Generated by All in One SEO v5.0.0.1, this is an llms.txt file, used by LLMs to index the site. # Doctor, Did You Wash Your Hands?™ - Providing Health Information To Consumers Regarding How To Manage And Navigate Health Care Issues ## Sitemaps - [XML Sitemap](https://doctordidyouwashyourhands.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [EBOLA. “The Bundibugyo strain outbreak in eastern DRC — now the third-largest on record — is a stress test for global health architecture at a moment of retreating capacity.](https://doctordidyouwashyourhands.com/2026/07/ebola-the-bundibugyo-strain-outbreak-in-eastern-drc-now-the-third-largest-on-record-is-a-stress-test-for-global-health-architecture-at-a-moment-of-retreating-capacity/) - JONATHAN M> METSCH, Dr.P.H. - Tracking Emerging Public Health Challenges – July 14, 2026 -EBOLA “Nearly two months after the Democratic Republic of the Congo (DRC) confirmed an Ebola outbreak in one province, the virus is continuing to spread rapidly, reaching more parts of the country and infecting more people. According to government data from - [“If measles vaccination rates continue to drop just 1% annually for the next five years, the cost to the U.S. could reach $1.5 billion a year, according to a new report from the Yale School of Public Health."](https://doctordidyouwashyourhands.com/2026/03/if-measles-vaccination-rates-continue-to-drop-just-1-annually-for-the-next-five-years-the-cost-to-the-u-s-could-reach-1-5-billion-a-year-according-to-a-new-report-from-the-yale-school-of/) - Tracking Emerging Public Health Challenges – March 4, 2026 – Measles “Two physicians will join the federal Advisory Committee on Immunization Practices (ACIP). “Sean G. Downing, M.D. an internal medicine physician, and Angelina Farella, M.D., a pediatrician, were announced as the newest members late Feb. 27. “ACIP must scrutinize the evidence openly, ask hard questions, - [Trump’s Return May Worsen Financial Woes for Global Health Institutions](https://doctordidyouwashyourhands.com/2025/06/trumps-return-may-worsen-financial-woes-for-global-health-institutions/) - The U.S. provides nearly half of the aid for global health, including childhood vaccination, H.I.V. treatment and disease surveillance. "Rates of infection with dengue fever are exploding in Latin America. The mutated mpox virus is increasingly transmissible between people, and there are fears that H5N1, avian influenza, is also evolving to spread between humans. Deaths from cholera, an - ["The World Is Watching the U.S. Deal With Bird Flu, and It’s Scary"](https://doctordidyouwashyourhands.com/2024/11/the-world-is-watching-the-u-s-deal-with-bird-flu-and-its-scary/) - November 19, 2024 By Tulio de Oliveira "Failure to control H5N1 among American livestock could have global consequences, and this demands urgent attention. The United States has done little to reassure the world that it has the outbreak contained."....................... "The world cannot afford to gamble with this virus, letting it spread in animals and hoping it - [CORONAVIRUS TRACKING Links to POSTS 1-268](https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-269/) - CORONAVIRUS TRACKING Links to POSTS 1-268 PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” https://doctordidyouwashyourhands.com/2020/01/the-centers-for-disease-control-and-prevention-on-tuesday-confirmed-the-first-u-s-case-of-a-deadly-new-coronavirus-that-has-killed-six-people-in-china/ PART 2. January 29, 2020. CORONAVIRUS. “If it’s not contained shortly, I think we are looking - [Jonathan M Metsch, Dr.P.H.](https://doctordidyouwashyourhands.com/2024/11/jonathan-m-metsch-dr-p-h-2/) - Dr. Jonathan M. Metsch is: Clinical Professor of Environmental Medicine and Climate Science at the Icahn School of Medicine at Mount Sinai; and previously Affiliated Faculty, Executive MBA in Healthcare Administration, Zicklin School of Business, Baruch College, C.U.N.Y., and Adjunct Professor at Rutgers School of Public Affairs and Administration and Rutgers School of Public Health.Jonathan - [Former hospital prez says: Designate local Zika centers now. Medical experts do not know if, or where, or how much, or on what trajectory the Zika virus may spread across the United States.](https://doctordidyouwashyourhands.com/2016/06/former-hospital-prez-says-designate-local-zika-centers-now-medical-experts-do-not-know-if-or-where-or-how-much-or-on-what-trajectory-the-zika-virus-may-spread-across-the-united-states/) - Former hospital prez says: Designate local Zika centers now Hudson Reporter http://www.hudsonreporter.com/view/full_story/27199087/article-Former-hospital-prez-says--Designate-local-Zika-centers-now-?instance=top_story to get a free daily update on Zika news subscribe at https://www.statnews.com/series/zika-update/ The following is an editorial submitted by Dr. Jonathan M. Metsch, a health educator and the former CEO of Jersey City Medical Center who is also a Hoboken resident Medical experts - [CORONAVIRUS TRACKING Links to POSTS 1-272](https://doctordidyouwashyourhands.com/2022/09/coronavirus-tracking-links-to-posts-1-272/) - CORONAVIRUS TRACKING Links to POSTS 1-272 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” https://doctordidyouwashyourhands.com/2020/01/the-centers-for-disease-control-and-prevention-on-tuesday-confirmed-the-first-u-s-case-of-a-deadly-new-coronavirus-that-has-killed-six-people-in-china/ PART 2. January - [“New agriculture secretary working on plan to control bird flu, egg prices”](https://doctordidyouwashyourhands.com/2025/02/new-agriculture-secretary-working-on-plan-to-control-bird-flu-egg-prices/) - By Stephen Sorace“The White House is working toward a plan to control the avian flu, which will help lower egg prices that have skyrocketed due to inflation and how the Biden administration "killed all the chickens" to contain the spread of the disease, National Economic Council Director Kevin Hassett said Sunday.Hassett appeared on CBS’ "Face - [“U.S. bird flu hospitalizations rise to 4 after Ohio discloses case”](https://doctordidyouwashyourhands.com/2025/02/u-s-bird-flu-hospitalizations-rise-to-4-after-ohio-discloses-case/) - By Alexander Tin “Ohio's health department confirmed Saturday that a farmer in the state was discharged from the hospital after being sickened by bird flu, marking the fourth American to have been hospitalized with the H5N1 virus."The individual had respiratory symptoms. He was previously hospitalized and has since been released," a spokesperson for Ohio's health - [“Urgent CDC Data and Analyses on Influenza and Bird Flu Go Missing as Outbreaks Escalate"](https://doctordidyouwashyourhands.com/2025/02/urgent-cdc-data-and-analyses-on-influenza-and-bird-flu-go-missing-as-outbreaks-escalate/) - By Amy Maxmen“Flu has been brutal this season. The CDC estimates at least 24 million illnesses, 310,000 hospitalizations, and 13,000 deaths from the flu since the start of October. At the same time, the bird flu outbreak continues to infect cattle and farmworkers. But CDC analyses that would inform people about these situations are delayed, - [“2nd bird flu virus detected in western US. What does this mean for prevention?”](https://doctordidyouwashyourhands.com/2025/02/2nd-bird-flu-virus-detected-in-western-us-what-does-this-mean-for-prevention/) - By Mary Kekatos“"I think the concern is that we're having multiple strains that are being transmitted from birds to cattle and then from cattle to humans," Dr. Dean Blumberg, chief of the division of pediatric infectious diseases at UC Davis Health told ABC News. "And the more that that occurs, there's a higher risk of - [“Americans may have had bird flu and not even know it, new study suggests”](https://doctordidyouwashyourhands.com/2025/02/c-d-c-study-finds-silent-bird-flu-infections-in-dairy-veterinarians/) - By Adrianna Rodriguez“A new report suggests that more Americans may be walking around with bird flu − and not even know it.Researchers from the Centers for Disease Control and Prevention randomly tested 150 veterinarians for H5N1, or bird flu, antibodies, which would indicate if they had a recent infection.”to read the full article go tohttps://www.usatoday.com/story/life/health-wellness/2025/02/13/bird-flu-symptoms-cdc/78513646007/ - [“Here is what Lehigh Valley hospitals say they are doing about bird flu”](https://doctordidyouwashyourhands.com/2025/02/here-is-what-lehigh-valley-hospitals-say-they-are-doing-about-bird-flu/) - By Leif Greiss “St. Luke’s is getting ahead on this because they would rather be ready for a threat that never comes than be unprepared and unready if bird flu comes to the Lehigh Valley and becomes widespread, Jahre said.“The government is not the cavalry. You can’t rely on the government coming to save you. - [“What Happens When Bird Flu Gets Worse?”](https://doctordidyouwashyourhands.com/2025/02/what-happens-when-bird-flu-gets-worse/) - By Nicholas Florko “Bird flu has now spread to cow herds across the country, led to the euthanization of tens of millions of domesticated poultry, sickened dozens of people in the United States, and killed one. The virus is not known to spread between humans, which has prevented the outbreak from exploding into the next - [“St. Luke’s (University Health Network) Takes Steps to Identify Bird Flu Cases and Prepare for Future Developments”](https://doctordidyouwashyourhands.com/2025/02/st-lukes-takes-steps-to-identify-bird-flu-cases-and-prepare-for-future-developments/) - By St. Luke’s University Health Network“In response to avian influenza (a.k.a. “avian flu” or “bird flu”), St. Luke’s is preparing its lab for surveillance and opened an email “helpline” to answer basic questions from the public.”…“During the height of the Covid crisis, St. Luke’s emerged as the leading source of information and guidance locally as - [“Live Bird Markets Ordered to Close in New York After Avian Flu Is Found”](https://doctordidyouwashyourhands.com/2025/02/live-bird-markets-ordered-to-close-in-new-york-after-avian-flu-is-found/) - By Lola Fadulu“All live bird markets in New York City and in several nearby counties must close temporarily in hopes of curbing the spread of bird flu, which was detected at some of the markets in the past week, Gov. Kathy Hochul announced on Friday.The order, which came from the state’s Department of Agriculture and - [“NIH slashes overhead payments for research, sparking outrage”](https://doctordidyouwashyourhands.com/2025/02/nih-slashes-overhead-payments-for-research-sparking-outrage/) - By David Malakoff“A 15% indirect cost rate will now apply to all new and existing grants, NIH said in a memo from its Director’s office. Typically, about 30% of an average NIH grant to an institution is earmarked for indirect costs, according to NIH, but some universities get much higher rates. In 2023, NIH, the - [“C.D.C. Posts, Then Deletes, Data on Bird Flu Spread Between Cats and People.”](https://doctordidyouwashyourhands.com/2025/02/c-d-c-posts-then-deletes-data-on-bird-flu-spread-between-cats-and-people/) - “Cats that became infected with bird flu might have spread the virus to humans in the same household and vice versa, according to data that briefly appeared online in a report from the Centers for Disease Control and Prevention but then abruptly vanished. The data appear to have been mistakenly posted but includes crucial information - [“Trump taps Gerald Parker to be new head of pandemic office as bird flu threat grows”](https://doctordidyouwashyourhands.com/2025/02/trump-taps-gerald-parker-to-be-new-head-of-pandemic-office-as-bird-flu-threat-grows/) - By Alexander Tin “President Trump has selected Gerald Parker, a veterinarian and former top-ranking federal health official, to head the White House's pandemic office, two U.S. officials tell CBS News.“"I've not been a fan of every choice that Donald Trump has made. And I've been very critical of many of them. This one is a - [“Dairy herds in Nevada test positive for newer bird flu strain that’s been linked to severe human infections”](https://doctordidyouwashyourhands.com/2025/02/dairy-herds-in-nevada-test-positive-for-newer-bird-flu-strain-thats-been-linked-to-severe-human-infections/) - By Brenda Goodman, CNN“This is the second known instance of avian flu being introduced into cattle herds by birds, and experts say it marks a turning point in the nation’s efforts to contain the virus.“It’s much easier to control virus spread when you’re talking about a virus spreading from cow to cow than controlling spread - [“Scientists Are Starting to Track Bird Flu in Farm Wastewater”](https://doctordidyouwashyourhands.com/2025/02/scientists-are-starting-to-track-bird-flu-in-farm-wastewater/) - By Alice Park“One promising method is sampling wastewater. The technique continues to prove useful for monitoring COVID-19; since most people now self-test and formal data collection has diminished, wastewater is the most reliable way of tracking upticks and changes in infections since it doesn’t require people to report results.Scientists are now figuring out how to - [“Bird flu crisis enters new phase”](https://doctordidyouwashyourhands.com/2025/02/12669/) - By Adriel Bettelheim“Dozens of newly confirmed cases of avian influenza in wild birds and the first verified U.S. case of a new strain of the virus are raising concern the bird flu crisis may be entering a troubling new phase.Why it matters: While the developments don't necessarily raise the risk of a pandemic, they could - [“Trump administration’s halt of CDC’s weekly scientific report stalls bird flu studies”](https://doctordidyouwashyourhands.com/2025/01/trump-administrations-halt-of-cdcs-weekly-scientific-report-stalls-bird-flu-studies/) - By KFF Health News“The Trump administration has intervened in the release of important studies on the bird flu, as an outbreak escalates across the United States.One of the studies would reveal whether veterinarians who treat cattle have been unknowingly infected by the bird flu virus. Another report documents cases in which people carrying the virus - [“How are H5N9 and H5N1 different? What to know after California bird flu outbreak”](https://doctordidyouwashyourhands.com/2025/01/how-are-h5n9-and-h5n1-different-what-to-know-after-california-bird-flu-outbreak/) - By Alexander Tin “"The combination H5N9 is not new and other versions, like H5N5 also exist. Just because this was now detected, doesn't mean trouble necessarily," said virologist Florian Krammer, professor at the Icahn School of Medicine at Mount Sinai, in an email.Krammer pointed to recent detections of the H5N5 strain spreading from Europe, and - [“Why scientists' fears about bird flu are intensifying”](https://doctordidyouwashyourhands.com/2025/01/why-scientists-fears-about-bird-flu-are-intensifying/) - By Regina G. Barber, Will Stone, Rachel Carlson, and Rebecca Ramirez “"This is like some brush burning around your house," …"You better pay attention because it could turn into something else."”to read the full article go tohttps://www.npr.org/2025/01/27/1263339284/bird-flu-update-influenza “Will bird flu spark a human pandemic?”By Max Kozlov.“Here, Nature talks to infectious-disease specialists about what they’re learning - [“‘A Dangerous Virus’: Bird Flu Enters a New Phase”](https://doctordidyouwashyourhands.com/2025/01/a-dangerous-virus-bird-flu-enters-a-new-phase/) - By Apoorva Mandavilli “A human pandemic is not inevitable, even now, more than a dozen experts said in interviews. But a series of developments over the past few weeks indicates that the possibility is no longer remote.Toothless guidelines, inadequate testing and long delays in releasing data — echoes of the missteps during the Covid-19 pandemic - [“Wind-blown avian feces may be route of transmission for bird flu, Minnesota's infectious disease expert warns”](https://doctordidyouwashyourhands.com/2025/01/wind-blown-avian-feces-may-be-route-of-transmission-for-bird-flu-minnesotas-infectious-disease-expert-warns/) - By Mackenzie Lofgren. “Dr. Michael Osterholm is a medical detective and Director of the Center for Infectious Disease Research and Policy, or CIDRAP, at the University of Minnesota. Osterholm has nearly 50 years of investigating infectious disease outbreaks and public health threats.”…"Today, I am certain that we are seeing clouds of dust with bird feces - [“Bird flu and the battle against emerging diseases”](https://doctordidyouwashyourhands.com/2025/01/bird-flu-and-the-battle-against-emerging-diseases/) - By Beatrice M. Spadacini“The Outbreak Atlas, co-authored by Katz and Wellcome Trust scholar Mackenzie S. Moore, uses global case studies to explain outbreak preparedness, response, and recovery. It aims to educate people with the tools to make informed decisions during disease outbreaks, regardless of federal actions.”to read the full article go tohttps://www.yorkdispatch.com/story/opinion/contributors/2025/01/22/bird-flu-and-the-battle-against-emerging-diseases/77873522007/ “The US Has - [“First U.S. H5N1 Death Sparks Urgency: Scientists Warn That Bird Flu Is Mutating Faster Than Expected”](https://doctordidyouwashyourhands.com/2025/01/first-u-s-h5n1-death-sparks-urgency-scientists-warn-that-bird-flu-is-mutating-faster-than-expected/) - By Texas Biomedical Research Institute “Researchers at the Texas Biomedical Research Institute (Texas Biomed) have identified a strain of bird flu isolated from a human in Texas that carries a distinctive set of mutations, making it more adept at replicating in human cells and causing severe disease in mice. This strain was compared to one - [“U.S. pays $590 million to Moderna to speed up development of bird flu vaccine”](https://doctordidyouwashyourhands.com/2025/01/u-s-pays-590-million-to-moderna-to-speed-up-development-of-bird-flu-vaccine/) - by Juliana Kim “"Accelerating the development of new vaccines will allow us to stay ahead and ensure that Americans have the tools they need to stay safe," outgoing HHS Secretary Xavier Becerra said in a statement on Friday.”to read the full article go tohttps://www.npr.org/2025/01/18/nx-s1-5266868/bird-flu-vaccine-moderna “As bird flu concerns grow, scientists race to develop new vaccines”By - [“What 3rd case of bird flu with unknown source of infection could mean in fight against disease”](https://doctordidyouwashyourhands.com/2025/01/what-3rd-case-of-bird-flu-with-unknown-source-of-infection-could-mean-in-fight-against-disease/) - By Mary Kekatos “"It's not universal surveillance. We're not able to capture all of the cases that we might like to catch," Moody said. "And so, it's kind of hard to know what to do with isolated data points like this, when you get a report of, yes, this is a confirmed case. But it's - [“CDC urges faster testing to find human bird flu cases”](https://doctordidyouwashyourhands.com/2025/01/cdc-urges-faster-testing-to-find-human-bird-flu-cases/) - By Erika Edwards“ The Centers for Disease Control and Prevention on Thursday urged labs nationwide to determine within 24 hours of admission whether people hospitalized with the flu have seasonal influenza or are infected with the bird flu that's behind an escalating outbreak in dairy cows and poultry.”to read the full article go tohttps://www.nbcnews.com/health/health-news/cdc-urges-faster-testing-find-human-bird-flu-cases-rcna187870 “CDC - [“Bird Flu Is Raising Red Flags Among Health Officials”](https://doctordidyouwashyourhands.com/2025/01/bird-flu-is-raising-red-flags-among-health-officials/) - By Public Health On Call “In this Q&A, adapted from the January 14 episode of Public Health On Call, Stephanie Desmon speaks with Meghan Davis, DVM, PhD ’12, MPH ’08, associate professor in Environmental Health and Engineering, and Andrew Pekosz, PhD, professor in Molecular Microbiology and Immunology, about why it’s time to double down on - [“Age of the panzootic: scientists warn of more devastating diseases jumping between species”](https://doctordidyouwashyourhands.com/2025/01/age-of-the-panzootic-scientists-warn-of-more-devastating-diseases-jumping-between-species/) - By Phoebe Weston “Bird flu poses a threat that is “unique and new in our lifetime” because it has become a “‘panzootic” that can kill huge numbers across multiple species, experts warn. For months, highly pathogenic bird flu, or H5N1, has been circulating in dairy farms, with dozens of human infections reported among farm workers. - [“Should we be panicked about bird flu? William Hanage says not yet.”](https://doctordidyouwashyourhands.com/2025/01/should-we-be-panicked-about-bird-flu-william-hanage-says-not-yet/) - By Alvin Powell ““A key thing that we’ve not seen in the case of H5N1 and cattle are superspreading events.””“We will certainly see another flu pandemic. That’s not an “if”; it’s a “when.” We cannot say how severe it will be, but we can say that it has the potential to be bad. We don’t - [“NYC Health + Hospitals/Bellevue to Receive $2M of Federal Funding to Advance Avian Flu Preparedness” (Press Release)](https://doctordidyouwashyourhands.com/2025/01/nyc-health-hospitals-bellevue-to-receive-2m-of-federal-funding-to-advance-avian-flu-preparedness-press-release/) - “NYC Health + Hospitals/Bellevue today announced it will receive $2 million from the federal government to enhance national avian influenza preparedness, one of only thirteen institutions nationwide to receive this funding. Bellevue Hospital is the designated Regional Emerging Special Pathogen Treatment Center (RESPTC) for Region 2, leading special pathogen preparedness and response efforts in New - [“First US human death from bird flu is more serious than you may think”](https://doctordidyouwashyourhands.com/2025/01/first-us-human-death-from-bird-flu-is-more-serious-than-you-may-think/) - By Bronwyn Thompson “…..Post-infection mutation and no human-to-human transmission suggests whatever the viral changes, it's not one that hugely concerns epidemiologists. It would be far worse for someone to become infected with an already altered H5N1 D1.1 strain, which would most likely point to the virus getting closer to cracking the complex code of human-to-human - [“Bird flu will be the next pandemic unless health officials take 6 critical steps, experts say”](https://doctordidyouwashyourhands.com/2025/01/bird-flu-will-be-the-next-pandemic-unless-health-officials-take-6-critical-steps-experts-say/) - BY Carolyn Barber“This is how pandemics start,” Rick Bright, the renowned immunologist, vaccine researcher and former federal health official, tells Fortune. “We’ve had months to prepare, to activate and expand surveillance, to educate people about the risk, and even to make vaccines available that can help to reduce the risk of the current form of - [“First bird flu death reported in the U.S., according to the CDC”](https://doctordidyouwashyourhands.com/2025/01/first-bird-flu-death-reported-in-the-u-s-according-to-the-cdc/) - By Will Stone “The U.S. has recorded its first death of a person infected with bird flu.The patient was a resident of southwest Louisiana who was hospitalized last month with the first known severe case of bird flu in the country….The patient was over 65 and had underlying medical conditions.”https://www.npr.org/sections/shots-health-news/2025/01/06/nx-s1-5250251/bird-flu-death-louisiana “First Bird Flu Death in - [“How America lost control of the bird flu, setting the stage for another pandemic”](https://doctordidyouwashyourhands.com/2025/01/how-america-lost-control-of-the-bird-flu-setting-the-stage-for-another-pandemic-2/) - By Amy Maxmen “Nearly a year into the first outbreak of the bird flu among cattle, the virus shows no sign of slowing. The U.S. government failed to eliminate the virus on dairy farms when it was confined to a handful of states, by quickly identifying infected cows and taking measures to keep their infections - [“In severe bird flu cases, the virus can mutate as it lingers in the body”](https://doctordidyouwashyourhands.com/2025/01/in-severe-bird-flu-cases-the-virus-can-mutate-as-it-lingers-in-the-body/) - by Kaitlin Sullivan and Mustafa Fattah “For now, the Canadian teen and the patient in Louisiana are outliers, but the infections illustrate the virus’s ability to cause severe illness — and demonstrates how, during long illnesses, the virus has the chance to mutate to better infect humans.In both of those cases, virus samples showed that - [“Eyeing Potential Bird Flu Outbreak, Biden Administration Ramps Up Preparedness”](https://doctordidyouwashyourhands.com/2025/01/eyeing-potential-bird-flu-outbreak-biden-administration-ramps-up-preparedness/) - By Sheryl Gay Stolberg “The Centers for Disease Control and Prevention says that the current risk to humans remains low, and that pasteurized milk products remain safe to consume. But should human-to-human transmission become commonplace, experts fear a pandemic that could be far more deadly than Covid-19.On Thursday, the administration said it was committing $306 - ["H5 Bird Flu: Current Situation"](https://doctordidyouwashyourhands.com/2024/11/h5-bird-flu-current-situation-bird-flu-detected-in-raw-milk-sold-in-california-health-officials-say/) - "Bird flu detected in raw milk sold in California, health officials say" California health officials warned the public to avoid drinking one batch of whole raw milk from Raw Farm, which has issued a voluntary recall. By Marlene Lenthang "Bird flu has been detected in a batch of raw milk sold in California stores, and the - [Kennedy..."has said that he would steer the agency (NIH) into a yearslong “break” from infectious disease research, focusing instead on chronic diseases."](https://doctordidyouwashyourhands.com/2024/11/dr-dave-weldon-trumps-c-d-c-pick-was-not-on-anyones-radar/) - By Apoorva Mandavilli and Benjamin Mueller “Dr. Dave Weldon, a former Republican congressman who is President-elect Donald J. Trump’s pick to lead the Centers for Disease Control and Prevention, has been off the political stage for more than 15 years.”“Yet over the years his views have aligned in many ways with those of Robert F. - ["H5N1 Bird Flu Concerns Grow. Are COVID-19 Mistakes Being Repeated?"](https://doctordidyouwashyourhands.com/2024/12/h5n1-bird-flu-concerns-grow-are-covid-19-mistakes-being-repeated/) - By Bruce Y. Lee “There’s a saying that those who do not learn from history are doomed to repeat it. Will that be the case with the H5N1 avian influenza virus that’s been spreading among birds for years, jumped to dairy cattle earlier this year and appeared in a pig a month ago? Is hindsight - [“Scientists Are Racing to Develop a New Bird Flu Vaccine”](https://doctordidyouwashyourhands.com/2025/01/scientists-are-racing-to-develop-a-new-bird-flu-vaccine/) - By Alice Park “As bird flu continues to ramp up, many are wondering what tools—namely, vaccines—we have to fight it if such intervention becomes necessary.”“What about an mRNA vaccine for H5N1?There isn't one yet, but several companies—including Moderna, Pfizer and GlaxoSmithKline (in collaboration with CureVac)—are working on such a shot. In July, the U.S. government’s - [“The Emerging Threat of H5N1 to Human Health” (NEJM)](https://doctordidyouwashyourhands.com/2025/01/the-emerging-threat-of-h5n1-to-human-health-nejm/) - By Michael G. Ison, M.D. and Jeanne Marrazzo, M.D., M.P.H. From the Respiratory Diseases Branch, Division of Microbiology and Infectious Diseases (M.G.I.), National Institute of Allergy and Infectious Diseases, National Institutes of Health (J.M.), Bethesda, MD. “……The past weeks have seen more cases detected in more states as well as more persons with respiratory illness - [“I’m an Emergency Physician Keeping an Eye on Bird Flu. It’s Getting Dicey”](https://doctordidyouwashyourhands.com/2024/12/im-an-emergency-physician-keeping-an-eye-on-bird-flu-its-getting-dicey/) - By Jeremy Samuel Faust “All year, I’ve been keeping tabs on the H5N1 avian flu outbreak in dairy cattle and birds in the United States. As a frontline emergency physician, my stake in this is clear: I want to know if there is an imminent threat of a sustained deadly outbreak in people.Until now, I’ve - [Jimmy Carter’s Quiet but Monumental Work in Global Health](https://doctordidyouwashyourhands.com/2024/12/jimmy-carters-quiet-but-monumental-work-in-global-health/) - By Stephanie Nolen “Jimmy Carter’s five decades of leadership in global health brought a hideous disease to the brink of elimination, helped deliver basic health and sanitation to millions of people and set a new standard for how aid agencies should engage with the countries they assist.It was quiet work and drew relatively little attention because - [“Dr. Leana Wen says for bird flu, "we should have learned our lesson from COVID" in testing”](https://doctordidyouwashyourhands.com/2024/12/dr-leana-wen-says-for-bird-flu-we-should-have-learned-our-lesson-from-covid-in-testing/) - By Patrick Maguire “Dr. Leana Wen said Sunday that the lack of testing for bird flu doesn't mean that the virus isn't alive in humans, and that she feels the federal government "should have learned our lesson from COVID" and should be proactive in making tests available for Americans — and not wait for labs - [“Deborah Birx, the White House coronavirus response coordinator during the first Trump administration, excoriated the CDC in a CNN interview Friday morning for failing to learn the right lessons from Covid-19.”](https://doctordidyouwashyourhands.com/2024/12/deborah-birx-the-white-house-coronavirus-response-coordinator-during-the-first-trump-administration-excoriated-the-cdc-in-a-cnn-interview-friday-morning-for-failing-to-learn-the-right-lesso/) - Bird flu mutations raise fears of a broader outbreakBy Alice Miranda Ollstein ““Our No. 1 principle in preventing pandemics is detect, and if you go to the CDC website, you can see that they are monitoring more than 10,000 exposures, but they’ve only tested 530,” she said. “That means we’re not testing enough. And we - [“THE UNITED STATES NEEDS TO STEP UP ITS RESPONSE TO BIRD FLU”](https://doctordidyouwashyourhands.com/2024/12/the-united-states-needs-to-step-up-its-response-to-bird-flu/) - By Michaela Simoneau, Sophia Hirshfield, and Maclane Speer “Since the turn of the century, every presidential administration has highlighted gaps in U.S. public health capabilities, and every Congress has left them underfunded. The H5N1 outbreak has revealed the resulting and dangerous shortcomings in U.S. pandemic preparedness: lagging data, incomplete surveillance, sluggish coordination, considerable mistrust, and - ["Key warning signs about bird flu are all going in the wrong direction"](https://doctordidyouwashyourhands.com/2024/12/key-warning-signs-about-bird-flu-are-all-going-in-the-wrong-direction/) - By Evan Bush "To better understand the geography of bird flu’s spread, scientists are monitoring wastewater for fragments of the virus. “We’ve seen detections in a lot more places, and we’ve seen a lot more frequent detections” in recent months, said Amy Lockwood, the public health partnerships lead at Verily, a company that provides wastewater testing - ["Biden administration has no current plans to authorize a bird flu vaccine for humans”](https://doctordidyouwashyourhands.com/2024/12/theres-something-causing-it-trump-draws-false-link-between-vaccines-and-autism-in-time-interview-biden-administration-has-no-current-plans-to/) - By Jamie Ducharme “When asked in an interview for TIME’s 2024 Person of the Year whether he would approve of an end to childhood vaccination programs, Trump said he would have a “big discussion” with Robert F. Kennedy Jr., the vaccine skeptic he has tapped to run the U.S. Department of Health and Human Services - [“Bird flu update: Maps show states most affected”](https://doctordidyouwashyourhands.com/2024/12/bird-flu-update-maps-show-states-most-affected/) - By Janet Loehrkehttps://www.usatoday.com/story/graphics/2024/12/21/bird-flu-h5n1-avian-influenza-maps/77100793007/ “US has first severe bird flu case. When should we start to worry?”By Eduardo Cuevas and Adrianna Rodriguezhttps://www.usatoday.com/story/news/health/2024/12/21/first-severe-bird-flu-case-pandemic/77103005007/ “Kennedy Wants to Overhaul the F.D.A. Here’s How Experts Would Change It.While some agree with Robert F. Kennedy Jr. that the agency needs reform, their ideas for fixing it are v ery different from - [“How America lost control of the bird flu, setting the stage for another pandemic”](https://doctordidyouwashyourhands.com/2024/12/how-america-lost-control-of-the-bird-flu-setting-the-stage-for-another-pandemic/) - By KFF Health News “Experts say they have lost faith in the government's ability to contain the outbreak."We are in a terrible situation and going into a worse situation,” said Angela Rasmussen, a virologist at the University of Saskatchewan in Canada. "I don't know if the bird flu will become a pandemic, but if it - [“America’s Bird-Flu Luck Has Officially Run Out”](https://doctordidyouwashyourhands.com/2024/12/americas-bird-flu-luck-has-officially-run-out/) - By Yasmin Tayag “The case in Louisiana reveals little new information about the virus: H5N1 has always had the capacity to make individuals very sick. The more birds, cows, and other animals exposed people to the virus, and the more people got sick, the greater the chance that one of those cases would look like - [“America’s first severe case of bird flu confirmed in Louisiana” “California declares state of emergency over bird flu"](https://doctordidyouwashyourhands.com/2024/12/bird-flu-is-a-real-pandemic-threat-are-we-prepared-for-the-worst/) - “America’s first severe case of bird flu confirmed in Louisiana” By Jamie Gumbrecht and Brenda Goodman “A patient in Louisiana has been hospitalized with a severe case of H5N1 bird flu, the US Centers for Disease Control and Prevention said, the first such case in the United States.The agency said Wednesday that the person was - [Study Warns That Cats Might Be Bird Flu Carriers](https://doctordidyouwashyourhands.com/2024/12/study-warns-that-cats-might-be-bird-flu-carriers/) - By India Edwards "According to a new study published Dec. 9 in the journal Emerging Microbes & Infections, domestic cats could become an unexpected player in the evolution and transmission of the H5N1 bird flu virus, potentially creating opportunities for it to become more dangerous." "While there is no evidence that cats have transmitted H5N1 to - [“'Knocking On Our Door': Experts Warn Of Bird Flu's Pandemic Threat”](https://doctordidyouwashyourhands.com/2024/12/knocking-on-our-door-experts-warn-of-bird-flus-pandemic-threat/) - By Daniel Lawler “Health experts have been sounding the alarm about the potential pandemic threat posed by bird flu, which has been showing signs of mutating as it spreads among cows and infects people in the United States.”“Meg Schaeffer, an epidemiologist at the US-based SAS Institute, told AFP there were now several factors suggesting that - [“Why hasn’t the bird flu pandemic started?”](https://doctordidyouwashyourhands.com/2024/12/why-hasnt-the-bird-flu-pandemic-started/) - By Kai Kupferschmidt “For the H5N1 influenza virus to spark a human pandemic, its genome must acquire mutations that alter several of its proteins. Some have now been seen in viruses infecting people, but none of those appear to have transmitted onward.” to read the full article go tohttps://www.science.org/content/article/why-hasn-t-bird-flu-pandemic-started#:~:text=For%20the%20H5N1%20influenza%20virus,appear%20to%20have%20transmitted%20onward “H5N1 bird flu is closer to - ["Trump picks NIH critic Jay Bhattacharya to lead the agency"](https://doctordidyouwashyourhands.com/2024/11/trump-picks-nih-critic-jay-bhattacharya-to-lead-the-agency/) - By Erin Schumaker "President-elect Donald Trump has chosen Jay Bhattacharya, a Stanford University physician and economist known for his controversial views during the Covid-19 pandemic, as director of the National Institutes of Health."........ "Bhattacharya was one of the main authors of the Great Barrington Declaration. The open letter, published in October 2020 and signed by thousands of public - ["The Bird Flu Virus Is One Mutation Away from Getting More Dangerous".......... "USDA orders testing across nation's milk supply amid rising bird flu cases"](https://doctordidyouwashyourhands.com/2024/12/the-bird-flu-virus-is-one-mutation-away-from-getting-more-dangerous/) - "The Bird Flu Virus Is One Mutation Away from Getting More Dangerous". By Jamie Ducharme "At least 58 people in the U.S. have been infected by the H5N1 bird flu virus this year, according to federal statistics. All but two of them had been around cows or chickens, two species in which H5N1 is circulating widely. That’s reassuring - ["Here's why bird flu fears are intensifying"](https://doctordidyouwashyourhands.com/2024/11/heres-why-bird-flu-fears-are-intensifying/) - by Will Stone "But scientists are clear-eyed about the risk ahead. With reservoirs of virus persisting in dairy cattle, poultry and wild birds, there are ample opportunities for spillover into humans. Meanwhile, the virus is turning up in raw milk on store shelves. And flu season is raising the troubling prospect that bird flu could commingle with - ["First case of bird flu infection in a U.S. child confirmed in California, officials say"](https://doctordidyouwashyourhands.com/2024/11/first-case-of-bird-flu-infection-in-a-u-s-child-confirmed-in-california-officials-say/) - "Health officials on Friday confirmed bird flu in a California child — the first reported case in a U.S. minor. The child had mild symptoms, was treated with antiviral medication and is recovering, the Centers for Disease Control and Prevention said in announcing the test results. State officials have said the child attends day care - [](https://doctordidyouwashyourhands.com/2024/11/who-the-f-are-you/) - [POST 269. August 31, 2022. “Everyone Has a Plan Until They Get Punched in the Mouth.” (Mike Tyson). Are we in a slow retreat to herd immunity?](https://doctordidyouwashyourhands.com/2022/08/post-269-august-31-2022-everyone-has-a-plan-until-they-get-punched-in-the-mouth-mike-tyson-are-we-in-a-slow-retreat-to-herd-immunity/) - to get POSTS automatically you can highlight and click on https://doctordidyouwashyourhands.com/ or go to CORONAVIRUS CONTENT TRACKING PROJECT group on LinkedIn JONATHAN M. Metsch on Facebook for links to POSTS 1-269 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-269/ “At the very moment a better coronavirus vaccine is expected to finally become available, America’s vaccination - [POST 268. August 23, 2022. PANDEMICS. “The Covid-19 pandemic has been a lesson in speed — the speed at which a novel virus among humans can spread, the speed at which it can rack up fatalities and cripple economies, the speed at which vaccines can be designed and produced, the speed at which misinformation can undermine public health. Amid all that rapidity is a different kind of speed, which drives the rest, like an engine spinning the cars on a nauseating carnival ride: the speed of viral evolution…”](https://doctordidyouwashyourhands.com/2022/08/post-267-august-23-2022-pandemics-the-covid-19-pandemic-has-been-a-lesson-in-speed-the-speed-at-which-a-novel-virus-among-humans-can-spread-the-speed-at-which-it-can-rack-up-fa/) - to get POSTS automatically you can use – https://doctordidyouwashyourhands.com/ link to web site CORONAVIRUS CONTENT TRACKING PROJECT group on LinkedIn JONATHAN M. Metsch on Facebook for links to POSTS 1-268 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-268/ The coronavirus, like many other viruses of its ilk (RNA viruses with highly changeable genomes), evolves fast. - [CORONAVIRUS TRACKING Links to POSTS 1-268](https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-268/) - CORONAVIRUS TRACKING Links to POSTS 1-268 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 267. August 20, 2022. CDC IMPLOSION! Lessons Learned (or not). CDC Director Walensky “…delivered a sweeping rebuke of her agency’s handling of the coronavirus pandemic, saying it had failed to respond quickly enough and needed to be overhauled.”](https://doctordidyouwashyourhands.com/2022/08/post-267-august-20-2022-cdc-implosion-lessons-learned-or-not-cdc-director-walensky-delivered-a-sweeping-rebuke-of-her-agencys-handling-of-the-coronavirus-pandemic-sa/) - “A new CEO was hired to take over a struggling company. The CEO who was stepping down met with him privately and presented him with three numbered envelopes. “Open these if you run into serious trouble,” he said.”