Tag Archives: COVID 19 statistics and predictions

COVID-19: Living with its Reality While Being Brave and Caring While Acknowledging our Fears

Friends of Padre Steve’s World,

T.S. Elliot penned these words: “Humankind cannot bear very much reality.” 

The sad fact is that Drs. Birx and Fauci have been quietly trying to brace the President and many of us for reality. Despite all the falsehoods and false hopes that emanated from the mouth of the President  between January and the beginning of March they, like them or not, soldiered on when many would have quit. All the President’s  denials, delays, disinformation, claims of fake news, bragging about his success, attacking  political opponents, and demonizing real news agencies, and reporters by name did not keep them from pushing back. I am not sure, but I suspect that Vice President Pence began to trust them helped push the President into accepting reality that the numbers that will die in the United States are far beyond anything that he ever would admit. Today they admitted that 100,000 to 240,000 could die, and that with successful mitigation. The same models predict a million and a half to two and a half million deaths without “successful” mitigation efforts. Who knows what April will bring, but I don’t think most American leaders or their followers are willing to deal with the hard truth that lay before us.

What our states are now beginning to do may be too little and to late to prevent an even higher death toll. Truthfully, based on the deadliness COVID-19 has demonstrated in our country where a lot more people in the 20-50 year old bracket are falling victim than was expect, I think, though I desperately  want to be wrong, and a quarter of a million is a low estimate based on the historical tendency for Americans to not obey the rules, trust science, or the government.

The terrible thing is that now the President would consider a death toll of 100,000 a “victory.” Had the President and  administration prepared for the virus when they were warned, we would have had a chance at minimizing the death toll, like South Korea.

But here we are facing one of the most catastrophic moments in the history of our country. We have to pull together, work together, and fight this together. Political, ideological, and religious animosity has to be chucked over the rails of this ship called America if we are not to sink. As one of the signers of the Declaration of Independence said, “we either hang together or we hang separately.”

Sadly, I have the feeling that many Americans will not believe until they, their family members, and friends start dying. As C.S. Lewis wrote in A Grief Observed:

“We were promised sufferings. They were part of the program. We were even told, ‘Blessed are they that mourn,’ and I accept it. I’ve got nothing that I hadn’t bargained for. Of course it is different when the thing happens to oneself, not to others, and in reality, not imagination.”

That my friends is the reality that we face. No matter our religion, lack thereof, or ideology may be, we are all human. Unless we are true narcissistic sociopaths, the deaths of friends and loved ones strike the very core of our innate human finiteness. They remind us that we too are mortal, and part of a community. I have friends across the religious and political spectrum, even people who disagree with me vehemently on various matters. But the death of any of them would involve grief that I cannot explain.

So now the latest COVID-19 casualty report. Worldwide there are 858,669 cases, 42,151 deaths, and 178,099 recovered. The get the death rate we do not uses the total infections. John’s Hopkins uses the total number infected, but since that number is always changing it is unreliable. Instead you have to use the total cases completed by either death or recovery, as the denominator. You divide the number of deaths by the number of completed cases. That rate is now 19% worldwide. In the United States there are now 188,530 total cases, 3,889 deaths and  7,251 people who have recovered, a 35% death rate. Of course as the minor infections recover the rate will most likely go down, to between 5 and 10%, not the 1-3% that some estimated just weeks ago. This is a killer virus, much worse than any flu. I’m not a scientist, but a historian. The great Spanish Influenza of 1918-19 killed over 600,000 Americans, and based on the latest estimates nearly 50 million deaths worldwide, and the populations, especially those living in major metropolitan cities, were far less than they are today.

John Barry, author of The Great Influenza: the Story of the Greatest Pandemic in History  wrote:

“overstate to make a point—warned, civilization could have disappeared within a few more weeks. So the final lesson of 1918, a simple one yet one most difficult to execute, is that those who occupy positions of authority must lessen the panic that can alienate all within a society. Society cannot function if it is every man for himself. By definition, civilization cannot survive that. Those in authority must retain  the public’s trust. The way to do that is to distort nothing, to put the best face on nothing, to try to manipulate no one. Lincoln said that first, and best. A leader must make whatever horror exists concrete. Only then will people be able to break it apart.”

The lesson is that truth even in the face of unimaginable disaster and loss of life, must be told. The same is true with how to mitigate the threat. Fear is a natural response, and anyone involved in a war, which this is, is not unreasonable, especially when there is no vaccine, should demonstrate a measure of reasonable fear. General George Patton wrote words that should be absorbed by everyone facing this virus today:

“If we take the generally accepted definition of bravery as a quality which knows no fear, I have never seen a brave man. All men are frightened. The more intelligent they are, the more they are frightened.”

That means that we can be frightened, yet brave. We must continue to life life and care for others even as we use social distancing and other prevention measures.

As Captain Jean Luc Picard in Star Trek the Next Generation said: “the first duty of every Starfleet officer is to the truth, whether it’s scientific truth, historical truth or personnel truth…”

Our leaders regardless if the are political, scientific, media, military, religious, or medical leaders must tell the truth, and then do the hard things in order to survive without becoming the dystopia of a world like the Mad Max films, novels like 1984, or so many examples from history and fiction.

We need leaders who tell the truth, and we need to act, despite our fears to defeat this threat. As Winston Churchill said in Britain’s darkest hour, “I have nothing to offer but blood, toil, tears and sweat,” our leaders regardless of party or ideology have to stop offering meaningless but comforting words, and tell the truth. If they don’t we will experience worse than we could imagine. As the English comedian Rowan Atkinson uttered in the BBC comedy series, Black Adder: “a fate worse than a fate worse than death.”

100,000 to 2400,000 preventable deaths is not a victory, it is a needless sacrifice of human life. Each of the dead is more than a number or name, they are human beings who leave behind parents, brothers and sisters, sons and daughters, grandchildren, friends, and coworkers. Each death leaves a hole in the heart of someone who loved and cared for them, that cannot be filled by empty words.

