lot of bad things.
To my knowledge the Iraq war has killed more people than the Corona so far?
So, why should e.g. VOLVO build a plant in North Carolina - instead of in a Country that 1) acknowledges Climate Change and 2) doesn't do war crimes with no retributions ?
I personally think the world should - by using soft power and capitalistic tools (like putting their production in other "cheap" countries that atleast are democratic) stop the over-reliance on China ans stop building them up as the leading nation in the world.
But why does your irritation focus this much solely on China? Because of an anger-filled convenience?
The US bombed it’s own buildings and pentagon? The US killed 3,000 of its own civilians? The US killed Kurds with illegal poison gas? The US invaded and occupied Kuwait? The US sheltered a religious terrorist organization?
I was against the Afghan War in 2001 and the Iraq war in 2003 but let’s not make absurd comments that there were no justifications for it.
Comments
Much respect for Mr. Osterholm. That man knows his stuff!
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
***
/.../
NYU Langone Health employees received a notice Friday from Kathy Lewis, executive vice president of communications, saying that anyone who talked to the media without authorization would be “subject to disciplinary action, including termination.”
https://www.bloomberg.com/news/articles/2020-03-31/hospitals-tell-doctors-they-ll-be-fired-if-they-talk-to-press
Oh man, YES! Heavy duty interview. And Rogan... the poor guy was sweating bullets.
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Peace
*MUSIC IS the expression of EMOTION.....and that POLITICS IS merely the DECOY of PERCEPTION*
.....song_Music & Politics....Michael Franti
*The scientists of today think deeply instead of clearly. One must be sane to think clearly, but one can think deeply and be quite INSANE*....Nikola Tesla(a man who shaped our world of electricity with his futuristic inventions)
I'm not sure it's been proven where the virus came from yet.
I supposed the solution would be to commercialize and regulate pangolin and bat farming for food consumption.
Where does the purity testing stop?
China is in the Paris Agreement, e.g. the US is not. Why would any sound country deal with a country that in 2020 refuses to e a part of it and to acknowledge climate change? China might be polluting - but they at least acknowledge it and is part of the agreement. Should all of EU stop trade with the US when they left the agreement? Climate Change will kill more people than corona. And the US today, sides with changing the climate for the worse over fighting the problems.
The US started an unjust war in the middleast - why did the world let them get away with it? Or not stop our over-reliance on them? As they keep getting away with a lot of bad things.
To my knowledge the Iraq war has killed more people than the Corona so far?
So, why should e.g. VOLVO build a plant in North Carolina - instead of in a Country that 1) acknowledges Climate Change and 2) doesn't do war crimes with no retributions ?
I personally think the world should - by using soft power and capitalistic tools (like putting their production in other "cheap" countries that atleast are democratic) stop the over-reliance on China ans stop building them up as the leading nation in the world.
But why does your irritation focus this much solely on China? Because of an anger-filled convenience?
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
I hope they keep doing it, screw him just show me the professionals not a deranged idiot!
My mother fell and broke her leg last week. She was in hospital, but they decided not to do surgery right away and get her out cause of coronavirus. A little premature in reality. Well, they moved her to a "rehab" facility. Only, since they are clearing wings of the hospital many people are being moved, including the mentally ill. She is basically in an insane asylum that is on lockdown with no guests. She has had 2 different men enter her room a total of 5 times. The one was incoherent. Took the staff 22 minutes to come to her room. The second man was screaming at her to get out of his house and where was his wife. 3 times in one night with that fellow. Staff not responding fast nor really fixing the problem. These are staff that are not prepared to deal with the psych ward patients. But, they aren't even meeting the base expectation of keeping people safe. There is some more, and she has only been there less than a week.
I wish we could actually balance our approach appropriately. Ignoring it does't work. Neglecting care for those that need it to prepare for something that isn;t there yet doesn;t work either. Not allowing visitors allows these facilities to get away with not providing basic needs. I have no idea what to do.
So yeah, fuck the chinese government and fuck Trump for downplaying and fuck all those that dramatize it for 24 hour news coverage while we as a society continue to fuck over others that actually need our help today, this very instance.
Sucks.
That “false sense of security” is exactly what is costing lives.
The whole world was slow to respond.
I would be embarrassed to be trolling (in the fishing sense) the same line as Mitch McConnell 🤦♂️
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Libtardaplorable©. And proud of it.
Brilliantati©
Trumps impeachment trial ended on feb 5. Later in feb Pelosi urged the president to act and he mocked her with a flu comparison.
The “whole world” was not slow to respond. Countries such as S Korea started testing immediately and were able to track, isolate and minimize death to only 165 and they are much closer to China than US
CDC issued its 1st warning on 1/8.
Trump held 9 rallies between 1/9 & 2/28.
When they tell you he took it seriously from the beginning, they are lying through their fucking teeth.
I'm so sorry, Cincy. I hope she gets better & home real soon.
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
I was against the Afghan War in 2001 and the Iraq war in 2003 but let’s not make absurd comments that there were no justifications for it.