…. (see the rest of this classic at the end of this POST!) for links to POSTS 1-267 - [CORONAVIRUS TRACKING Links to POSTS 1-267](https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-267/) - CORONAVIRUS TRACKING Links to POSTS 1-267 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 266. August 11, 2022. Polio/ Monkeypox ++.   CDC ”..has deployed a federal team to New York to investigate the case of polio detected in Rockland County. ““Based on earlier polio outbreaks, New Yorkers should know that for every one case of paralytic polio observed, there may be hundreds of other people infected..”](https://doctordidyouwashyourhands.com/2022/08/post-266-august-11-2022-polio-monkeypox-cdc-has-deployed-a-federal-team-to-new-york-to-investigate-the-case-of-polio-detected-in-rockland-county-based/) - for links to POSTS 1-266 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-266/ “The Centers for Disease Control and Prevention has deployed a federal team to New York to investigate the case of polio detected in Rockland County. The team will also help administer vaccinations in the county. It's unclear how long the CDC will - [POST 265. August 4, 2022. Monkeypox. “The shortage of vaccines to combat a fast-growing monkeypox outbreak was caused in part because the Department of Health and Human Services failed early on to ask that bulk stocks of the vaccine it already owned be bottled for distribution…”](https://doctordidyouwashyourhands.com/2022/08/post-265-august-4-2022-monkeypox-the-shortage-of-vaccines-to-combat-a-fast-growing-monkeypox-outbreak-was-caused-in-part-because-the-department-of-health-and-human-services-failed-early-o/) - for links to POST 1-265 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-265/ When the monkeypox outbreak was first detected in the United States, it seemed, as far as infectious-disease epidemics go, like one this country should be able to handle. Tests and antivirals for the virus already existed; the government had stockpiled vaccines. Unlike - [CORONAVIRUS TRACKING Links to POSTS 1-266](https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-266/) - CORONAVIRUS TRACKING Links to POSTS 1-266 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [CORONAVIRUS TRACKING Links to POSTS 1-265](https://doctordidyouwashyourhands.com/2022/08/coronavirus-tracking-links-to-posts-1-265/) - CORONAVIRUS TRACKING Links to POSTS 1-265 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 264. July 28, 2022. Monkeypox. “The federal response to monkeypox, including the limited testing capacity, has echoes of how public health authorities initially mismanaged Covid-19.”](https://doctordidyouwashyourhands.com/2022/07/post-264-july-30-2022-monkeypox-the-federal-response-to-monkeypox-including-the-limited-testing-capacity-has-echoes-of-how-public-health-authorities-initially-mismanaged-covid-19/) - for links to POSTS 1-264 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-264/ “The Biden administration privately estimated to Congress this month that it may need nearly $7 billion to mount a response to the nation’s monkeypox outbreak that matches “the scope and urgency of the current situation.”… The Biden administration also called for as - [CORONAVIRUS TRACKING Links to POSTS 1-264](https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-264/) - CORONAVIRUS TRACKING Links to POSTS 1-264 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [CORONAVIRUS TRACKING Links to POSTS 1-263](https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-263/) - CORONAVIRUS TRACKING Links to POSTS 1-263 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 263. July 24, 2022. CORONAVIRUS. “Inside the West Wing, there was never much doubt that Mr. Biden would eventually contract the disease.”…”The president's access to healthcare started even before he got sick. He receives full time medical care from the White House Medical Unit, a part of the military located on the first floor of 1600 Pennsylvania Avenue.”](https://doctordidyouwashyourhands.com/2022/07/post-263-july-24-2022-coronavirus-inside-the-west-wing-there-was-never-much-doubt-that-mr-biden-would-eventually-contract-the-disease-the-presidents-access/) - for links to POSTS 1-263 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-263/ “President Biden has tested positive for COVID-19, the White House announced on Thursday. He is fully vaccinated and twice boosted and, according to White House press secretary Karine Jean-Pierre, "experiencing very mild symptoms." She said he has begun taking Paxlovid, a standard - [CORONAVIRUS TRACKING Links to POSTS 1-262](https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-262/) - CORONAVIRUS TRACKING Links to POSTS 1-262 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 262. July 21, 2022. CORONAVIRUS. Michael Osterholm, PhD: “I think the (COVID) challenge we have and continue to have are these viruses keep throwing 210-mile-an-hour curveballs. We just don't know what the next situation is going to be." (H)](https://doctordidyouwashyourhands.com/2022/07/post-262-july-21-2022-coronavirus-michael-osterholm-phd-i-think-the-covid-challenge-we-have-and-continue-to-have-are-these-viruses-keep-throwing-210-mile-an-hour-curveballs-we-just-d/) - New this week: Parechovirus & Marburg virus disease. for links to POSTS 1-262 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-262/ NEWS “…parechovirus, (is) a common pathogen that usually causes mild, cold-like symptoms or no symptoms at all. But in rare instances — particularly among infants — it can cause severe illness and irreparable brain - [POST 261. July 14 2022. CORONAVIRUS. A trifecta of threats could breach hospital capacity again! – BA.5, monkeypox, & drug-resistant infections (Acinetobacter and Candida auris)](https://doctordidyouwashyourhands.com/2022/07/post-261-july-14-2022-coronavirus-a-trifecta-of-threats-which-could-breach-hospital-capacity-again-ba-5-monkeypox-drug-resistant-infections-acinetobacter-and-candida-auris/) - to read POSTS 1-261 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-261/ “Well, here we go again. Once more, the ever-changing coronavirus behind COVID-19 is assaulting the United States in a new guise—BA.5, an offshoot of the Omicron variant that devastated the most recent winter. The new variant is spreading quickly, likely because it snakes - [CORONAVIRUS TRACKING Links to POSTS 1-261](https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-261/) - CORONAVIRUS TRACKING Links to POSTS 1-261 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 260. July7, 2022. CORONAVIRUS. “Fauci says he's taking 2nd course of Paxlovid after experiencing rebound with the antiviral treatment.”…” At this time, CDC states that there is currently no evidence that an additional treatment of Paxlovid, is needed, following a rebound.” So what happened to “following the science”?](https://doctordidyouwashyourhands.com/2022/07/post-260-july7-2022-coronavirus-fauci-says-hes-taking-2nd-course-of-paxlovid-after-experiencing-rebound-with-the-antiviral-treatment-at-this-time-cdc-states/) - CME: to understand CDC/ FDA/White House discombobulation highlight and click on https://www.youtube.com/watch?v=2ve20PVNZ18 for links to POSTS 1-260 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-260/ “Fauci says he's taking 2nd course of Paxlovid after experiencing rebound with the antiviral treatment Dr. Anthony Fauci, the chief medical adviser to President Joe Biden, was first diagnosed with - [CORONAVIRUS TRACKING Links to POSTS 1-260](https://doctordidyouwashyourhands.com/2022/07/coronavirus-tracking-links-to-posts-1-260/) - CORONAVIRUS TRACKING Links to POSTS 1-260 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 257. June 18, 2022. CORONAVIRUS. “We’re now in a very weird pandemic phase. On Twitter, doctors such as Eric Topol sound five-alarm warnings about the latest subvariants of omicron. Offline, even in blue states, people are back to parties, bars and restaurants — and will soon be flying around the world with no testing requirements to return to the US. Things feel as if they’ve lost any coherence. There’s no discernible strategy or guidance on what Covid precautions we should still be taking.”](https://doctordidyouwashyourhands.com/2022/06/post-257-june-18-2022-coronavirus-were-now-in-a-very-weird-pandemic-phase-on-twitter-doctors-such-as-eric-topol-sound-five-alarm-warnings-about-the-latest-subvariants-of-omicro/) - It's one of those weeks with no big COVID-19 headlines perhaps except for Dr. Fauci testing positive. But under-the-radar a number of unrelated reports suggest that policy makers know we can’t get ahead of the virus and are no longer following the data, and instead are capitulating and normalizing non-compliant activity. Because of the current - [POST 259. June, 2022. Monkeypox. ”If HIV and Covid-19 were wake-up calls for the government to prioritize public health, monkeypox shows the consequences of hitting the snooze button too many times. HIV showed the importance of creating an infrastructure of health care workers who can provide approachable, competent care for stigmatized infections. Covid-19 revealed the make-or-break nature of coordinated logistics and communications.”](https://doctordidyouwashyourhands.com/2022/06/post-259-june-2022-monkeypox-if-hiv-and-covid-19-were-wake-up-calls-for-the-government-to-prioritize-public-health-monkeypox-shows-the-consequences-of-hitting-the-snooze-button-too-many/) - for links to POSTS 1-259 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-259/ ‘The World Health Organization will reconvene an emergency committee on monkeypox due to the "evolving situation," Director-General Dr. Tedros Adhanom Ghebreyesus said Wednesday—this after the organization declared Saturday that the virus wasn't an international public health emergency "at present." The committee "advised - [CORONAVIRUS TRACKING Links to POSTS 1-259](https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-259/) - CORONAVIRUS TRACKING Links to POSTS 1-259 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 258. June 26, 2022. CORONAVIRUS. “For a long time, whenever companies wanted to hire a CEO or another key executive, they knew what to look for: somebody with technical expertise, superior administrative skills, and a track record of successfully managing financial resources.”..” That practice now feels like ancient history. So much has changed during the past two decades that companies can no longer assume that leaders with traditional managerial pedigrees will succeed in the C-suite..”](https://doctordidyouwashyourhands.com/2022/06/post-258-june-26-2022-coronavirus-for-a-long-time-whenever-companies-wanted-to-hire-a-ceo-or-another-key-executive-they-knew-what-to-look-for-somebody-with-technical-expertise-superio/) - This curated note on innovation was inspired when I recently reconnected with Drs. James Veney & Arnold Kaluzny, my doctoral advisors at the University of North Carolina Gillings School of Global Public Health, pioneer researchers on innovation and evaluation in health care (Google Veney & Kalunzy). Thanx! Jim and Arnie for your singular roles in - [CORONAVIRUS TRACKING Links to POSTS 1-258](https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-258/) - CORONAVIRUS TRACKING Links to POSTS 1-258 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [CORONAVIRUS TRACKING Links to POSTS 1-257](https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-257/) - CORONAVIRUS TRACKING Links to POSTS 1-257 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 256. June 10, 2022. MONKEYPOX. "This is one of the rare diseases in which you can vaccinate somebody after they’ve been infected, before they have symptoms, and block the disease,"... "We would have to really screw things up not to be able to contain this.."](https://doctordidyouwashyourhands.com/2022/06/post-256-june-10-2022-monkeypox-this-is-one-of-the-rare-diseases-in-which-you-can-vaccinate-somebody-after-theyve-been-infected-before-they-have-symptoms-and-block-the-disease/) - “Luciana Borio, a former director of medical and biodefense preparedness at the National Security Council, said the country should recall a lesson from the testing fiasco at the beginning of the Covid-19 pandemic and bring commercial diagnostic testing companies into the response.” for links to POSTS 1-256 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-256/ - [CORONAVIRUS TRACKING Links to POSTS 1-256](https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-256/) - CORONAVIRUS TRACKING Links to POSTS 1-256 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 255. June 5, 2022. CORONAVIRUS. “More than a year after U.S. health care workers were saluted for saving lives in the COVID-19 outbreak and celebrated with nightly clapping from windows and balconies, some are being issued panic buttons in case of assault and ditching their scrubs before going out in public for fear of harassment.”](https://doctordidyouwashyourhands.com/2022/06/post-255-june-5-2022-coronavirus-more-than-a-year-after-u-s-health-care-workers-were-saluted-for-saving-lives-in-the-covid-19-outbreak-and-celebrated-with-nightly-clapping-from-windows-a/) - “The shooting in Tulsa is an extreme example of a growing trend: violence against doctors, nurses, and other health care workers.” for links to POSTS 1-256 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-255/ “Across the country, doctors and nurses on the front lines against the coronavirus are dealing with hostility, threats and violence from - [CORONAVIRUS TRACKING Links to POSTS 1-255](https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-255/) - CORONAVIRUS TRACKING Links to POSTS 1-255 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [CORONAVIRUS TRACKING Links to POSTS 1-254](https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-254/) - CORONAVIRUS TRACKING Links to POSTS 1-254 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 254. June 2, 2022. MONKEYPOX, “Massachusetts General Hospital this week began vaccinating a small group of workers against monkeypox — the first time the new medicine has been used in this country outside of clinical trials. The workers were in close contact with a man diagnosed with the virus and hospitalized at Mass General from May 12 to May 20. The patient was the first person in the United States to be tied to an ongoing outbreak of the rare virus in Europe and North America.”](https://doctordidyouwashyourhands.com/2022/06/post-254-june-2-2022-monkeypox-massachusetts-general-hospital-this-week-began-vaccinating-a-small-group-of-workers-against-monkeypox-the-first-time-the-new-medicine-has-been-use/) - for links to POSTS 1-254 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/06/coronavirus-tracking-links-to-posts-1-254/ “An unusual wave of monkeypox cases in non-endemic regions has raised the possibility of another global health crisis even as COVID-19 persists. But two groups of biopharma experts argue monkeypox likely won’t escalate into another pandemic that humans struggle to contain. The - [CORONAVIRUS TRACKING Links to POSTS 1-253](https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-253/) - CORONAVIRUS TRACKING Links to POSTS 1-253 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 253. May 29, 2020. CORONAVIRUS. “Significant obstacles persist in getting Paxlovid to everyone who could benefit from it; more than a million courses of Paxlovid purchased by the government are still available…”..” However, some doctors have also voiced concerns over wider use of the antiviral drug amid reports of so-called "rebound" symptoms following use of Paxlovid, which might raise the risk of the virus evolving resistance to the pills.”](https://doctordidyouwashyourhands.com/2022/05/post-253-may-29-2020-coronavirus-significant-obstacles-persist-in-getting-paxlovid-to-everyone-who-could-benefit-from-it-more-than-a-million-courses-of-paxlovid-purchased-by-the-governme/) - for links to POSTS 1-252 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-253/ “Although it is clear that infection rates have been steadily rising in recent weeks to their highest reported level since mid-February, scientists acknowledge that it is difficult to know how high COVID-19 case and even hospitalization numbers truly are, given the likely - [POST 252. May 22, 2022. CORONAVIRUS. “The stakes, two years into the pandemic, should be clear. Fewer vaccines, fewer treatments, and fewer tests will mean more infections, more serious illnesses, and more deaths. That is the scenario the country is staring down: one million people already dead and more to come because politicians became complacent.”](https://doctordidyouwashyourhands.com/2022/05/post-252-may-20-2022-coronavirus-the-stakes-two-years-into-the-pandemic-should-be-clear-fewer-vaccines-fewer-treatments-and-fewer-tests-will-mean-more-infections-more-serious-illnes/) - for links to POSTS 1 to 252 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-252/ “New York City raised its COVID alert level to high on Tuesday, less than 24 hours after warning of the possibility, as a fifth pandemic wave fueled by the most contagious COVID subvariants yet tighten their grip on the metro - [CORONAVIRUS TRACKING Links to POSTS 1-252](https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-252/) - CORONAVIRUS TRACKING Links to POSTS 1-252 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 251. May 16, 2022. CORONAVIRUS. “Now, nearly one million people have died. It did not have to be this way.”](https://doctordidyouwashyourhands.com/2022/05/post-251-may-16-2022-coronavirus-now-nearly-one-million-people-have-died-it-did-not-have-to-be-this-way/) - “We are a country with the best doctors in the world, we got a vaccine in an astoundingly short period of time, and yet we’ve had so many deaths…” for links to POSTS 1-251 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-251/ THE MAGNITUDE OF THE country’s loss is nearly impossible to grasp. More Americans - [CORONAVIRUS TRACKING Links to POSTS 1-251](https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-251/) - CORONAVIRUS TRACKING Links to POSTS 1-251 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [CORONAVIRUS TRACKING Links to POSTS 1-250](https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-250/) - CORONAVIRUS TRACKING Links to POSTS 1-250 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 250. May 11, 2022. CORONAVIRUS. Herd Immunity Déjà vu. “Not so long ago, the world was clinging to the hope of herd immunity—to the notion that the population would eventually reach some communal level of protection sufficient to quash the outbreak for good. Maybe, experts posited many months back, once 60 to 90 percent of people had been infected or vaccinated or both, the virus would run out of viable hosts, and simply fizzle out. Now it’s clear that “that’s too simplistic…”](https://doctordidyouwashyourhands.com/2022/05/post-250-super-spreader-event-may-10-2018-not-so-long-ago-the-world-was-clinging-to-the-hope-of-herd-immunity-to-the-notion-that-the-population-would-eventually-reach-some-commun/) - for links to POSTS 1-250 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-250/ “The Biden administration is issuing a new warning that the US could potentially see 100 million Covid-19 infections this fall and winter, as officials publicly stress the need for more funding from Congress to prepare the nation. The projection of 100 million - [POST 249. May 6, 2022. CORONAVIRUS. “The United States is "certainly, right now, in this country, out of the pandemic phase.." (Dr. Anthony Fauci). “The US should prepare for a possible summer surge of Covid-19 cases across Southern states..” (Dr. Deborah Birx)](https://doctordidyouwashyourhands.com/2022/05/post-249-may-6-2022-coronavirus-the-united-states-is-certainly-right-now-in-this-country-out-of-the-pandemic-phase-dr-anthony-fauci-the-us-should-prepare-for-a-possi/) - for links to POSTS 1-249 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-249/ “The United States is "certainly, right now, in this country, out of the pandemic phase," Dr. Anthony Fauci, President Joe Biden's chief medical adviser and the director of the National Institute of Allergy and Infectious Diseases, said on PBS's "NewsHour" on Tuesday. - [CORONAVIRUS TRACKING Links to POSTS 1-249](https://doctordidyouwashyourhands.com/2022/05/coronavirus-tracking-links-to-posts-1-249/) - CORONAVIRUS TRACKING Links to POSTS 1-249 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 248. April 27, 2022. CORONAVIRUS. “For at-risk Americans without access to a "test-to-treat" drugstore that has a qualifying provider available, this means some will have to make multiple trips to get the pills. You have to develop COVID symptoms, you have to subsequently get a test for COVID-19, get the result of that test, find and go to see a provider, get a prescription, and then fill that prescription. That's six steps in five days,"…](https://doctordidyouwashyourhands.com/2022/04/post-248-april-27-2022-coronavirus-for-at-risk-americans-without-access-to-a-test-to-treat-drugstore-that-has-a-qualifying-provider-available-this-means-some-will-have-to-make-multip/) - “Although the cost of the pills is covered by the federal government, obtaining a prescription at the pharmacies that dominate the program can be expensive. Though CVS does not charge symptomatic uninsured people for on-site covid tests, MinuteClinics charge upwards of $100 for in-person or telehealth appointments to examine patients and prescribe an antiviral, if - [CORONAVIRUS TRACKING Links to POSTS 1-248](https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-248/) - CORONAVIRUS TRACKING Links to POSTS 1-248 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 247. April 23, 2020. CORONAVIRUS. “The DOJ lawyers tasked with defending the CDC's mask mandate authority have warned Biden administration officials that continuing to push the legal fight over the mask mandate could backfire, if the conservative-leaning appeals court upholds the order.”….”A Supreme Court ruling upholding the decision to strike down the mask mandate would make the Florida judge's conclusions about CDC authority binding nationwide.”](https://doctordidyouwashyourhands.com/2022/04/post-247-april-23-2020-coronavirus-the-doj-lawyers-tasked-with-defending-the-cdcs-mask-mandate-authority-have-warned-biden-administration-officials-that-continuing-to-push-the-legal-fig/) - for links to POSTS 1-247 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-247/ “The Centers for Disease Control and Prevention has determined that its order requiring masking on planes and other public transit is still needed, setting in motion a Justice Department appeal of a federal court decision that overturned the mandate. "It is CDC's - [CORONAVIRUS TRACKING Links to POSTS 1-247](https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-247/) - CORONAVIRUS TRACKING Links to POSTS 1-247 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 246. April 15, 2022. CORONAVIRUS. “State authorities and health care organizations could pay a high price for reinstating SCOPE OF PRACTICE (SOP) restrictions when the pandemic ends.” (e.g. NPs, PAs, PharmDs +++)](https://doctordidyouwashyourhands.com/2022/04/post-246-april-15-2022-coronavirus-state-authorities-and-health-care-organizations-could-pay-a-high-price-for-reinstating-scope-of-practice-sop-restrictions-when-the-pandemic-ends/) - for links to POSTS 1-246 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-246/ At the end of this POST are links to earlier POSTS which together can be used as a CASE STUDY on CRISIS STANDARDS OF CARE/ SCOPE OF PRACTICE 8 Sep 2010 “In a public health emergency involving significant surges in patients and - [CORONAVIRUS TRACKING Links to POSTS 1-246](https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-246/) - CORONAVIRUS TRACKING Links to POSTS 1-246 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 245. April 10, 2022. CORONAVIRUS. We can’t react to a wave we don’t see coming. “I keep thinking back to this idea of If we don’t measure it, it won’t happen,”…(As President Donald Trump once put it, “If we stop testing, we’d have fewer cases.”) In reality, “it’s very well happening, and we just don’t see it yet.”](https://doctordidyouwashyourhands.com/2022/04/post-245-april-10-2022-coronavirus-we-cant-react-to-a-wave-we-dont-see-coming-i-keep-thinking-back-to-this-idea-of-if-we-dont-measure-it-it-wont-happ/) - for links to POSTS 1-245 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-245/ “With masks no longer required and mitigation measures seen by some as a thing of the past, a coronavirus resurgence is spreading among the tight circles of the Washington elite. On Thursday, House Speaker Nancy Pelosi became the latest high-profile Washington dignitary - [CORONAVIRUS TRACKING Links to POSTS 1-245](https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-245/) - CORONAVIRUS TRACKING Links to POSTS 1-245 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 244. April 4, 2022.CORONAVIRUS. “Here’s a scary thought: America’s ability to face the pandemic’s next phase may depend on a handful of senators.”…. “When the end of the COVID-19 pandemic comes, it could create major disruptions for a cumbersome U.S. health care system made more generous, flexible and up-to-date technologically through a raft of temporary emergency measures.”](https://doctordidyouwashyourhands.com/2022/04/post-244-april-4-2022-coronavirus-heres-a-scary-thought-americas-ability-to-face-the-pandemics-next-phase-may-depend-on-a-handful-of-senators/) - for links to POSTs 1-244 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-244/ "After five surges, and with vaccines and treatments widely available, it's human nature to want to believe the job is done," writes Dr. Ranney, an emergency medicine physician and academic dean at Brown University School of Public Health in Providence, R.I. "In - [CORONAVIRUS TRACKING Links to POSTS 1-244](https://doctordidyouwashyourhands.com/2022/04/coronavirus-tracking-links-to-posts-1-244/) - CORONAVIRUS TRACKING Links to POSTS 1-244 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 243. March 28, 2022. CORONAVIRUS. “…the US Food and Drug Administration is planning to authorize a fourth dose of the Pfizer and Moderna mRNA vaccines for adults over age 50 next week.”…”The decision to make fourth doses available now will bypass independent groups of scientific advisers for both the FDA and CDC, which would normally meet and publicly review the available science and then make recommendations to the agencies.”](https://doctordidyouwashyourhands.com/2022/03/post-243-march-28-2022-coronavirus-the-us-food-and-drug-administration-is-planning-authorize-a-fourth-dose-of-the-pfizer-and-moderna-mrna-vaccines-for-adults-over-age-50-next-wee/) - for links to POSTS 1-143 highlight and click on https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-243/ “The Biden administration will be giving elderly Americans a second COVID-19 booster shot, multiple people familiar with the plan told The New York Times. Those above the age of 50 will be able to get a second booster of either the Pfizer-BioNTech or Moderna vaccines. - [CORONAVIRUS TRACKING Links to POSTS 1-243](https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-243/) - CORONAVIRUS TRACKING Links to POSTS 1-243 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 242. March 24, 2022. CORONAVIRUS. “How worried should people be about the BA.2 variant? Will vaccines protect against it? What if someone contracted a previous variant -- could they become reinfected? Is BA.2 milder than previous versions, and if so, should people try to get it? Could BA.2 cause another surge in the US, and is it time for restrictions to be put back into place?”](https://doctordidyouwashyourhands.com/2022/03/post-242-march-24-2022-coronavirus-how-worried-should-people-be-about-the-ba-2-variant-will-vaccines-protect-against-it-what-if-someone-contracted-a-previous-variant-could-they-becom/) - for links to POSTS 1-242 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-242/ “An even more transmissible version of the Omicron variant of the coronavirus known as BA.2 now accounts for about 30 percent of new cases in New York City, health officials said on Friday. The subvariant is more transmissible than BA.1, the Omicron - [CORONAVIRUS TRACKING Links to POSTS 1-242](https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-242/) - CORONAVIRUS TRACKING Links to POSTS 1-242 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 241. March 20, 2022, CORONAVIRUS. Dr. Ashish Jha will serve as the new White House COVID-19 response coordinator.” He is not, for the record, a virologist, immunologist, or vaccinologist…But he is a public health expert and a practicing internist, which means he has years of experience explaining complicated and often incomplete information to people who neither know nor care about the correct pronunciation of “adenovirus.” That’s who he imagines on the other end of his webcam.”](https://doctordidyouwashyourhands.com/2022/03/post-241-march-20-2022-coronavirus-dr-ashish-jha-will-serve-as-the-new-white-house-covid-19-response-coordinator-he-is-not-for-the-record-a-virologist-immunologist-or-vaccinologist/) - PREDICTIONS: CDC Director Dr. Rochelle Walensky will “return” to Boston. Dr Fauci will be less visible; his “grand rounds” presentation style – “the next slide please” will not be part of the new messaging strategy. for links to POSTS 1-241 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-241/ “As the Biden administration pushes into the - [CORONAVIRUS TRACKING Links to POSTS 1-241](https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-241/) - CORONAVIRUS TRACKING Links to POSTS 1-241 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 240. March 15, 2022. ““China is modifying its Covid-19 playbook amid a surge in cases as it seeks to avoid strains on its healthcare system.”](https://doctordidyouwashyourhands.com/2022/03/post-240-march-15-2022-china-is-modifying-its-covid-19-playbook-amid-a-surge-in-cases-as-it-seeks-to-avoid-strains-on-its-healthcare-system/) - for links to POSTS 1-240 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-240/ “The news: China reported 5,370 new covid cases today, the biggest one-day increase since the pandemic began, and more than double the number reported yesterday. It’s a tiny proportion of China’s population of 1.4 billion people, but it has prompted the government - [CORONAVIRUS TRACKING Links to POSTS 1-240](https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-240/) - CORONAVIRUS TRACKING Links to POSTS 1-240 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [CORONAVIRUS TRACKING Links to POSTS 1-239](https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-239/) - CORONAVIRUS TRACKING Links to POSTS 1-239 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 239. March 9, 2022. CORONAVIRUS. “War is an infectious disease’s best friend,” says Michael Osterholm, “It challenges every public health program you can possibly have. It limits the medical care available for those who might be seriously ill, and often fosters transmission when so many people are crowded into bomb shelter locations and on trains. This is going to be the perfect storm of one serious challenge after another.” (E)](https://doctordidyouwashyourhands.com/2022/03/post-239-march-9-2022-coronavirus-war-is-an-infectious-diseases-best-friend-says-michael-osterholm-it-challenges-every-public-health-program-you-can-possibly/) - for links to POSTS 1-239 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-239/ “As Ukrainian cities face a barrage of attacks from Russian forces, casualties mount and more than a million civilians flee their homes, another familiar enemy may be on the horizon: COVID-19. The World Health Organization said Wednesday during a briefing that the - [POST 238. March 3, 2022, CORONAVIRUS. "Two different scientists can look at the same set of data and come up with different conclusions. That's not to say that one person is being unscientific or ignoring the scientific process," said Leana Wen, an emergency physician and a professor at George Washington University. "Public health policy is also a measure of values."”](https://doctordidyouwashyourhands.com/2022/03/post-238-march-5-2022-coronavirus-two-different-scientists-can-look-at-the-same-set-of-data-and-come-up-with-different-conclusions-thats-not-to-say-that-one-person-is-being-unscientific-or-ig/) - President Biden said: "It's time for Americans to get back to work and fill our great downtowns again,"… But some experts expressed concern that the country is trying to move past the pandemic too quickly — repeating mistakes made several times over the last two years.” for links to POSTS 1-238 in chronological order highlight - [CORONAVIRUS TRACKING Links to POSTS 1-238](https://doctordidyouwashyourhands.com/2022/03/coronavirus-tracking-links-to-posts-1-238/) - CORONAVIRUS TRACKING Links to POSTS 1-238 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [POST 237. February 27, 2020. CORONAVIRUS. “Decision-makers are increasingly embracing the reality that we will have to “learn to live with” the coronavirus. But how will they know when to impose or lift restrictions?”  “Now, the CDC's "Covid-19 community level" metrics are based on three pieces of data in a community: new Covid-19 hospitalizations, hospital capacity and new Covid-19 cases.”](https://doctordidyouwashyourhands.com/2022/02/post-237-february-27-2020-coronavirus-decision-makers-are-increasingly-embracing-the-reality-that-we-will-have-to-learn-to-live-with-the-coronavirus-but-how-will-they-k/) - for links to POSTS 1-237 highlight and click on https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-237/ February 2, 2022 “Decision-makers are increasingly embracing the reality that we will have to “learn to live with” the coronavirus. But how will they know when to impose or lift restrictions? Fortunately, they don’t have to guess. There are four underutilized data metrics they can - [CORONAVIRUS TRACKING Links to POSTS 1-237](https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-237/) - CORONAVIRUS TRACKING Links to POSTS 1-237 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [CORONAVIRUS TRACKING Links to POSTS 1-236](https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-236/) - CORONAVIRUS TRACKING Links to POSTS 1-236 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 236. February 22, 2021. MOUNT SINAI AT HOME - “We began thinking about how we could use hospital-at-home to meet the needs of our hospital system in our community, in terms of responding to the crisis of COVID-19…” ](https://doctordidyouwashyourhands.com/2022/02/post-236-february-23-2021-mount-sinai-at-home-we-began-thinking-about-how-we-could-use-hospital-at-home-to-meet-the-needs-of-our-hospital-system-in-our-community-in-terms-of-responding/) - NOTE: I been on the faculty of the Icahn School of Medicine at Mount Sinai for forty-five years. I am not involved in any Mount Sinai COVID initiatives. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ for links to POSTS 1-236 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-236/ May 10, 2019 “Mount Sinai at Home is distinct from home health care, - [POST 235. February 17, 2020. CORONAVIRUS. “Over time, the U.S. health care sector has implemented various pieces of the  (pandemic) safety-assessment-and-improvement puzzle, but it has not instituted a thorough system of safety that reaches from the boardroom to the front lines and that can be maintained during times of crisis."](https://doctordidyouwashyourhands.com/2022/02/post-235-february-17-2020-coronavirus-over-time-the-u-s-health-care-sector-has-implemented-various-pieces-of-the-pandemic-safety-assessment-and-improvement-puzzle-but-it-has-no/) - for links to POSTS 1-235 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-235/ July 26, 2021 “The stark reality of the COVID-19 pandemic challenged the very systems established to ensure the nation’s safety and quality. The pandemic resurfaced long-endemic challenges within the health care quality and standards ecosystem and identified novel challenges that cannot be - [CORONAVIRUS TRACKING Links to POSTS 1-235](https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-235/) - CORONAVIRUS TRACKING Links to POSTS 1-235 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 234. February 2, 2022. CORONAVIRUS. “Senate Republican leader Mitch McConnell demanded an end to the COVID-19 state of emergency on Wednesday , saying it was time for Americans to get on with their lives after two years on a 'hellish highway.'” McConnell said 'The virus appears to be heading endemic…'It's time for the state of emergency to wind down.'” (B)](https://doctordidyouwashyourhands.com/2022/02/post-234-february-2-2022-coronavirus-senate-republican-leader-mitch-mcconnell-demanded-an-end-to-the-covid-19-state-of-emergency-on-wednesday-saying-it-was-time-for-americans-to-get-on/) - “A study (in CELL) has identified four predictive factors of Post Acute Sequelae of COVID-19 (PASC), often called long COVID.” (I am the proud Uncle of Jason Goldman, M.D., the lead clinical author of this study!) for links to POSTS 1-234 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-234/ “Senate Republican leader Mitch McConnell demanded - [CORONAVIRUS TRACKING Links to POSTS 1-234](https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-234/) - CORONAVIRUS TRACKING Links to POSTS 1-234 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 233. February 2, 2022. CORONAVIRUS. “The same virus can cause endemic, epidemic or pandemic infections: it depends on the interplay of a population’s behaviour, demographic structure, susceptibility and immunity, plus whether viral variants emerge.”](https://doctordidyouwashyourhands.com/2022/02/post-233-february-2-2022-coronavirus-the-same-virus-can-cause-endemic-epidemic-or-pandemic-infections-it-depends-on-the-interplay-of-a-populations-behaviour-demographic-struct/) - for links to POSTS 1-233 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-233/ “Picture a not-too-distant future when you can book that summer trip to Italy or you don't have to remember to take off your mask for graduation photos. After the past 25 months, forgetting the pandemic for even a little while may sound - [CORONAVIRUS TRACKING Links to POSTS 1-233](https://doctordidyouwashyourhands.com/2022/02/coronavirus-tracking-links-to-posts-1-233/) - CORONAVIRUS TRACKING Links to POSTS 1-233 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 232. January 28, 2022. CORONAVIRUS. “A Boston hospital’s denial of a heart transplant to a man who is unvaccinated for Covid-19 has generated national attention, but experts say mandating vaccines is in keeping with other long-standing requirements that patients have to meet to receive an organ — including getting other shots…”](https://doctordidyouwashyourhands.com/2022/01/post-232-january-28-2022-coronavirus-a-boston-hospitals-denial-of-a-heart-transplant-to-a-man-who-is-unvaccinated-for-covid-19-has-generated-national-attention-but-experts-say-m/) - for links to POSTS 1-232 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-232/ JANUARY 25, 2022 “A hospital patient in Boston is now ineligible to receive a heart transplant because he is unvaccinated, according to the patient’s family… The hospital said in a statement that the COVID-19 vaccine is only one of several other vaccinations - [CORONAVIRUS TRACKING Links to POSTS 1-232](https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-232/) - CORONAVIRUS TRACKING Links to POSTS 1-232 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 231. January 24, 202. CORONAVIRUS. “Florida’s top public health official in Orlando has been placed on administrative leave after sending an email to his employees noting their lackluster coronavirus vaccination rates and urging them to get the shots.”](https://doctordidyouwashyourhands.com/2022/01/post-231-january-24-202-coronavirus-floridas-top-public-health-official-in-orlando-has-been-placed-on-administrative-leave-after-sending-an-email-to-his-employees-noting-their-la/) - for links to POSTS 1-231 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-231/ Florida’s top public health official in Orlando has been placed on administrative leave after sending an email to his employees noting their lackluster coronavirus vaccination rates and urging them to get the shots. The official — Dr. Raul Pino, the administrator for - [CORONAVIRUS TRACKING Links to POSTS 1-231](https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-231/) - CORONAVIRUS TRACKING Links to POSTS 1-231 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 230. January 20, 2022. CORONAVIRUS. “Dr. Fauci also said that the world is still in the first of what he considered to be the five phases of the pandemic. The first is the “truly pandemic” phase, “where the whole world is really very negatively impacted,” followed by deceleration, control, elimination and eradication.”