Until tomorrow, and with hope for the future. Please be careful out there,

Peace,

Padre Steve+

 

 

3 Comments

Filed under Coronavirus, Diseases Epidemics and Pandemics, ethics, faith, film, healthcare, History, laws and legislation, leadership, News and current events, Political Commentary, Religion

Stay at Home, and if You Cannot Some Practical Advice on Personal Protection from Coronavirus

Friends of Padre Steve’s World,

In our Commonwealth of Virginia, Governor Ralph Northam issued an executive order which under penalty of law dictated that all Virginians stay at home with limited exceptions until June 10th 2020. In doing so he joined the ranks of State Governors in 30 other states and the District of Columbia  to implement Stay at Home orders. Nineteen States have not issued them or allowed counties or cities do a patchwork of individual orders. Earlier in the month Northam had already shut down all but non-essential businesses and issued an order that limited any venue to a maximum venue of 10 patrons who had to observe a six foot social distance.

This came on the day that Virginia experienced its greatest increase in new cases since the disease hit with its first two infections on 28 February. Now there are 1,020 cases, and 25 deaths in the state. 993 of the cases are active which means that there have only been two people who recovered. Thus our death rate in Virginia is 92%. This will probably level out as the mild cases recover, but the disease is expanding at a relentless place here, as it is around the globe.

So what do any of us do to keep ourselves and others safe? Remember an infected person can remain asymptotic for up to 14 days, with the virus replicating by the millions by itself by attaching its particularly effective RNA receptors to the cells in our upper respiratory systems, or of you happen to get a good enough whiff, your lungs. In the latter case you will probably get a very bad pneumonia, and need ICU care and be put on a ventilator. In the the former case, which is the most common, you might experience mild symptoms that you recover from even as you spread the virus to others;  unless you practiced uncommon social distancing and washed your hands like you are supposed to do.

So I’m not going to pontificate. This shit is damned serious and everyone should be at the minimum taking CDC and WHO guidance seriously, as well as endure the pain of the momentary social isolation imposed by states and municipalities in order to save lives, maybe yours, your family members, friends, or co-workers.

My personal recommendation is that we all obey the legal, or voluntary actions to protect ourselves and others, but take it up a notch. Although WHO and the CDC initially said that it was not necessary to wear face masks, or gloves, many epidemiologists and virologists are suggesting otherwise. I wouldn’t be surprised if every national and international health agency begin to do what I suggest now, things that my wife and I are both doing. We don’t leave home without them.

First, if you have to go out for any reason, get some kind of protective face mask. The N-95 is the gold standard, but if you cannot get that, surgical masks or even scarves. The N-95 both ensures protection from the virus, as well as spreading it. The other options provide some protection to you or others, if you keep the six foot social distancing rule. That being said, there are a number of easily available designs suggested by doctors and nurses that provide protection that is reasonably close to the N-95. In fact they provide them on the internet who are willing to help make them for medical providers until N-95s and other personal protective equipment is available in the quantities required.

Likewise one should wear disposable vinyl gloves. If you cannot find them in a pharmacy you can get them online. It might take a week or two to get them, but get them. If you cannot get them get some rubber gloves, the kind that you use for dish washing or cleaning, but you will have to disinfect them after every use, and please make sure to make sure that when disinfecting them, disinfect your hands. Additionally make sure that you have disinfectant wipes at home, work, and in your vehicle. The Virus can live on solid surfaces for days, things like gas pumps, grocery shelves, tables, desks, car door handles, steering wheels, and shifters, not to mention door handles and hardware. To use an old Navy term, this is a no shitter.

However, as painful and inconvenient these measures are they are the only way to level the infection and death curve, prevent the collapse of our medical system, and make sure that we are ready for the next round in what many epidemiologists and virologists consider to be an 18-24 month battle.

By the way, here are the latest casualty reports from the novel Coronavirus War: 

Worldwide there are 786,536 cases, 37,861 deaths, and 165,660 recoveries. That is a 19% death rate, while 583,495 active cases. In the United States, which now leads the world in infections, but not yet deaths there are 164,266 cases, 3,170 deaths and 5,507 recoveries, a 37% death rate, with 155,589 active cases. Remember, on 8 March there were just 516 cases and just 21 deaths in the United States.

My advice is to take this is to do the right thing. Don’t believe conspiracy theories or in miracle cures. The first are simply lies, the second, deadly delusions promoted by charlatans who only want your money and couldn’t give a damn if you live or die.

Those are cold hard facts. Disbelieve them at the risk of your life and the lives of those you love, care about, or don’t even know.

Until tomorrow,

Peace,

Padre Steve+

 

3 Comments

Filed under Coronavirus, Diseases Epidemics and Pandemics, News and current events

Very, Very, Very Dreadful: COVID-19 and Our Future


At Kroger Today 
Friends of Padre Steve’s World,

Albert Marrin wrote in his book Very, Very, Very, Dreadful: The Influenza Pandemic of 1918: 

“No other disease, no war, no natural disaster, no famine comes close to the great pandemic. In the space of eighteen months in 1918–1919, about 500 million people, one-third of the human race at the time, came down with influenza. The exact total of lives lost will never be known. An early estimate, made in 1920, claimed 21.5 million died worldwide. Since then, researchers have been continually raising the number as they find new information. Today, the best estimate of flu deaths in 1918–1919 is between 50 million and 100 million worldwide, and probably closer to the latter figure.”

The current novel Coronavirus pandemic may not kill as many people as the Great Influenza pandemic did, but the numbers that it will kill will be catastrophic, not only in the number of lives lost, but in the unrest it causes in so many nations will lead to civil wars, usurpation of powers by authoritarian regimes of various ideologies, and subsequent wars that it helps spawn in the coming years. And frankly, after 75 years of relatively small wars, which admittedly have and tragically killed millions of people, the global order has remained relatively stable, until now.