…to paraphrase Churchill - “This is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning.”..](https://doctordidyouwashyourhands.com/2022/01/post-230-january-20-2022-coronavirus-dr-fauci-also-said-that-the-world-is-still-in-the-first-of-what-he-considered-to-be-the-five-phases-of-the-pandemic-the-first-is-the-truly/) - for links to POST 1-230 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-230/ “Anthony Fauci said on Monday that it is too soon to say whether omicron is the final wave of the COVID-19 pandemic. The White House chief medical adviser, while speaking at the World Economic Forum's Davos Agenda online conference, said that "it - [CORONAVIRUS TRACKING Links to POSTS 1-230](https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-230/) - CORONAVIRUS TRACKING Links to POSTS 1-230 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-229](https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-229/) - CORONAVIRUS TRACKING Links to POSTS 1-229 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 229. January 16, 2020. CORONAVIRUS. "It is now highly unlikely that the U.S. will hit the ~85-90% of Americans vaccinated to get to the other side of the pandemic…"](https://doctordidyouwashyourhands.com/2022/01/post-229-january-16-2020-coronavirus-it-is-now-highly-unlikely-that-the-u-s-will-hit-the-85-90-of-americans-vaccinated-to-get-to-the-other-side-of-the-pandemic/) - “..More than 15,000 people with Covid-19 have been hospitalized in the city (NYC) in the past four weeks, the most since the initial surge. About half of all patients in the city’s hospitals now have Covid-19. “The biggest mistake the Biden administration made was to push a vaccines-only approach, rather than a ‘vaccines-plus,’ including rapid - [POST 228. January 13, 2022. CORONAVIRUS. “State officials are attempting to address California’s staffing shortage through a sweeping policy change that allows asymptomatic healthcare workers who have tested positive for the coronavirus to return to work immediately.” “Asymptomatic health professionals who had tested positive for COVID-19 should "preferably be assigned to work with COVID positive patients.”](https://doctordidyouwashyourhands.com/2022/01/post-228-january-13-2022-coronavirus-state-officials-are-attempting-to-address-californias-staffing-shortage-through-a-sweeping-policy-change-that-allows-asymptomatic-healthcare/) - for links to POSTs 1-228 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-228/ “State officials are attempting to address California’s staffing shortage through a sweeping policy change that allows asymptomatic healthcare workers who have tested positive for the coronavirus to return to work immediately. The policy, set to remain in place through Feb. 1, is - [CORONAVIRUS TRACKING Links to POSTS 1-228](https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-228/) - CORONAVIRUS TRACKING Links to POSTS 1-228 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-227](https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-227/) - CORONAVIRUS TRACKING Links to POSTS 1-227 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 227. January 10, 2020. CORONAVIRUS. “Stay indoors. But also return in person. Wear a mask. Not that one. The expensive one, that you can’t find. Take rapid tests. Which you also can’t find. But if you find them, don’t buy them. Rapid tests don’t work. You need PCR. There are zero appointments in your area.” (F)](https://doctordidyouwashyourhands.com/2022/01/post-227-january-10-2020-coronavirus-stay-indoors-but-also-return-in-person-wear-a-mask-not-that-one-the-expensive-one-that-you-cant-find-take-rapid-tests-which-you-also/) - comments please to jonathanmetsch@gmail.com PREQUEL POST 225. January 3, 2021. CORONAVIRUS. “Be first, be right, be credible,” are among the most important principles for health authorities to follow in a crisis, the Centers for Disease Control and Prevention shared in a pamphlet on crisis communication in 2018….” https://doctordidyouwashyourhands.com/2022/01/post-225-january-3-2021-coronavirus-be-first-be-right-be-credible-are-among-the-most-important-principles-for-health-authorities-to-follow-in-a-crisis-the-centers-for-disease/ to read POSTS 1-227 in chronological order - [Post 226. January 5, 2022. CORONAVIRUS. New York City - “The city’s ambulance corps are so understaffed because of the COVID-19 surge, they’re now under new orders to try to convince stable patients with flu-like symptoms not to go to the hospital.”](https://doctordidyouwashyourhands.com/2022/01/post-226-january-5-2022-coronavirus-new-york-city-the-citys-ambulance-corps-are-so-understaffed-because-of-the-covid-19-surge-theyre-now-under-new-orders-to-try-to-c/) - for links to Posts 1-226 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-226/ The directive from the FDNY puts EMS crews on notice that “effective immediately, stable patients with influenza-like illness … should not be transported to a 911-receiving facility” unless they meet certain criteria: being over 65 years old, having a fever above 100.4 - [CORONAVIRUS TRACKING Links to POSTS 1-226](https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-226/) - CORONAVIRUS TRACKING Links to POSTS 1-226 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 225. January 3, 2021. CORONAVIRUS. “Be first, be right, be credible,” are among the most important principles for health authorities to follow in a crisis, the Centers for Disease Control and Prevention shared in a pamphlet on crisis communication in 2018….”](https://doctordidyouwashyourhands.com/2022/01/post-225-january-3-2021-coronavirus-be-first-be-right-be-credible-are-among-the-most-important-principles-for-health-authorities-to-follow-in-a-crisis-the-centers-for-disease/) - “…To meet those goals, the report advises, avoid sending mixed messages from multiple experts, releasing information too late, taking paternalistic attitudes, failing to counter rumors and myths in real time and engaging in public power struggles and causing confusion. Last week, as agency officials announced new mask guidelines and set the nation on edge, I - [CORONAVIRUS TRACKING Links to POSTS 1-225](https://doctordidyouwashyourhands.com/2022/01/coronavirus-tracking-links-to-posts-1-225/) - CORONAVIRUS TRACKING Links to POSTS 1-225 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 224. December 29, 2021. CORONAVIRUS. “crisis standards of care protocols in Maryland - "It also allows us to slim down documentation,… allows unconventional staffing models such as using nurses that have not been bedside. It also sets the expectations for the community that it's not business as usual."](https://doctordidyouwashyourhands.com/2021/12/post-224-december-29-2021-coronavirus-crisis-standards-of-care-protocols-in-maryland-it-also-allows-us-to-slim-down-documentation-allows-unconventional-staffing-models-such/) - for links to POSTS 1-224 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-224/ POST 223. December 28, 2021. CORONAVIRUS. Links for a case study on Crisis Standards of Care. https://doctordidyouwashyourhands.com/2021/12/post-223-december-28-2021-coronavirus-links-for-a-case-study-of-crisis-standards-of-care/ “Alan Hawes pulls up images on his computer that are raw and intimate, like the anguished eyes of a 72-year-old man in a hospital bed, - [POST 223. December 28, 2021. CORONAVIRUS. Links for a case study of Crisis Standards of Care.](https://doctordidyouwashyourhands.com/2021/12/post-223-december-28-2021-coronavirus-links-for-a-case-study-of-crisis-standards-of-care/) - POST 37. June 8, 2020. CORONAVIRUS. When “crews arrive at a hospital with a patient suspected of having COVID-19, the hospital may have a physical bed open for them, but not enough nurses or doctors to staff it.” https://doctordidyouwashyourhands.com/2020/07/post-37-june-8-2020-coronavirus-when-crews-arrive-at-a-hospital-with-a-patient-suspected-of-having-covid-19-the-hospital-may-have-a-physical-bed-open-for-them-but-not-enough-nurses-or-d/ POST 67. November 13, 2020. CORONAVIRUS. “When all other options are exhausted, the CDC website says, - [CORONAVIRUS TRACKING Links to POSTS 1-224](https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-224/) - CORONAVIRUS TRACKING Links to POSTS 1-224 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 222. December 20, 2021. CORONAVIRUS. So why my “inside baseball” focus on COVID-19 from the perspective of a retired hospital CEO?](https://doctordidyouwashyourhands.com/2021/12/post-222-december-20-2021-coronavirus-so-why-my-inside-baseball-focus-on-covid-19-from-the-perspective-of-a-retired-hospital-ceo/) - -In 1975 as the Mount Sinai administrator at Elmhurst Hospital: “On December 29, 1975, a bomb detonated near the TWA baggage reclaim terminal at LaGuardia Airport in New York City. The blast killed 11 people and seriously injured.“ https://en.wikipedia.org/wiki/1975_LaGuardia_Airport_bombing74Hospitalhttps://en.wikipedia.org/wiki/1975_LaGuardia_Airport_bombing -In 1989 when I became President & CEO of Jersey City Medical Center we had one - [CORONAVIRUS TRACKING Links to POSTS 1-222](https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-222/) - CORONAVIRUS TRACKING Links to POSTS 1-222 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 220 December 13, 2021. CORONAVIRUS. Dr. Osterholm. “You cannot outrun the game clock with this pandemic. This virus will find you… We've seen health care systems virtually broken by this pandemic. They just couldn't provide critical care to non-Covid patients.” (A)](https://doctordidyouwashyourhands.com/2021/12/post-220-december-13-2021-coronavirus-dr-osterholm-you-cannot-outrun-the-game-clock-with-this-pandemic-this-virus-will-find-you-weve-seen-health-care-systems-virtually-broke/) - for links to POSTS 1-220 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-220/ “New data from South Africa and Europe hint that Omicron cases are poised to explode in the U.S…. • But the variant is less likely to lead to hospitalization in adults than the original version. Why it matters: A dramatic surge - [POST 221. December 18, 2021. CORONAVIRUS. “Johnson & Johnson’s Covid vaccine was going to be a shot for the world. Now, under the weight of a mountain of bad PR, one wonders if the world will want it.”](https://doctordidyouwashyourhands.com/2021/12/post-221-december-18-2021-coronavirus-johnson-johnsons-covid-vaccine-was-going-to-be-a-shot-for-the-world-now-under-the-weight-of-a-mountain-of-bad-pr-one-wonders-if-the-wor-2/) - for links to POSTS 1-221 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-221/ “The U.S. Centers for Disease Control and Prevention on Thursday recommended Americans choose to receive one of two other authorised COVID-19 vaccines over Johnson & Johnson's (JNJ.N) shot, due to rare but sometimes fatal cases of blood-clotting. The CDC's move came after - [CORONAVIRUS TRACKING Links to POSTS 1-221](https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-221/) - CORONAVIRUS TRACKING Links to POSTS 1-221 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-220](https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-220/) - Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” https://doctordidyouwashyourhands.com/2020/01/the-centers-for-disease-control-and-prevention-on-tuesday-confirmed-the-first-u-s-case-of-a-deadly-new-coronavirus-that-has-killed-six-people-in-china/ PART 2. January 29, 2020. - [POST 219. December 9, 2021. CORONAVIRUS. “Entering uncharted territory, the U.S. counts 500,000 Covid-related deaths.”… “So yes, I am furious at the unvaccinated, and I am not ashamed of disclosing that. I am no longer trying to understand them or educate them.”](https://doctordidyouwashyourhands.com/2021/12/post-219-december-9-2021-coronavirus-entering-uncharted-territory-the-u-s-counts-500000-covid-related-deaths-so-yes-i-am-furious-at-the-unvaccinated-and-i/) - for links to POSTS 1-219 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-219/ “The United States reached a staggering milestone on Monday, surpassing 500,000 known coronavirus-related deaths in a pandemic that has lasted almost a year. The nation’s total virus toll is higher than in any other country in the world. It has far surpassed - [CORONAVIRUS TRACKING Links to POSTS 1-219](https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-219/) - CORONAVIRUS TRACKING Links to POSTS 1-219 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 218. December 5, 2021. CORONAVIRUS. “In some ways, Delta is the ideal variant: It’s transmissible enough to dominate more dangerous variants, and its virulence can be controlled through vaccination. In the next few weeks, we’ll find out whether Omicron will have its own silver lining—or whether it’ll be catastrophically worse.”](https://doctordidyouwashyourhands.com/2021/12/post-218-december-5-2021-coronavirus-in-some-ways-delta-is-the-ideal-variant-its-transmissible-enough-to-dominate-more-dangerous-variants-and-its-virulence-can-be-controlled-t/) - for links to POSTS 1-218 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-217/ “Barely a week has elapsed since scientists in Botswana and South Africa alerted the world to a fast-spreading SARS-CoV-2 variant now known as Omicron. Researchers worldwide are racing to understand the threat that the variant — now confirmed in more than 20 - [CORONAVIRUS TRACKING Links to POSTS 1-218](https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-217/) - CORONAVIRUS TRACKING Links to POSTS 1-218 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 217. December 3, 2021. CORONAVIRUS. President Biden Announces New Actions to Protect Americans Against the Delta and Omicron Variants as We Battle COVID-⁠19 this Winter](https://doctordidyouwashyourhands.com/2021/12/post-217-december-3-2021-coronavirus-president-biden-announces-new-actions-to-protect-americans-against-the-delta-and-omicron-variants-as-we-battle-covid-⁠19-this-winter/) - "There was no single blockbuster announcement and no major new mandate or target for rapidly increasing the number of vaccinated Americans. Instead, Biden's plan to fight the coronavirus this winter is a battle of increments: efforts to get booster shots into the arms of all adults and especially seniors, setting up family vaccine clinics, offering - [POST 216. December 1, 2021. CORONAVIRUS. Covid cacophony: as states struggle to address health care staffing shortages, a federal court puts Biden administration health care worker vaccination mandate on hold.](https://doctordidyouwashyourhands.com/2021/12/post-216-december-1-2021-coronavirus-covid-cacophony-as-states-struggle-to-address-health-care-staffing-shortages-a-federal-court-puts-biden-administration-health-care-worker-vaccination-mandate/) - California has reported the first U.S. case of the omicron variant for links to POSTS 1-216 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-216/ (9/16/2021) With rising COVID-19 cases and a declining workforce, Montana hospitals are overwhelmed. Now, the state is reaching out to those with expired medical licenses, asking them to renew. State labor - [CORONAVIRUS TRACKING Links to POSTS 1-216](https://doctordidyouwashyourhands.com/2021/12/coronavirus-tracking-links-to-posts-1-216/) - CORONAVIRUS TRACKING Links to POSTS 1-216 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 215. November 26, 2021. CORONAVIRUS. Dr. Fauci on the new South African variant: “It’s not going to be possible to keep this infection out of the country. The question is: Can you slow it down?”](https://doctordidyouwashyourhands.com/2021/11/post-215-november-26-2021-coronavirus-dr-fauci-on-the-new-south-african-variant-its-not-going-to-be-possible-to-keep-this-infection-out-of-the-country-the-question-is-can-you/) - for links to POSTS 1-215 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-215/ “Dr Susan Hopkins, the chief medical adviser to the UK Health Security Agency, said the R value, or effective reproduction number, of the B.1.1.529 variant in the South African province of Gauteng, where it was first found, was now 2 – a - [CORONAVIRUS TRACKING Links to POSTS 1-215](https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-215/) - CORONAVIRUS TRACKING Links to POSTS 1-215 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 214. November 20, 2021. CORONAVIRUS. "This virus is doing what this virus does," said Michael Osterholm… "We don’t understand why surges start, we don't understand why they end." (A)](https://doctordidyouwashyourhands.com/2021/11/post-214-november-20-2021-coronavirus-this-virus-is-doing-what-this-virus-does-said-michael-osterholm-we-dont-understand-why-surges-start-we-dont-understand-why-they-en/) - POST 214. November 20, 2021. CORONAVIRUS. "This virus is doing what this virus does," said Michael Osterholm… "We don’t understand why surges start, we don't understand why they end." (A) “Clearly case numbers are still climbing all the indications we have in terms of test positivity rate would suggest we still have more to go - [CORONAVIRUS TRACKING Links to POSTS 1-214](https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-214/) - CORONAVIRUS TRACKING Links to POSTS 1-214 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-213](https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-213/) - CORONAVIRUS TRACKING Links to POSTS 1-213 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 213. November 13, 2021. CORONAVIRUS. “Since the earliest days of the pandemic, there has been one collective goal for bringing it to an end: achieving herd immunity...Now the herd is restless. And experts at the Centers for Disease Control and Prevention have set aside herd immunity as a national goal.”](https://doctordidyouwashyourhands.com/2021/11/post-213-november-13-2021-coronavirus-since-the-earliest-days-of-the-pandemic-there-has-been-one-collective-goal-for-bringing-it-to-an-end-achieving-herd-immunity-now-the-herd-is-rest/) - for links to POSTS 1-213 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-213/ “The pandemic isn’t over. But new cases nationally have dropped below 75,000 a day, less than half the number in August. The United States will soon reopen land borders to vaccinated visitors and lift several international travel restrictions. More than 2 million - [CORONAVIRUS TRACKING Links to POSTS 1-212](https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-212/) - CORONAVIRUS TRACKING Links to POSTS 1-212 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 212. November 9, 2021. CORONAVIRUS. “They went into hospitals with heart attacks, kidney failure or in a psychiatric crisis. They left with covid-19…” “A new report shows the coronavirus pandemic had a direct increase on the number of healthcare-acquired infections in hospitals nationwide.”](https://doctordidyouwashyourhands.com/2021/11/post-212-november-9-2021-coronavirus-they-went-into-hospitals-with-heart-attacks-kidney-failure-or-in-a-psychiatric-crisis-they-left-with-covid-19-a-new-repor/) - for links to POSTS 1-212 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-212/ “More than 10,000 patients were diagnosed with covid in a U.S. hospital last year after they were admitted for something else, according to federal and state records analyzed exclusively for KHN. The number is certainly an undercount, since it includes mostly patients - [POST 211. November 4, 2021. CORONAVIRUS. Colorado - “…there are patients who really ought to be in an intensive care unit but instead they’re in an emergency room. Or they ought to be in a step-down unit but instead they’re on the floor. Or they ought to be getting one-to-one nursing, and instead they’re getting two-to-one, or three-to-one nursing….”](https://doctordidyouwashyourhands.com/2021/11/post-211-november-4-2021-coronavirus-colorado-there-are-patients-who-really-ought-to-be-in-an-intensive-care-unit-but-instead-theyre-in-an-emergency-room-or-they-ough/) - for links to POSTS 1-211 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-211/ “The trend in Colorado can be attributed in part to the almost 40% of the state population that has not been vaccinated and people again gathering indoors without masks. It also shows that, despite the national downward trends of infections, regional spikes - [CORONAVIRUS TRACKING Links to POSTS 1-211](https://doctordidyouwashyourhands.com/2021/11/coronavirus-tracking-links-to-posts-1-211/) - CORONAVIRUS TRACKING Links to POSTS 1-211 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-210](https://doctordidyouwashyourhands.com/2021/10/coronavirus-tracking-links-to-posts-1-210/) - CORONAVIRUS TRACKING Links to POSTS 1-210 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 210. October 31, 2021. CORONAVIRUS. “Some people want the FDA to speed up. Others want it to be more cautious…There’s a fundamental tension between the right to get access to a drug people are desperate for and the right to protection from dangerous failures of quality. The first demands speed; the second requires time…”](https://doctordidyouwashyourhands.com/2021/10/post-210-october-31-2021-coronavirus-some-people-want-the-fda-to-speed-up-others-want-it-to-be-more-cautioustheres-a-fundamental-tension-between-the-right-to-get-access/) - for links to POST 1-210 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/10/coronavirus-tracking-links-to-posts-1-210/ “A panel of independent advisers to the Food and Drug Administration is recommending that the agency issue an emergency use authorization for the Pfizer-BioNTech vaccine in children ages 5 to 11 years old. The vote was 17 in favor and one abstention. - [CORONAVIRUS TRACKING Links to POSTS 1-209](https://doctordidyouwashyourhands.com/2021/10/coronavirus-tracking-links-to-posts-1-209/) - CORONAVIRUS TRACKING Links to POSTS 1-209 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 209. October 28, 2021. CORONAVIRUS. “The quest at Mount Sinai began with a mystery.”…”America was not simply struggling to contain a once-in-a-century pandemic, caused by a virus far more dangerous than seasonal influenza. Many patients were, for unknown reasons, not recovering.”](https://doctordidyouwashyourhands.com/2021/10/post-209-october-28-2021-coronavirus-the-quest-at-mount-sinai-began-with-a-mystery-america-was-not-simply-struggling-to-contain-a-once-in-a-century-pandemic-ca/) - for links to Posts 1-209 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/10/coronavirus-tracking-links-to-posts-1-209/ DISCLOSURE: I have been on the voluntary faculty of the Icahn School of Medicine at Mount Sinai for over 40 years. https://doctordidyouwashyourhands.com/2021/10/jonathan-m-metsch-dr-p-h-2/ “The quest at mount sinai began with a mystery. During the first wave of the coronavirus pandemic in New York - [POST 208. October 22, 2021, CORONAVIRUS. “What is the “delta plus” variant?” Scientists are monitoring the delta-related variant — known as AY.4.2. — to see if it might spread more easily or be more deadly than previous versions of the coronavirus.](https://doctordidyouwashyourhands.com/2021/10/post-208-october-22-2021-coronavirus-what-is-the-delta-plus-variant-scientists-are-monitoring-the-delta-related-variant-known-as-ay-4-2-to/) - for links to POSTS 1-208 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/10/coronavirus-tracking-links-to-posts-1-208/ “What is the “delta plus” variant? It’s a relative of the delta variant, identified by British scientists last month. Because it isn’t a variant of interest or concern, it has not yet been officially named after a letter of the Greek alphabet, - [CORONAVIRUS TRACKING Links to POSTS 1-208](https://doctordidyouwashyourhands.com/2021/10/coronavirus-tracking-links-to-posts-1-208/) - CORONAVIRUS TRACKING Links to POSTS 1-208 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 207. October 17, 2021. CORONAVIRUS. “…if you choose your own unauthorized booster shot, what happens if later research proves a different combination is better? That’s why experts say it’s a bad idea to become your own vaccine advisory committee and get a shot out of turn.”](https://doctordidyouwashyourhands.com/2021/10/post-207-october-17-2021-coronavirus-if-you-choose-your-own-unauthorized-booster-shot-what-happens-if-later-research-proves-a-different-combination-is-better-thats-why/) - for links to POSTS 1-207 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/10/coronavirus-tracking-links-to-posts-1-207/ “On October 15, a key FDA advisory panel voted unanimously to recommend emergency use authorization of a booster dose of Johnson & Johnson’s vaccine for people ages 18 and older, to be administered at least two months after a primary dose. Several - [CORONAVIRUS TRACKING Links to POSTS 1-207](https://doctordidyouwashyourhands.com/2021/10/coronavirus-tracking-links-to-posts-1-207/) - CORONAVIRUS TRACKING Links to POSTS 1-207 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-199](https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-199/) - CORONAVIRUS TRACKING Links to POSTS 1-199 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 199. September 19, 2021. CORONAVIRUS. Crisis Standards of Care. “… to his knowledge, no patient in Idaho has been taken off life-support therapy in order to provide that therapy to another patient who has a better prognosis.” “While that has yet to occur, if we continue on this path, it will,”](https://doctordidyouwashyourhands.com/2021/09/post-199-september-19-2021-coronavirus-crisis-standards-of-care-to-his-knowledge-no-patient-in-idaho-has-been-taken-off-life-support-therapy-in-order-to-provide-that-therapy-t/) - “From June through August 2021, preventable COVID-19 hospitalizations among unvaccinated adults cost over $5 Billion.. Over 280,000 COVID-19 hospitalizations could have been prevented by vaccination between June to August 2021.” for links to POSTS 1-199 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-199/ “Overwhelmed by a surge in COVID-19 patients, Alaska’s largest hospital on Tuesday - [POST 197. September 12, 2021. CORONAVIRUS. Idaho officials have instituted “crisis standards of care” to help 10 hospitals and health care systems decide how to allocate personnel and resources to deal with a crush of COVID-19 patients.”… “The Washington Medical Coordination Center oversees facilitating transfers in the state, and it’s warning we could be nearing the point of “Crisis Standards of Care,” just like Idaho.” .. "These crisis models don't actually save more lives, they just save different lives.."](https://doctordidyouwashyourhands.com/2021/09/post-197-september-12-2021-coronavirus-idaho-officials-have-instituted-crisis-standards-of-care-to-help-10-hospitals-and-health-care-systems-decide-how-to-allocate-personnel-and/) - for links to POSTS 1-197 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-197/ “Idaho officials have instituted “crisis standards of care” to help 10 hospitals and health care systems decide how to allocate personnel and resources to deal with a crush of COVID-19 patients. The crisis standards are for the hospitals in two health districts - [POST 198. September 15, 2021. CORONAVIRUS. A pundit said “The most elegant policy riposte to the anti-vaxxers… is to refuse to allow Medicare or Medicaid to pay their medical bills in the event they become seriously ill. Private health insurers might also follow suit.” (but is making our hospitals become the bill collectors right?)](https://doctordidyouwashyourhands.com/2021/09/post-198-september-15-2021-coronavirus-a-pundit-said-the-most-elegant-policy-riposte-to-the-anti-vaxxers-is-to-refuse-to-allow-medicare-or-medicaid-to-pay-their-medical-bills-in/) - Faced with this avoidable catastrophe, President Biden is right to order tighter vaccine rules, which he did for roughly two-thirds of the nation’s work force on Thursday. “We’ve been patient,” Mr. Biden told vaccine holdouts. “But our patience is wearing thin. And your refusal has cost all of us.”… for links to POSTS 1-198 in - [CORONAVIRUS TRACKING Links to POSTS 1-198](https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-198/) - CORONAVIRUS TRACKING Links to POSTS 1-198 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-197](https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-197/) - CORONAVIRUS TRACKING Links to POSTS 1-197 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 196. SEPTEMBER 11, 2001. PART 1. Military helicopters and jets were overhead, as President Bush was getting ready to leave NYC. PART 2. LESSONS LEARNED memorandum by hospital CEO Jonathan Metsch goes “viral”…](https://doctordidyouwashyourhands.com/2021/09/post-196-september-11-2021-september-11-2001-part-1-military-helicopters-and-jets-were-overhead-as-president-bush-was-getting-ready-to-leave-nyc-part-2-lessons-learned-memorandum-by-hospital/) - SEPTEMBER 11, 2001. PART 1. Military helicopters and jets were overhead, as President Bush was getting ready to leave NYC. PART 2. LESSONS LEARNED memorandum by hospital CEO Jonathan Metsch goes “viral”… PART 1. *written by Jonathan M. Metsch on September 14, 2001; published in the Jersey Journal on September 18, 2001 Military helicopters and - [CORONAVIRUS TRACKING Links to POSTS 1-195](https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-195/) - CORONAVIRUS TRACKING Links to POSTS 1-195 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 195. September 6, 2021. CORONAVIRUS. “…there are "zero ICU beds left for children in Dallas County, Texas,".,..”That means if your child's in a car wreck, if your child has a congenital heart defect or something and needs an ICU bed, or more likely if they have Covid and need an ICU bed, we don't have one. Your child will wait for another child to die… (county judge Clay Jenkins)](https://doctordidyouwashyourhands.com/2021/09/post-195-september-6-2021-coronavirus-there-are-zero-icu-beds-left-for-children-in-dallas-county-texas-that-means-if-your-childs-in-a-car-wreck-if-your-child/) - …Your child will just not get on the ventilator, your child will be CareFlighted to Temple or Oklahoma City or wherever we can find them a bed, but they won't be getting one here unless one clears." The judge added no ICU beds have been available for children for at least 24 hours. The Texas - [POST 194. August 2, 2021. CORONAVIRUS. “Recently-released data is painting a grim picture of the opioid epidemic that has gripped the United States — as the country is still grappling with the coronavirus pandemic that has killed more than half a million Americans. Some people are calling them twin pandemics that have collided”...](https://doctordidyouwashyourhands.com/2021/09/post-194-august-2-2021-coronavirus-recently-released-data-is-painting-a-grim-picture-of-the-opioid-epidemic-that-has-gripped-the-united-states-as-the-country-is-still-grappling/) - for links to POSTS 1-194 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-194/ February 20, 2021 “The opioid epidemic has been eclipsed in the public consciousness by Covid-19, but it hasn’t abated. The pandemic has only exacerbated the crisis, piling stress and grief on top of substance-abuse problems and jeopardizing efforts at recovery… On the - [CORONAVIRUS TRACKING Links to POSTS 1-194](https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-194/) - CORONAVIRUS TRACKING Links to POSTS 1-194 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 193. September 3, 2021. CORONAVIRUS. Nurses are leaving their hospitals and becoming travel nurses at hospitals across town “because they can make $4,000, $5,000, $6,000, $7,000 a week while not having to relocate anywhere..”](https://doctordidyouwashyourhands.com/2021/09/post-193-september-3-2021-coronavirus-nurses-are-leaving-their-hospitals-and-becoming-travel-nurses-at-hospitals-across-town-because-they-can-make-4000-5000-6000-7000-a-week-wh/) - for links to POSTS 1-193 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-193/ “According to hospital executives and nursing administrators in several states, the struggle to find enough workers to care for people sick with covid-19 has emerged as a critical problem as other daunting shortages, widespread early in the pandemic, have eased. Once-scarce supplies - [CORONAVIRUS TRACKING Links to POSTS 1-193](https://doctordidyouwashyourhands.com/2021/09/coronavirus-tracking-links-to-posts-1-193/) - CORONAVIRUS TRACKING Links to POSTS 1-193 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 192. August 30, 2021. CORONAVIRUS. Gov. John Bel Edwards on Hurricane Ida - “I hate to say it this way, but we have a lot of people on ventilators today and they don’t work without electricity,”](https://doctordidyouwashyourhands.com/2021/08/post-192-august-30-2021-coronavirus-gov-john-bel-edwards-on-hurricane-ida-i-hate-to-say-it-this-way-but-we-have-a-lot-of-people-on-ventilators-today-and-they-dont-work-withou/) - for links to POSTS 1-192 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-192/ “The number of coronavirus patients in U.S. hospitals has breached 100,000, the highest level in eight months, according to the Department of Health and Human Services, as a resurgence of COVID-19 spurred by the highly contagious Delta variant strains the nation's health - [CORONAVIRUS TRACKING Links to POSTS 1-192](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-192/) - CORONAVIRUS TRACKING Links to POSTS 1-192 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 191. August 27, 2021. CORONAVIRUS. “Anthony Fauci, MD, chief medical advisor to the president and director of the National Institute of Allergy and Infectious Diseases, explained that late September gives the United States time to set up the (booster shot) logistics.” This is not medical science, but perhaps Political Science?](https://doctordidyouwashyourhands.com/2021/08/post-191-august-27-2021-coronavirus-anthony-fauci-md-chief-medical-advisor-to-the-president-and-director-of-the-national-institute-of-allergy-and-infectious-diseases-explained-that-lat/) - for links to POSTS 1-191 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-191/ NOTE: I am not a scientist! So this is my effort to sort out mixed messages on booster shots. “The US Food and Drug Administration on Monday granted full approval to the Pfizer/BioNTech Covid-19 vaccine for people age 16 and older. This - [CORONAVIRUS TRACKING Links to POSTS 1-191](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-191/) - CORONAVIRUS TRACKING Links to POSTS 1-191 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 190, August 21, 2021. CORONAVIRUS. “We’re looking, in essence, at running two systems — a COVID system and a non-COVID system of care”...“Emergency medical technicians (EMTs) and certified paramedics can now care for patients in Mississippi hospitals and emergency rooms under a new health office order issued by the Mississippi State Department of Health on Wednesday.”](https://doctordidyouwashyourhands.com/2021/08/post-190-august-21-2021-coronavirus-were-looking-in-essence-at-running-two-systems-a-covid-system-and-a-non-covid-system-of-care-emergency-medical/) - for links to POSTS 1-190 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-190/ “At many Valley hospitals this week, patients are stacking up in emergency rooms waiting for other patients to be discharged from inpatient beds. At Kaweah Health in Visalia, CEO Gary Herbst said this week the hospital was under enough strain to force - [CORONAVIRUS TRACKING Links to POSTS 1-190](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-190/) - CORONAVIRUS TRACKING Links to POSTS 1-190 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 188. August 15, 20201. CORONAVIRUS. “According to an internal CDC briefing….an estimated 1.1 million people have already gotten unauthorized booster shots…”…."If it is left up to the honor system, I think many Americans will suddenly wake up and find themselves immunocompromised enough to get a 3rd dose,"](https://doctordidyouwashyourhands.com/2021/08/post-188-august-15-20201-coronavirus-according-to-an-internal-cdc-briefing-an-estimated-1-1-million-people-have-already-gotten-unauthorized-booster-shots/) - for links to POSTS 1-188 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-188/ “According to an internal CDC briefing reviewed by ABC News, an estimated 1.1 million people have already gotten unauthorized booster shots. The number is most likely an undercount because it includes Moderna and Pfizer recipients who have re-upped but not those who - [POST 189. August 19,2021. CORONAVIRUS. “There wasn’t a single I.C.U. bed available in Alabama on Wednesday…”…”A triage plan on the Alabama health department’s website suggests that “persons with severe mental retardation” are among those who “may be poor candidates for ventilator support.”](https://doctordidyouwashyourhands.com/2021/08/post-189-august-192021-coronavirus-there-wasnt-a-single-i-c-u-bed-available-in-alabama-on-wednesdaya-triage-plan-on-the-alabama-health-depart/) - for links to POSTS 1-189 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-189/ “There wasn’t a single I.C.U. bed available in Alabama on Wednesday, a possible sign of what other states may confront soon amid a deadly surge of new infections in parts of the United States with low vaccination rates. I.C.U. beds are filling - [CORONAVIRUS TRACKING Links to POSTS 1-189](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-189/) - CORONAVIRUS TRACKING Links to POSTS 1-189 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-188](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-188/) - CORONAVIRUS TRACKING Links to POSTS 1-188 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 187. August 11, 2021. CORONAVIRUS. “As a result of the increase in COVID-19 cases and hospitalizations, the state of Florida requested 300 ventilators from the federal government.”… “An 11-month-old girl with Covid-19 is stable and no longer intubated one day after she was airlifted to a Texas hospital 150 miles away because of a shortage of pediatric beds in the Houston area.”](https://doctordidyouwashyourhands.com/2021/08/post-187-august-11-2021-coronavirus-as-a-result-of-the-increase-in-covid-19-cases-and-hospitalizations-the-state-of-florida-requested-300-ventilators-from-the-federal-government/) - for links to POSTS 1-187 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-187/ “The request was made on Friday “to replace expended state stores,” the document said. The ventilators were expected to be delivered on Monday, though it was not said how they will be allocated. Gov. Ron DeSantis said Tuesday that he was not - [CORONAVIRUS TRACKING Links to POSTS 1-187](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-187/) - CORONAVIRUS TRACKING Links to POSTS 1-187 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-186](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-186/) - CORONAVIRUS TRACKING Links to POSTS 1-186 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 186. August 8, 2021. CORONAVIRUS. “One of the last things they do before they’re intubated is beg me for the vaccine. I hold their hand and tell them that I’m sorry, but it’s too late,” she added, referring to patients who have to be put on a ventilator.” (A) “There is no one definition of what the end of a pandemic means.”.. “The question of when the crisis will be over is a layered one — with different answers from local, national and global perspectives.”](https://doctordidyouwashyourhands.com/2021/08/post-186-august-8-2021-coronavirus-one-of-the-last-things-they-do-before-theyre-intubated-is-beg-me-for-the-vaccine-i-hold-their-hand-and-tell-them-that-im-sorry-but-i/) - for links to POSTS 1-186 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-186/ “The infamous and popular tradition known as the Sturgis Motorcycle Rally will gather bikers as they cruise through the countryside from August 6 to August 15. The event will attract crowds of enthusiastic bikers in South Dakota’s Black Hills starting this weekend. - [CORONAVIRUS TRACKING Links to POSTS 1-185](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-185/) - CORONAVIRUS TRACKING Links to POSTS 1-185 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 185. August 6, 2021. CORONAVIRUS. 'If you aren't going to help, please get out of the way': Biden turns up the pressure on GOP governors as Delta spreads”](https://doctordidyouwashyourhands.com/2021/08/post-185-august-6-2021-coronavirus-if-you-arent-going-to-help-please-get-out-of-the-way-biden-turns-up-the-pressure-on-gop-governors-as-delta-spreads/) - POST 185. August 6, 2021. CORONAVIRUS. 'If you aren't going to help, please get out of the way': Biden turns up the pressure on GOP governors as Delta spreads” for links to POSTS 1-185 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-185/ “President Joe Biden on Tuesday ratcheted up pressure on some Republican governors to - [POST 184. August 1, 2021. CORONAVIRUS. “The coronavirus could be "just a few mutations potentially away" from evolving into a variant that can evade existing COVID-19 vaccines, CDC director Rochelle Walensky said..” (A) “The Delta variant is more transmissible than the viruses that cause MERS, SARS, Ebola, the common cold, the seasonal flu and smallpox, and it is as contagious as chickenpox..” (I)](https://doctordidyouwashyourhands.com/2021/08/post-184-august-1-2021-coronavirus-the-coronavirus-could-be-just-a-few-mutations-potentially-away-from-evolving-into-a-variant-that-can-evade-existing-covid-19-vaccines-cdc-director/) - Our Lady of the Lake, Baton Rouge's largest hospital: "These are the darkest days of this pandemic. We are no longer giving adequate care to these patients…" (J) for links to POSTS 1-184 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-184/ “According to research published Friday in the journal Scientific Reports, vaccinated people — counterintuitively - [CORONAVIRUS TRACKING Links to POSTS 1-184](https://doctordidyouwashyourhands.com/2021/08/coronavirus-tracking-links-to-posts-1-184/) - CORONAVIRUS TRACKING Links to POSTS 1-184 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 183. July 29, 2021. CORONAVIRUS. When I was appointed President and CEO of Jersey City Medical Center in1989 in the peak of the HIV/ AIDS crisis, we had a dedicated, and always full, 60 bed AIDS unit, staffed by one full time nurse and numerous part-time and per diem nurses. Today, right now, hospitals caught in the Covid-19 surge, are forced to redeploy nursing staff, respiratory therapists and other clinicians, most without prior infectious diseases experience. Why are we tolerating the unvaccinated putting our hospital staffs at risk?](https://doctordidyouwashyourhands.com/2021/07/post-183-july-29-2021-coronavirus-when-i-was-appointed-president-and-ceo-of-jersey-city-medical-center-in1989-in-the-peak-of-the-hiv-aids-crisis-we-had-a-dedicated-and-always-full-dedicated-60/) - for links to POSTS 1-183 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-183/ Over my career I’ve seen my share of Rapid Response challenges – While the Mount Sinai administrator at Elmhurst Hospital. On December 29, 1975, a bomb detonated near the TWA baggage reclaim terminal at LaGuardia Airport in New York City. The blast - [CORONAVIRUS TRACKING Links to POSTS 1-183](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-183/) - CORONAVIRUS TRACKING Links to POSTS 1-183 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 182. July 26, 2021. CORONAVIRUS. Alabama Gov. Kay Ivey (R): “Folks supposed to have common sense.”…“But it's time to start blaming the unvaccinated folks, not the regular folks. It’s the unvaccinated folks that are letting us down.” ““Beginning in mid-September, New York City will require all of its 340,000 municipal workers, including police, firefighters and teachers, to either be vaccinated against COVID-19 or tested weekly.”](https://doctordidyouwashyourhands.com/2021/07/post-182-july-26-2021-coronavirus-alabama-gov-kay-ivey-r-folks-supposed-to-have-common-sense-but-its-time-to-start-blaming-the-unvaccinated-folks-not-the/) - for links to POSTS 1-182 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-182/ “Beginning in mid-September, New York City will require all of its 340,000 municipal workers, including police, firefighters and teachers, to either be vaccinated against COVID-19 or tested weekly. The mayor's office says the policy will be announced Monday. Under the latest plan, - [CORONAVIRUS TRACKING Links to POSTS 1-182](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-182/) - CORONAVIRUS TRACKING Links to POSTS 1-182 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-181](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-181/) - CORONAVIRUS TRACKING Links to POSTS 1-181 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 181. July 22, 2021. CORONAVIRUS. “Health experts fear the Tokyo Olympics could become a COVID-19 superspreader event.” “Whatever happens in Japan isn’t likely going to stay in Japan since all of the athletes and accompanying coaches and staff will be returning to their home countries.”](https://doctordidyouwashyourhands.com/2021/07/post-181-july-22-2021-coronavirus-health-experts-fear-the-tokyo-olympics-could-become-a-covid-19-superspreader-event-whatever-happens-in-japan-isnt-likely-goin/) - for links to POSTS 1-181 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-181/ The big picture: Infectious disease experts say the Olympics don't have strong enough protocols for testing or ventilation, either in competition venues or in the Olympic village. "What kind of ventilation systems do they have? The last check-in we had with them, - [POST 180, July 20, 2021. CORONAVIRUS. "Most people will either get vaccinated, or have been previously infected, or they will get this Delta variant,".. "And for most people who get this Delta variant, it's going to be the most serious virus that they get in their lifetime in terms of the risk of putting them in the hospital," (A)](https://doctordidyouwashyourhands.com/2021/07/post-180-july-20-2021-coronavirus-most-people-will-either-get-vaccinated-or-have-been-previously-infected-or-they-will-get-this-delta-variant-and-for-most-people-who-get-this-delta-vari/) - said Dr. Scott Gottlieb, who was commissioner of the US Food and Drug Administration during the Trump administration…. Texas hospital reports its 1st case of lambda COVID-19 variant for links to POSTS 1-180 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-180/ “In research posted online, scientists examining 62 cases of the Delta variant found viral - [CORONAVIRUS TRACKING Links to POSTS 1-180](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-180/) - CORONAVIRUS TRACKING Links to POSTS 1-180 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 179. July 16, 2021. CORONAVIRUS. “It, therefore, follows that the “harm principle” (“first, do no harm.”) can be used to justify compulsory vaccination programs in specific instances where the community interests or benefits are deemed to be significant.”](https://doctordidyouwashyourhands.com/2021/07/post-179-july-16-2021-coronavirus-it-therefore-follows-that-the-harm-principle-first-do-no-harm-can-be-used-to-justify-compulsory-vaccination-pro/) - “The only pandemic we have is among the unvaccinated.”… “If you have been lucky enough to escape infection previously and you’re not vaccinated, your luck is about to run out”…“That raises a question...What ethical duties will we have, if any, to those who refuse to be vaccinated?” “Los Angeles County will reinstate indoor mask requirements - [CORONAVIRUS TRACKING Links to POSTS 1-179](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-179/) - CORONAVIRUS TRACKING Links to POSTS 1-179 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-178](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-178/) - CORONAVIRUS TRACKING Links to POSTS 1-178 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 178. July 15, 2021. CORONAVIRUS. “Tennessee's top vaccine official says she has been fired as punishment for doing her job in the face of political pushback.”..” More than 180 state and local public health leaders…have resigned, retired or been fired since April 1…”“Former President Trump and his GOP allies have stepped up attacks on Anthony Fauci…”](https://doctordidyouwashyourhands.com/2021/07/post-178-july-15-2021-coronavirus-tennessees-top-vaccine-official-says-she-has-been-fired-as-punishment-for-doing-her-job-in-the-face-of-political-pushback-more-tha/) - for links to POSTS 1-178 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-178/ “Dr. Michelle Fiscus was caught up in a controversy after she passed along legal guidance to health providers saying teenagers do not need parents' consent to receive a COVID-19 vaccine shot — a position established by decades of state law. "Specifically, it - [POST 177. July 11, 2021. CORONAVIRUS. the Delta variant is “the 2020 version of Covid-19 on steroids,”… “It is the most hypertransmissible, contagious version of the virus we’ve seen to date…it’s a superspreader strain if there ever was one .” but… now, there’s a Delta Plus variant…](https://doctordidyouwashyourhands.com/2021/07/post-177-july-12-2021-coronavirus-the-delta-variant-is-the-2020-version-of-covid-19-on-steroids-it-is-the-most-hypertransmissible-contagious-version-of-the-vi/) - “The highly contagious Delta variant is now the dominant version of the coronavirus in the United States, according to figures released this week by the Centers for Disease Control and Prevention. Delta now accounts for more than half of infections across the country, a benchmark health experts had predicted it would pass. Delta is believed - [CORONAVIRUS TRACKING Links to POSTS 1-177](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-177/) - CORONAVIRUS TRACKING Links to POSTS 1-177 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-176](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-176/) - CORONAVIRUS TRACKING Links to POSTS 1-176 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 176. July 9, 2021. CORONAVIRUS. Mercy Springfield ( Missouri) hospital…” ran out of ventilators for its patients over the Fourth of July weekend…”…“Mercy will require all current and future employees to be fully vaccinated.”…“The US government is deploying a Covid-19 surge team to provide public health support in southwest Missouri](https://doctordidyouwashyourhands.com/2021/07/post-176-july-9-2021-coronavirus-mercy-springfield-missouri-hospital-ran-out-of-ventilators-for-its-patients-over-the-fourth-of-july-weekend/) - for links to POSTS 1-176 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-176/ “The highly contagious Delta variant of the virus that causes Covid-19 is prompting a surge of coronavirus cases in Missouri, a warning sign of what may happen this summer in other areas of the U.S. with low vaccination rates, public-health experts say. - [POST 175. July 5, 2021. CORONAVIRUS. “Can a health care worker who is not against vaccines in general still harbor sincere concerns that scientists don’t yet know about all the side effects of these vaccines? Yes, says Ezekiel Emanuel, MD, PhD — but those people should not work in health care.”](https://doctordidyouwashyourhands.com/2021/07/post-175-july-5-2021-coronavirus-can-a-health-care-worker-who-is-not-against-vaccines-in-general-still-harbor-sincere-concerns-that-scientists-dont-yet-know-about-all-the-side-ef/) - The president and CEO of Springfield, Mo.-based CoxHealth :"If you are making wildly disparaging comments about the vaccine, and have no public health expertise, you may be responsible for someone’s death. Shut up." (G) for links to POSTS 1-175 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-175/ “Florida's largest public and private hospitals have no - [CORONAVIRUS TRACKING Links to POSTS 1-175](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-175/) - CORONAVIRUS TRACKING Links to POSTS 1-175 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 174. July 1, 2021. CORONAVIRUS. “..while the WHO is encouraging people to keep wearing masks even if they're vaccinated, Dr. Anthony Fauci says it doesn't look like the CDC currently plans to change its guidelines.” ... health officials in Los Angeles recommended that “everyone, regardless of vaccination status, wear masks indoors in public places as a precautionary measure.”..”](https://doctordidyouwashyourhands.com/2021/07/post-174-july-1-2021-coronavirus-while-the-who-is-encouraging-people-to-keep-wearing-masks-even-if-theyre-vaccinated-dr-anthony-fauci-says-it-doesnt-look-like-the-cdc-currently-pl/) - the Delta variant is the “most hypertransmissible, contagious version of the virus we’ve seen to date, for sure—it’s a superspreader strain if there ever was one..” In POST 162, May 20th – “ My Take: It is easy to UNMASK but it will be impossible to REMASK!” for links to POSTS 1-174 in chronological order, - [CORONAVIRUS TRACKING Links to POSTS 1-174](https://doctordidyouwashyourhands.com/2021/07/coronavirus-tracking-links-to-posts-1-174/) - CORONAVIRUS TRACKING Links to POSTS 1-174 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 173. June 26, 2021. CORONAVIRUS. “The daily toll of COVID-19, as measured by new cases and the growing number of deaths, overlooks a shadowy set of casualties: the rising risk of mental health problems among health care professionals working on the frontlines of the pandemic.”](https://doctordidyouwashyourhands.com/2021/06/post-173-june-26-2021-coronavirus-the-daily-toll-of-covid-19-as-measured-by-new-cases-and-the-growing-number-of-deaths-overlooks-a-shadowy-set-of-casualties-the-rising-risk-of-mental-h/) - for links to POSTS 1-173 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-173/ “High demand for medical services over a long period of time puts particular stress on health care settings and staff… Many things about COVID-19 are still unknown. Health care workers risk infection to care for patients and residents who have this new - [CORONAVIRUS TRACKING Links to POSTS 1-173](https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-173/) - CORONAVIRUS TRACKING Links to POSTS 1-173 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-172](https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-172/) - CORONAVIRUS TRACKING Links to POSTS 1-172 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 172. June 23, 2021. CORONAVIRUS. Morgan Stanley chief executive James Gorman said: "If you can go into a restaurant in New York City, you can come into the office."…”remote work can “dramatically undermine” the character and culture a company is attempting to build; and “virtually eliminates spontaneous learning and creativity.”](https://doctordidyouwashyourhands.com/2021/06/post-172-june-23-2021-coronavirus-morgan-stanley-chief-executive-james-gorman-said-if-you-can-go-into-a-restaurant-in-new-york-city-you-can-come-into-the-office-remote-work/) - for links to POSTS 1-172 highlight and click on https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-172/ “The boss of a US investment bank is cracking down on employees reluctant to return to work as restrictions ease. Morgan Stanley chief executive James Gorman said: "If you can go into a restaurant in New York City, you can come into the office." Speaking - [CORONAVIRUS TRACKING Links to POSTS 1-171](https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-171/) - CORONAVIRUS TRACKING Links to POSTS 1-171 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 171. June 20, 2021. CORONAVIRUS. “A 34-year-old man (a Covid-19 survivor) has been diagnosed with India’s first known case of “green fungus” infection.”… “Green fungus is the new infection to join the earlier known cases of black, white and yellow fungus.”…”green fungus was earlier seen only as a “junior partner” in other infections... In the current patient, this fungus is acting as the aggressor.”](https://doctordidyouwashyourhands.com/2021/06/post-171-june-19-2021-coronavirus-a-34-year-old-man-a-covid-19-survivor-has-been-diagnosed-with-indias-first-known-case-of-green-fungus-infection/) - “We are not aware of any proper treatment of Green Fungus….Doctors in Mumbai will treat the first Green Fungus patient and then they may reveal treatment details.” (F) for links to POSTS 1-171 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-171/ A 34 year-old man from Indore, Madhya Pradesh, has been diagnosed with India’s first - [CORONAVIRUS TRACKING Links to POSTS 1-170](https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-170/) - CORONAVIRUS TRACKING Links to POSTS 1-170 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 170. June 17, 2021. CORONAVIRUS. “Dr. Ashish Jha…is worried about the potential impact the delta variant could have in the United States… “I’m concerned about the Delta variant,”… “Why? Most contagious variant yet. Wreaked havoc in India. Spiking cases in UK. Growing rapidly in the US.”](https://doctordidyouwashyourhands.com/2021/06/post-170-june-17-2021-coronavirus-dr-ashish-jhais-worried-about-the-potential-impact-the-delta-variant-could-have-in-the-united-states-im-concerned-a/) - Dr. Bob Wachter, University of California San Francisco: “If you’re not vaccinated: I’d be afraid,” he wrote. “Maybe even very afraid.” for links to POSTS 1-170 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-170/ “A coronavirus variant that was first identified in India is causing growing concern in the U.S., leading the Centers for Disease - [CORONAVIRUS TRACKING Links to POSTS 1-169](https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-169/) - CORONAVIRUS TRACKING Links to POSTS 1-169 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 169. June 14, 2021. CORONAVIRUS. “Hospitals in Washington, D.C…announced a consensus agreement to mandate COVID-19 vaccinations for more than 30,000 workers, 70% of which are already vaccinated. Each of 14 hospitals will set their own deadline…”](https://doctordidyouwashyourhands.com/2021/06/post-169-june-14-2021-coronavirus-hospitals-in-washington-d-cannounced-a-consensus-agreement-to-mandate-covid-19-vaccinations-for-more-than-30000-workers-70-of-which-are-alrea/) - “Labor Department officials…announced a temporary emergency standard to protect health care workers, saying they face “grave danger” in the workplace from the ongoing coronavirus pandemic.” for links to POSTS 1-169 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-169/ PREQUELS POST 163. May 23, 2021. CORONAVIRUS. RWJBarnabas Health in New Jersey announced a mandate…saying supervisors and - [CORONAVIRUS TRACKING Links to POSTS 1-168](https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-168/) - CORONAVIRUS TRACKING Links to POSTS 1-168 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 168. June 10, 2021. CORONAVIRUS. “Our species has a tendency to get distracted. We have a very strong appetite for distraction, and when something is not in the spotlight, when it’s not a crisis anymore, we tend to forget and move on to something else. So the biggest challenge is going to be maintaining focus on this next step of developing vaccines that anticipate pandemics.”](https://doctordidyouwashyourhands.com/2021/06/post-168-june-10-2021-coronavirus-our-species-has-a-tendency-to-get-distracted-we-have-a-very-strong-appetite-for-distraction-and-when-something-is-not-in-the-spotlight-when-it/) - for links to POSTS 1-168 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-168/ “U.S. President Joe Biden said on Thursday that a donation of 500 million doses of the Pfizer COVID-19 vaccine to the world's poorest countries would supercharge the battle with the virus and comes with "no strings attached."… Vaccination efforts so far are - [CORONAVIRUS TRACKING Links to POSTS 1-167](https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-167/) - CORONAVIRUS TRACKING Links to POSTS 1-167 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 167. June 9, 2021. CORONAVIRUS. Hospitals prevaricate on mandatory staff vaccinations. Florida’s Governor forbids cruise ship vaccine mandates. Pfizer and Moderna apply for FDA full approval.](https://doctordidyouwashyourhands.com/2021/06/post-167-june-9-2021-coronavirus-hospitals-prevaricate-on-mandatory-staff-vaccinations-floridas-governor-forbids-cruise-ship-vaccine-mandates-pfizer-and-moderna-apply-for-fda-full-appr/) - for links to POSTS 1-167 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-167/ “U.S. employers could require all workers physically entering a workplace to be vaccinated against Covid-19, the federal government said Friday. The Equal Employment Opportunity Commission issued updated guidance stating that federal laws don’t prevent an employer from requiring workers to be vaccinated. - [CORONAVIRUS TRACKING Links to POSTS 1-166](https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-166/) - CORONAVIRUS TRACKING Links to POSTS 1-166 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 166. June 3, 2020. CORONAVIRUS. “President Biden said Wednesday that he has asked intelligence agencies to double down on their efforts to investigate whether the coronavirus originated from human contact with an animal or in an laboratory in China, saying there is not “sufficient information” to assess whether one is more likely than the other.”](https://doctordidyouwashyourhands.com/2021/06/post-166-june-3-2020-coronavirus-president-biden-said-wednesday-that-he-has-asked-intelligence-agencies-to-double-down-on-their-efforts-to-investigate-whether-the-coronavirus-originated-f/) - “A 41-year-old man in China’s eastern province of Jiangsu has been confirmed as the first human case of infection with a rare strain of bird flu known as H10N3, Beijing’s National Health Commission (NHC) said on Tuesday.” for links to POSTS 1-166 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/06/coronavirus-tracking-links-to-posts-1-166/ “Like the pandemic itself, the - [CORONAVIRUS TRACKING Links to POSTS 1-165](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-165/) - CORONAVIRUS TRACKING Links to POSTS 1-165 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 165. May 31,2001. CORONAVIRUS. “Like all pandemics, this one will end either with millions — maybe billions — being infected or being vaccinated. This time, world leaders have a choice, but little time to make that choice before it is made for them.”](https://doctordidyouwashyourhands.com/2021/05/post-165-may-312001-coronavirus-like-all-pandemics-this-one-will-end-either-with-millions-maybe-billions-being-infected-or-being-vaccinated-this-time-world-leaders/) - “In countries with widespread vaccination.. we can expect that Covid cases, hospitalizations and deaths will continue to decline or stay low, especially because lab tests and real world experience show that vaccines appear to defend recipients well against the severe effects of both variants. For much of the rest of the world, though, these even - [CORONAVIRUS TRACKING Links to POSTS 1-164](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-164/) - CORONAVIRUS TRACKING Links to POSTS 1-164 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 164. May 26, 2021. CORONAVIRUS. On Wednesday, health minister Norihisa Tamura warned Olympic organizers they would have to “secure their own” hospital beds for anyone falling ill at the Games, explaining the government would not release beds set aside for Japanese covid-19 patients.”](https://doctordidyouwashyourhands.com/2021/05/post-164-may-26-2021-coronavirus-on-wednesday-health-minister-norihisa-tamura-warned-olympic-organizers-they-would-have-to-secure-their-own-hospital-beds-for-anyone-falling-ill/) - for links to POSTS 1-164 highlight and click on https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-164/ “U.S. health officials and the State Department on Monday warned Americans against travel to Japan because of a surge in coronavirus cases in the country, which is preparing to host the Olympics in just two months. The twin alerts don’t ban U.S. citizens from visiting - [CORONAVIRUS TRACKING Links to POSTS 1-163](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-163/) - CORONAVIRUS TRACKING Links to POSTS 1-163 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 163. May 23, 2021. CORONAVIRUS. RWJBarnabas Health in New Jersey announced a mandate…saying supervisors and those of higher rank must get the vaccine by June 30. They will eventually require the system's 35,000 employees to do the same.](https://doctordidyouwashyourhands.com/2021/05/post-163-may-23-2021-coronavirus-rwjbarnabas-health-in-new-jersey-announced-a-mandatesaying-supervisors-and-those-of-higher-rank-must-get-the-vaccine-by-june-30-they-will-eventually-requ/) - for links to POSTS 1-163 highlight and click on https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-163/ “More hospitals and health systems nationwide are requiring their health care workforce to get the COVID-19 vaccine. Driving the news: RWJBarnabas Health in New Jersey announced a mandate on Thursday, saying supervisors and those of higher rank must get the vaccine by June 30. They - [CORONAVIRUS TRACKING Links to POSTS 1-162](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-162/) - https://doctordidyouwashyourhands.com/2021/01/post-111-january-14-2021-coronavirus-visitors-from-toronto-to-new-york-to-buenos-aires-have-long-flocked-to-florida-for-sun-surf-and-shopping-now-they-are-coming-for-the-covid-19-vaccin/ POST 112. January 14, 2021. CORONAVIRUS. CHINA – “Eleven million people are under lockdown in Hebei province after a new cluster of coronavirus infections. https://doctordidyouwashyourhands.com/2021/01/post-112-january-14-2021-coronavirus-china-eleven-million-people-are-under-lockdown-in-hebei-province-after-a-new-cluster-of-coronavirus-infections/ PART 113. January 17, 2021. CORONAVIRUS. The Next President Actually Has a Covid Plan… New York City and other places in the state expect to exhaust their supply of - [POST 162. May 20, 2021. CORONAVIRUS. “New Jersey Gov. Phil Murphy is refusing to lift his indoor mask mandate for vaccinated residents…” “…fully vaccinated residents in New York and Connecticut are no longer required to wear masks..”..” “California says it isn't ready to follow the federal lead and unmask, at least for another month..”.. “..Texas Gov. Greg Abbott issued an executive order Tuesday prohibiting state governmental entities such as counties, public school districts, public health authorities and government officials from requiring mask wearing.”](https://doctordidyouwashyourhands.com/2021/05/post-162-may-21-2021-coronavirus-new-jersey-gov-phil-murphy-is-refusing-to-lift-his-indoor-mask-mandate-for-vaccinated-residents-fully-vaccinated-resi/) - My Take: It is easy to UNMASK but it will be impossible to REMASK! for links to POST 1-162 highlight and click on https://doctordidyouwashyourhands.com/2021/05/post-162-may-21-2021-coronavirus-new-jersey-gov-phil-murphy-is-refusing-to-lift-his-indoor-mask-mandate-for-vaccinated-residents-fully-vaccinated-resi/ “New Jersey Gov. Phil Murphy is refusing to lift his indoor mask mandate for vaccinated residents, putting the Democrat at odds with guidance from the Centers for Disease Control and Prevention - [PART 4. CANDIDA AURIS. “.. nursing facilities, and long-term hospitals, are…continuously cycling infected patients, or those who carry the germ, into hospitals and back again.”](https://doctordidyouwashyourhands.com/2019/09/part-4-candida-auris-nursing-facilities-and-long-term-hospitals-arecontinuously-cycling-infected-patients-or-those-who-carry-the-germ-into-hospitals-and-back-again/) - New PART 4 after PARTS 1, 2, and 3 PART 1. April16, 2019. Is it ethical for the public not to be notified about new “super bugs” in hospitals so they can decide whether or not to go to affected hospitals? PART 2. May 13, 2019. CANDIDA AURIS. “In 30 years, I’ve never faced so - [From REPEAL & REPLACE to WRECK & REJOICE (from ObamaCare to TrumpCare)](https://doctordidyouwashyourhands.com/2019/03/from-repeal-replace-to-wreck-rejoice-from-obamacare-to-trumpcare-2/) - April 25, 2018 | Edit On March 24th, 2017. “Speaker Paul Ryan (R-Wis.) on Friday said his party “came up short” in a news conference minutes after pulling the GOP healthcare bill off the House floor, acknowledging that ObamaCare will stay in place “for the foreseeable future.”” Yet on December 20th, 2017 the INDIVIDUAL MANDARE - [POST 161. May 15, 2021. CORONAVIRUS. “Even if the spread of Covid-19 decreases enough to allow a return of most activities, there are some aspects of pandemic life that epidemiologists say will persist much longer. In particular, they say that masks are a norm that should continue, even if that view puts them at odds with the new C.D.C. guidance. More than 80 percent of them say people should continue to wear masks when indoors with strangers for at least another year, and outdoors in crowds.”](https://doctordidyouwashyourhands.com/2021/05/post-161-may-15-2021-coronavirus-even-if-the-spread-of-covid-19-decreases-enough-to-allow-a-return-of-most-activities-there-are-some-aspects-of-pandemic-life-that-epidemiologists-say-wil/) - “New Jersey's mask mandate requiring residents to wear face coverings indoors won’t be relaxed yet, Gov. Phil Murphy said Friday…."I would guess in a matter of weeks we’ll get to the point where we can comfortably say inside, no matter what, you’re OK," for links to POST 1-161 in chronological order, highlight and click on - [CORONAVIRUS TRACKING Links to POSTS 1-161](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-161/) - CORONAVIRUS TRACKING Links to POSTS 1-161 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-160](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-160/) - CORONAVIRUS TRACKING Links to POSTS 1-160 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 160. May 13, 2021.CORONAVIRUS. “The CDC acknowledged Friday that airborne spread of COVID-19 among people more than 6 feet apart "has been repeatedly documented."” Meanwhile states relax or eliminate indoor dining restrictions. HUH?](https://doctordidyouwashyourhands.com/2021/05/post-160-may-13-2021-coronavirus-the-cdc-acknowledged-friday-that-airborne-spread-of-covid-19-among-people-more-than-6-feet-apart-has-been-repeatedly-documented-meanwhile-sta/) - for links to POSTS 1-160 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-160/ Why it matters: This is "a change from the agency’s previous position that most infections were acquired through 'close contact, not airborne transmission,'" the N.Y. Times reports. The new guidance says airborne transmission is more common when people are close, but: "These - [CORONAVIRUS TRACKING Links to POSTS 1-159](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-159/) - CORONAVIRUS TRACKING Links to POSTS 1-159 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 159. May 9, 2021. CORONAVIRUS. “Without deeper sharing of expertise in how to make vaccines…waiving patent obligations is unlikely to be a game-changer… Having access to the “recipe” certainly helps, but understanding how to put it together and produce it at scale is something else.”](https://doctordidyouwashyourhands.com/2021/05/post-159-may-9-2021-coronavirus-without-deeper-sharing-of-expertise-in-how-to-make-vaccineswaiving-patent-obligations-is-unlikely-to-be-a-game-changer-having-access-to-t/) - for links to POSTS 1-159 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-159/ “The Biden administration plans to support a temporary waiver on patents and other intellectual property rules preventing developing countries from mass-producing generic COVID-19 vaccines, United States Trade Representative Katherine Tai announced on Wednesday. A group of developing countries led by India and - [POST 158. May 5, 2021. CORONAVIRUS. . As populations get closer to herd immunity “ it may be helpful to introduce some nuance to what we mean by the term. Nationwide herd immunity. Regional herd immunity. Temporary herd immunity. Endemicity.”](https://doctordidyouwashyourhands.com/2021/05/post-158-may-5-2021-coronavirus-as-populations-get-closer-to-herd-immunity-it-may-be-helpful-to-introduce-some-nuance-to-what-we-mean-by-the-term-nationwide-herd-immunity-regional-he/) - For links to POSTS 1-158 in chronological order, Highlight and click on https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-158/ “Early in the pandemic, when vaccines for the coronavirus were still just a glimmer on the horizon, the term “herd immunity” came to signify the endgame: the point when enough Americans would be protected from the virus so we could be rid - [CORONAVIRUS TRACKING Links to POSTS 1-158](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-158/) - CORONAVIRUS TRACKING Links to POSTS 1-158 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-156](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-156/) - CORONAVIRUS TRACKING Links to POSTS 1-157 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 157. April 25, 2021. CORONAVIRUS. Ohio hospitals; “We agreed in multiple conversations, there’s nothing in fighting a pandemic that creates a competitive advantage.”…](https://doctordidyouwashyourhands.com/2021/05/post-157-april-25-2021-coronavirus-ohio-hospitals-we-agreed-in-multiple-conversations-theres-nothing-in-fighting-a-pandemic-that-creates-a-competitive-advantage/) - for links to POSTS 1-157 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-157/ “From March through May (2020), a group of Colorado health systems with hospitals spread mostly across the Front Range collaborated to care for 96% of Colorado’s hospitalized COVID-19 patients. That coalition, which presented data Tuesday on its efforts to treat cases and - [CORONAVIRUS TRACKING Links to POSTS 1-157](https://doctordidyouwashyourhands.com/2021/05/coronavirus-tracking-links-to-posts-1-157/) - CORONAVIRUS TRACKING Links to POSTS 1-157 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 156. April 28, 2021. CORONAVIRUS. As CDC revises guidance on outdoor masking, Texas Governor Abbott says “the state is “very close” to herd immunity… despite acknowledging that he does not know what the herd immunity threshold is for the virus, an uncertainty echoed by the public health community.”](https://doctordidyouwashyourhands.com/2021/04/post-156-april-28-2021-coronavirus-as-cdc-revises-guidance-on-outdoor-masking-texas-governor-abbott-says-the-state-is-very-close-to-herd-immunity-despite-ackno/) - for links to POSTS 1-156 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-156/ “A lot has changed since early 2020, when countries around the world first realized the potential threat of a highly contagious, and still mysterious, flulike virus. In the early days of the coronavirus pandemic, no one knew for sure how the virus - [CORONAVIRUS TRACKING Links to POSTS 1-155](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-155/) - CORONAVIRUS TRACKING Links to POSTS 1-155 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 155. April 24, 2021. CORONAVIRUS. As the J&J vaccine pause is ended Senator Johnson said "The science tells us that vaccines are 95% effective. So if you have a vaccine, quite honestly, what do you care if your neighbor has one or not? I mean, what is it to you?"](https://doctordidyouwashyourhands.com/2021/04/post-155-april-24-2021-coronavirus-as-the-jj-vaccine-pause-is-ended-senator-johnson-said-the-science-tells-us-that-vaccines-are-95-effective-so-if-you-have-a-vaccine-quite-honestly-what-do-y/) - if you read this POST kindly highlight and click on https://doctordidyouwashyourhands.com/ for links to POSTS 1-155 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-155/ “People in the United States will once again be able to receive the one-shot Johnson & Johnson coronavirus vaccine after a review by the Centers for Disease Control and Prevention and - [CORONAVIRUS TRACKING Links to POSTS 1-154](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-153/) - CORONAVIRUS TRACKING Links to POSTS 1-154 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 154. April 19, 2021. CORONAVIRUS. “Breakthrough infections, which occur when fully vaccinated people are infected by the pathogen that their shots were designed to protect against, are an entirely expected part of any vaccination process.” “Pfizer’s chief executive said that a third dose of the company’s Covid-19 vaccine was “likely” to be needed within a year of the initial two-dose inoculation — followed by annual vaccinations.”](https://doctordidyouwashyourhands.com/2021/04/post-154-april-19-2021-coronavirus-breakthrough-infections-which-occur-when-fully-vaccinated-people-are-infected-by-the-pathogen-that-their-shots-were-designed-to-protect-against-are-an/) - for links to POSTS 1-153 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-154/ “White House chief advisor Dr. Anthony Fauci said people may need to get booster shots for the Covid vaccines in a year, during an interview with MSNBC’s Medhi Hasan Monday. Recent data suggests that Pfizer and Moderna’s Covid vaccines provide protection for - [CORONAVIRUS TRACKING Links to POSTS 1-154](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-154/) - [POST 153. April 18, 2021. CORONAVIRUS. “At least 35 hospitals across Michigan were listed Thursday as nearing capacity and three were at full capacity for COVID-19 patients..”.. We can manufacture beds. We can open up beds. We can create entire wings of the hospital if we have to, but if we don't have staff for those beds, we've got nothing."..](https://doctordidyouwashyourhands.com/2021/04/post-153-april-18-2021-coronavirus-at-least-35-hospitals-across-michigan-were-listed-thursday-as-nearing-capacity-and-three-were-at-full-capacity-for-covid-19-patients-we-can/) - "DOCTOR" is looking to affiliate with a healthcare organization. Contact jonathanmetsch@gmail.com POST 153. April 18, 2021. CORONAVIRUS. “At least 35 hospitals across Michigan were listed Thursday as nearing capacity and three were at full capacity for COVID-19 patients..”