The instability in the global markets, rising unemployment, shortages of so many items that we have come to rely upon, is just the beginning, and the virus has just begun. If it follows the course of the 1918-1919 pandemic, which most scientists believe that it will this is just the first phase. The second will be a slight lessening of infections and deaths in the summer followed by an explosion of it in the fall and winter, and the third wave will be far deadlier than today’s. It may even mutate into a far deadlier strain, as of now we know of two strains of it, and who knows how many there will be in the fall and winter? I cannot say, but I would put money on at least two or three, which even if we can produce a vaccine for the current ones, in record time, the mutations may be immune to it.

We were completely unprepared for this despite knowing that we were due for a pandemic. While industry can produce record numbers of ventilators and PPE, in a relatively short period of time, even which may not be deployed soon enough for this first phase of the pandemic; they cannot produce qualified ICU doctors, nurses and technicians that fast.

Even when we get the beds and ventilators, as well as additional rooms, we will have to staff them with doctors and nurses without or with minimal ICU experience, most gained during their medical or surgical residencies, or rotations through them during nursing school. It takes a special breed of physician or nurse to work in critical care, just as it does to be a cancer specialist, Emergency Medicine Doctor or nurse, or name the medical field. The fact is that you cannot make such specialists in a limited amount of time, and thanks to our managed care, for profit, system we don’t produce enough of them anyway. They are much more valuable than the equipment they have to use.

If the hospitals of the First World are being overwhelmed, just imagine what will happen when the virus begins to explode in the Third World, where a lack of basic medical care is standard, and critical care physicians and nurses are at the university and government run medical centers in major cities, most often the national capitals. The virus will spread through the major cities with a vengeance, and then to the hinterlands. Millions will die, simply because they live in countries too poor, and often politically unstable to deal with it.

As of tonight the numbers continue to explode. As of this moment there are 722,916 cases of the COVID-19 Virus worldwide, and 33,976 deaths. This is up from 532,362 cases of COVID-19 and 24,090 deaths Friday.  Today 536,454 of the cases are still active. Of the closed cases 151,756 have recovered and 33,976 have died for a 18% death rate, up from 16% less than 48 hours ago. That is a increase in infections of 190,553 cases and an increase of 9,886 deaths in just 48 hours. Say what you want, but the numbers don’t lie.

The same is true in the United States the numbers are not encouraging because we are so far behind the testing and preparation stage. As of now there 142,178 cases, and 2,484 deaths, and 4,559 recoveries a death rate among the closed cases of But at this same time on 27 March there were 85,984 total reported infections with 1,300 deaths and 1868 recoveries. Currently 135,135 of these cases are active. The mortality rate among the closed cases is 35%. Sadly we are nowhere close to the peak, which despite efforts to mitigate the spread in some states, others are refusing to make take any precautions, including those bordering some of the hot spots where the virus is now exploding.

Thankfully, despite his many lies, obfuscations, and refusal to take responsibility for anything, while blaming state governments and even health care providers for the growth of the virus, has at least admitted that many more lives may be lost and expanded his restrictions on gatherings to at least April 30th. I expect that he will have to push it further back.

But Americans, especially his supporters hate this, and are likely in states they control will ease restrictions as early as next week.

However, it is late and I have to get ready to go to bed so I can get to work in the morning.

Until tomorrow,

Peace,

Padre Steve+

 

 

 

 

 

Leave a comment

Filed under Coronavirus, economics and financial policy, ethics, healthcare, History, leadership, natural disasters, News and current events, Political Commentary

I’m Still Standing: My 60th Birthday in the Midst of a Deadly Pandemic

Friends of Padre Steve’s World,

Today I celebrated my 60th birthday. Unlike past birthdays which we celebrated out with friends, tonight was different. You cannot go out to dinner. You can go to restaurants to pick up take out orders, but you cannot dine in. Likewise you cannot go to the movies, sporting events, or concerts.

So what we did was have take out from the place we have kind of found a home, it’s the West Beach Tavern on Cleveland Street in Virginia Beach. It’s basically a dive bar, but their food is great, beer selection pretty good, and the staff is wonderful. Likewise they have the best BBQ we have had since we lived in Texas, and my God, their cook, Mark, is amazing. He has one of the most amazing tasting Ruben sandwiches that I have ever had. The corned beef is marinated for at least twelve hours. Likewise, if it’s not on the menu he will find a way to make it, he is so creative, and all their food is made on premises from scratch.

The time together was nice, but Judy was tired. She has spent the last week and a half designing and making protective face masks, modeled after a standard surgical mask, but with a impermeable polypropylene layer between the cloth layers. She tried a couple of prototypes and has decided on one. She is supplying them to people, including nurses who are vulnerable to the disease. Likewise she spend last night making me a really cool little booklet of her own sweet yet somewhat twisted poetry and verse of different types. Since she had a couple of appointments this morning and didn’t get home until shortly before I did she made an early night of it. She is a hero to me. The masks are not relaxing for her to make, but she makes them because she cares.

Now I am downstairs watching the Netflix series Pandemic, with my wonderful Papillon girl Izzy at my side, and my little Papillon boy Pierre, across the room perched on the back of our couch as I nurse a glass of 12 year old, 8 years in Chardonnay cask, Glen Moray Speyside Single Malt Scotch.

While enjoying my birthday in a more somber fashion than usual wondering what is going to happen regarding the spread of the Coronavirus, how it will effect the world, the country, my family and friends, and even if it makes such an impact in the military that there will a Stop Loss that prevents military personnel from being discharged or retired. Since I am preparing to retire this could include me, and it is already making it hard for me to do the administrative, medical, and other tasks that I have to complete before I retire because most have to be done in person and many people are teleworking. Likewise, my VA disability claim submission that I need to do could well be delayed because you cannot do anything in person. What happens when the military doctors who need to conduct your retirement physical, as well as those you see for follow up care cannot see you, and what happens when the VA does not have the doctors and specialists needed to do their work to verify your disabilities and complete your claim? That is not just a question I am asking, but many others that I know.