.. We can manufacture beds. We can open up beds. We can create entire wings of the hospital - [POST 151. April 13, 2021. CORONAVIRUS. PARADOXICAL EFFECT: the J&J vaccination pause. “ Federal officials are concerned that doctors may not be trained to spot or treat the rare disorder if recipients of the vaccine develop symptoms of it…” “...a standard treatment for blood clots — use of an anticoagulant drug — could be dangerous or even fatal in such cases…”](https://doctordidyouwashyourhands.com/2021/04/post-151-april-14-2021-coronavirus-the-jj-vaccination-pause-federal-officials-are-concerned-that-doctors-may-not-be-trained-to-spot-or-treat-the-rare-disorder-if-recipients-of-the-va/) - for links to POSTS 1-151 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-151/ The US Centers for Disease Control and Prevention and the US Food and Drug Administration are recommending that the United States pause the use of Johnson & Johnson's Covid-19 vaccine over six reported US cases of a "rare and severe" type of - [CORONAVIRUS TRACKING Links to POSTS 1-152](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-152/) - CORONAVIRUS TRACKING Links to POSTS 1-152 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 152. April 15, 2021. CORONAVIRUS. “The Chinese Center for Disease Control and Prevention's director said Saturday authorities are considering mixing COVID-19 vaccines because the country's domestically made doses "don't have very high protection rates,"](https://doctordidyouwashyourhands.com/2021/04/post-152-april-15-2021-coronavirus-the-chinese-center-for-disease-control-and-preventions-director-said-saturday-authorities-are-considering-mixing-covid-19-vaccines-because-the-country/) - for links to POSTS 1-151 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-152/ “Why it matters: The remarks by the Gao Fu at a news conference in the southwestern city of Chengdumark mark the first time a Chinese health official has spoken publicly about the low efficacy of vaccines made in China. China has sent - [CORONAVIRUS TRACKING Links to POSTS 1-151](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-151/) - CORONAVIRUS TRACKING Links to POSTS 1-151 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 150. April 12, 2021. CORONAVIRUS. “The use of so-called COVID-19 “vaccine passports” is quickly becoming a divisive issue across the US – with several states, including New York, embracing the idea, while others have already moved to ban them.”](https://doctordidyouwashyourhands.com/2021/04/post-150-april-10-2021-coronavirus-the-use-of-so-called-covid-19-vaccine-passports-is-quickly-becoming-a-divisive-issue-across-the-us-with-several-states-incl/) - for links to POSTS 1-150 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-150/ “With millions of Americans being vaccinated against Covid-19 every day, a heated debate is underway -- do these people need proof of immunization in the form of a vaccine passport? Just like a national passport, a vaccine passport could allow the bearer - [CORONAVIRUS TRACKING Links to POSTS 1-150](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-150/) - CORONAVIRUS TRACKING Links to POSTS 1-150 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-149](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-149/) - CORONAVIRUS TRACKING Links to POSTS 1-149 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 149. April 10, 2021. CORONAVIRIUS. “From Michigan to Massachusetts, COVID-19 cases and hospitalizations are on the rise again. Deaths will soon follow. “ ”.. the Biden administration is facing renewed calls to delay second vaccine doses and blanket more of the U.S. population with an initial shot.”](https://doctordidyouwashyourhands.com/2021/04/post-149-april-10-2021-coronavirius-from-michigan-to-massachusetts-covid-19-cases-and-hospitalizations-are-on-the-rise-again-deaths-will-soon-follow-the-biden-adm/) - YOUR FEEDBACK IS APPRECIATED to jonathanmetsch@gmail.com for links to POSTS 1-149 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-149/ We have a way to respond and save lives: vaccinations, which prevent infection and have also shown they are effective in preventing transmission. There will be enough vaccines by summer to vaccinate every American, including children - [CORONAVIRUS TRACKING Links to POSTS 1-148](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-148/) - CORONAVIRUS TRACKING Links to POSTS 1-148 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 148. April 7, 2021. CORONAVIRUS. While the Biden administration accelerates vaccinations to ward off numerous variants and as more young people are being hospitalized, states, even with increasing case rates are on paths to fully reopen. Politics v. public health!](https://doctordidyouwashyourhands.com/2021/04/post-148-april-7-2021-coronavirus-while-the-biden-administration-accelerates-vaccinations-to-ward-off-numerous-variants-and-as-more-young-people-are-being-hospitalized-states-even-with-increasin/) - for links to POSTS 1-148 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-148/ “Doctors are warning that specifically with the B.1.1.7 variant, which was first identified in the UK, children could play a major role in the rate of transmission. A report out of the National Institutes of Health stated it is “considerably more contagious” - [POST 147. April 5, 2021. CORONAVIRUS. “The pandemic helped cement the shift to “a philosophy of really focusing on the role of the physician in reasoning through ambiguous and unknown problems as the focus of education, rather than teaching students that the role of physician was to memorize a body of knowledge that was already in existence and good enough for what usually happens.”](https://doctordidyouwashyourhands.com/2021/04/post-147-april-5-2021-coronavirus-the-pandemic-helped-cement-the-shift-to-a-philosophy-of-really-focusing-on-the-role-of-the-physician-in-reasoning-through-ambiguous-and-unknown/) - for links to POSTS 1-147 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-147/ Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch TWITTER @jonathan_metsch “Jerrel Catlett’s eyes narrowed on the large intestine, a gloppy, glow stick-like object whose color matched the stool stored inside of it. He chose to - [CORONAVIRUS TRACKING Links to POSTS 1-147](https://doctordidyouwashyourhands.com/2021/04/coronavirus-tracking-links-to-posts-1-147/) - CORONAVIRUS TRACKING Links to POSTS 1-147 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 146. March 30, 2021. CORONAVIRUS. Dr. Osterholm told Becker's: "This is the perfect storm,"…"Here is Europe locking down and having problems containing B.1.1.7, even with vaccinations and previous infection histories. Here we are opening up as wide as we can. We are literally just walking into the mouth of the virus saying, 'Don't worry.'" (M)](https://doctordidyouwashyourhands.com/2021/03/post-146-march-30-2021-coronavirus-dr-osterholm-told-beckers-this-is-the-perfect-stormhere-is-europe-locking-down-and-having-problems-containing-b-1-1-7-even-with-vaccinations/) - for links to POSTS 1-146 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-146/ “Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, said Monday that she's worried the US could see "another avoidable surge" of Covid-19 if mitigation measures -- such as mask-wearing, physical distancing and avoiding crowds or travel -- are - [CORONAVIRUS TRACKING Links to POSTS 1-146](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-146/) - CORONAVIRUS TRACKING Links to POSTS 1-146 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [CORONAVIRUS TRACKING Links to POSTS 1-145](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-145/) - CORONAVIRUS TRACKING Links to POSTS 1-145 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 145. March 25, 2021. CORONAVIRUS. “Efforts to disseminate Covid-19 vaccines as widely as possible are hitting an unexpected obstacle: health-care workers who decline the shots.](https://doctordidyouwashyourhands.com/2021/03/post-145-march-25-2021-coronavirus-efforts-to-disseminate-covid-19-vaccines-as-widely-as-possible-are-hitting-an-unexpected-obstacle-health-care-workers-who-decline-the-shots/) - to see links to POSTS 1-145 in chronological order, Highlight and click onhttps://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-145/ “Officials from Ohio said recently that 60% of nursing-home staff so far haven’t elected to take the vaccine. In New York, Gov. Andrew Cuomo said this month that state officials expect 30% of health-care workers offered the vaccine will ultimately turn it - [POST 144. March 20, 2021. CORONAVIRUS. ““The vaccine hesitancy we are seeing isn’t just about Covid vaccines,”… “It is a general reflection of Americans' lack of trust in science, the pharmaceutical industry, and large health care institutions. We need a full court press on science and vaccine education right now to prevent more aggressive Covid-19 variants from developing and taking hold.”](https://doctordidyouwashyourhands.com/2021/03/post-144-march-20-2021-coronavirus-the-vaccine-hesitancy-we-are-seeing-isnt-just-about-covid-vaccines-it-is-a-general-reflection-of-americans/) - For links of POSTS 1-144 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-144/ “Refusing a vaccine when one is available is known as “vaccine hesitancy.” In recent years, vaccine hesitancy has increased worldwide — so much so that the World Health Organization considered it a top 10 global health threat in 2019. Misinformation is a - [CORONAVIRUS TRACKING Links to POSTS 1-144](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-144/) - CORONAVIRUS TRACKING Links to POSTS 1-144 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 143. March 17, 2021. CORONAVIRUS. “The Trump administration sought to suppress Covid-19 testing in the United States last year by softening guidance from the Centers for Disease Control and Prevention on who needed to be tested, a House panel said Monday.”](https://doctordidyouwashyourhands.com/2021/03/post-143-march-17-2021-coronavirus-the-trump-administration-sought-to-suppress-covid-19-testing-in-the-united-states-last-year-by-softening-guidance-from-the-centers-for-disease-control-a/) - for links to POSTS 1-143 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-143/ In August, the CDC revised its Covid-19 testing guidance to say that people who don’t have symptoms “do not necessarily need a test” even if they were exposed to an infected person. The move was widely criticized by public health specialists and - [POST 143A. March 17, 2021. CORONAVIRUS. “The Trump administration sought to suppress Covid-19 testing in the United States last year by softening guidance from the Centers for Disease Control and Prevention on who needed to be tested, a House panel said Monday.”](https://doctordidyouwashyourhands.com/2021/03/post-143a-march-17-2021-coronavirus-the-trump-administration-sought-to-suppress-covid-19-testing-in-the-united-states-last-year-by-softening-guidance-from-the-centers-for-disease-control/) - In August, the CDC revised its Covid-19 testing guidance to say that people who don’t have symptoms “do not necessarily need a test” even if they were exposed to an infected person. The move was widely criticized by public health specialists and politicians, who said testing asymptomatic people is an important part of identifying and - [CORONAVIRUS TRACKING Links to POSTS 1-143](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-143/) - [POST 142A. March 15, 2021. CORONAVIRUS. “Candida auris is a superbug, a pathogen that can evade drugs made to kill it—and early signs suggest the COVID-19 pandemic may be propelling infections of the highly dangerous yeast. That’s because C. auris is particularly prominent in hospital settings, which have been flooded with people this year due to the coronavirus.”](https://doctordidyouwashyourhands.com/2021/03/post-142-march-15-2021-coronavirus-candida-auris-is-a-superbug-a-pathogen-that-can-evade-drugs-made-to-kill-it-and-early-signs-suggest-the-covid-19-pandemic-may-be-propelling-inf-2/) - “Seeing the world as a one-pathogen world is really problematic,” said Dr. Susan S. Huang, an infectious disease specialist at the University of California at Irvine Medical School, noting that the nearly singular focus on the pandemic appears to have led to more spread of drug-resistant infection. “We have every reason to believe the problem - [POST 142. March 15, 2021. CORONAVIRUS. “Candida auris is a superbug, a pathogen that can evade drugs made to kill it—and early signs suggest the COVID-19 pandemic may be propelling infections of the highly dangerous yeast. That’s because C. auris is particularly prominent in hospital settings, which have been flooded with people this year due to the coronavirus.”](https://doctordidyouwashyourhands.com/2021/03/post-142-march-15-2021-coronavirus-candida-auris-is-a-superbug-a-pathogen-that-can-evade-drugs-made-to-kill-it-and-early-signs-suggest-the-covid-19-pandemic-may-be-propelling-inf/) - to see links to POSTS 1-142 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-142/ PREQUEL POST 52. October 18, 2020. ZIKA/ EBOLA/ CANDIDA AURIS/ SEVERE FLU/ Tracking. “… if there was a severe flu pandemic, more than 33 million people could be killed across the world in 250 days… Boy, do we not have our - [CORONAVIRUS TRACKING Links to POSTS 1-142](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-142/) - CORONAVIRUS TRACKING Links to POSTS 1-142 Doctor, Did You Wash Your Hands?® https://doctordidyouwashyourhands.com/ Curated Contemporaneous Case Study Methodology https://doctordidyouwashyourhands.com/2019/12/9897/ Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” - [POST 141. March 11, 2021. CORONAVIRUS. Today is the first anniversary of the WHO declaration that the novel coronavirus was a Public Health Emergency of International Concern… “To truly prepare itself against the next pandemic, the U.S. has to reimagine what preparedness looks like.”](https://doctordidyouwashyourhands.com/2021/03/post-141-march-11-2021-coronavirus-today-is-the-first-anniversary-of-the-who-declaration-that-the-novel-coronavirus-was-a-public-health-emergency-of-international-concern-to-trul/) - for links to POSTS 1-141 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-141/ "At the time there were fewer than 100 cases of the disease we now call Covid-19 and no deaths outside China," WHO Director-General Tedros Adhanom Ghebreyesus said Friday. "This week we reached one hundred million reported cases. More cases have been reported - [CORONAVIRUS TRACKING Links to POSTS 1-141](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-141/) - [POST 140. March 9, 2021. CORONAVIRUS. “In West Virginia, they are bracing for the second wave….. Not coronavirus but opioid overdoses, with one scourge driving a resurgence of the other.](https://doctordidyouwashyourhands.com/2021/03/post-140-march-9-2021-coronavirus-in-west-virginia-they-are-bracing-for-the-second-wave-not-coronavirus-but-opioid-overdoses-with-one-scourge-driving-a-resurgence-of-the-othe/) - to read links to POSTS 1-140 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-140/ Covid-19 has claimed 93 lives in West Virginia over the past three months. That is only a fraction of those killed by drug overdoses, which caused nearly 1,000 deaths in the state in 2018 alone, mostly from opioids but also methamphetamine - [CORONAVIRUS TRACKING Links to POSTS 1-140](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-140/) - CORONAVIRUS TRACKING Links to POSTS 1-140 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 139. March 8, 2021. CORONAVIRUS. CDC Issues First Set of Guidelines on How Fully Vaccinated People Can Visit Safely with Others…” In practice, that means fully vaccinated grandparents may visit unvaccinated healthy adult children and healthy grandchildren of the same household without masks or physical distancing.” (C)](https://doctordidyouwashyourhands.com/2021/03/post-139-march-8-2021-coronavirus-cdc-issues-first-set-of-guidelines-on-how-fully-vaccinated-people-can-visit-safely-with-others-in-practice-that-means-fully-vaccinated-grandpar/) - to see links to POSTS 1-138 in chronological order, highlight and click on CORONAVIRUS TRACKING Links to POSTS 1-138 | (doctordidyouwashyourhands.com) “The Centers for Disease Control and Prevention has issued new guidance for vaccinated people, giving the green light to resume some pre-pandemic activities and relax precautions that have been in place. Specifically, the new - [CORONAVIRUS TRACKING Links to POSTS 1-138](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-138/) - CORONAVIRUS TRACKING Links to POSTS 1-138 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 138. March 6, 2021. CORONAVIRUS. “New cases are decreasing in the third wave because we are past the holidays, not because of vaccinations. It is a common misconception that the decrease we are seeing in new cases, hospitalizations, and deaths in the U.S. is due to vaccinations. The two aren’t related; at least yet.”](https://doctordidyouwashyourhands.com/2021/03/post-138-march-6-2021-coronavirus-new-cases-are-decreasing-in-the-third-wave-because-we-are-past-the-holidays-not-because-of-vaccinations-it-is-a-common-misconception-that-the-decrease/) - “Donald and Melania Trump received the coronavirus vaccine before leaving the White House, according to multiple news reports on Monday.” (A) for links to POSTS 1-138 in chronological order, highlight and click on “This week, President Joe Biden said that the US will have enough vaccine for every adult by the end of May, and - [POST 137. March 4, 2021. CORONAVIRUS. “The clamor for hard-to-get Covid-19 vaccines has created armies of anxious Americans who have resorted to hunting for leftovers on the fringes of the country’s patchwork vaccination system. They haunt pharmacies at the end of the day in search of an extra, expiring dose. They drive from clinic to clinic hoping that someone was a no-show to their appointment. They cold-call pharmacies like eager telemarketers: Any extras today? Maybe tomorrow? Some pharmacists have even given them a nickname: vaccine lurkers.” (H)](https://doctordidyouwashyourhands.com/2021/03/post-137-march-4-2021-coronavirus-the-clamor-for-hard-to-get-covid-19-vaccines-has-created-armies-of-anxious-americans-who-have-resorted-to-hunting-for-leftovers-on-the-fringes-of-the-cou/) - ‘It’s Like Buying Bruce Springsteen Tickets’ Dr. Fauci encouraged Americans not to compare shots' efficacy numbers side-by-side because each shot was examined in three different trial settings.”…”Because of the difference in the trials, making direct comparisons is a bit like comparing apples and oranges.” for links to POSTS 1-137 in chronological order, highlight and click - [CORONAVIRUS TRACKING Links to POSTS 1-137](https://doctordidyouwashyourhands.com/2021/03/coronavirus-tracking-links-to-posts-1-137/) - CORONAVIRUS TRACKING Links to POSTS 1-137 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 136. March 2, 2021. CORONAVIRUS. ““The governors of Texas and Mississippi both announced on Tuesday they would be lifting their states' mask mandates and rolling back many of their Covid-19 health mandates..”…while “The US could experience a “fourth surge” of coronavirus before the majority of the country is vaccinated.”](https://doctordidyouwashyourhands.com/2021/03/post-136-march-2-2021-coronavirus-the-governors-of-texas-and-mississippi-both-announced-on-tuesday-they-would-be-lifting-their-states-mask-mandates-and-rolling-back-many-of-the/) - to see POSTS 1-135 in chronological order, highlight and click on CORONAVIRUS TRACKING Links to POSTS 1-135 | (doctordidyouwashyourhands.com) “CDC director Rochelle Walensky warned states on Monday that "now is not the time" to lift public health restrictions, as the recent dramatic declines in coronavirus cases and deaths "appear to be stalling." Why it matters: - [CORONAVIRUS TRACKING Links to POSTS 1-135](https://doctordidyouwashyourhands.com/2021/02/coronavirus-tracking-links-to-posts-1-135/) - CORONAVIRUS TRACKING Links to POSTS 1-135 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 135. February 27, 2021. CORONAVIRUS. “As Chief Executive Officers of New York's major health care systems, we would like to provide facts to clear up confusion in the public and the media regarding decisions to discharge patients to nursing homes during New York's spring coronavirus surge.”](https://doctordidyouwashyourhands.com/2021/02/post-135-february-27-2021-coronavirus-as-chief-executive-officers-of-new-yorks-major-health-care-systems-we-would-like-to-provide-facts-to-clear-up-confusion-in-the-public-and-the-medi/) - “Attorney General Letitia James today released a report on her office’s ongoing investigations into nursing homes’ responses to the COVID-19 pandemic. Since March, Attorney General James has been investigating nursing homes throughout New York state based on allegations of patient neglect and other concerning conduct that may have jeopardized the health and safety of residents - [POST 134. February 24, 2021. CORONAVIRUS. The first tranche of the J&J (single dose) vaccine must go to K-12 teachers, so schools can open safely in the first 100 days of the Biden Administration. The federal government…”can set up its own vaccination centers in regions with eligible populations it's trying to target.” We owe our front-line teachers nothing less!](https://doctordidyouwashyourhands.com/2021/02/post-134-february-24-2021-coronavirus-the-first-tranche-of-the-jj-vaccine-must-go-to-k-12-teachers-the-federal-governmentcan-set-up-its-own-vaccination-centers-in-regions-with/) - to read POSTS 1-133 in chronological order, highlight and click on “Johnson & Johnson’s Covid-19 vaccine is safe and effective, U.S. regulators said, a key milestone on the path toward giving Americans access to the first such shot to work in a single dose. The vaccine was 72% effective in the U.S.-based porti.on of a - [CORONAVIRUS TRACKING Links to POSTS 1-134](https://doctordidyouwashyourhands.com/2021/02/coronavirus-tracking-links-to-posts-1-134/) - CORONAVIRUS TRACKING Links to POSTS 1-134 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONAVIRUS TRACKING Links to POSTS 1-133](https://doctordidyouwashyourhands.com/2021/02/coronavirus-tracking-links-to-posts-1-133/) - CORONAVIRUS TRACKING Links to POSTS 1-133 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 133. February 23, 2021. CORONAVIRUS. “Going off your meds is a surefire way to aggravate your doctor. What if a whole country did it?” The United Kingdom has veered into uncharted territory by changing tack and introducing a revised COVID-19 vaccination protocol, one that involves distributing the second dose at 12 weeks, rather than the prescribed 21 days.”](https://doctordidyouwashyourhands.com/2021/02/post-133-february-23-2021-coronavirus-going-off-your-meds-is-a-surefire-way-to-aggravate-your-doctor-what-if-a-whole-country-did-it-the-united-kingdom-has-veered-into-uncharted/) - “The U.K. will focus on giving as many people as possible a first dose of a coronavirus vaccine, even if this delays administering a second one, the government said Tuesday, despite a lack of data about the extent of the immunity conferred by a single dose.” (A) “The U.K. will focus on giving as many - [POST 132. February 20, 2021. CORONAVIRUS. “In Texas, where over 2.5 million people are still without power, the state health department said this week's vaccine shipments wouldn't arrive until Wednesday at the earliest.”](https://doctordidyouwashyourhands.com/2021/02/post-132-february-20-2021-coronavirus-in-texas-where-over-2-5-million-people-are-still-without-power-the-state-health-department-said-this-weeks-vaccine-shipments-wouldnt-arrive-unt/) - …“Due to the severe winter weather currently impacting a large swath of the country, the U.S. government is projecting widespread delays in COVID-19 vaccine shipments and deliveries over the next few days,"… Kristen Nordlund, a CDC spokeswoman, wrote in an email to The Washington Post. Nordlund did not say how many doses would be affected, - [CORONAVIRUS TRACKING Links to POSTS 1-132](https://doctordidyouwashyourhands.com/2021/02/coronavirus-tracking-links-to-posts-1-132/) - CORONAVIRUS TRACKING Links to POSTS 1-132 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONAVIRUS TRACKING Links to POSTS 1-131](https://doctordidyouwashyourhands.com/2021/02/coronavirus-tracking-links-to-posts-1-131/) - CORONAVIRUS TRACKING Links to POSTS 1-131 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 131. February 17, 2021. CORONAVIRUS. "It really is right now – a race between how quickly new variants, particularly the U.K. variant, can spread in the United States and how quickly we can get people vaccinated"](https://doctordidyouwashyourhands.com/2021/02/post-131-february-17-2021-coronavirus-it-really-is-right-now-a-race-between-how-quickly-new-variants-particularly-the-u-k-variant-can-spread-in-the-united-states-and-how-quickly-we/) - New coronavirus variants are throwing yet another wrench at the idea of reaching herd immunity. As the virus spread across the world, infecting over 100 million people, it had the opportunity to mutate. Not every change was important, but now, several variants are circulating that pose additional challenges to controlling the pandemic. Three variants in - [CORONAVIRUS TRACKING Links to POSTS 1-130](https://doctordidyouwashyourhands.com/2021/02/coronavirus-tracking-links-to-posts-1-130-2/) - CORONAVIRUS TRACKING Links to POSTS 1-130 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POSTS 127-130. February 15, 2021. CORONAVIRUS. Trump hospitalization déjà vu. Double masking. Opening schools safely. EBOLA outbreak DRC/ Guinea.](https://doctordidyouwashyourhands.com/2021/02/posts-127-130-february-15-2021-coronavirus-trump-hospitalization-deja-vu-double-masking-opening-schools-safely-ebola-outbreak-drc-guinea/) - POST 127. February 12, 2021. CORONAVIRUS. “… Trump only agreed to be hospitalized when aides told him that he could walk to Marine One or he could wait until his case progressed and he would be carried out.” POST 128. February 14, 2021. CORONAVIRUS. “The Centers for Disease Control and Prevention released new research on - [POST 130. February 16, 2021. CORONAVIRUS. “A second person who had contracted the Ebola virus died this week in the Democratic Republic of Congo, marking another outbreak just three months after the nation outlasted the virus's second-worst outbreak in history…”](https://doctordidyouwashyourhands.com/2021/02/post-130-february-16-2021-coronavirus-a-second-person-who-had-contracted-the-ebola-virus-died-this-week-in-the-democratic-republic-of-congo-marking-another-outbreak-just-three-months-aft/) - This death comes one week after a 42-year-old woman died from Ebola. The wife of an Ebola survivor, she entered an intensive care unit Feb. 4 and died the same day. She was buried on Feb. 5, but not under proper burial practices to prevent the spread of Ebola; during prior outbreaks, the handling of - [CORONAVIRUS TRACKING Links to POSTS 1-129](https://doctordidyouwashyourhands.com/2021/02/coronavirus-tracking-links-to-posts-1-129-2/) - CORONAVIRUS TRACKING Links to POSTS 1-129 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 129. February 15, 2021, CORONAVIRUS. “ “The CDC released its much-anticipated, updated guidance to help school leaders decide how to safely bring students back into classrooms, or keep them there.”…” For politicians, parents and school leaders looking for a clear green light to reopen schools, this is not it.”](https://doctordidyouwashyourhands.com/2021/02/post-129-february-15-2021-coronavirus-the-cdc-released-its-much-anticipated-updated-guidance-to-help-school-leaders-decide-how-to-safely-bring-students-back-into-classrooms-or/) - …Rather than a political push to reopen schools, the update is a measured, data-driven effort to expand on old recommendations and advise school leaders on how to "layer" the most effective safety precautions: masking, physical distancing, hand-washing and respiratory etiquette, ventilation and building cleaning, and contact tracing. "CDC is not mandating that schools reopen," CDC - [Links to POSTS 1-128](https://doctordidyouwashyourhands.com/2021/02/links-to-posts-1-128/) - CORONAVIRUS TRACKING Links to POSTS 1-128 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 128. February 14, 2021. CORONAVIRUS. “The Centers for Disease Control and Prevention released new research on Wednesday that found wearing a cloth mask over a surgical mask offers more protection against the coronavirus, as does tying knots on the ear loops of surgical masks…](https://doctordidyouwashyourhands.com/2021/02/post-127-february-13-2021-coronavirus-the-centers-for-disease-control-and-prevention-released-new-research-on-wednesday-that-found-wearing-a-cloth-mask-over-a-surgical-mask-offers-more-pr/) - …Those findings prompted new guidance on how to improve mask fit at a time of concern over fast-spreading variants of the virus. For optimal protection, the CDC says to make sure the mask fits snugly against your face and to choose a mask with at least two layers… In laboratory testing, researchers simulated coughs and - [POST 127. February 12, 2021. CORONAVIRUS. “… Trump only agreed to be hospitalized when aides told him that he could walk to Marine One or he could wait until his case progressed and he would be carried out.”](https://doctordidyouwashyourhands.com/2021/02/post-127-february-12-2021-coronavirus-trump-only-agreed-to-be-hospitalized-when-aides-told-him-that-he-could-walk-to-marine-one-or-he-could-wait-until-his-case-progressed-and-he/) - “The severity of COVID-19 symptoms suffered by President Donald Trump after contracting the coronavirus was worse than was publicly acknowledged and the president was nearly put on a ventilator, The New York Times reported Thursday. Citing four sources familiar with Trump's condition in October, the Times said Trump's blood oxygen percentage level had dipped into - [Links to POSTS 1-127](https://doctordidyouwashyourhands.com/2021/02/links-to-posts-1-127/) - CORONAVIRUS TRACKING Links to POSTS 1-127 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 126. February 11, 2021. CORONAVIRUS. “There will be more coronavirus outbreaks in the future. Bats and other mammals are rife with strains and species of this abundant family of viruses. Some of these pathogens will inevitably spill over the species barrier and cause new pandemics. It’s only a matter of time.” (A)](https://doctordidyouwashyourhands.com/2021/02/post-126-february-11-2021-coronavirus-there-will-be-more-coronavirus-outbreaks-in-the-future-bats-and-other-mammals-are-rife-with-strains-and-species-of-this-abundant-family-of-viruses-2/) - ______________________________________________________________ POST 80. November 29, 2020 Do you know which hospital is right for you if you have coronavirus? | Opinion By Jersey Journal Guest Columnist Jonathan M. Metsch With coronavirus, the hospital to which you are admitted is most likely the hospital where you will stay. We don’t have “emerging virus” hospital designations like - [Links to POSTS 1-126](https://doctordidyouwashyourhands.com/2021/02/links-to-posts-1-126/) - CORONAVIRUS TRACKING Links to POSTS 1-126 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 126. February 11, 2021. CORONAVIRUS. “There will be more coronavirus outbreaks in the future. Bats and other mammals are rife with strains and species of this abundant family of viruses. Some of these pathogens will inevitably spill over the species barrier and cause new pandemics. It’s only a matter of time.” (A)](https://doctordidyouwashyourhands.com/2021/02/post-126-february-11-2021-coronavirus-there-will-be-more-coronavirus-outbreaks-in-the-future-bats-and-other-mammals-are-rife-with-strains-and-species-of-this-abundant-family-of-viruses/) - POST 80. November 29, 2020 Do you know which hospital is right for you if you have coronavirus? | Opinion By Jersey Journal Guest Columnist Jonathan M. Metsch With coronavirus, the hospital to which you are admitted is most likely the hospital where you will stay. We don’t have “emerging virus” hospital designations like we - [Links to POSTS 1-125](https://doctordidyouwashyourhands.com/2021/02/links-to-posts-1-125/) - CORONAVIRUS TRACKING Links to POSTS 1-125 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 125. June 9, 2021. CORONAVIRUS. “States are rolling back Covid-19 restrictions as new cases trend down from record highs across the country. But experts warn it might be too much too soon as variants pose an increased risk and the pandemic… is far from over.”](https://doctordidyouwashyourhands.com/2021/02/post-125-june-9-2021-coronavirus-states-are-rolling-back-covid-19-restrictions-as-new-cases-trend-down-from-record-highs-across-the-country-but-experts-warn-it-might-be-too-much-too-soon/) - to read POSTS 1-125 headlines in chronological order, highlight and click on “Experts who have spent the last year forecasting Covid-19 transmission across the US are now considering scenarios for the spread of new, more infectious strains of the coronavirus. At the same time, the US continues to lag in surveillance for coronavirus variants, despite - [POST 124. February 5, 2021. CORONAVIRUS. Dr. Osterholm ” …it may be time to..go with a 'first-dose only' approach, so more people over the age of 65 can have at least some protection right away. He said that would require delaying second doses until this summer.” Dr.Fauci “warned against this practice, and cautioned people about "the danger" that could come with focusing only on the first dose.”](https://doctordidyouwashyourhands.com/2021/02/post-124-february-5-2021-coronavirus-dr-osterholm-it-may-be-time-to-go-with-a-first-dose-only-approach-so-more-people-over-the-age-of-65-can-have-at-least-some-protection/) - “Dr. Michael Osterholm, a University of Minnesota infectious disease expert, warned Minnesota lawmakers Wednesday about the possibility of another 'major surge' in COVID-19 cases, as new variants of the virus start to spread in the United States…. He said there is growing concern about the U.K. strain that is now circulating in the U.S…. "I - [Links to POSTS 1-124](https://doctordidyouwashyourhands.com/2021/02/links-to-posts-1-124/) - CORONAVIRUS TRACKING Links to POSTS 1-124 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 123. February 4, 2021. CORONAVIRUS. “Nursing homes across the country are facing the same struggle, as workers have been more reluctant than residents to be vaccinated…](https://doctordidyouwashyourhands.com/2021/02/post-123-february-4-2021-coronavirus-nursing-homes-across-the-country-are-facing-the-same-struggle-as-workers-have-been-more-reluctant-than-residents-to-be-vaccinated/) - “Though rates vary widely, the American Health Care Association, which represents for-profit nursing homes, estimates that about 50 percent of long-term care staff members have been hesitant to get vaccinated. The majority of direct-care workers in nursing homes are people of color, who have generally been more hesitant to get vaccinated, based in part on - [POST 122. February 1, 2021. CORONAVIRUS. Dr.Fauci endorses double-masking. Dr.Osterholm disagrees!](https://doctordidyouwashyourhands.com/2021/02/post-122-february-1-2021-coronavirus-dr-fauci-endorses-double-masking-dr-osterholm-disagrees/) - to get each new POST free and automatically by email, please use the subscription portal in the right column of this Home Page (then you will get an email – click where noted to confirm) to read POSTS 1-121 in chronological order, highlight and click on “They say two heads are better than one, but - [Links to POSTS 1-122](https://doctordidyouwashyourhands.com/2021/02/links-to-posts-1-122/) - CORONAVIRUS TRACKING Links to POSTS 1-122 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [Links to POSTS 1-121](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-121/) - CORONAVIRUS TRACKING Links to POSTS 1-121 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 121. January 30, 2021. CORONVIRUS. Will our communities become stratified by which vaccine is distributed? 95%ters v. 72%ters? Will the easier distribution of the J&J vaccine drive its use in ”hard-hit, marginalized, and medically underserved communities.” (thanx! to XJ/LA)](https://doctordidyouwashyourhands.com/2021/01/post-121-january-30-2021-coronvirus-will-our-communities-become-stratified-by-which-vaccine-is-distributed-95ters-v-72ters-will-the-easier-distribution-of-the-jj-vaccine-drive-its-inequitable/) - “On January 15, President Biden and his administration unveiled the outline for a national COVID-19 vaccination strategy, which seeks to address challenges faced by local governments in distributing the vaccine. This five-part plan outlines key actions that the Biden Administration will work to take at the federal level to aid the efficient and equitable vaccination - [Links to POSTS 1-120](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-120/) - CORONAVIRUS TRACKING Links to POSTS 1-120 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 120. January 28, 2021. CORONAVIRUS. “The fact that four vaccines backed by the federal government seem to be less effective against the (South African) B.1.351 variant has unsettled federal officials and vaccine experts alike. Facing this uncertainty, many researchers said it was imperative to get as many people vaccinated as possible — quickly. Lowering the rate of infection could thwart the contagious variants while they are still rare, and prevent other viruses from gaining new mutations that could cause more trouble.”](https://doctordidyouwashyourhands.com/2021/01/post-120-january-28-2021-coronavirus-the-fact-that-four-vaccines-backed-by-the-federal-government-seem-to-be-less-effective-against-the-south-african-b-1-351-variant-has-unsettled-feder/) - To get each new POST free and automatically by email, please use the subscription portal in the right column of this Home Page (then you will get an email – click where noted to confirm) “A new and highly contagious coronavirus variant first identified in South Africa has been found in the United States for - [POST 119. January 27, 2010. CORONAVIRUS. Amazon is offering its help to President Joe Biden with the rollout of COVID-19 vaccines. Washington’s governor, Jay Inslee, included the help of companies like Starbucks, Costco and Microsoft in a plan to vaccinate 45,000 residents a day.](https://doctordidyouwashyourhands.com/2021/01/to-get-each-new-post-free-and-automatically-by-email-please-use-the-subscription-portal-in-the-right-column-of-the-home-page-at-http-doctordidyouwashyourhands-com-then-you-will-get-an-email/) - To get each new POST free and automatically by email, please use the subscription portal in the right column of this Home Page (then you will get an email – click where noted to confirm) to read POSTS 1-118 in chronological order, highlight and click on “Former White House coronavirus task force official Dr. Deborah - [Links to POSTS 1-118](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-118/) - CORONAVIRUS TRACKING Links to POSTS 1-118 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [Stop the name games. University hospitals and regional medical centers should live up to their billing](https://doctordidyouwashyourhands.com/2019/07/stop-the-name-games-university-hospitals-and-regional-medical-centers-should-live-up-to-their-billing-2/) - August 18, 2008 Stop the name games. University hospitals and regional medical centers should live up to their billing, By Jonathan Metsch, Modern Healthcare Remember when a hospital was just a hospital, and its reputation spoke for itself? Now we have a plethora of self-named healthcare institutions such as clinics, community hospitals, institutes, medical centers, - [POSTS 116, 117 & 118…….. POST 118. January 24, 2021. CORONAVIRUS. “Unfortunately, we've let this virus spread extensively and are launching the vaccination campaign at the height of the threat,”… “The more the virus spreads before the vaccine reaches people, the fewer deaths we can prevent with the vaccine.”](https://doctordidyouwashyourhands.com/2021/01/posts-116-117-118-post-118-january-24-2021-coronavirus-unfortunately-weve-let-this-virus-spread-extensively-and-are-launching-the-vaccination-campaign-at-the-hei/) - POSTS 116, 117 & 118…….. POST 118. January 24, 2021. CORONAVIRUS. “Unfortunately, we've let this virus spread extensively and are launching the vaccination campaign at the height of the threat,”… “The more the virus spreads before the vaccine reaches people, the fewer deaths we can prevent with the vaccine.” “The coronavirus pandemic in the United - [POST 118. January 24, 2021. CORONAVIRUS. “Unfortunately, we've let this virus spread extensively and are launching the vaccination campaign at the height of the threat”... “The more the virus spreads before the vaccine reaches people, the fewer deaths we can prevent with the vaccine.”](https://doctordidyouwashyourhands.com/2021/01/post-118-january-24-2021-coronavirus-unfortunately-weve-let-this-virus-spread-extensively-and-are-launching-the-vaccination-campaign-at-the-height-of-the-threat-dr-meyers-sa/) - On December 30th we asked POST 101. December 30, 2020.CORONAVIRUS. Is there a point where the increasing Coronavirus trajectory so far exceeds the slow growth of the vaccination rate that reaching herd immunity through vaccinations becomes less likely? (A) Here’s one answer. “The coronavirus pandemic in the United States has raged almost uncontrollably for so - [POST 116. January 22, 2021. President Biden - "We're entering what may be the toughest and deadliest period of the virus. We must set aside politics and finally face this pandemic as one nation."](https://doctordidyouwashyourhands.com/2021/01/post-116-january-22-2021-president-biden-were-entering-what-may-be-the-toughest-and-deadliest-period-of-the-virus-we-must-set-aside-politics-and-finally-face-this-pandemic-as-one-nation/) - “Twelve minutes before noon on Wednesday, President Joe Biden was sworn into office as the nation’s 46th president. Seven hours later, the United States reported more than 4,409 new deaths from the novel coronavirus, according to data collected by the COVID-19 Tracking Project. The Biden administration came into power with purpose and an extensive agenda - [Links to POSTS 1-117](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-117/) - CORONAVIRUS TRACKING Links to POSTS 1-117 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 115. January 21, 2020. CORONAVIRUS. A year ago today an unnumbered POST was headlined “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” The CORONAVIRUS CONTENT TRACKING PROJECT started with HISTORIOGRAPHY and over time moved to LESSONS LEARNED, RAPID RESPONSE, and THE VACCINATION PROGRAM. Now 115 POSTS later - the BIDEN CORONAVIRUS PLAN.](https://doctordidyouwashyourhands.com/2021/01/post-115-january-21-2020-coronavirus-a-year-ago-today-an-unnumbered-post-was-headlined-the-centers-for-disease-control-and-prevention-on-tuesday-confirmed-the-first-u-s-case-of-a-deadly/) - to read POSTS 1-114 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-114/ President Biden -"We're entering what may be the toughest and deadliest period of the virus. We must set aside politics and finally face this pandemic as one nation." (PART 1.) January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday - [POST 117. January 23, 2021. CORONAVIRUS. 