That is about enough for the night but I have to post a reminder. As of today the United States is now the leader in the number of verified Coronavirus infections, far ahead of Italy and China, which just a few days ago were far ahead of us. The worldwide total of infections is almost 600,000 and and of those 436,534 are current, while there have been 27,365 deaths, with 133,363 recoveries, a 17% death rate. In the United States we now have 104,205 infections, of which 99,979 are current. Of the resolved cases 2,525 have removed, and 1,701 are dead, a death rate of 40%. These numbers around the world will certainly be far above that tomorrow. We are nowhere close to slowing the spread of the virus or even close to flattening the curve of infection.

So happy birthday Padre Steve, once more into the breach.

Peace,

Padre Steve+

 

12 Comments

Filed under Coronavirus, Diseases Epidemics and Pandemics, History, Military

“The Power to Lead is the Power to Mislead, and the Power to Mislead is the Power to Destroy” The Responsibility of President Trump for the Coronavirus Pandemic in the United States

Friends of Padre Steve’s World,

Well here I go again. Thomas Mommsen wrote that “ The power to lead is the power to mislead, and the power to mislead is the power to destroy.” That one sentence sums up the essence of the Trump Presidency. I have watched several of the Coronavirus Task Force Briefings over the past week. They are painful to watch, at least while he is on stage. Unfortunately, President Trump must continue his attempt to act like a leader at each conference, and every time shows is lack up understanding of pandemics like COVID-19, and their broader effects, medically, sociologically, economically, and militarily; believe me I could name more areas where is lack of real leadership and poor acting ability, to convince us that he actually knows what he is doing is unending. As long as he stays on script during these briefings, uttering platitudes about his interactions with foreign leaders, Congress, and state governors he almost sounds like a real president. Then he goes off script and one knows that it is all an act, and a bad one at that.

The President is not a leader, he is a bad actor who is exposed every time he has to go off a prepared script. He would be better off to just stand in the background after making a short introductory statement, and let experts answer questions, but that is not him. He has to be what he is, a narcissistic sociopath who needs the adulation of others and has a very thin skin. He has to be center stage  and doesn’t have the self-awareness to know that most people see through his shtick. He’s a bad actor, not a leader. General Douglas MacArthur said:

“A true leader has the confidence to stand alone, the courage to make tough decisions, and the compassion to listen to the needs of others. He does not set out to be a leader, but becomes one by the equality of his actions and the integrity of his intent.” 

Bottom Line Up Front: Donald Trump and his administration were warned about the Coronavirus pandemic when it was still en epidemic, mostly contained to China. The warnings of scientists and U.S. intelligence agencies were ignored, depreciated, and called fake news as President Trump and his willing accomplices assured the country that there was nothing to fear. That isn’t leadership, that is bad acting. As Bo Bennett noted: “Faked enthusiasm is worse than bad acting – it is bad acting with the intent to deceive.” 

Likewise, the man has no sense of politics or leadership. He doesn’t understand or care that setting people up to die when you can mitigate the losses is not only irresponsible, but criminal, because Americans are dying, and he cannot even go to a hospital where that is happening and show any empathy, because he has none, and what he doesn’t have he cannot five. Gustave Gilbert, the US ist  Army Psychologist assigned to the major war criminals at Nuremberg that the one thing that they all had in common was an absence of empathy. Gilbert noted that “Evil,is the absence of empathy.”

The words of Gustave Gilbert describe the President, many members of the Administration, the GOP national committee, his fawning allies in Congress, and his state propaganda network, Fox News, as well as many radio talk show hosts headed by the dying Rush Limbaugh show the same lack of empathy, to a tee. That my friends is the bad news, but what follows is worse because at least all of the American deaths from COVID-19 are on them, every one of those sociopaths masquerading as conservatives. To think that until 2008 I was one of them, grieves me, but then I have a conscience and they don’t. They have ideology, and ideology can never can never replace morality or humanity.

As of this moment there are  532,362 cases of the COVID-19 Virus worldwide, and 24,090 deaths. This is up from 471,035 cases of COVID-19 and 21,283 deaths yesterday. Today 383,824 of the cases are still active. Of the closed cases 124,349 have recovered and 24,090 have died for a 16% death rate, up from 14% less than 72 hours ago. That is a increase in infections of 60,841 and nearly 2,792 increase in deaths in just 24 hours. Arnold Glaslow noted: “One of the tests of leadership is the ability to recognize a problem before it becomes an emergency.”  This was not a strong point of Trump or his administration when the problem was first reported to them. Not only did they ignore the scientific and intelligence reports, they denied them and called them lies, while spouting lies to blame others and insulate themselves from any blame.

I know that I am beginning to sound like a broken record, but the leadership and response of the Trump Administration to it has been abysmal, despite the warnings of U.S. Intelligence Agencies that the pandemic was coming, the administration did nothing. The President made light of it, said that it would have little impact, and played the part of Denier in Chief for two months, but then the stock markets crashed, and all of a sudden the President decided it was no longer fake news and ordered Vice President Pence to head up the effort to contain the virus and its effects. To his credit Pence did. try, and some policy changes began to occur, but to tell the truth, it was too little too late. The Virus had been spreading in the United States for weeks before Pence even received the mission. As a result the virus spread to tens of thousands of people, many who didn’t or don’t know that they are even infected, who in turn spread the virus without realizing they are doing so.

Because I have worked in ICUs and ERs in major civilian and military hospitals in two past pandemics; AIDS during its most deadly period the early to mid-1990s before effective drugs were developed to help infected people live somewhat normal lives. The in 2009 I was in a different Medical Center dealing with H1N1. As such I have been following the COVID-19 infection numbers and death rates with interest since it first came on the scene, but much more so when the first case appeared in Washington in mid-January. Now for the last month I have been watching the progress of the virus by following the data supplied by the CDC, Johns Hopkins, WHO, and this website https://www.worldometers.info/coronavirus/ .  It tends to be updated more frequently than the other sites, mostly because it is relying on updates as they are released by countries, and in the case of the United States, the states, the District of Columbia, and U.S. Territories.  It is one of the sites mentioned in DOD and Navy message traffic to use in getting solid data and updates about COVID 19.

In the United States  https://www.worldometers.info/coronavirus/country/us/there are now 85,594 cases, up over 17,000 in the last 24 hours. At midnight on 26 March there were 85,984 total reported infections with 1,300 deaths and 1868 recoveries. Currently 84,426 of these cases are active. The mortality rate among the closed cases is 39%.

The biggest issue has been the delay in testing and unavailability of test kits. Likewise we are now facing an acute shortage of ICU beds and ventilators, as well as severe shortages of PPE (personal protective equipment) for health workers and first responders, which would include police, fire, and EMS. Likewise there is a critical shortage regular hospital beds and places to put them because our system of managed care does not deem surge capacity important. The Army is deploying several field hospitals while the Navy is deploying the 1000 bed  USNS Mercy and USNS Comfort to Los Angeles and New York.

These numbers change multiple times a day depending on when countries, or in the case of the U.S. our states and territories report their daily data. The disturbing item to me is that with the exception of China, South Korea, and Japan and a few other Asian countries that instituted draconian measures to flatten the infection curve, the virus is showing exponential growth in the United States and western Europe. The reason it hasn’t exploded in many underdeveloped Second and Third World countries is that it was most likely late getting there because they are out of the way and do not get the kind of visitor, tourist, and business traffic that Western Europe and the United States have. Likewise they do not have the test kits or adequate medical care to document the spread. However, once it takes hold it will become a killing machine, wiping out millions in those unfortunate countries, and probably leading to more refugees, infections, and deaths.

Likewise one has to take into account Russia, North Korea, Venezuela, and Cuba which all under-report or fail to report infections and deaths. North Korea has reported no cases or no deaths as incredulous as that may sound, but reports from that county say that anyone showing symptoms is taken out and shot. Russia, for a large country between China and Europe reports under 1,000 infections and very few deaths, while reporting almost 7,000 more deaths from pneumonia than last year. Pneumonia is almost always the cause of death for those infected with COVID-19. Coincidence, I think not, especially when Vladimir Putin was photographed coming out of a hospital in complete biological hazard protective equipment. Non permeable suite, helmet with respirator, facial protection, and gloves. that is not normal for a regular hospital visit, even to people with active pneumonia.

Nineteen days ago, on 8 March, the United States reported 541 infections and 22 deaths. By March 18th there were 9,259 cases and 150 deaths. Four days later we were at 46,182 cases and 582 deaths, a death rate of 66%, well over the worldwide percentage. Two days later we were over 66,000 infections and over 1,000 deaths. Now we lead the world in number of infections, as deaths are spiking.

But expect we can eventually expect this to fall to somewhat  closer to the world average. But we are not there yet, and this will only get worse with more infections and deaths until the Federal government led by President Trump takes ownership and provides leadership we will have a patchwork of state and local response that only can provide porous protection against the virus. Leading is different than acting, being President is not the same as being the host of a tyrannical reality TV show.

Likewise, unlike China, we are not a police state with a population used to millennia of authoritarian rule that can use truly draconian measures, including welding people’s doors shut, and using massive numbers of police and military personnel to enforce a policy of social isolation, sadly that kind of policy, is the only one proven to be successful at flattening the curve of infection. Likewise, the testing of every swinging Richard and Mulva for the virus is the only way to trace its spread, and focus resources where they need to be sent, as South Korea demonstrated. But our administration refuses to test everyone, saying that it is not necessary, thus we will not have an accurate understanding of the spread of the virus, nor know how many people have been infected.

Since the virus is often spread through people who are asymptomatic, and many people refuse to self-isolate or in public violate the six foot buffer zone, I recommend that any person who reads this article practices an abundance of caution for two reason; first two protect themselves, and then, just in case they are infected but are asymptotic, protect themselves and others from getting the virus. This should be the case anytime they leave their homes to do necessary shopping, or go to a medical appointment. Anyone who goes out should not only observe the measures issued by the CDC, but go further. Personnel and their families should wear some kind of surgical, or other mask to reduce the possibility of transmission protecting them, and in case they are asymptomatic anyone they come in contact. These can be hard to find but there are a number of groups or individuals making relatively effective face masks, which though not to the N-95 standard would give them a modicum of protection. Some of the designs and patterns are online. Likewise I recommend that when leaving home that personnel wear vinyl disposable gloves, carry some kind of hand sanitizer (if you can get it) , wash your hands after every physical contact with a probably contaminated surface, and care antiseptic wipes in your car to wipe down the steering wheel, door handles, and gas pumps.

Call this an abundance of caution on my part, but the virus knows no borders, races, religions, rank or status.

However, almost every day after occasionally acting the part of a real President, Trump continually goes back to his baseline. he blames everyone but himself, and 12 days into a 15 day campaign to try to stop the virus by social distancing and shutting down businesses, he is threatened to reverse a key public health decision he made because the “economic costs might be higher than the virus itself.” He walked that back a bit yesterday, but, yesterday he doubled down on that topic. None of us knows what today or tomorrow will bring, but now many of his propaganda team are urging that he end his social distancing policy, reopen business and let vulnerable people die, all to save the stock markets. Adam Smith, the originator of capitalism would deplore.