1.Dr. Fauci:“The idea that you can get up here….”and.. let the science speak”… “It is somewhat of a liberating feeling.” 2.updated CDC guidance:”.. providers could give the second dose up to six weeks after the first dose..” 3.Dr. Fauci: people would be "taking a chance" if they follow the CDC's updated guidance.](https://doctordidyouwashyourhands.com/2021/01/post-117-january-23-2021-coronavirus-1-dr-faucithe-idea-that-you-can-get-up-here-and-let-the-science-speak-it-is-somewhat-of-a-liberating/) - “In rare circumstances, it’s OK for people to receive one shot of Pfizer’s Covid-19 vaccine and one shot of Moderna’s vaccine at least 28 days apart, the CDC said in updated guidance. “Most of the times Dr. Anthony S. Fauci made an appearance in the White House briefing room in 2020 — before eventually being - [Links to POSTS 1-114](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-114/) - CORONAVIRUS TRACKING Links to POSTS 1-114 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 80. November 29, 2020. CORONAVIRUS. With coronavirus, the hospital to which you are admitted is most likely the hospital where you will stay. We don’t have “emerging virus” hospital designations like we do for trauma centers, cardiac surgery and newborn nurseries….](https://doctordidyouwashyourhands.com/2020/11/post-80-november-29-2020-coronavirus-oped-in-the-jersey-journal-do-you-know-which-hospital-is-right-for-you-if-you-have-coronavirus-opinion/) - FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch TWITTER @jonathan_metsch Do you know which hospital is right for you if you have coronavirus? | Opinion By Jersey Journal Guest Columnist Jonathan M. Metsch With coronavirus, the hospital to which you are admitted is most likely the hospital where you will stay. We don’t have “emerging virus” - [POST 114. January 18, 2021. CORONAVIRUS. “When government programs that have been unattended, underfunded and bogged down by red tape suddenly have to meet a huge demand in a crisis, they can’t cope and people suffer….”](https://doctordidyouwashyourhands.com/2021/01/post-114-january-18-2021-coronavirus-when-government-programs-that-have-been-unattended-underfunded-and-bogged-down-by-red-tape-suddenly-have-to-meet-a-huge-demand-in-a-crisis-they-can/) - “Overall, we find states are increasingly diverging from CDC guidance and from each other, suggesting that access to COVID-19 vaccines in these first months of the U.S. vaccine campaign may depend a great deal on where one lives. In addition, timelines vary significantly across states, regardless of priority group, resulting in a vaccine roll-out labyrinth - [PART 113. January 17, 2021. CORONAVIRUS. The Next President Actually Has a Covid Plan… New York City and other places in the state expect to exhaust their supply of doses as early as next week… Charles Barkley said during the "NBA on TNT" broadcast that pro athletes should get the first round of the vaccine…..](https://doctordidyouwashyourhands.com/2021/01/part-113-january-17-2021-coronavirus-the-next-president-actually-has-a-covid-plan-new-york-city-and-other-places-in-the-state-expect-to-exhaust-their-supply-of-doses-as-early-as-next-week/) - “After a sluggish first month, the pace of coronavirus vaccinations is accelerating to the point that New York City and other places in the state expect to exhaust their supply of doses as early as next week, officials said on Friday, causing several health facilities to alter their immediate inoculation plans. On Thursday, Mount Sinai - [Links to POSTS 1-113](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-113/) - CORONAVIRUS TRACKING Links to POSTS 1-113 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 112. January 14, 2021. CORONAVIRUS. CHINA - “Eleven million people are under lockdown in Hebei province after a new cluster of coronavirus infections.](https://doctordidyouwashyourhands.com/2021/01/post-112-january-14-2021-coronavirus-china-eleven-million-people-are-under-lockdown-in-hebei-province-after-a-new-cluster-of-coronavirus-infections/) - the first POST on January 21, 2020. __________________________________________ PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” _________________________________________________ PART 112. January 14, 2021 “Since Jan. 2, Hebei has reported more than 600 - [POST 111. January 14, 2021. CORONAVIRUS. “Visitors from Toronto to New York to Buenos Aires have long flocked to Florida for sun, surf and shopping. Now they are coming for the Covid-19 vaccine….](https://doctordidyouwashyourhands.com/2021/01/post-111-january-14-2021-coronavirus-visitors-from-toronto-to-new-york-to-buenos-aires-have-long-flocked-to-florida-for-sun-surf-and-shopping-now-they-are-coming-for-the-covid-19-vaccin/) - Some of the arrivals are Americans or foreigners who own second homes in the state and reside here part-time. Others are making short-term visits, seizing the opportunity provided by Florida’s decision to make the vaccine available to people age 65 and older, including nonresidents. The practice, which some are calling vaccine tourism, has drawn fire - [POST 110. January 13, 2021. CORONAVIRUS. ““The (federal) government is changing the way it allocates Covid vaccine doses, now basing it on how quickly states can administer shots and the size of their elderly population.”… “New York State sent a letter to hospitals saying if they don’t use their vaccine allocations by the end of this week, they won’t receive any further allocations.”](https://doctordidyouwashyourhands.com/2021/01/post-110-january-13-2021-coronavirus-the-federal-government-is-changing-the-way-it-allocates-covid-vaccine-doses-now-basing-it-on-how-quickly-states-can-administer-shots-and-t/) - “The government is changing the way it allocates Covid vaccine doses, now basing it on how quickly states can administer shots and the size of their elderly population.” States will be given two weeks to prepare for the change, Health and Human Services Secretary Alex Azar told reporters during a news briefing. That should give - [Links to POSTS 1-110](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-110/) - CORONAVIRUS TRACKING Links to POSTS 1-110 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 108. January 9, 2021. CORONAVIRUS. (vaccination)”Line-cutters will be named and shamed. It’s inevitable, as will be the congressional hearings and front-page investigative stories ferreting out who saved their own skin at the expense of others.”](https://doctordidyouwashyourhands.com/2021/01/post-108-january-9-2021-coronavirus-vaccinationline-cutters-will-be-named-and-shamed-its-inevitable-as-will-be-the-congressional-hearings-and-front-page-investigative-stories/) - “A 20-something who works on computers. A young researcher who studies cancer. Technicians in basic research labs. These are some of the thousands of people who have been immunized against the coronavirus at hospitals affiliated with Columbia University, New York University, Harvard and Vanderbilt, even as millions of frontline workers and older Americans are waiting - [POSTS 105-109. Congress jumps the vaccination line. Cuomo: anyone who misrepresents who they are, or administers the drug to an ineligible person, should lose their license as well as face criminal charges. Biden will release nearly all available vaccine doses in break from Trump administration policy of holding back stock for second dose](https://doctordidyouwashyourhands.com/2021/01/posts-105-109/) - POST 105. January 8, 2021. CORONAVIRUS. POST 105. January 8, 2021. CORONAVIRUS. “Facing a shortage of vaccinators, the Association of Immunization Managers… recommends relaxing regulation or adjusting licensing requirements. At least two states, Massachusetts and New York, have changed their laws in recent weeks to expand those who are eligible to give shots.” POST 106. - [Links to POSTS 1-109](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-109/) - CORONAVIRUS TRACKING Links to POSTS 1-109 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 109.January 9, 2021. CORONAVIRUS. “President-elect Joe Biden will aim to release nearly every available dose of the coronavirus vaccine when he takes office, a break with the Trump administration's strategy of holding back half of US vaccine production to ensure second doses are available.](https://doctordidyouwashyourhands.com/2021/01/post-109-january-9-2021-coronavirus-president-elect-joe-biden-will-aim-to-release-nearly-every-available-dose-of-the-coronavirus-vaccine-when-he-takes-office-a-break-with-the-trump-admini/) - Releasing nearly all vaccine doses on hand could quickly ratchet up the availability of coronavirus vaccines by allowing more people access to a first dose. It could also be a risky strategy as both Pfizer/BioNTech and Moderna's vaccines require two doses, administered at specific intervals, and vaccine manufacturing has not ramped up as rapidly as - [POST 107. January 8, 2021. CORONAVIRUS. "Our job is to make sure the vaccine isn't politicized the way masks were politicized," Rep. Alexandria Ocasio-Cortez, D-N.Y., said after getting her vaccine. South Carolina Rep.-elect Nancy Mace, a Republican, wrote that “Congress shouldn’t be putting themselves first in line for the COVID-19 vaccination when the average American can’t get it.”](https://doctordidyouwashyourhands.com/2021/01/post-107-january-8-2021-coronavirus-our-job-is-to-make-sure-the-vaccine-isnt-politicized-the-way-masks-were-politicized-rep-alexandria-ocasio-cortez-d-n-y-said-after-getting-her-vaccine/) - “Top congressional leaders will receive the coronavirus vaccine in the coming days with dozens of lawmakers planning to quickly follow suit — an effort designed to maintain a continuity of government while also instilling public confidence in the shot. The limited batch of doses, which is expected to soon arrive in the House and Senate - [POST 106. January 9, 2021. CORONAVIRUS. The riots at the Capitol could have been a superspreader event. “From what I saw… you had a large congregation of individuals who were in close contact for an extended period of time and almost universally unmasked…. many coming and going on buses as well, also unmasked, and hanging out in hotel lobbies.”](https://doctordidyouwashyourhands.com/2021/01/post-106-january-9-2021-coronavirus-the-riots-at-the-capitol-could-have-been-a-superspreader-event-from-what-i-saw-you-had-a-large-congregation-of-individuals-who-were-in-close/) - “At a superspreading event, the number of cases transmitted will be disproportionately high compared to general transmission, Dr Karan says. And the risk of these superspreading events may balloon in the presence of superspreading people, who pass on their infection more widely either by being in contact with more people or emitting more of the - [POST 105. January 8, 2021. CORONAVIRUS. Facing a shortage of vaccinators, the Association of Immunization Managers... recommends relaxing regulation or adjusting licensing requirements. At least two states, Massachusetts and New York, have changed their laws in recent weeks to expand those who are eligible to give shots.](https://doctordidyouwashyourhands.com/2021/01/post-105-january-8-2021-coronavirus-being-able-to-staff-vaccination-clinics-with-volunteers-from-our-reserve-workforce-means-that-staff-at-the-vaccination-sites-can-continue-to-perform-th/) - “As New Jersey expands its COVID-19 vaccination efforts to larger groups of people, qualified volunteers are needed to help give shots into arms, officials said. State Commissioner of Health Judy Persichelli called for volunteers across the state to help distribute shots through the Medical Reserve Corps, saying recently retired healthcare workers are desired. “Individuals that - [POST 104. January 6, 2021. CORONAVIRUS. “Paramedics in Southern California are being told to conserve oxygen and not to bring patients to the hospital who have little chance of survival…”](https://doctordidyouwashyourhands.com/2021/01/post-104-january-6-2021-coronavirus-paramedics-in-southern-california-are-being-told-to-conserve-oxygen-and-not-to-bring-patients-to-the-hospital-who-have-little-chance-of-survival/) - ……as Los Angeles County grapples with a new wave of COVID-19 patients that is expected to get worse in the coming days…. In a separate memo from the county's EMS Agency, paramedic crews have been told not to transfer patients who experience cardiac arrest unless spontaneous circulation can be restored on the scene. Both measures - [Links to POSTS 1-104](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-104/) - CORONAVIRUS TRACKING Links to POSTS 1-104 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [Links to POSTS 1-103](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-103/) - CORONAVIRUS TRACKING Links to POSTS 1-103 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 103. January 4, 2021. CORONAVIRUS. Dr. Fauci said “that the United States would not follow Britain’s lead in front-loading first vaccine injections, potentially delaying the administration of second doses…Dr. Moore - ”British officials “seem to have abandoned science completely now and are just trying to guess their way out of a mess.”](https://doctordidyouwashyourhands.com/2021/01/post-103-january-4-2021-coronavirus-dr-fauci-said-that-the-united-states-would-not-follow-britains-lead-in-front-loading-first-vaccine-injections-potentially-delaying-the-admin/) - “This week, the U.K. decided to delay second doses in order to prioritize getting the first doses to more people. The U.K. decision has restarted conversations about whether the U.S. and Florida should do the same… Pfizer’s two vaccines are given 21 days apart, and Moderna’s can be given 28 days apart. Early vaccine trial - [Links to POSTS 1-102](https://doctordidyouwashyourhands.com/2021/01/links-to-posts-1-102/) - CORONAVIRUS TRACKING Links to POSTS 1-102 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 102. January 2, 2020. CORONAVIRUS. “We’ve taken the people with the least amount of resources and capacity and asked them to do the hardest part of the vaccination — which is actually getting the vaccines administered into people’s arms,” said Dr. Ashish Jha, the dean of Brown University’s School of Public Health. “Ultimately, the buck seems to stop with no one,”…](https://doctordidyouwashyourhands.com/2021/01/post-102-january-2-2020-coronavirus-weve-taken-the-people-with-the-least-amount-of-resources-and-capacity-and-asked-them-to-do-the-hardest-part-of-the-vaccination-which/) - “Throughout late summer and fall, in the heat of a re-election campaign that he would go on to lose, and in the face of mounting evidence of a surge in infections and deaths far worse than in the spring, Mr. Trump’s management of the crisis — unsteady, unscientific and colored by politics all year — - [POST 101. December 30, 2020.CORONAVIRUS. Is there a point where the increasing Coronavirus trajectory so far exceeds the slow growth of the vaccination rate that reaching herd immunity through vaccinations becomes less likely?](https://doctordidyouwashyourhands.com/2020/12/post-101-december-30-2020-coronavirus-is-there-a-point-where-the-increasing-coronavirus-trajectory-so-far-exceeds-the-slow-growth-of-the-vaccination-rate-that-reaching-herd-immunity-through-vaccin/) - “..264 million people, would need to be inoculated for the nation to reach herd immunity “..“at the current rate, it would take… approximately 10 years to reach that level..” to read POSTS 1-100 in chronological order, highlight and click on “The Trump administration's Covid-19 vaccine distribution program needs a major shot in the arm because - [Links to POSTS 1-100](https://doctordidyouwashyourhands.com/2020/12/links-to-posts-1-100/) - CORONAVIRUS TRACKING Links to POSTS 1-100 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 100. December 29, 2020. CORONAVIRUS. Front line hospital workers – in the ER, ICUs, EMS, acute medical care, behavioral health – are amongst the most courageous, heroic and dedicated colleagues you will ever meet.](https://doctordidyouwashyourhands.com/2020/12/post-100-december-29-2020-coronavirus-front-line-hospital-workers-in-the-er-icus-ems-acute-medical-care-behavioral-health-are-amongst-the-most-courageous-heroic-and-dedica/) - As President and CEO of Jersey City Medical Center for seventeen years I watched them work tirelessly through many complex and challenging events. I’ve seen many mega-emergency events, but even if taken together they pale in comparison to the magnitude and personal risk of the Coronavirus response. In 1989 when I started at JCMC we - [Links to POSTS 1-99](https://doctordidyouwashyourhands.com/2020/12/links-to-posts-1-99/) - CORONAVIRUS TRACKING Links to POSTS 1-99 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 99. December 29, 2020. CORONAVIRUS. “ICUs are being overwhelmed across many parts of California. Statewide aggregate ICU availability has been at 0% since Christmas Eve…. a surge on top of a surge on top of a surge."… “hospitals are getting close to the point where they would begin putting COVID-positive patients under the care of COVID-positive staff who are asymptomatic.”](https://doctordidyouwashyourhands.com/2020/12/post-99-december-29-2020-coronavirus-icus-are-being-overwhelmed-across-many-parts-of-california-statewide-aggregate-icu-availability-has-been-at-0-since-christmas-eve-a-surge-o/) - “This does not mean there are zero ICU beds vacant across California; rather, it means the two regions with 0% capacity — Southern California and the San Joaquin Valley — have reached extremely deep into surge protocols to continue treating severe patients, COVID-19 or otherwise. Those two regions were placed under the state's strict stay-at-home - [POST 98. December 28, 2020. CORONAVIRUS. “Governor Andrew Cuomo announced new penalties in order to rein in possible vaccination fraud…](https://doctordidyouwashyourhands.com/2020/12/post-98-december-28-2020-coronavirus-governor-andrew-cuomo-announced-new-penalties-in-order-to-rein-in-possible-vaccination-fraud/) - “A New York health care provider is being probed over accusations that it illegally acquired COVID-19 vaccines and inoculated people against state guidelines. The State Department of Health received reports that ParCare Community Health Network in Orange County "may have fraudulently obtained COVID-19 vaccine, transferred it to facilities in other parts of the state in - [POST 97. December 27, 2020. “A new variant of the coronavirus that has been spreading through the UK and other countries has not yet been detected in the United States..”.. . But if new-wave medicines like antivirals and antibody therapy contributed to the development of viral variants, it will be “a reminder for all the medical community that we need to use these treatment options carefully.”](https://doctordidyouwashyourhands.com/2020/12/post-97-december-27-2020-a-new-variant-of-the-coronavirus-that-has-been-spreading-through-the-uk-and-other-countries-has-not-yet-been-detected-in-the-united-states-but-if-ne/) - "I wouldn't be surprised that it's already here," said Dr. Peter Chin-Hong, an infectious disease professor at UCSF School of Medicine, referring to the new coronavirus variant. He says unlike the UK, the United States has not done much genomic testing on positive COVID-19 samples to track emerging variants. "Mainly because we have so many - [POST 96. December 26, 2020. CORONAVIRUS. “Achieving herd immunity against the coronavirus could require as much as 90 percent of the population to be vaccinated, Anthony Fauci…”…”..he hesitated to state a number as high as 90% weeks ago because many Americans still seemed skeptical about vaccine….”](https://doctordidyouwashyourhands.com/2020/12/post-96-december-26-2020-coronavirus-achieving-herd-immunity-against-the-coronavirus-could-require-as-much-as-90-percent-of-the-population-to-be-vaccinated-anthony-fauci/) - to read POSTS 1-95 in chronological order, highlight and click on “Achieving herd immunity against the coronavirus could require as much as 90 percent of the population to be vaccinated, Anthony Fauci said in an interview published Thursday. Fauci, the country's top infectious diseases expert, acknowledged in the New York Times interview that he has - [Links to POSTS 1-95](https://doctordidyouwashyourhands.com/2020/12/links-to-posts-1-95/) - CORONAVIRUS TRACKING Links to POSTS 1-95 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 95. December 24, 2020. “The Murphy administration may step in to force (New Jersey) hospitals to report COVID-19 outbreaks among staff.”](https://doctordidyouwashyourhands.com/2020/12/post-95-december-23-2020-the-murphy-administration-may-step-in-to-force-new-jersey-hospitals-to-report-covid-19-outbreaks-among-staff/) - “One of Virginia’s top health officials is warning medical providers about a growing number of COVID-19 outbreaks in state hospitals. Health Commissioner Dr. Norman Oliver released a new clinician letter on Friday, writing that reported COVID-19 infections in hospitals have “increased substantially” since August. “The largest monthly number of hospital COVID-19 outbreaks since the pandemic - [POST 94. December 21, 2020. CORONAVIRUS. “A doctor at an L.A. County public hospital said the number of COVID-19 patients is “increasing exponentially, without an end in sight.”.. “I haven’t done ICU medicine since I was a resident — you don’t want me adjusting your ventilator,” he said. “That’s the challenge, actually — it isn’t so much space, it’s staff…”](https://doctordidyouwashyourhands.com/2020/12/post-94-december-21-2020-coronavirus-a-doctor-at-an-l-a-county-public-hospital-said-the-number-of-covid-19-patients-is-increasing-exponentially-without-an-end-in-sight/) - to read POSTS 1-93 in chronological order, highlight and click on “A doctor at an L.A. County public hospital said the number of COVID-19 patients is “increasing exponentially, without an end in sight.” Many parts of that hospital are being converted to COVID-19 wards, and ICU teams are being staffed up with workers from other - [CORONAVIRUS TRACKING Links to POSTS 1-93](https://doctordidyouwashyourhands.com/2020/12/coronavirus-tracking-links-to-posts-1-93/) - CORONAVIRUS TRACKING Links to POSTS 1-93 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 93. December 20, 2020. CORONAVIRUS. On NPR Congresswoman Shalala (D-Florida) said she wouldn’t jump the vaccination line in Miami; then added she would get vaccinated in Washington this week. This, even though Congress has failed to pass “essential” Coronavirus legislation. So who are our “essential” workers?](https://doctordidyouwashyourhands.com/2020/12/post-93-december-19-2020-coronavirus-on-npr-congresswoman-shalala-d-florida-said-she-wouldnt-jump-the-vaccination-line-in-miami-then-added-she-would-get-vaccinated-in-washington-this/) - Colorado officials have said ski industry employees living in congregate settings would be part of the early vaccine rounds. Vaccine distribution has now entered the political phase. This Post attempts to describe some of these asymmetrical discombobulations! “Members of the U.S. Congress will be able to get vaccinated for COVID-19 with the distribution of the - [CORONAVIRUS TRACKING Links to POSTS 1-92](https://doctordidyouwashyourhands.com/2020/12/coronavirus-tracking-links-to-posts-1-92/) - CORONAVIRUS TRACKING Links to POSTS 1-92 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 92. December 17, 2020. CORONAVIRUS. “..each state — and each hospital system — has come up with its own (vaccination) plan and priorities. The result has been a sometimes confusing constellation of rules and groupings that has left health care workers wondering where they stand.” --- (July 4th Trump appointee email “…we need to establish herd, and it only comes about allowing the non-high risk groups expose themselves to the virus. PERIOD,")](https://doctordidyouwashyourhands.com/2020/12/post-92-december-17-2020-coronavirus-each-state-and-each-hospital-system-has-come-up-with-its-own-vaccination-plan-and-priorities-the-result-has-been-a-sometimes/) - “In the scramble to vaccinate millions of health workers, difficult choices about who comes first — and who must wait — have started to surface. So far, the effort is concentrated in hospitals. Workers treating Covid-19 patients in intensive care units and in emergency departments have in recent days been beaming symbols of the virus’s - [Links to POSTS 1-91](https://doctordidyouwashyourhands.com/2020/12/links-to-posts-1-91/) - CORONAVIRUS TRACKING Links to POSTS 1-91 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 91. December 15, 2020. CORONAVIRUS. “UPMC will first give (vaccination) priority to those in critical jobs. That includes a range of people working in critical units, from workers cleaning the emergency room and registering patients to doctors and nurses.. “Finally, if needed, UPMC will use a lottery to select who will be scheduled first.”](https://doctordidyouwashyourhands.com/2020/12/post-91-december-15-2020-coronavirus-upmc-will-first-give-vaccination-priority-to-those-in-critical-jobs-that-includes-a-range-of-people-working-in-critical-units-from-workers-cleanin/) - “It sounds alarming at first, neither vaccine is aimed at preventing you from getting an infection. to read POSTS 1-91 In chronological order, highlight and click on Links to POSTS 1-91 | (doctordidyouwashyourhands.com) “The Food and Drug Administration authorized Pfizer Inc. and BioNTech SE’s Covid-19 vaccine for emergency use—the first to get such a green - [Jonathan M Metsch, Dr.P.H.](https://doctordidyouwashyourhands.com/2020/12/jonathan-m-metsch-dr-p-h/) - Dr. Jonathan M. Metsch is Clinical Professor of Environmental Medicine and Public Health at the Icahn School of Medicine at Mount Sinai; Affiliated Faculty at the Zicklin School of Business, Baruch College, C.U.N.Y. and, until recently Adjunct Professor at Rutgers School of Public Affairs and Administration and Rutgers School of Public Health. Jonathan is a - [POST 90. December 14, 2020. CORONAVIRUS. “…the first doses of a Covid-19 vaccine have been given to the American public..”…” Each person who receives a vaccine needs two doses, and it's up to states to allocate their share of vaccines.”](https://doctordidyouwashyourhands.com/2020/12/post-90-december-14-2020-coronavirus-the-first-doses-of-a-covid-19-vaccine-have-been-given-to-the-american-public-each-person-who-receives-a-vaccine/) - to read POSTS 1-89 in chronological order, highlight and click on “What seemed impossible months ago is now a reality: the first doses of a Covid-19 vaccine have been given to the American public, less than a year after the disease was first spotted in the US. It's an astonishing feat, since most vaccines take - [Links to POSTS 1-89](https://doctordidyouwashyourhands.com/2020/12/links-to-posts-1-89/) - CORONAVIRUS TRACKING Links to POSTS 1-89 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [Links to POSTS 1-88](https://doctordidyouwashyourhands.com/2020/12/links-to-posts-1-88/) - CORONAVIRUS TRACKING Links to POSTS 1-88 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [PART 89. December 12, 2020. CORONAVIRUS. THE VACCINE!!! “Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning.” Winston Churchill](https://doctordidyouwashyourhands.com/2020/12/part-89-december-12-2020-coronavirus-the-vaccine-now-this-is-not-the-end-it-is-not-even-the-beginning-of-the-end-but-it-is-perhaps-the-end-of-the-beginning-winston-church/) - to read POSTS 1-88 in chronological order, highlight and click on “There are known knowns. These are things we know that we know. There are known unknowns. That is to say, there are things that we know we don't know. But there are also unknown unknowns. There are things we don't know we don't know.” - [POST 86. December 9, 2020. If this analysis seems a bit incomprehensible it is because “free Coronavirus test” is often an oxymoron! with charges ranging from as little as $23 to as much as $2,315… Laws (like for free Coronavirus tests) are Like Sausages. Better Not to See Them Being Made.](https://doctordidyouwashyourhands.com/2020/12/post-86-december-9-2020-if-this-analysis-seems-a-bit-incomprehensible-it-is-because-free-coronavirus-test-is-often-an-oxymoron-with-charges-ranging-from-as-little-as-23-to-as-mu/) - Federal law requires health insurers to cover the costs of enrollees' coronavirus tests, but some insurers are reporting that those costs vary among states, labs, and providers—with charges ranging from as little as $23 to as much as $2,315… FDA has approved more than 90 manufacturers' tests for the new coronavirus, and health insurers are - [CORONAVIRUS TRACKING Links to POSTS 1-87](https://doctordidyouwashyourhands.com/2020/12/coronavirus-tracking-links-to-posts-1-87/) - CORONAVIRUS TRACKING Links to POSTS 1-87 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 88. December 11, 2020. CORONAVIRUS. “As COVID-19 cases surge, the federal government is releasing data about hospital capacity at facilities around the country…."The new data paints the picture of how a specific hospital is experiencing the pandemic,"…](https://doctordidyouwashyourhands.com/2020/12/post-88-december-11-2020-coronavirus-as-covid-19-cases-surge-the-federal-government-is-releasing-data-about-hospital-capacity-at-facilities-around-the-country-the-new-data-pai/) - to read POSTS 1-87 in chronological order, highlight and click on ...The information provides nationwide data on hospital capacity and bed use at a hospital-by-hospital level… The dataset — which includes capacity reporting from hospitals in 2,200 counties in the U.S. — spotlights areas where hospitals are getting dangerously full. In 126 counties, the average - [POST 87. December 12, 2020. CORONAVIRUS. “…Rudolph W. Giuliani, the latest member of President Trump’s inner circle to contract Covid-19, has acknowledged that he received at least two of the same drugs the president received. He even conceded that his “celebrity” status had given him access to care that others did not have.”](https://doctordidyouwashyourhands.com/2020/12/post-87-december-12-2020-coronavirus-rudolph-w-giuliani-the-latest-member-of-president-trumps-inner-circle-to-contract-covid-19-has-acknowledged-that-he-received-at-l/) - to read POSTS 1-86 in chronological order, Highlight and click on “Ben Carson, Chris Christie and Donald J. Trump are not the sturdiest candidates to conquer the coronavirus: older, in some cases overweight, male and not particularly fit. Yet all seem to have gotten through Covid-19, and all have gotten an antibody treatment in such - [CORONAVIRUS TRACKING Links to POSTS 1-86](https://doctordidyouwashyourhands.com/2020/12/coronavirus-tracking-links-to-posts-1-86/) - CORONAVIRUS TRACKING Links to POSTS 1-86 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 82. December 3, 2020. CORONAVIRIUS. The NBA jumped to the front of the line for Coronavirus testing….while front line nurses often are still waiting. Who will similarly “hijack” the vaccine?](https://doctordidyouwashyourhands.com/2020/12/post-82-december-3-2020-coronavirius-the-nba-jumped-to-the-front-of-the-line-for-coronavirus-testing-while-front-line-nurses-often-are-still-waiting-who-will-similarly-hijack-2/) - With CDC guidelines approved, states establish their own vaccine distribution plans. The federal Centers for Disease Control and Prevention have sent $200 million to the states for the effort (vaccine implementation), with another $140 million promised in December…Health departments have asked Congress for at least $8.4 billion more.. ‘The Centers for Disease Control and Prevention’s - [POST 85. December 7, 2020. CORONAVIRUS. “…Florida, Gov. DeSantis' administration engaged in a pattern of spin and concealment that misled the public on the gravest health threat the state has ever faced..”.. “NY Gov. Cuomo said...the state will implement a barrage of new emergency actions..”… Rhode Island and Massachusetts open field hospitals… “Biden Names Health Team to Fight Pandemic”](https://doctordidyouwashyourhands.com/2020/12/post-85-december-7-2020-coronavirus-florida-gov-desantis-administration-engaged-in-a-pattern-of-spin-and-concealment-that-misled-the-public-on-the-gravest-health-threat-the-s/) - “Throughout the COVID-19 crisis in Florida, Gov. Ron DeSantis' administration engaged in a pattern of spin and concealment that misled the public on the gravest health threat the state has ever faced, a South Florida Sun Sentinel investigation has found. DeSantis, a Republican who owes his job to early support from President Donald Trump, imposed - [POST 84. December 6, 2020. CORONAVIRUS. “ More than 100,000 Americans are in the hospital with COVID-19…” “We’re seeing C.D.C. …awaken from (its) politics-induced coma…”…Dr. Fauci “to be a chief medical adviser in Biden's incoming administration..”.. “Trump administration leaves states to grapple with how to distribute scarce vaccines..”](https://doctordidyouwashyourhands.com/2020/12/post-84-december-6-2020-cpronavirus-more-than-100000-americans-are-in-the-hospital-with-covid-19-were-seeing-c-d-c-awaken-from-its-politi/) - ___________________ POST 84. December 6, 2020. CPRONAVIRUS. “ More than 100,000 Americans are in the hospital with COVID-19…” “We’re seeing C.D.C. …awaken from (its) politics-induced coma…”…Dr. Fauci “to be a chief medical adviser in Biden's incoming administration..”.. “Trump administration leaves states to grapple with how to distribute scarce vaccines..” “DOCTOR” is looking for an organizational - [CORONAVIRUS TRACKING Links to POSTS 1-84](https://doctordidyouwashyourhands.com/2020/12/coronavirus-tracking-links-to-posts-1-84/) - CORONAVIRUS TRACKING Links to POSTS 1-84 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 83. December 4, 2020. CORONAVIRUS. “California Gov. Gavin Newsom says he will impose a new, regional stay-at-home order for areas where capacity at intensive care units falls below 15%.”… East Tennessee –“This is the first time the health care capability benchmark has been in the red..”](https://doctordidyouwashyourhands.com/2020/12/post-83-december-4-2020-coronavirus-california-gov-gavin-newsom-says-he-will-impose-a-new-regional-stay-at-home-order-for-areas-where-capacity-at-intensive-care-units-falls-below-15/) - to read POSTS 1-82 in chronological order, highlight and click on CORONAVIRUS TRACKING Links to Parts 1-82 | (doctordidyouwashyourhands.com) “Newsom announced the new plans on Thursday amid an unprecedented surge of new coronavirus cases in the nation’s most populous state. The state reported 20,759 new cases on Wednesday, shattering the previous record of more than - [CORONAVIRUS TRACKING Links to Parts 1-82](https://doctordidyouwashyourhands.com/2020/12/coronavirus-tracking-links-to-parts-1-82/) - CORONAVIRUS TRACKING Links to Parts 1-82 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 81. December 1, 2020. CORONAVIRUS. “Dr. Atlas, … who espoused controversial theories and rankled government scientists while advising President Trump on the coronavirus pandemic, resigned…”](https://doctordidyouwashyourhands.com/2020/12/post-81-december-1-2020-coronavirus-dr-atllas-who-espoused-controversial-theories-and-rankled-government-scientists-while-advising-president-trump-on-the-coronavirus-pandemic/) - (President Donald Trump and his deputies are privately admonishing Food and Drug Administration officials for not moving faster to authorize promising coronavirus vaccines.) (..the White House said it's still planning to host holiday parties despite dire warnings from health experts..) “The move was not entirely unexpected. Dr. Atlas joined the White House in August as - [CORONAVIRUS TRACKING Links to POSTS 1-80](https://doctordidyouwashyourhands.com/2020/11/coronavirus-tracking-links-to-parts-1-80/) - [JM1] - [CORONAVIRUS TRACKING Links to Parts 1-79](https://doctordidyouwashyourhands.com/2020/11/coronavirus-tracking-links-to-parts-1-79/) - CORONAVIRUS TRACKING Links to Parts 1-79 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 79. November 28, 2020. CORONAVIRUS. Mayo Clinic. “"Our surge plan expands into the garage…”..”"Not where I'd want to put my grandfather or my grandmother," … though it "may have to happen."](https://doctordidyouwashyourhands.com/2020/11/post-79-november-28-2020-coronavirus-mayo-clinic-our-surge-plan-expands-into-the-garage-not-where-id-want-to-put-my-grandfather-or-my-grandmother/) - “Colorado Gov. Jared Polis (D) signed an executive order on Monday that allows hospitals to stop admitting new patients when they reach capacity and transfer patients to other hospitals. The executive order permits the Colorado Department of Public Health and Environment to direct at-capacity hospitals to transfer patients to other facilities, without first obtaining written - [POST 78. November 27, 2020. CORONAVIRUS. “Kelby Krabbenhoft is no longer president and CEO of Sioux Falls, S.D.