In his news conference comments last night, as the two previous nights before, he tried to make his threat sound a little more humane by suggesting that isolated people were more prone to suicide, and would would outnumber the people infected and killed by the virus. That is not true. While I know that social isolation can be a killer, its effects can be mitigated by people that care. That cannot be said of the virus.

However, if people go back to work, and stores and restaurants are opened just as the virus is hitting full stride the infection and death rate will make those of the past few days look like peanuts. Millions more will be infected, and many of them will die. As the true believers and investors realize that Trump deceived them, the economy will collapse like a house of cards. Not just because of the effects of the virus, but because the business leaders, stock holders, and even his some of his cult followers will abandon him because they will finally realize that they mean nothing to him. However, there are plenty who will choose to die in his bunker with him.

So, as I did last night, I highly recommend that anyone reading this read the books, The Great Influenza: the Story of the Deadliest Pandemic in History by John Barry, as well as And the Band Played On, by the late Randy Shilts, and Barbara Tuchman’s A Distant Mirror: the Calamitous Fourteenth Century. They are all worth the read. History has much to teach anyone who dares to read it without political or ideological blinders.

So, because I am tired I wish you a good night. Until tomorrow,

Peace,

Padre Steve+

4 Comments

Filed under Coronavirus, Diseases Epidemics and Pandemics, History, leadership, Military, ministry, national security, Political Commentary

Exponentially Exponential, COVID-19 and Reality, not Fantasy

Friends of Padre Steve’s World,

I know that I am beginning to sound like a broken record. That being said I must tell the truth, even if it appears repetitive. In Star Trek the Next Generation, Captain Jean Luc Picard gave Wesley Crusher the following words of wisdom.

“the first duty of every Starfleet officer is to the truth, whether it’s scientific truth, historical truth or personnel truth…”

Bottom Line Up Front: As of this moment there are 471,035 cases of the COVID-19 Virus worldwide, and 21,283 deaths. This is up from 381,699 cases of COVID-19 and 16,558 deaths. Today 335,534 of the cases are still active, of the closed cases 114,218 have recovered and 21,283 have died for a 16% death rate, up from 14% less than 48 hours ago. That is a 90,000 increase in infections and nearly 5,000 increase in deaths in that short timespan.

I know that I am beginning to sound like a broken record, but the response of the Trump Administration to it has been abysmal, despite the warnings of U.S. Intelligence Agencies that the pandemic was coming, the administration did nothing. The President made light of it, said that it would have little impact, and played the part of Denier in Chief for two months, but then the stock markets crashed, and all of a sudden the President decided it was no longer fake news and ordered Vice President Pence to head up the effort to contain the virus and its effects. To his credit Pence did. try, and some policy changes began to occur, but to tell the truth, it was too little too late. The Virus had been spreading in the United States for weeks before Pence even received the mission. As a result the virus spread to tens of thousands of people, many who didn’t or don’t know that they are even infected, who in turn spread the virus without realizing they are doing so.

Because I have worked in ICUs and ERs in major civilian and military hospitals in two past pandemics; AIDS during its most deadly period the early to mid-1990s before effective drugs were developed to help infected people live somewhat normal lives. The in 2009 I was in a different Medical Center dealing with H1N1. As such I have been following the COVID-19 infection numbers and death rates with interest since it first came on the scene, but much more so when the first case appeared in Washington in mid-January. Now for the last month I have been watching the progress of the virus by following the data supplied by the CDC, Johns Hopkins, WHO, and this website https://www.worldometers.info/coronavirus/ .  It tends to be updated more frequently than the other sites, mostly because it is relying on updates as they are released by countries, and in the case of the United States, the states, the District of Columbia, and U.S. Territories.  It is one of the sites mentioned in DOD and Navy message traffic to use in getting solid data and updates about COVID 19.

In the United States  https://www.worldometers.info/coronavirus/country/us/there are now 68,203 cases, up over 22,000 in less than 48 hours. At midnight on 25 March there were 46,145 total reported infections with deaths. Currently 66,782 of these cases are active. 1421 cases are closed and of that number only 394 have recovered and been discharged, but 1,027 have died, giving us a 72% mortality rate. The biggest issue has been the delay in testing and unavailability of test kits. Likewise we are now facing an acute shortage of ICU beds and ventilators, as well as severe shortages of PPE (personal protective equipment) for health workers and first responders, which would include police, fire, and EMS. Likewise there is a critical shortage regular hospital beds and places to put them because our system of managed care does not deem surge capacity important.

These numbers change multiple times a day depending on when countries, or in the case of the U.S. our states and territories report their daily data. The disturbing item to me is that with the exception of China, South Korea, and Japan and a few other Asian countries that instituted draconian measures to flatten the infection curve, the virus is showing exponential growth in the United States and western Europe. The reason it hasn’t exploded in many underdeveloped Second and Third World countries is that it was most likely late getting there because they are out of the way and do not get the kind of visitor, tourist, and business traffic that Western Europe and the United States have. Likewise they do not have the test kits or adequate medical care to document the spread. However, once it takes hold it will become a killing machine, wiping out millions in those unfortunate countries, and probably leading to more refugees, infections, and deaths.

Likewise one has to take into account Russia, North Korea, Venezuela, and Cuba which all under-report or fail to report infections and deaths. North Korea has reported no cases or no deaths as incredulous as that may sound, but reports from that county say that anyone showing symptoms is taken out and shot. Russia, for a large country between China and Europe reports under 1,000 infections and very few deaths, while reporting almost 7,000 more deaths from pneumonia than last year. Pneumonia is almost always the cause of death for those infected with COVID-19. Coincidence, I think not, especially when Vladimir Putin was photographed coming out of a hospital in complete biological hazard protective equipment. Non permeable suite, helmet with respirator, facial protection, and gloves. that is not normal for a regular hospital visit, even to people with active pneumonia.

Fewer than two and a half weeks ago, 8 March, the United States reported 541 infections and 22 deaths. By March 18th there were 9,259 cases and 150 deaths. Four days later we were at 46,182 cases and 582 deaths, a death rate of 66%, well over the worldwide percentage. Two days later we are at over 66,000 infections and over 1,000 deaths.  But expect we can eventually expect this to fall to somewhat  closer to the world average. But we are not there yet, and this will only get worse with more infections and deaths until the Federal government led by President Trump takes ownership and provides leadership we will have a patchwork of state and local response that only can provide porous protection against the virus. We are not a police state with a population used to millennia of authoritarian rule.

Since the virus is often spread through people who are asymptomatic, and many people refuse to self-isolate or in public violate the six foot buffer zone, I recommend that any person who reads this article practices an abundance of caution for two reason; first two protect themselves, and then, just in case they are infected but are asymptotic, protect themselves and others from getting the virus. This should be the case anytime they leave their homes to do necessary shopping, or go to a medical appointment. Anyone who goes out should not only observe the measures issued by the CDC, but go further. Personnel and their families should wear some kind of surgical, or other mask to reduce the possibility of transmission protecting them, and in case they are asymptomatic anyone they come in contact. These can be hard to find but there are a number of groups or individuals making relatively effective face masks, which though not to the N-95 standard would give them a modicum of protection. Some of the designs and patterns are online. Likewise I recommend that when leaving home that personnel wear vinyl disposable gloves, carry some kind of hand sanitizer (if you can get it) , wash your hands after every physical contact with a probably contaminated surface, and care antiseptic wipes in your car to wipe down the steering wheel, door handles, and gas pumps.

Call this an abundance of caution on my part, but the virus knows no borders, races, religions, rank or status.

However, yesterday and today, after occasionally acting the part of a real President, Trump went back to his baseline. At his briefing last nought he again blamed everyone but himself, and 10 days into a 15 day campaign to try to stop the virus by social distancing and shutting down businesses, he threatened to reverse a key public health decision he made because the “economic costs might be higher than the virus itself.” He walked that back a bit yesterday, but who knows what today or tomorrow will bring, but now many of his propaganda team are urging that he end his social distancing policy, reopen business and let vulnerable people die, all to save the stock markets. Adam Smith, the originator of capitalism would deplore.

In his news conference comments last night, as the night before, he tried to make his threat sound a little more humane by suggesting that isolated people were more prone to suicide, and would would outnumber the people infected and killed by the virus. That is not true. While I know that social isolation can be a killer, its effects can be mitigated by people that care. However, if people go back to work, and stores and restaurants are opened just as the virus is hitting full stride the infection and death rate will make those of the past few days look like peanuts. Millions more will be infected, and many of them will die. As they,  the true believers and investors realize that Trump deceived them, the economy will collapse like a house of cards. Not just because of the effects of the virus, but because the business leaders, stock holders, and even his cult followers will abandon him because they will finally realize that they mean nothing to him.

I highly recommend that anyone reading this read The Great Influenza: the Story of the Deadliest Pandemic in History by John Barry, as well as And the Band Played On, by the late Randy Shilts, and Barbara Tuchman’s A Distant Mirror: the Calamitous Fourteenth Century. They are all worth the read. History has much to teach anyone who dares to read it without political or ideological blinders.

So, because I am tired I wish you a good night.

Peace,

Padre Steve+

1 Comment

Filed under authoritarian government, Coronavirus, Diseases Epidemics and Pandemics, ethics, faith, History, laws and legislation, News and current events, Political Commentary

An Exponential Increase in People Killed or Infected by COVID-19


Erring on the Side of Caution 

Friends of Padre Steve’s World,

In early January a dread came over me when I first read about the novel Coronavirus in China, and the head that the first case in the U.S. had been diagnosed in Washington State. I knew then that things would get much worse before they ever got better. But for fear of being labeled a fear monger or crazy person. At that time the threat was being downplayed except by intelligence agencies whose warnings we not heeded.

I guess it was in the fall of 2008 when I had a troubling dream. In it saw our city’s Town Center, still being built up, completely empty, shops and restaurants closed, construction sites abandoned, and trash blowing through the streets. That was in the 2008 crash with the H1N1 flu pandemic just beginning. I chalked them up to my horrible depression and PTSD, and tried to downplay them, and we did recover. But now it seems that that dream, was a portent of what is going on today. I certainly do not claim to be a prophet, nor a son of the Prophet, but now the restaurants and most shops there are closed. Construction projects appear to look like they are being prepared to shut down. Now I feel like I am living in that nightmarish dream as the novel Coronavirus 19 sweeps the world and the United States. The virus is exploding at an exponential rate and the worst is yet to come, not just the infections and deaths, but the complete disruption, and maybe collapse of an old order not seen since the end of the First World War.

Barbara Tuchman wrote something most relevant to the Trump Administration’s response to the COVID 19 threat, decades before it ever happened. However, she was writing about the men who brought Europe to destruction in 1914 and continued to work to destabilize new democracies, and even in the midst of a worldwide pandemic seek to protect their interests above all, including that of their nations and people. Tuchman wrote:

“Wooden-headedness, the source of self-deception, is a factor that plays a remarkably large role in government. It consists in assessing a situation in terms of preconceived fixed notions while ignoring or rejecting any contrary signs. It is acting according to wish while not allowing oneself to be deflected by the facts.” 

If nothing else that is an indictment of our President, and his enablers in his party, cabinet, Congress, propaganda network, and his devoted cultists who could not tell the truth from a lie if you told them a pie shell filled with shit was an award winning chocolate pie. But on to the current situation and a bit of background.