-based Sanford Health.” “…for not wearing a face covering… “ because “He considered himself immune from the virus.”](https://doctordidyouwashyourhands.com/2020/11/post-78-november-27-2020-coronavirus-kelby-krabbenhoft-is-no-longer-president-and-ceo-of-sioux-falls-s-d-based-sanford-health-for-not-wearing-a-face-covering/) - “The development comes after 24 years of Mr. Krabbenhoft's leadership in the top position of the 46-hospital system and days after he wrote an email to 50,000 employees explaining his stance on face coverings amid the most severe COVID-19 surge in the U.S. to date… Mr. Krabbenhoft drew national attention to Sanford Health in the - [POST 75. November 21, 2020. CORONAVIRUS. “The president and CEO of one of the nation's largest non-profit health systems says he won't be wearing a mask at work because he's recovered from COVID-19, and doing so would only be a "symbolic gesture" because he considers himself immune from the virus….](https://doctordidyouwashyourhands.com/2020/11/post-75-november-21-2020-coronavirus-the-president-and-ceo-of-one-of-the-nations-largest-non-profit-health-systems-says-he-wont-be-wearing-a-mask-at-work-because-hes-recovered-from-2/) - to read POSTS 1-75 in chronological order, highlight and click on “….Kelby Krabbenhoft of South Dakota-based Sanford Health laid out his thoughts about having COVID-19, and why he wouldn't be wearing a mask, in an email sent to health system employees late Wednesday afternoon, Nov. 18, and obtained from multiple sources by Forum News Service. - [POST 77. November 26, 2020. CORONAVIRUS. Pope Francis: “When I got really sick at the age of 21, I had my first experience of limit, of pain and loneliness.”.. “….Aug. 13, 1957. I got taken to a hospital…”....” I remember especially two nurses from this time.”...” They fought for me to the end, until my eventual recovery.”](https://doctordidyouwashyourhands.com/2020/11/post-77-november-26-2020-coronavirus-pope-francis-when-i-got-really-sick-at-the-age-of-21-i-had-my-first-experience-of-limit-of-pain-and-loneliness-aug/) - Pope Francis: A Crisis Reveals What Is in Our Hearts To come out of this pandemic better than we went in, we must let ourselves be touched by others’ pain. By Pope Francis (full message in New York Times. November 26, 2020) “When I got really sick at the age of 21, I had my first - [POST 76. November 23, 2020. CORONAVIRUS. “No battle plan survives contact with the enemy.” Ventilators..”just keep people alive while the people caring for them can figure out what’s wrong and fix the problem. And at the moment, we just don’t have enough of those people.”](https://doctordidyouwashyourhands.com/2020/11/post-76-november-23-2020-coronavirus-no-battle-plan-survives-contact-with-the-enemy-ventilators-just-keep-people-alive-while-the-people-caring-for-them-can-figure-out/) - to read POSTS 1-75 in chronological order, highlight sand click on “As record numbers of coronavirus cases overwhelm hospitals across the United States, there is something strikingly different from the surge that inundated cities in the spring: No one is clamoring for ventilators. The sophisticated breathing machines, used to sustain the most critically ill patients, - [CORONAVIRUS TRACKING Links to POSTS 1-75](https://doctordidyouwashyourhands.com/2020/11/coronavirus-tracking-links-to-parts-1-75/) - CORONAVIRUS TRACKING Links to Parts 1-75 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONAVIRUS TRACKING Links to Parts 1-74](https://doctordidyouwashyourhands.com/2020/11/coronavirus-tracking-links-to-parts-1-74/) - CORONAVIRUS TRACKING Links to Parts 1-74 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 74. November 20, 2020. CORONAVIRUS. Pfizer…submitted to the FDA for emergency use authorization for their coronavirus vaccine candidate. ---FDA issued an EUA for the drug baricitinib, in combination with remdesivir, as WHO says remdesivir doesn't do much of anything.](https://doctordidyouwashyourhands.com/2020/11/post-74-november-20-2020-coronavirus-pfizersubmitted-to-the-fda-for-emergency-use-authorization-for-their-coronavirus-vaccine-candidate-fda-issued-an-eua-for-the-drug-baricitinib-in/) - to read POSTS 1-73 in chronological order, highlight and click on “This is the first coronavirus vaccine to seek regulatory clearance in the United States… The vaccine, known as BNT162b2, could potentially be available for use in high-risk populations in the United States by the middle to end of December, Pfizer and BioNTech said in - [CORONAVIRUS TRACKING Links to Parts 1-73](https://doctordidyouwashyourhands.com/2020/11/coronavirus-tracking-links-to-parts-1-73/) - CORONAVIRUS TRACKING Links to Parts 1-73 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 73. November 19, 2020. CORONAVIRUS. “…officials at the CDC…urged Americans to avoid travel for Thanksgiving and to celebrate only with members of their immediate households…” When will I trust a vaccine? to the last question I always answer: When I see Tony Fauci take one….”](https://doctordidyouwashyourhands.com/2020/11/post-73-november-19-2020-coronavirus-officials-at-the-cdcurged-americans-to-avoid-travel-for-thanksgiving-and-to-celebrate-only-with-members-of-their-immediate-household-2/) - to read POSTS 1-73 in chronological order, highlight and click on “Faced with a seemingly unstoppable surge in coronavirus infections, officials at the Centers for Disease Control and Prevention on Thursday urged Americans to avoid travel for Thanksgiving and to celebrate only with members of their immediate households — a message sharply at odds with - [POST 73. November 19, 2020. CORONAVIRUS. “…officials at the CDC…urged Americans to avoid travel for Thanksgiving and to celebrate only with members of their immediate households…” When will I trust a vaccine? to the last question I always answer: When I see Tony Fauci take one….”](https://doctordidyouwashyourhands.com/2020/11/post-73-november-19-2020-coronavirus-officials-at-the-cdcurged-americans-to-avoid-travel-for-thanksgiving-and-to-celebrate-only-with-members-of-their-immediate-household/) - [POST 72. November 18, 2020. CORONAVIRUS. “The Health and Human Services Department will not work with President-elect Joe Biden's (PANDEMIC) team until the General Services Administration makes a determination that he won the election,….”](https://doctordidyouwashyourhands.com/2020/11/post-72-november-18-2020-coronavirus-the-health-and-human-services-department-will-not-work-with-president-elect-joe-bidens-pandemic-team-until-the-general-services-administration-mak/) - …, Secretary Alex Azar said Wednesday, even as public health experts stress that a smooth transition is a critical part of the government's response to the worsening coronavirus pandemic.” "We've made it very clear that when GSA makes a determination, we will ensure complete, cooperative professional transitions and planning," Azar said at a briefing. "We - [CORONAVIRUS TRACKING Links to Parts 1-71](https://doctordidyouwashyourhands.com/2020/11/coronovirus-tracking-links-to-parts-1-71/) - CORONOVIRUS TRACKING Links to Parts 1-71 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 71. November 17, 2020. CORONAVIRUS. ”Hospitals overrun as U.S. reports 1 million new coronavirus cases in a week.” “But in Florida, where the number of coronavirus infections remains the third-highest in the nation, bars and schools remain open and restaurants continue to operate at full capacity.”](https://doctordidyouwashyourhands.com/2020/11/post-71-november-17-2020-coronavirus-hospitals-overrun-as-u-s-reports-1-million-new-coronavirus-cases-in-a-week-but-in-florida-where-the-number-of-coronavirus-infecti/) - POST 71. November 17, 2020. CORONAVIRUS. ”Hospitals overrun as U.S. reports 1 million new coronavirus cases in a week.” “But in Florida, where the number of coronavirus infections remains the third-highest in the nation, bars and schools remain open and restaurants continue to operate at full capacity.” to read POSTS 1-71 in chronological order, highlight - [POST 70. November 16, 2020. CORONAVIRUS. “White House coronavirus task force member Dr. Atlas criticized Michigan's new Covid-19 restrictions..urging people to "rise up" against the new public health measures.](https://doctordidyouwashyourhands.com/2020/11/post-70-november-16-2020-coronavirus-white-house-coronavirus-task-force-member-dr-atlas-criticized-michigans-new-covid-19-restrictions-urging-people-to-rise-up-against-the-new-pub/) - #CoronavirusTracker #CoronavirusRapidResponse "The only way this stops is if people rise up," Atlas said. "You get what you accept. #FreedomMatters #StepUp" His message -- which runs counter to the consensus of public health officials -- is likely to fuel new tension between the White House and Michigan Democratic Gov. Gretchen Whitmer, whom federal and state - [CORONOVIRUS TRACKING Links to Parts 1-69](https://doctordidyouwashyourhands.com/2020/11/coronovirus-tracking-links-to-parts-1-69/) - CORONOVIRUS TRACKING Links to Parts 1-69 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 69. November 15, 2020. CORONAVIRUS. “Colorado Gov. Jared Polis will issue a new executive order outlining steps hospitals will need to take to ready themselves for a surge in COVID-19 hospitalizations and directing the hospitals to finalize plans for converting beds into ICU beds, adding staffing and scaling back on or eliminating elective procedures….](https://doctordidyouwashyourhands.com/2020/11/post-69-november-15-2020-coronavirus-colorado-gov-jared-polis-will-issue-a-new-executive-order-outlining-steps-hospitals-will-need-to-take-to-ready-themselves-for-a-surge-in-covid-19-hos/) - The hospitals will have to have a plan to increase their bed capacities by 50% — something Polis said many hospitals had already been working on — how they can transition medical and surgical beds into ICU beds; how to treat patients without COVID-19 who need ICU beds; submit plans for how to surge staffing; - [CORONOVIRUS TRACKING Links to Parts 1-68](https://doctordidyouwashyourhands.com/2020/11/coronovirus-tracking-links-to-parts-1-68/) - CORONOVIRUS TRACKING Links to Parts 1-68 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 68. November 14, 2020. CORONAVIRUS. The CDC “now is hewing more closely to scientific evidence, often contradicting the positions of the Trump administration.”..” “A passenger aboard the first cruise ship to set sail in the Caribbean since the start of the pandemic has tested positive for coronavirus..”](https://doctordidyouwashyourhands.com/2020/11/post-68-november-14-2020-coronavirus-the-cdc-now-is-hewing-more-closely-to-scientific-evidence-often-contradicting-the-positions-of-the-trump-administration/) - to read POSTS 1-67 in chronological order, highlight and click on “As the pandemic engulfs the nation, recent recommendations from the Centers for Disease Control and Prevention have been as notable for what they do not say as for what they do. In a turnabout, the agency now is hewing more closely to scientific evidence, - [POST 67. November 13, 2020. CORONAVIRUS. “When all other options are exhausted, the CDC website says, workers who are suspected or confirmed to have COVID-19 (and “who are well enough to work”) can care for patients who are not severely immunocompromised — first for those who are also confirmed to have COVID-19, then those with suspected cases.”](https://doctordidyouwashyourhands.com/2020/11/post-67-november-13-2020-coronavirus-when-all-other-options-are-exhausted-the-cdc-website-says-workers-who-are-suspected-or-confirmed-to-have-covid-19-and-who-are-well-enough/) - to read POSTS 1-67 in chronological order, Highlight and click on “North Dakota's hospitals have reached their limit, and the coming weeks could push them past their capabilities, Gov. Doug Burgum said at a news conference on Monday, Nov. 9. Due to a major shortage of health care staffing, the state's hospitals have a severe - [CORONOVIRUS TRACKING Links to POSTS 1-67](https://doctordidyouwashyourhands.com/2020/11/coronovirus-tracking-links-to-posts-1-67/) - CORONOVIRUS TRACKING Links to Parts 1-67 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 66. November.12, 2020. CORONAVIRUS.”… as the country enters what may be the most intense stage of the pandemic yet, the Trump administration remains largely disengaged.”… “President-elect Biden has formed a special transition team dedicated to coordinating the coronavirus response across the government…”](https://doctordidyouwashyourhands.com/2020/11/post-66-novembetr12-2020-coronavirus-as-the-country-enters-what-may-be-the-most-intense-stage-of-the-pandemic-yet-the-trump-administration-remains-largely-disengaged/) - “When senior Food and Drug Administration officials held their morning call one day this week, they received a sobering warning from the agency’s chief, Dr. Stephen M. Hahn, who had just gotten off the phone with the White House: Block out “all the craziness” afoot and stay focused on fighting the pandemic, he said. There - [POST 65. November 11, 2020. CORONAVIRUS, “The Centers for Disease Control and Prevention took a stronger stance in favor of masks on Tuesday, emphasizing that they protect the people wearing them, rather than just those around them…](https://doctordidyouwashyourhands.com/2020/11/post-65-november-11-2020-coronavirus-the-centers-for-disease-control-and-prevention-took-a-stronger-stance-in-favor-of-masks-on-tuesday-emphasizing-that-they-protect-the-people-wearing-t/) - …The agency’s new guidance also notes that numerous studies have demonstrated the benefits of “universal masking policies.”” (A) “Wearing a mask not only protects others from the spread of Covid-19, but it protects the wearer as well, the Centers for Disease Control and Prevention said Tuesday in its strongest messaging yet on face coverings. The - [POST 64. November 10, 2020. CORONAVIRUS. “It works! Scientists have greeted with cautious optimism a press release declaring positive interim results from a coronavirus vaccine phase III trial — the first to report on the final round of human testing.”](https://doctordidyouwashyourhands.com/2020/11/post-64-november-10-2020-coronavirus-it-works-scientists-have-greeted-with-cautious-optimism-a-press-release-declaring-positive-interim-results-from-a-coronavirus-vaccine-phase-iii-trial/) - “New York City-based drug company Pfizer made the announcement on 9 November. It offers the first compelling evidence that a vaccine can prevent COVID-19 — and bodes well for other COVID-19 vaccines in development. But the information released at this early stage does not answer key questions that will determine whether the Pfizer vaccine, and - [POST 63. November 9, 2020. CORONAVIRUS. “New York City-based Mount Sinai Health System has opened a center to help patients recovering from COVID-19 and to study the long-term impact of the disease….”](https://doctordidyouwashyourhands.com/2020/11/post-63-november-9-2020-coronavirus-new-york-city-based-mount-sinai-health-system-has-opened-a-center-to-help-patients-recovering-from-covid-19-and-to-study-the-long-term-impact-of-the-di/) - “…The Center for Post-COVID Care, opened May 13, will help patients hospitalized for COVID-19 transition from the hospital to their homes. The center is also open to patients who were never hospitalized but need help during their recovery. At the center, patients will be offered a personalized treatment plan that will include input from several - [CORONOVIRUS TRACKING Links to Parts 1-63](https://doctordidyouwashyourhands.com/2020/11/coronovirus-tracking-links-to-parts-1-63/) - CORONOVIRUS TRACKING Links to Parts 1-63 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 62. November 8, 2020. CORONAVIRUS. “The United States reported its 10 millionth coronavirus case on Sunday, with the latest million added in just 10 days,…”](https://doctordidyouwashyourhands.com/2020/11/post-62-november-8-2020-coronavirus-the-united-states-reported-its-10-millionth-coronavirus-case-on-sunday-with-the-latest-million-added-in-just-10-days/) - “ When the country reached the million-case mark in late April, the virus was more concentrated geographically — the New York area and the West Coast were the main hot spots — but outbreaks were surfacing elsewhere in vulnerable settings like nursing homes, prisons and meat packing plants… Six weeks after reaching a million cases, - [Method of Preparing “Raw” Contemporaneous Cases](https://doctordidyouwashyourhands.com/2019/03/method-of-preparing-raw-contemporaneous-cases/) - Code of ConductContact UsMain HomeStoreFAQs Profile Details Jonathan Metsch, Dr.P.H jonathanmetsch@optonline.net 70% Profile Communities 22 unreadLogout Content typesAnnouncementsBlogsCommunitiesDiscussionsEventsGlossarySite ContentLibrariesDate rangeon this daybetween these datesNot a valid date Not a valid date Posted by Skip main navigation (Press Enter).Toggle navigation HomeCommunities All CommunitiesMy CommunitiesOpen ForumDirectory Find a ProgramMember DirectoryEvents Annual MeetingLeaders ConferenceCalendarBrowse DiscussionsLibrariesBody of KnowledgeBlogsParticipate Join - [President Garfield didn’t die from an assassin’s bullet, but rather from a doctor’s dirty hands.](https://doctordidyouwashyourhands.com/2016/09/president-garfield-didnt-die-from-an-assassins-bullet-but-rather-from-a-doctors-dirty-hands/) - Everyone knows, including our physicians, that proper hand washing is the most effective patient safety measure right? Your physician and other clinicians (e.g. nurses, PTs, lab techs drawing blood) should wash their hands before and after each patient, and when beforehand wash in front of the patient. Do you ask “Doctor, Did You Wash your - [CORONOVIRUS TRACKING Links to Parts 1-61](https://doctordidyouwashyourhands.com/2020/11/coronovirus-tracking-links-to-parts-1-61/) - CORONOVIRUS TRACKING Links to Parts 1-61 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 61. November 7, 2020. CORONAVIRUS. “Joe Biden’s top priority entering the White House is fighting both the immediate coronavirus crisis and its complex long-term aftermath…” “Here are the key ways he plans to get US coronavirus cases under control.”](https://doctordidyouwashyourhands.com/2020/11/post-61-november-7-2020-coronavirus-joe-bidens-top-priority-entering-the-white-house-is-fighting-both-the-immediate-coronavirus-crisis-and-its-complex-long-term-aftermath/) - to read POSTS 1-61 in chronological order, and click on “Joe Biden’s top priority entering the White House is fighting both the immediate coronavirus crisis and its complex long-term aftermath by embracing science, pushing mask-wearing as a patriotic act and leaning on Congress to pass a massive stimulus package. It’s a strategy that would toss - [POST 60. November 7, 2020. “White House chief of staff Mark Meadows has tested positive for the coronavirus….” (A)](https://doctordidyouwashyourhands.com/2020/11/post-60-november-7-2020-white-house-chief-of-staff-mark-meadows-has-tested-positive-for-the-coronavirus-a/) - to read POSTS 1-59 in chronological order, highlight and click on “Meadows was last seen by reporters on election night, when Trump gave a defiant speech to supporters packed into the East Room of the White House. Meadows walked into the room ahead of Trump's adult children just ahead of his remarks…. Meadows, who infrequently - [CORONOVIRUS TRACKING Links to Parts 1-59](https://doctordidyouwashyourhands.com/2020/11/coronovirus-tracking-links-to-parts-1-59/) - CORONOVIRUS TRACKING Links to Parts 1-59 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 57. November 3, 2020. CORONAVIRUS. Dr. Deborah Birx: the US is entering its "most deadly phase" yet, one that requires "much more aggressive action,"](https://doctordidyouwashyourhands.com/2020/11/post-57-november-3-2020-coronavirus-dr-deborah-birx-the-us-is-entering-its-most-deadly-phase-yet-one-that-requires-much-more-aggressive-action/) - “Dr. Deborah Birx sounded an alarming note about the state of the coronavirus in an internal White House report, saying the US is entering its "most deadly phase" yet, one that requires "much more aggressive action," according to The Washington Post. The dire warning from Birx, a member of the White House coronavirus task force, - [POST 58. November 4, 2020. CORONAVIRUS. “…the president has largely shuttered the White House Coronavirus Task Force and doubled down on anti-science language…”](https://doctordidyouwashyourhands.com/2020/11/post-58-november-4-2020-coronavirus-the-president-has-largely-shuttered-the-white-house-coronavirus-task-force-and-doubled-down-on-anti-science-language/) - “Regardless of the election’s outcome this week, President Trump will be the one steering the country through what is likely to be the darkest and potentially deadliest period of the coronavirus pandemic, and he has largely excluded the nation’s leading health experts from his inner circle. Mr. Trump will still have control of the nation’s - [POST 59. November 5, 2020. Coronavirus. “The United States on Wednesday recorded over 100,000 new coronavirus cases in a single day for the first time since the pandemic began..”](https://doctordidyouwashyourhands.com/2020/11/post-59-november-5-2020-coronavirus-the-united-states-on-wednesday-recorded-over-100000-new-coronavirus-cases-in-a-single-day-for-the-first-time-since-the-pandemic-began/) - “One of the first states to receive rapid, low-cost coronavirus tests from the U.S. government is cautioning against their use in asymptomatic people, a group that were hoped to benefit most from the technology.” How Johns Hopkins tracks Coronavirus cases: “ systems engineering, a modernized approach to civil engineering for the complex, interconnected world.” to - [CORONOVIRUS TRACKING Links to Parts 1-58](https://doctordidyouwashyourhands.com/2020/11/coronovirus-tracking-links-to-parts-1-58/) - CORONOVIRUS TRACKING Links to Parts 1-58 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [Post 56. October 30, 2020. CORONAVIRUS. “Trump’s now back in charge. It’s not the doctors.”](https://doctordidyouwashyourhands.com/2020/10/post-56-october-30-2020-coronavirus-trumps-now-back-in-charge-its-not-the-doctors/) - Doctor, Did You Wash Your Hands?® at http://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse to read POSTS 1-56 in chronological order, highlight and click on I’m old enough to remember the polio epidemic of the late 1940’s when Americans came fully together until a vaccine ended the public health crisis. - [CORONOVIRUS TRACKING Links to Parts 1-56](https://doctordidyouwashyourhands.com/2020/10/coronovirus-tracking-links-to-parts-1-56/) - Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse CORONOVIRUS TRACKING Links to Parts 1-56 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday - [POST 55. October 26, 2020. CORONAVIRUS. The Testing Conundrum: “ It’s thus very possible to be antigen negative but P.C.R. positive, while still harboring the virus in the body..”](https://doctordidyouwashyourhands.com/2020/10/post-55-october-26-2020-coronavirus-the-testing-conundrum-its-thus-very-possible-to-be-antigen-negative-but-p-c-r-positive-while-still-harboring-the-virus-in-the-body/) - Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse I wouldn’t be surprised if a lot of people testing negative don’t even know which test they had and what that means for them. An example of a best practice CDC recommends the following (U) “Employees - [POST 54A. October 23, 2020. CORONAVIRUS. New Jersey’s Coronavirus response, led by Governor Murphy and Commissioner of Health Persichilli, started with accelerated A+ traditional, evidence-based Public Health practices, developed over years of experience with seasonal flu, swine flu, Zika, and Ebola.](https://doctordidyouwashyourhands.com/2020/10/post-54a-october-23-2020-coronavirus-new-jerseys-coronavirus-response-led-by-governor-murphy-and-commissioner-of-health-persichilli-started-with-accelerated-a-traditional-evidence-base/) - Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse Followed by: - immediate adherence to ever-evolving CDC and FDA guidelines. - rapid implementation of Lessons Learned from the preceding New York experience. - a mobile app, in collaboration with New York and Pennsylvania, that notifies - [POST 53. October 20, 2020. CORONAVIRUS. “a…“herd-immunity strategy” is a contradiction in terms, in that herd immunity is the absence of a strategy.”](https://doctordidyouwashyourhands.com/2020/10/post-53-october-20-2020-coronavirus-aherd-immunity-strategy-is-a-contradiction-in-terms-in-that-herd-immunity-is-the-absence-of-a-strategy/) - Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse “Letting the coronavirus rip through the U.S. population unchecked to infect as many people as possible to achieve so-called herd immunity would cause a lot of unnecessary deaths and the idea is “nonsense” and “dangerous,”…. (Dr. - [POST 52. October 18, 2020. ZIKA/ EBOLA/ CANDIDA AURIS/ SEVERE FLU/ Tracking. “… if there was a severe flu pandemic, more than 33 million people could be killed across the world in 250 days… Boy, do we not have our act together.” —”- Bill Gates. July 1, 2018](https://doctordidyouwashyourhands.com/2020/10/post-52-october-18-2020-zika-ebola-candida-auris-severe-flu-tracking-if-there-was-a-severe-flu-pandemic-more-than-33-million-people-could-be-killed-across-the-world-in-250/) - Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse 1.Former hospital prez says: Designate local Zika centers now. Medical experts do not know if, or where, or how much, or on what trajectory the Zika virus may spread across the United States. 2.The ER clerk - [POST 51. October 12, 2020. Rather than a hodge-podge of Emergency Use Authorizations, off-label “experimentation”, right-to-try arguments, and “politicized” compassionate use approvals, maybe we need to designate REGIONAL EMERGING VIRUSES REFERRAL CENTERS (REVRCs).](https://doctordidyouwashyourhands.com/2020/10/post-51-october-14-2020-rather-than-a-hodge-podge-of-emergency-use-authorizations-off-label-experimentation-right-to-try-arguments-and-politicized-compassiona/) - Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse “Doctor” previously tracked Ebola and Zika. With Coronavirus it’s, as Yogi Berra said, “déjà vu all over again” without any thoughtful differentiation about hospital capacity/ capability matched to patient severity. It seems, for the most part, - [POST 50. October 6, 2020. CORONAVIRUS. Monday October 5th will go down as one of the most fraught chapters in the history of American public Health (and national security).](https://doctordidyouwashyourhands.com/2020/10/post-50-october-6-2020-coronavirus-monday-october-5th-will-go-down-as-one-of-the-most-fraught-chapters-in-the-history-of-american-public-health-and-national-security/) - Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse To read post 1-50 in chronological order, highlight and click on Newspaper headlines paint a terrifying picture of politics crushing public health (and national security). ‘Don’t Be Afraid of Covid,’ Trump Says, Undermining Public Health Messages - [PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.”](https://doctordidyouwashyourhands.com/2020/01/the-centers-for-disease-control-and-prevention-on-tuesday-confirmed-the-first-u-s-case-of-a-deadly-new-coronavirus-that-has-killed-six-people-in-china/) - Doctor, Did You Wash Your Hands?® at https://doctordidyouwashyourhands.com/ TWITTER @jonathan_metsch FACEBOOK Jonathan M. Metsch LINKEDIN Jonathan Metsch #CoronavirusTracker #CoronavirusRapidResponse “Chinese researchers say they have identified a new virus behind an illness that has infected dozens of people across Asia, setting off fears in a region that was struck by a deadly epidemic 17 years ago. - [CORONOVIRUS TRACKING Links to Parts 1-55](https://doctordidyouwashyourhands.com/2020/10/coronovirus-tracking-links-to-parts-1-55/) - CORONOVIRUS TRACKING Links to Parts 1-55 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONOVIRUS TRACKING Links to Parts 1-54](https://doctordidyouwashyourhands.com/2020/10/coronovirus-tracking-links-to-parts-1-54/) - CORONOVIRUS TRACKING Links to Parts 1-54 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONOVIRUS TRACKING Links to Parts 1-52/53](https://doctordidyouwashyourhands.com/2020/10/coronovirus-tracking-links-to-parts-1-52-53/) - CORONOVIRUS TRACKING Links to Parts 1-52/53 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [PART 1. Candida Auris. Is it ethical for the public not be notified about new “super bugs” in hospitals so they can decide whether or not to go to affected hospitals?](https://doctordidyouwashyourhands.com/2019/04/is-it-ethical-for-the-public-not-be-notified-about-new-super-bugs-in-hospitals-so-they-can-decide-whether-or-not-to-go-to-affected-hospitals/) - “Last May, an elderly man was admitted to the Brooklyn branch of Mount Sinai Hospital for abdominal surgery. A blood test revealed that he was infected with a newly discovered germ as deadly as it was mysterious. Doctors swiftly isolated him in the intensive care unit. The germ, a fungus called Candida auris, preys on - [CORONOVIRUS TRACKING Links to POSTS 1-51](https://doctordidyouwashyourhands.com/2020/10/coronovirus-tracking-links-to-posts-1-51/) - CORONOVIRUS TRACKING Links to Parts 1-51 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONOVIRUS TRACKING Links to Parts 1-50](https://doctordidyouwashyourhands.com/2020/10/coronovirus-tracking-links-to-parts-1-50/) - CORONOVIRUS TRACKING Links to Parts 1-50 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 49. October 4, 2020. CORONAVIRUS. RAPID RESPONSE. “The possibility that the president and his White House entourage were traveling superspreaders is a nightmare scenario for officials in Minnesota, Ohio, New Jersey and Pennsylvania…”](https://doctordidyouwashyourhands.com/2020/10/post-49-october-4-2020-coronavirus-rapid-response-the-possibility-that-the-president-and-his-white-house-entourage-were-traveling-superspreaders-is-a-nightmare-scenario-for-officials-in/) - to read POSTS 1-49 in chronological order highlight and click on “Contact tracing was put into place at the White House immediately after Trump aide Hope Hicks tested positive for coronavirus, White House press secretary Kayleigh McEnany said on Friday… In separate remarks to reporters, McEnany said it was considered safe for Trump to travel - [CORONOVIRUS TRACKING Links to Parts 1-49](https://doctordidyouwashyourhands.com/2020/10/coronovirus-tracking-links-to-parts-1-49/) - [POST 48. October 1, 2020. “…you can actually control the outbreak if you do the nonpharmaceutical interventions (social distancing and masks). In the United States we haven't done them. We haven't adhered to them; we've played with them.” (A)](https://doctordidyouwashyourhands.com/2020/09/post-48-october-1-2020-you-can-actually-control-the-outbreak-if-you-do-the-nonpharmaceutical-interventions-social-distancing-and-masks-in-the-united-states-we-havent-done-t-2/) - To read Posts 1-48 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2020/09/coronovirus-tracking-links-to-parts-1-48/ “Less than 10 percent of Americans have antibodies to the new coronavirus, suggesting that the nation is even further from herd immunity than had been previously estimated, according to a study published Friday in The Lancet. The study looked at blood samples from - [CORONOVIRUS TRACKING Links to Parts 1-48](https://doctordidyouwashyourhands.com/2020/09/coronovirus-tracking-links-to-parts-1-48/) - CORONOVIRUS TRACKING Links to Parts 1-48 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONOVIRUS TRACKING Links to Parts 1-47](https://doctordidyouwashyourhands.com/2020/09/coronovirus-tracking-links-to-parts-1-47/) - CORONOVIRUS TRACKING Links to Parts 1-47 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 47. September 24, 2020. CORONAVIRUS. “Perry N. Halkitis, dean of the School of Public Health at Rutgers University…called New York City’s 35 percent rate for eliciting contacts “very bad.” “For each person, you should be in touch with 75 percent of their contacts within a day,” he said”](https://doctordidyouwashyourhands.com/2020/09/post-47-september-24-2020-coronavirus-perry-n-halkitis-dean-of-the-school-of-public-health-at-rutgers-universitycalled-new-york-citys-35-percent-rate-for-eliciting-con/) - to read Posts 1-47 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2020/09/coronovirus-tracking-links-to-parts-1-47/ Gov. Phil Murphy, speaking during a Friday news conference, said New Jersey has run into trouble in its efforts to contain the coronavirus because of contact-tracing problems. Murphy made the announcement as he revealed 313 new coronavirus cases and 13 more confirmed deaths - [POST 46. September 17, 2020. CORONAVIRUS. “Bill Gates used to think of the US Food and Drug Administration as the world’s premier public-health authority. Not anymore. And he doesn’t trust the Centers for Disease Control and Protection either….”](https://doctordidyouwashyourhands.com/2020/09/post-46-september-17-2020-coronavirus-bill-gates-used-to-think-of-the-us-food-and-drug-administration-as-the-worlds-premier-public-health-authority-not-anymore-and-he-doesn-2/) - to read POSTS 1-46 in chronological order, highlight and click on “President Donald Trump continues to baselessly claim the coronavirus will simply “go away” even as the number of COVID-19 cases in the U.S. skyrocket under an administration fumbling its response to the pandemic. “This is going to go away,” Trump said of the deadly - [CORONOVIRUS CORONAVIRUS TRACKING Links to Parts 1-46](https://doctordidyouwashyourhands.com/2020/09/coronovirus-coronavirus-tracking-links-to-parts-1-46/) - [POST 45. September 9, 2020. CORONAVIRUS. Trump on Fauci. 'You inherit a lot of people, and you have some you love, some you don't. I like him. I don't agree with him that often but I like him.'](https://doctordidyouwashyourhands.com/2020/09/post-45-september-9-2020-coronavirus-trump-on-fauci-you-inherit-a-lot-of-people-and-you-have-some-you-love-some-you-dont-i-like-him-i-dont-agree-with-him-that-often-but-i-like-him-2/) - to read posts 1-45 in chronological order, highlight and click on This post comingles topics in chronological order to explore the intersection of Coronavirus science and politics. “The Food and Drug Administration on Sunday gave emergency approval for expanded use of antibody-rich blood plasma to help hospitalized coronavirus patients, allowing President Trump, who has been - [CORONOVIRUS TRACKING Links to Parts 1-45](https://doctordidyouwashyourhands.com/2020/09/coronovirus-tracking-links-to-parts-1-45/) - CORONOVIRUS TRACKING Links to Parts 1-45 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 44. September 1, 2020. CORONAVIRUS. “The CDC…modified its coronavirus testing guidelines…to exclude people who do not have symptoms of Covid-19.” (While Dr. Fauci was undergoing surgery.) A White House official said: "Everybody is going to catch this thing eventually.."](https://doctordidyouwashyourhands.com/2020/08/post-44-september-1-2020-coronavirus-the-cdcmodified-its-coronavirus-testing-guidelinesto-exclude-people-who-do-not-have-symptoms-of-covid-19-while-dr-fauci-2/) - to read POSTS 1-44 in chronological order, highlight and click on “This is a story about four people named Everybody, Somebody, Anybody and Nobody. There was an important job to be done and Everybody was sure that Somebody would do it. Anybody could have done it, but Nobody did it. Somebody got angry about that, - [CORONOVIRUS TRACKING Links to Parts 1-44](https://doctordidyouwashyourhands.com/2020/08/coronovirus-tracking-links-to-parts-1-44/) - CORONOVIRUS TRACKING Links to Parts 1-44 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 43. August 22, 2020. CORONAVIRUS.” “We’ve achieved something great as a nation. We’ve created an unyielding market for FAUCI BOBBLEHEADS”!! (W)](https://doctordidyouwashyourhands.com/2020/08/post-43-august-22-2020-coronavirus-weve-achieved-something-great-as-a-nation-weve-created-an-unyielding-market-for-fauci-bobbleheads-w/) - to read all POSTS in chronological order, highlight and click on I used to teach a case study course on COMPLEX PROBLEMS: situations where the decision-maker must integrate or reconcile at least two competing priorities that may not be linear or complementary; having to reach agreement on goals while simultaneously evaluating options; where goals are - [CORONOVIRUS TRACKING Links to Parts 1-43](https://doctordidyouwashyourhands.com/2020/08/coronovirus-tracking-links-to-parts-1-43/) - CORONOVIRUS TRACKING Links to Parts 1-43 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 42. CORONAVIRUS. August 11, 2020. . "I think that if future historians look back on this period, what they will see is a tragedy of denial….](https://doctordidyouwashyourhands.com/2020/08/post-42-coronavirus-august-11-2020-i-think-that-if-future-historians-look-back-on-this-period-what-they-will-see-is-a-tragedy-of-denial/) - to read all POSTS in chronological order, highlight and click on I think that if future historians look back on this period, what they will see is a tragedy of denial. Everything we needed to do to have lowered the infection rate on coronavirus ... we had this technology. There's nothing fancy about face masks, - [CORONAVIRUS TRACKING Links to Posts 1-42](https://doctordidyouwashyourhands.com/2020/08/coronavirus-tracking-links-to-posts-1-42/) - CORONOVIRUS TRACKING Links to Parts 1-42 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 41. August 2, 2020. CORONAVIRUS. “Whenever a vaccine for the coronavirus becomes available, one thing is virtually certain: There won’t be enough to go around. That means there will be rationing.” (2)](https://doctordidyouwashyourhands.com/2020/08/post-41-august-2-2020-coronavirus-whenever-a-vaccine-for-the-coronavirus-becomes-available-one-thing-is-virtually-certain-there-wont-be-enough-to-go-around-that-means-there-wi-2/) - to read POSTS 1-41 in chronological order, highlight and click on “Someone will have to decide which of the world’s 7.8 billion people gets first crack at returning to a more normal life. Infectious disease experts and medical ethicists say this exceptionally complex decision must weigh not only who is most at risk from the - [CORONOVIRUS TRACKING Links to Parts 1-41](https://doctordidyouwashyourhands.com/2020/08/coronovirus-tracking-links-to-parts-1-40-2/) - CORONOVIRUS TRACKING Links to Parts 1-41 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 41. August 2, 2020. CORONAVIRUS. “Whenever a vaccine for the coronavirus becomes available, one thing is virtually certain: There won’t be enough to go around. That means there will be rationing.”](https://doctordidyouwashyourhands.com/2020/08/post-41-august-2-2020-coronavirus-whenever-a-vaccine-for-the-coronavirus-becomes-available-one-thing-is-virtually-certain-there-wont-be-enough-to-go-around-that-means-there-wi/) - to read POSTS 1-41 in chronological order, highlight and click on “Someone will have to decide which of the world’s 7.8 billion people gets first crack at returning to a more normal life. Infectious disease experts and medical ethicists say this exceptionally complex decision must weigh not only who is most at risk from the - [Curated Contemporaneous Content Methodology by Jonathan M. Metsch, DR.P.H.](https://doctordidyouwashyourhands.com/2019/12/9897/) - I taught full time in the Baruch MBA in Health Care Administration program from 1972 to 1975, then was a health care administrator for over thirty years, finishing for seventeen years as President & CEO of LibertyHealth/ Jersey City Medical Center, where we built a replacement safety-net hospital (it took 15 years), played a key - [POST 40. July 27, 2020. CORONAVIRUS.” One canon of medical practice is that you order a test only if you can act on the result. And with a turnaround time of a week or two, you cannot. What we have now is often not testing — it’s testing theater.”](https://doctordidyouwashyourhands.com/2020/07/post-40-july-27-2020-coronavirus-one-canon-of-medical-practice-is-that-you-order-a-test-only-if-you-can-act-on-the-result-and-with-a-turnaround-time-of-a-week-or-two-you-cannot-what-we/) - “MLB and the NBA are getting coronavirus test results quickly and frequently. Some say that’s a problem in places where the results are sometimes so slow that they are worthless.” to read POSTS 1-40 in chronological order, highlight and click on “Any stimulus should be directed at the root cause of our recession: dealing with - [CORONOVIRUS TRACKING Links to Parts 1-40](https://doctordidyouwashyourhands.com/2020/07/coronovirus-tracking-links-to-parts-1-40/) - CORONOVIRUS TRACKING Links to Parts 1-40 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONOVIRUS TRACKING Links to Parts 1-39](https://doctordidyouwashyourhands.com/2020/07/coronovirus-tracking-links-to-parts-1-39/) - CORONOVIRUS TRACKING Links to Parts 1-39 