On December 31st the Chinese Government reported the first death from nouveau Coronavirus 19, or COVID 19. By the end of January there were over 12,000 cases and 259 deaths. The first infected American arrived from China in the middle of January. When I saw that, I knew without immediate intervention by the Federal Government that the spread of the virus would eventually be exponential and devastating, not just in the illnesses and deaths, but to the worldwide economy, and eventually war. If we look at the history of the 1920s-1930s the First World War was followed by economic, political, and the 1918-1919 Spanish Flu pandemic. Of course there were the civil wars and unstable governments caused by icily wars between the extremists of the Bolshevik and Fascist extremes, both seeking to destroy the political center to gain power, the brief economic upsurge brought about in the 1920s, the the Wall Street Crash of 1928 that brought about a worldwide economic depression, and a Second World War.

But now we have the Coronavirus which is sweeping across the world at a now breathtaking pace. It is growing at an exponential rate, and it seems that all the king’s horses, and all the king’s men will find it hard to put it together again.

When the COVIS-19 pandemic hit our shoes,  the American Government led by the Trump Administration paid little attention to it or downplayed its significance. It did that until the bottom began falling out of the stock markets, bond markets, and the oil market, the latter was not completely due to due to Coronavirus but the productions and price oil war between Saudi Arabia and Russia.

The Trump Administration finally labeled the situation a health emergency at the end of January, but did nothing to prepare.  Belatedly, it began to organize a response led by Vice President Pence at the end of February, but even sill the President in his speeches and tweets continued to downplay the situation as members of his political, religious, and media cult amplified his message, until a week ago.

The day I wrote my first article about Coronavirus, March 8th,  there had been almost 110,000 cases and nearly 3800 deaths. That was an increase of 98,000 cases and over 3500 deaths in just 38 daysI wrote me second article on it ten days later. By that time were nearly 198,500 cases and just shy of 8,000 deaths, 7,987 to be exact.

So in ten days there were around 100,000 new cases, and close to 4200 new deaths. As of that evening there were a total of 218,721 cases, of which 125,392 were currently active. 93,329 are closed, meaning either recovery or death. Of the closed cases, 8,983 or 10% had died. This means there were over 20,000 new cases and almost 1,000 deaths in a single night. Italy was hit hardest in the past day, over 4,200 new cases and 475 deaths.  In other European countries the numbers are spiking, and are about a week or two behind Italy in the progression of the disease.

We are now 15 days since my first article and five after my second. Since my last post the numbers have grown exponentially at a rate far faster than even last week. As of this moment in time there are 338,724 total cases of which 225,034 are active. Of the closed cases 14,687 are dead, and 99,003 have recovered. That is a 13% death rate. Since yesterday the number of cases went up by 32,440 with 1631 new deaths. See https://www.worldometers.info/coronavirus/

The sad thing, that even where local, state or provincial, and national governments have taken steps to mitigate the the spread of the virus, only the most draconian measures have succeeded in flattening the infection and death curve. South Korea is not far behind, but more to proactive testing, and mitigation efforts. But the United States remains far behind in testing, the availability of test kits, and haphazard quarantine and social distancing and isolation measures, primarily because the Trump Administration has refused to take the leadership, and responsibility to ensure that states get the resources they need when they need them, while failing to provide  overarching policy guidance rather than by shifting blame to experts, journalists, and truth tellers, and of course China by labeling it by the xenophobic and racist term, the China Virus instead of its actual name.

Likewise the President has proclaimed that he is a wartime President but refuses to treat this as a war. He has correctly called it an unseen enemy but has refused to do the things that a real wartime President would to to stop the losses and win the war. He still, dithers, obfuscates, and blames. Instead of saying “the Buck stops here” as Harry Truman did, he passes the responsibility and deflects the blame to everyone but himself, because he claims no responsibility for anything, and makes himself the victim of others, even former allies, friends, and appointees. He is Captain Queeg on steroids, but in defense of the fictional Queeg, he had been exposed to arduous combat duties before he took command of the USS Caine. Queeg cracked under pressure and his officers failed to help him. That is not the case with President Trump, he got rid of the apolitical professionals and surrounded himself with yes men and his family. Queeg should have been so lucky.

Tomorrows numbers will be worse, and the Trump Administration ignored warnings about COVID 19 by intelligence experts as early as January. Until the stock, bond, and oil markets began to collapse at the beginning of March, they did nothing, except deny, deflect, and minimize what would happen. Once the economy began to crash the Administration began to take actions, most not really effective in stopping the spread of the virus, but actions. Sadly, the President could give a serious and even Presidential Statement, and then go back to undercut everything he said with his Un constrained Tweets.

Bank of America has already stated that the United States is now in a recession. Other economists say that we are headed for an economic depression. Depressions are not good, not just for the economy, but for national security, in the midst of the Great Depression, Japan invade Manchuria in 1931, and China in 1936. Italy attack and conquered Ethiopia in 1935-1936, even as Hitler’s Germany began a startling number of bloodless conquests in the 1930s , without much reaction from from democracies mired in economic crisis and political divisions were unable to respond.

We have now reached that kind of watershed in our time. This will get far worse, in so many ways before it gets better. So until this is over, please err on the sid e of caution. Don’t take unnecessary risks, knowing that asymptotic carriers of the virus can spread it without you knowing it, and demand that our elected leaders at all levels of government take real actions to slow and eventually stop the advance of the virus, take action to help all of our population, but especially the millions losing their jobs in the service industries, And the small business and restaurant chains that are being forced to close due to the virus. This is a time for bold actions, not to bail out the corporate elites and oligarchs, but to help our citizens and the companies that they work for survive.

For me this isn’t about politics or the latest money, but for the survival of us as a people and nation who still hold to the belief of the Founders in the Declaration “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.” 

So until tomorrow,

Peace,

Padre Steve+

4 Comments

Filed under civil rights, culture, Diseases Epidemics and Pandemics, Foreign Policy, History, laws and legislation, leadership, national security, nazi germany, News and current events, Political Commentary