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 39. July 23,2020. CORONAVIRUS. A Tale of Two Cities. Seattle becomes New York (rolls back reopening) while New York becomes Seattle (moves to partial phase 4 reopening)](https://doctordidyouwashyourhands.com/2020/07/post-39-july-232020-coronavirus-a-tale-of-two-cities-seattle-becomes-new-york-rolls-back-reopening-while-new-york-becomes-seattle-moves-to-partial-phase-4-reopening/) - to read POSTS 1-39 in chronological order, highlight and click on APRIL 26, 2020 “The first diagnosis of the coronavirus in the United States occurred in mid-January, in a Seattle suburb not far from the hospital where Dr. Francis Riedo, an infectious-disease specialist, works. When he heard the patient’s details—a thirty-five-year-old man had walked into - [CORONOVIRUS TRACKING Links to Parts 1-38](https://doctordidyouwashyourhands.com/2020/07/coronovirus-tracking-links-to-parts-1-38/) - CORONOVIRUS TRACKING Links to Parts 1-38 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 38. July 15, 2020. CORONAVIRUS. Some Lessons Learned, or not. AdventHealth CEO Terry Shaw: I wouldn't hesitate to go to Disney as a healthcare CEO — based on the fact that they're working extremely hard to keep people safe," (M)](https://doctordidyouwashyourhands.com/2020/07/post-38-july-15-2020-coronavirus-some-lessons-learned-or-not-adventhealth-ceo-terry-shaw-i-wouldnt-hesitate-to-go-to-disney-as-a-healthcare-ceo-based-on-the-fact-that-theyre-worki/) - to read Posts 1-38 in chronological order, highlight and click on “Dr. Camilla Rothe was about to leave for dinner when the government laboratory called with the surprising test result. Positive. It was Jan. 27. She had just discovered Germany’s first case of the new coronavirus. But the diagnosis made no sense. Her patient, a - [POST 37. July 8, 2020. CORONAVIRUS. When “crews arrive at a hospital with a patient suspected of having COVID-19, the hospital may have a physical bed open for them, but not enough nurses or doctors to staff it.”](https://doctordidyouwashyourhands.com/2020/07/post-37-june-8-2020-coronavirus-when-crews-arrive-at-a-hospital-with-a-patient-suspected-of-having-covid-19-the-hospital-may-have-a-physical-bed-open-for-them-but-not-enough-nurses-or-d/) - to read POSTS 1-37 in chronological order highlight and click on “In late March, as the number of COVID-19 cases was growing exponentially in the state, Cuomo said New York hospitals might need twice as many beds as they normally have. Otherwise there could be no space to treat patients seriously ill with the new - [CORONOVIRUS TRACKING Links to Parts 1-37](https://doctordidyouwashyourhands.com/2020/07/coronovirus-tracking-links-to-parts-1-37/) - CORONOVIRUS TRACKING Links to Parts 1-37 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 36. July 2, 2020. CORONAVIRUS. “There’s just a handful of interventions proven to curb the spread of the coronavirus. One of them is contact tracing, and “it’s not going well,” (Dr. Anthony Fauci)..](https://doctordidyouwashyourhands.com/2020/07/post-36-july-2-2020-coronavirus-theres-just-a-handful-of-interventions-proven-to-curb-the-spread-of-the-coronavirus-one-of-them-is-contact-tracing-and-its-not/) - "Contact tracing occurs when trained personnel contact infected people to investigate where they might have been infected and who they might have exposed to the virus. Along with widespread testing and ability to isolate potentially infectious people, tracing is an age-old public health intervention now being ramped up at an unprecedented scale. “It’s not going - [CORONOVIRUS TRACKING Links to Parts 1-36](https://doctordidyouwashyourhands.com/2020/07/coronovirus-tracking-links-to-parts-1-36/) - CORONOVIRUS TRACKING Links to Parts 1-36 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 35. June 29, 2020. CORONAVIRUS. VP Pence: "We slowed the spread. We flattened the curve. We saved lives.." While Dr. Fauci “warned that outbreaks in the South and West could engulf the country…”](https://doctordidyouwashyourhands.com/2020/06/post-35-june-29-2020-coronavirus-pence-we-slowed-the-spread-we-flattened-the-curve-we-saved-lives-while-dr-fauci-warned-that-outbreaks-in-the-south-and-west-could-engulf-the-co/) - POST 35. June 29, 2020. CORONAVIRUS. Pence: "We slowed the spread. We flattened the curve. We saved lives.." While Dr. Fauci “warned that outbreaks in the South and West could engulf the country…” To read POSTS 1-35 in chronological order highlight and click on https://doctordidyouwashyourhands.com/2020/06/coronovirus-tracking-links-to-parts-1-35/ “The number of new U.S. cases this last week surged - [CORONOVIRUS TRACKING Links to Parts 1-35](https://doctordidyouwashyourhands.com/2020/06/coronovirus-tracking-links-to-parts-1-35/) - CORONOVIRUS TRACKING Links to Parts 1-35 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 34. June 26, 2020. CORONAVIRUS. CDC Director Redfield… “the number of coronavirus infections…could be 10 times higher than the confirmed case count — a total of more than 20 million.” As Florida, Texas and Arizona become eipicenters!](https://doctordidyouwashyourhands.com/2020/06/post-34-june-26-2020-coronavirus-cdc-director-redfield-the-number-of-coronavirus-infectionscould-be-10-times-higher-than-the-confirmed-case-count-a-total-of-mo/) - to read POSTS 1-34 in chronological order, highlight and click on WEDNESDAY “Dr. Anthony S. Fauci told Congress on Tuesday that he was seeing a “disturbing surge” of infections in some parts of the country, as Americans ignore social distancing guidelines and states reopen without adequate plans for testing and tracing the contacts of those - [CORONOVIRUS TRACKING Links to Parts 1-34](https://doctordidyouwashyourhands.com/2020/06/coronovirus-tracking-links-to-parts-1-34/) - CORONOVIRUS TRACKING Links to Parts 1-34 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [Post 32. June 16, 2020. CORONAVIRUS. Could the Trump administration be pursuing herd immunity by “inaction”? “ If Fauci didn’t exist, we’d have to invent him.”](https://doctordidyouwashyourhands.com/2020/06/post-32-june-16-2020-coronavirus-could-the-trump-administration-be-pursuing-herd-immunity-by-inaction-if-fauci-didnt-exist-wed-have-to-invent-him/) - to read Posts 1-32 in chronological order highlight and click on “Supporters of President Donald Trump will soon be able to attend one of his signature, raucous campaign rallies again after a months long hiatus because of the coronavirus pandemic — but first, they must agree not to sue the campaign if they contract the - [CORONOVIRUS TRACKING Links to Parts 1-33](https://doctordidyouwashyourhands.com/2020/06/coronovirus-tracking-links-to-parts-1-33/) - CORONOVIRUS TRACKING Links to Parts 1-33 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [From REPEAL & REPLACE to WRECK & REJOICE (from Obamacare to Trumpcare)](https://doctordidyouwashyourhands.com/2018/04/from-repeal-replace-to-wreck-rejoice-from-obamacare-to-trumpcare/) - On March 24th, 2017. “Speaker Paul Ryan (R-Wis.) on Friday said his party “came up short” in a news conference minutes after pulling the GOP healthcare bill off the House floor, acknowledging that ObamaCare will stay in place "for the foreseeable future."” Yet on December 20th, 2017 the INDIVIDUAL MANDARE was repealed. ““When the individual - [POST 33. June 23, 2002. CORONAVIRUS….. Smashing (lowering the daily number of cases) v. flattening the curve (maintaining a plateau)](https://doctordidyouwashyourhands.com/2020/06/post-33-june-23-2002-coronavirus-smashing-lowering-the-daily-number-of-cases-v-flattening-the-curve-maintaining-a-plateau/) - to read Posts 1-33 in Chronological order, highlight and click on "You may think you look silly to wear a mask on your face on a fine late spring day, but you look even sillier in a hospital gown," -Governor Murphy of New Jersey “Now this is not the end. It is not even the - [CORONOVIRUS TRACKING Links to Parts 1-32](https://doctordidyouwashyourhands.com/2020/06/coronovirus-tracking-links-to-parts-1-32/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. January 29, 2020. CORONAVIRUS. “If it’s - [POST 31. June 9, 2020. CORONAVIRUS. "I think we had an unintended consequence: I think we made people afraid to come back to the hospital,"](https://doctordidyouwashyourhands.com/2020/06/post-31-june-9-2020-coronavirus-i-think-we-had-an-unintended-consequence-i-think-we-made-people-afraid-to-come-back-to-the-hospital/) - POST 31. June 9, 2020. CORONAVIRUS. "I think we had an unintended consequence: I think we made people afraid to come back to the hospital," To read Posts 1-31 in chronological order, highlight and click on And… “A multibillion-dollar institution in the Seattle area invests in hedge funds, runs a pair of venture capital funds - [CORONOVIRUS TRACKING Links to Parts 1-31](https://doctordidyouwashyourhands.com/2020/06/coronovirus-tracking-links-to-parts-1-31/) - CORONOVIRUS TRACKING Links to Parts 1-31 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [PART 29. May 31, 2020. CORONAVIRUS. “The economy did not close down. It closed down for people who, frankly, had the luxury of staying home,” But not so for frontline workers!](https://doctordidyouwashyourhands.com/2020/05/part-29-may-22-2020-coronavirus-the-economy-did-not-close-down-it-closed-down-for-people-who-frankly-had-the-luxury-of-staying-home-but-not-so-for-frontline-workers/) - “All those essential workers have to get up every morning to put food on the shelves and go to the hospitals to provide healthcare under extraordinary circumstances,” N.Y. will pay benefits for workers who died fighting the pandemic. There are 62,344 cases of COVID-19 among healthcare personnel in the U.S., and 291 have died, new - [POST 30. June 3,202. CORONAVIRUS. “The wave of mass protests across the United States will almost certainly set off new chains of infection for the novel coronavirus, experts say….](https://doctordidyouwashyourhands.com/2020/06/post-30-june-3202-coronavirus-the-wave-of-mass-protests-across-the-united-states-will-almost-certainly-set-off-new-chains-of-infection-for-the-novel-coronavirus-experts-say/) - To read POSTS 1-30 in chronological order highlight and click on The virus seems to spread the most when people yell (such as to chant a slogan), sneeze (to expel pepper spray), or cough (after inhaling tear gas). It is transmitted most efficiently in crowds and large gatherings, and research has found that just a - [CORONOVIRUS TRACKING Links to Parts 1-30](https://doctordidyouwashyourhands.com/2020/06/coronovirus-tracking-links-to-parts-1-30/) - CORONOVIRUS TRACKING Links to Parts 1-30 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONOVIRUS TRACKING Links to Parts 1-29](https://doctordidyouwashyourhands.com/2020/05/coronovirus-tracking-links-to-parts-1-29/) - CORONOVIRUS TRACKING Links to Parts 1-29 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 28. May 23, 2020. CORONAVIRUS. ““You’ve got to be kidding me,”..”How could the CDC make that mistake? This is a mess.” CDC conflates viral and antibody tests numbers.](https://doctordidyouwashyourhands.com/2020/05/post-28-may-23-2020-coronavirus-youve-got-to-be-kidding-me-how-could-the-cdc-make-that-mistake-this-is-a-mess-cdc-conflates-viral-and-anti/) - Trump: ‘If We Didn’t Do Any Testing, We Would Have Very Few Cases’ To read Posts 1-28 in chronological order, highlight and click on “ The Centers for Disease Control and Prevention is conflating the results of two different types of coronavirus tests, distorting several important metrics and providing the country with an inaccurate picture - [POST 27. May 19, 2020. CORONAVIRUS. “Hospital…executives…are taking pay cuts…to help offset the financial fallout from COVID-19.” As “front line” layoffs and furloughs accelerate…](https://doctordidyouwashyourhands.com/2020/05/post-27-may-19-2020-coronavirus-hospitalexecutivesare-taking-pay-cutsto-help-offset-the-financial-fallout-from-covid-19-as-front-line/) - “Top executives at Denver Health Medical Center received significant bonuses this month for their performance in 2019, ranging from $50,000 up to $230,000, one week after frontline hospital workers were asked to voluntarily take leave without pay or reduce their hours as the hospital dealt with the financial downturn resulting from the coronavirus pandemic. to - [CORONOVIRUS TRACKING Links to Parts 1-28](https://doctordidyouwashyourhands.com/2020/05/coronovirus-tracking-links-to-parts-1-28/) - CORONOVIRUS TRACKING Links to Parts 1-28 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONOVIRUS TRACKING Links to Parts 1-27](https://doctordidyouwashyourhands.com/2020/05/coronovirus-tracking-links-to-parts-1-27/) - CORONOVIRUS TRACKING Links to Parts 1-27 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [CORONOVIRUS TRACKING Links to Parts 1-26](https://doctordidyouwashyourhands.com/2020/05/coronovirus-tracking-links-to-parts-1-26/) - CORONOVIRUS TRACKING Links to Parts 1-26 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 23. May 3, 2020. CORONAVIRUS. … what Dr. Fauci really wants,…”is just to go to a baseball game. That will have to wait. The level of testing for the virus is not adequate enough to allow for such mass gatherings.’ (K)](https://doctordidyouwashyourhands.com/2020/05/post-23-may-3-2020-coronavirus-what-dr-fauci-really-wantsis-just-to-go-to-a-baseball-game-that-will-have-to-wait-the-level-of-testing-for-the-virus-is-not-adequate/) - Abstract from April 28th letter from New Jersey Department of Health on serologic testing for Coronavirus. “Currently, these tests may be useful to determine the prevalence of COVID 19 in a population or to identify individual patients who may be candidates to donate plasma for therapeutic purposes. There is, of course, also great interest in - [POST 26. May 14, 2020. CORONAVIRUS, “Deep cleaning is not a scientific concept”….”there is no universal protocol for a “deep clean” to eradicate the coronavirus”](https://doctordidyouwashyourhands.com/2020/05/post-26-may-14-2020-coronavirus-deep-cleaning-is-not-a-scientific-concept-there-is-no-universal-protocol-for-a-deep-clean-to-eradicate-the-cor-2/) - “A man in Iowa just received a postcard from 1987 in the mail after his local post office deep cleaned because of the coronavirus pandemic…” to read POSTS 1-26 in chronological order, highlight and click on “When the coronavirus hit, both UPMC Pinnacle…took their hospital cleaning protocols up a number of notches. These days, the - [POST 26. May 14, 2020. CORONAVIRUS, “Deep cleaning is not a scientific concept”….”there is no universal protocol for a “deep clean” to eradicate the coronavirus”](https://doctordidyouwashyourhands.com/2020/05/post-26-may-14-2020-coronavirus-deep-cleaning-is-not-a-scientific-concept-there-is-no-universal-protocol-for-a-deep-clean-to-eradicate-the-cor/) - [POST 25. May 10, 2020, CORONAVIRUS. “It is scary to go to work,” said Kevin Hassett, a top economic adviser to the president. “I think that I’d be a lot safer if I was sitting at home than I would be going to the West Wing.”](https://doctordidyouwashyourhands.com/2020/05/post-25-may-10-2020-coronavirus-it-is-scary-to-go-to-work-said-kevin-hassett-a-top-economic-adviser-to-the-president-i-think-that-id-be-a-lot-safer-if-i-was/) - to read POSTS 1-25 in chronological order, highlight and click on “In the latest sign of worry that the coronavirus could be spreading through the senior ranks of the Trump administration, three top public health officials have begun partial or full self-quarantine for two weeks after coming into contact with someone who has tested positive - [CORONOVIRUS TRACKING Links to Parts 1-25](https://doctordidyouwashyourhands.com/2020/05/coronovirus-tracking-links-to-parts-1-25/) - CORONOVIRUS TRACKING Links to Parts 1-25 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. - [POST 24. May 7, 2020. CORONAVIRUS. Former New Jersey governor Chris Christie said: "there are going to be deaths no matter what"… but that people needed to get back to work.](https://doctordidyouwashyourhands.com/2020/05/post-24-may-7-2020-coronavirus-former-new-jersey-governor-chris-christie-said-there-are-going-to-be-deaths-no-matter-what-but-that-people-needed-to-get-back-to-work/) - to read Posts 1-24 in chronological order, highlight and click on https://doctordidyouwashyourhands.com/2020/05/coronovirus-tracking-links-to-parts-1-24/ “In a podcast interview with CNN's Dana Bash, former New Jersey Gov. Chris Christie conceded that there would be deaths if states begin to ease their lockdown restrictions, but that people need to accept these deaths because the economic impact would be more - [CORONOVIRUS TRACKING Links to Parts 1-24](https://doctordidyouwashyourhands.com/2020/05/coronovirus-tracking-links-to-parts-1-24/) - CORONOVIRUS TRACKING Links to Parts 1-24 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s - [CORONOVIRUS TRACKING Links to Parts 1-23](https://doctordidyouwashyourhands.com/2020/05/coronovirus-tracking-links-to-parts-1-23/) - CORONOVIRUS TRACKING Links to Parts 1-23 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s - [CORONOVIRUS TRACKING Links to Parts 1-22](https://doctordidyouwashyourhands.com/2020/04/coronovirus-tracking-links-to-parts-1-22/) - CORONOVIRUS TRACKING Links to Parts 1-22 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s - [POST 22. April 29, 2020. CORONAVIRUS. ..the “ACS released a list of 10 issues that should be addressed before a healthcare organization resumes elective surgeries….”](https://doctordidyouwashyourhands.com/2020/04/post-22-april-29-2020-coronavirus-the-acs-released-a-list-of-10-issues-that-should-be-addressed-before-a-healthcare-organization-resumes-elective-surgeries/) - "A plan that's needlessly rushed is a plan that will needlessly fail."- Governor Phil Murphy, New Jersey. to read Posts 1-22 in chronological order, highlight and click on “Mayo Clinic is furloughing or reducing the hours of about 42 percent of its 70,000 employees across all of its campuses in an attempt to mitigate the - [CORONOVIRUS TRACKING Links to Parts 1-21](https://doctordidyouwashyourhands.com/2020/04/coronovirus-tracking-links-to-parts-1-21/) - CORONOVIRUS TRACKING Links to Parts 1-21 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s - [PART 21. April 23, 2020. CORONAVIRUS. “We need to ask, are we using ventilators in a way that makes sense for other diseases but not for this one?”](https://doctordidyouwashyourhands.com/2020/04/part-21-april-23-2020-coronavirus-we-need-to-ask-are-we-using-ventilators-in-a-way-that-makes-sense-for-other-diseases-but-not-for-this-one-2/) - to read Posts 1-21 in chronological order, highlight and click on “President Trump on Saturday cited “positive signs” in the fight against the coronavirus pandemic, claiming that he inherited “broken junk” from the prior administration but has since turned the U.S. into the “king of ventilators.”” (A) “Just about a month ago, people stricken with - [PART 20. April 20, 2020. CORONAVIRUS. “…nothing is mentioned in the “Opening Up America Again” plan about how states should handle a resurgence.”](https://doctordidyouwashyourhands.com/2020/04/part-20-april-20-2020-coronavirus-nothing-is-mentioned-in-the-opening-up-america-again-plan-about-how-states-should-handle-a-resurgence-2/) - to read posts 1-20 in chronological order click on “President Donald Trump said Monday (March 23rd) that he wants to reopen the country for business in weeks, not months, and he claimed, without evidence, that continued closures could result in more deaths than the coronavirus pandemic. “We can’t have the cure be worse than the - [CORONOVIRUS TRACKING Links to Parts 1-20](https://doctordidyouwashyourhands.com/2020/04/coronovirus-tracking-links-to-parts-1-20/) - CORONOVIRUS TRACKING Links to Parts 1-20 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s - [PART 19. April 14, 2020 CORONOAVIRUS. “…overlooked in the.. mobilization against..coronavirus: the personal aides, hospice attendants, nurses and occupational or physical therapists who deliver medical or support services to patients in their homes.”](https://doctordidyouwashyourhands.com/2020/04/part-19-april-14-2020-coronoavirus-overlooked-in-the-mobilization-against-coronavirus-the-personal-aides-hospice-attendants-nurses-and-occupational-or-physical-therapists-wh/) - 1. NY hospitals operating as one system. 2. CV impact on essential services “under the radar.” 3. Private Equity Firms change the face of hospitals. to read posts 1-19 in chronological order highlight and click on New York hospitals are beginning to operate as one system under a new plan by Gov. Andrew Cuomo as - [CORONOVIRUS TRACKING Links to Parts 1-19](https://doctordidyouwashyourhands.com/2020/04/coronovirus-tracking-links-to-parts-1-19/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s not contained shortly, I think we - [PART 18. April 9, 2020. CORONAVIRUS. “The federal government's emergency stockpile of personal protective equipment (PPE) is depleted, and states will not be receiving any more shipments...](https://doctordidyouwashyourhands.com/2020/04/part-18-april-9-2020-coronavirus-the-federal-governments-emergency-stockpile-of-personal-protective-equipment-ppe-is-depleted-and-states-will-not-be-receiving-any-more-shipments/) - to read Posts 1-18 in chronological order highlight and click on Staff from the Department of Health and Human Services (HHS) told the House Oversight and Reform Committee that the Trump administration has made its final shipments of personal protective equipment to states from the Strategic National Stockpile. According to the staff, 90 percent of - [CORONOVIRUS TRACKING Links to Parts 1-18](https://doctordidyouwashyourhands.com/2020/04/coronovirus-tracking-links-to-parts-1-18/) - CORONOVIRUS TRACKING Links to Parts 1-18 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s - [PART 17. April 2, 2020. CORONAVIRUS. Florida allows churches to continue holding services. Gun stores deemed “essential.” “New York's private and public hospitals unite to manage patient load and share resources.](https://doctordidyouwashyourhands.com/2020/04/part-17-april-2-2020-coronavirus-florida-allows-churches-to-continue-holding-services-gun-stores-deemed-essential-new-yorks-private-and-public-hospitals-unite-to-ma/) - to see links to Parts 1-17 in chronological order click on “A statement from Cuomo said the president approved his request Thursday evening. "As we all know the growing coronavirus cases are threatening the capacity of our hospital system," Cuomo said. "The state-owned Javits Center has been turned into a 2,500-bed emergency medical facility being - [CORONOVIRUS TRACKING - Links to Parts 1-17](https://doctordidyouwashyourhands.com/2020/04/coronovirus-tracking-links-to-parts-1-17/) - CORONOVIRUS TRACKING Links to Parts 1-17 Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s - [CORONOVIRUS TRACKING](https://doctordidyouwashyourhands.com/2020/03/coronovirus-tracking/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology Jonathan M. Metsch, Dr.P.H. PART 1. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” PART 2. CORONAVIRUS. “If it’s not contained shortly, I think we - [HEALTH CARE CASE STUDIES](https://doctordidyouwashyourhands.com/2020/03/health-care-case-studies/) - CORONAVIRUS TRACKING UPDATES CAN ALWAYS BE FOUND AT https://doctordidyouwashyourhands.com/ Doctor, Did You Wash Your Hands?® Jonathan M. Metsch, Dr.P.H. jonathanmetsch@optonline.net HEALTH CARE CASE STUDIES 1.CASE STUDIES – GETTING STARTED A.Case Study Teaching B.Curated Contemporaneous Case Study Methodology C.Project Management. The hardest part of getting started….is getting started D. The new health care Gold Standard” GawandeCare”. - [PART 16. March 27, 2020. CORONAVIRUS. I am not a clinician or a medical ethicist but articles on Coronavirus patient triage started me Googling………to learn about FUTILE TREATMENT](https://doctordidyouwashyourhands.com/2020/03/part-16-march-27-2020-coronavirus-i-am-not-a-clinician-or-a-medical-ethicist-but-articles-on-coronavirus-patient-triage-started-me-googlingto-learn-about-futile-treatme/) - PART 16. March 27, 2020. CORONAVIRUS. I am not a clinician or a medical ethicist but articles on Coronavirus patient triage started me Googling………to learn about FUTILE TREATMENT to read posts 1-16 in chronological order click on More than ever let’s respect and appreciate all the providers who are protecting us under the most challenging - [CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-16 (and prequels). March 28, 2020](https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-16-and-prequels-march-28-2020/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-16 (and prequels). March 28, 2020 PART 1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [PART 15. CORONAVIRUS. March 22, 2020. “…Crimson Contagion” and imagining an influenza pandemic, was simulated by the Trump administration….in a series of exercises that ran from last January to August.](https://doctordidyouwashyourhands.com/2020/03/part-15-coronavirus-march-22-2020-crimson-contagion-and-imagining-an-influenza-pandemic-was-simulated-by-the-trump-administration-in-a-series-of-exercises-that/) - Link to Link to - CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-15 (and prequels). March 22, 2020 (Hoboken, New Jersey; September 2001) “Military helicopters and jets were overhead, as President Bush was getting ready to leave. The plumes of smoke from the World Trade Center were still billowing skyward. Suddenly a huge white - [PART 15. CORONAVIRUS. March 22, 2020. “…Crimson Contagion” and imagining an influenza pandemic, was simulated by the Trump administration….in a series of exercises that ran from last January to August.](https://doctordidyouwashyourhands.com/2020/03/part-15-coronavirus-march-22-2020-crimson-contagion-and-imagining-an-influenza-pandemic-was-simulated-by-the-trump-administration-in-a-series-of-exercises-that-2/) - Link to CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-15 (and prequels). March 22, 2020 - [The new health care Gold Standard” GawandeCare”.](https://doctordidyouwashyourhands.com/2018/07/the-new-health-care-gold-standard-gawandecare/) - “Jeff Bezos, Warren Buffett and Jamie Dimon did not hire a big-thinking industry outsider to set up a conventional insurance system or haggle with doctors and hospitals over prices. Dr. Gawande was selected to fundamentally change how healthcare is structured, paid for and provided. He was hired to disrupt the industry, to make traditional health - [“President Trump has moved on from caring about the migrant children in cages](https://doctordidyouwashyourhands.com/2018/07/president-trump-has-moved-on-from-caring-about-the-migrant-children-in-cages/) - Though the HHS and DHS have bungled the reunification effort beyond comprehension, the blame ultimately lies with the Trump White House. Officials were well aware that the “zero tolerance” policy would result in family separation, but no consideration was given as to how to reunite parents with their children. Federal agencies tasked with cleaning up - [CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-15 (and prequels). March 22, 2020](https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-15-and-prequels-march-22-2020/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-15 (and prequels). March 22, 2020 PART 1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [PART 14. CORONAVIRUS. March 17, 2020. “ “Most physicians have never seen this level of angst and anxiety in their careers”…. One said “I am sort of a pariah in my family.”](https://doctordidyouwashyourhands.com/2020/03/part-14-coronavirus-march-17-2020-most-physicians-have-never-seen-this-level-of-angst-and-anxiety-in-their-careers-one-said-i-am-sort-of-a-pariah-in/) - to read posts 1-14 in chronologial order click on https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-14-and-prequels-march-17-2020/ (From PART 2. CORONAVIRUS. January 29, 2020) With SARS preparedness underway in NJ, LibertyHealth/ Jersey City Medical Center, where I was President, proposed that our 100 bed community hospital with all single-bedded rooms, be immediately transformed into an EMERGENCY SARS ISOLATION Hospital. The Hospital was - [CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-14 (and prequels). March 17, 2020](https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-14-and-prequels-march-17-2020/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-14 (and prequels). March 17, 2020 PART 1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [Part 13. CORONAVIRUS. March 14, 2020. "If I'm buying real estate in New York, I'll listen to the President….If I'm asking about infectious diseases, I'm going to listen to Tony Fauci,” *](https://doctordidyouwashyourhands.com/2020/03/part-13-coronavirus-march-14-2020-if-im-buying-real-estate-in-new-york-ill-listen-to-the-president-if-im-asking-about-infectious-diseases-im-going-to-listen-to-tony-fauci/) - * Rep. Tom Cole (R-Okla.) (A) “Very plainly, Trump needs Fauci more than Fauci needs Trump.” to read Parts 1-13 in chronological order click on “You've heard of Dr. Phil and Dr. Oz, but before the novel coronavirus outbreak, you might never have heard of Dr. Fauci. Today, he’s everywhere. “You should never destroy your - [CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-13 (and prequels). March 14, 2020](https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-13-and-prequels-march-14-2020/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-13 (and prequels). March 14, 2020 PART 1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [Part 12. CORONAVIRUS. “Tom Bossert, Donald Trump’s former homeland security advisor…(said) that due to the coronavirus outbreak, “We are 10 days from the hospitals getting creamed.”](https://doctordidyouwashyourhands.com/2020/03/part-12-coronavirus-tom-bossert-donald-trumps-former-homeland-security-advisorsaid-that-due-to-the-coronavirus-outbreak-we-are-10-days-from-the-hospitals-gett/) - to read Parts 1-12 in chronological order click on https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-12-and-prequels-march-10-2020/ “On Friday night, the Uber driver from Queens tested positive, and the case prompted more than 40 doctors, nurses and other workers at a hospital there to go into voluntary self-isolation over fears that they might have been exposed to the coronavirus, officials said on - [CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-12 (and prequels). March 10, 2020](https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-12-and-prequels-march-10-2020/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-12 (and prequels). March 10, 2020 PART 1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [PART 11. CORONAVIRUS. “Gov. Andrew Cuomo… would require employers to pay workers and protect their jobs if they are quarantined because of the coronavirus.”](https://doctordidyouwashyourhands.com/2020/03/part-11-coronavirus-gov-andrew-cuomo-would-require-employers-to-pay-workers-and-protect-their-jobs-if-they-are-quarantined-because-of-the-coronavirus/) - to read all parts in chronological order click on “This epidemic is a wake-up call for companies to carefully review the strategies, policies, and procedures they have in place to protect employees, customers, and operations in this and future epidemics. Here are eight questions that companies should ask as they prepare for — and respond - [Part 10. CORONAVIRUS. Stop Surprise Medical Bills for Coronavirus care. (&) Lessons Learned (or not) In California and Washington State from community acquired cases.](https://doctordidyouwashyourhands.com/2020/03/part-10-coronavirus-stop-surprise-medical-bills-for-coronavirus-care-lessons-learned-or-not-in-california-and-washington-state-from-community-acquired-cases/) - to read PARTS 1-10 in chronological order click on “A man in Miami went to the hospital to receive a test for the coronavirus after developing flu-like symptoms, only to receive the news that he didn't have it — and a $3,270 medical bill, the Miami Herald reports. Why it matters: The man had just - [CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-11 (and prequels). March 5, 2020](https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-11-and-prequels-march-5-2020/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-11 (and prequels). March 5, 2020 PART 1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-10 (and prequels). March 1, 2020](https://doctordidyouwashyourhands.com/2020/03/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-10-and-prequels-march-1-2020/) - Doctor, Did You Wash Your Hands?® Curated Contemporaneous Case Study Methodology CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-10 (and prequels). March 1, 2020 PART 1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in - [PART 4. Coronavirus. “A study published Friday in JAMA found that 41% of the first 138 patients diagnosed at one hospital in Wuhan, China, were presumed to be infected in that hospital.….](https://doctordidyouwashyourhands.com/2020/02/part-4-coronavirus-so-like-sars-and-mers-other-coronaviruses-before-it-the-wuhan-coronavirus-is-spreading-in-hospitals/) - CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. Thttps://doctordidyouwashyourhands.com/2020/02/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-7-and-prequels-february-20-2020/1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” it means that nearly half of the initial infections in this hospital appear to have been spread within - [PART 9. CORONAVIRUS. Responding to a question about the likelihood of a U.S. outbreak, President Trump said, "I don't think it's inevitable…"It probably will. It possibly will," he continued. "It could be at a very small level, or it could be at a larger level."](https://doctordidyouwashyourhands.com/2020/02/part-9-coronavirus-responding-to-a-question-about-the-likelihood-of-a-u-s-outbreak-president-trump-said-i-dont-think-its-inevitableit-probably-will-it-possibly-will-he-contin/) - “A person in California who was not exposed to anyone infected with the coronavirus, and had not traveled to countries in which the virus is circulating, has tested positive for the infection in what may be the first case of community spread here in the United States, the Centers for Disease Control and Prevention said - [CORONAVIRUS TRACKING – Jonathan M. Metsch, Dr.P.H. PARTS 1-9 (and prequels). February 27, 2020](https://doctordidyouwashyourhands.com/2020/02/coronavirus-tracking-jonathan-m-metsch-dr-p-h-parts-1-9-and-prequels-february-27-2020/) - PART 1. January 21, 2020. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people - [PART 8. CORONAVIRUS. “…every country’s top priority should be to protect its health care workers. This is partly to ensure that hospitals themselves do not become sites where the coronavirus is spread more than it is contained.”](https://doctordidyouwashyourhands.com/2020/02/part-8-coronavirus-every-countrys-top-priority-should-be-to-protect-its-health-care-workers-this-is-partly-to-ensure-that-hospitals-themselves-do-not-become-sites-where-t/) - “Why this looks like the beginning of a pandemic These outbreaks outside of China, along with the latest science on Covid-19, suggest we may soon see a rapid rise in infections — both in China and in more countries around the world. Here’s why. 1) The virus is very contagious and some people seem to - [PART 7. CORONAVIRUS. With SARS preparedness underway in NJ LibertyHealth/ Jersey City Medical Center, where I was President, proposed that our 100 bed community hospital with all single-bedded rooms, be immediately transformed into an EMERGENCY SARS ISOLATION Hospital.](https://doctordidyouwashyourhands.com/2020/02/part-7-coronavirus-with-sars-preparedness-underway-in-nj-libertyhealth-jersey-city-medical-center-where-i-was-president-proposed-that-our-100-bed-community-hospital-with-all-single-bedded-rooms/) - The Hospital was in a small town at the intersection of many major highways. It could be easily secured since it had no immediately contiguous neighbors. It had a helicopter pad. Its patients could be easily transferred. And it could be managed by the Public Health Service or military medicine if necessary. It didn’t happen! - [POST 6. Coronovirus. “Amid assurances that the (ocean liner) Westerdam was disease free, hundreds of people disembarked in Cambodia…” “ One was later found to be infected”…. “Over 1,000… passengers were in…transit home”…. “This could be a turning point””](https://doctordidyouwashyourhands.com/2020/02/post-6-coronovirus-amid-assurances-that-the-ocean-liner-westerdam-was-disease-free-hundreds-of-people-disembarked-in-cambodia-one-was-later-found-to-be-infect/) - “Confronting a viral epidemic with a scant supply of protective equipment, more than 1,700 Chinese medical workers have already been infected, and six have died. In the hospital where Yu Yajie works, nurses, doctors and other medical professionals fighting the new coronavirus have also been fighting dire shortages. They have used tape to patch up - [PART 5. CORONAVIRUS. “In short, shoe-leather public health and basic medical care—not miracle drugs—are generally what stop outbreaks of emerging infections..”](https://doctordidyouwashyourhands.com/2020/02/part-5-coronavirus-in-short-shoe-leather-public-health-and-basic-medical-care-not-miracle-drugs-are-generally-what-stop-outbreaks-of-emerging-infections/) - “Nearly six weeks after China announced the coronavirus outbreak, there’s still a surprising amount we don’t know about this newly discovered disease. But one thing is becoming clear: China’s silence in the earliest days of the crisis may have made it worse. Chinese authorities delayed informing the world about the severity of a deadly disease - [You are Chief Preparedness Officer at Chiang Rai Region General Hospital in Thailand waiting for the twelve boys and their coach trapped in a cave](https://doctordidyouwashyourhands.com/2019/03/you-are-chief-preparedness-officer-at-chiang-rai-region-general-hospital-in-thailand-waiting-for-the-twelve-boys-and-their-coach-trapped-in-a-cave/) - Assignment: How are you preparing for the treatment and rehabilitation of the boys and their coach Prequel. August 24, 2017 We don’t know what we don’t know”. The challenge to emergency preparedness….. “Twelve boys and their soccer coach trapped in a cave in northern Thailand are in good health, authorities said Tuesday, but it is - [PART3. “The Wuhan coronavirus spreading from China is now likely to become a pandemic that circles the globe…”..Trump appeared to downplay concerns about the flu-like virus …We’re gonna see what happens, but we did shut it down..” (D)](https://doctordidyouwashyourhands.com/2020/02/part3-the-wuhan-coronavirus-spreading-from-china-is-now-likely-to-become-a-pandemic-that-circles-the-globe-trump-appeared-to-downplay-concerns-about-the-flu-like-virus/) - See PART 2 (which includes Part 1) before new Part 3 by clicking on _________________________________________________ NEW PART 3. “The Wuhan coronavirus spreading from China is now likely to become a pandemic that circles the globe…”..Trump appeared to downplay concerns about the flu-like virus …We’re gonna see what happens, but we did shut it down..” (D) - [PART 2. CORONAVIRUS. “If it’s not contained shortly, I think we are looking at a pandemic..”….. “With isolated cases of the dangerous new coronavirus cropping up in a number of states, public health officials say it is only a matter of time before the virus appears in New York City.”](https://doctordidyouwashyourhands.com/2020/01/part-2-coronavirus-if-its-not-contained-shortly-i-think-we-are-looking-at-a-pandemic-with-isolated-cases-of-the-dangerous-new-coronavirus-cropping-u/) - PART 1 FOLLOWED BY NEW PART 2 PART 1. January 21, 2020 “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.” “Chinese researchers say they have identified a new virus behind an illness that has infected dozens of - [HOSPITAL WEB SITE ARCHEOLOGY](https://doctordidyouwashyourhands.com/2018/09/hospital-web-site-archeology-2/) - When “googling” for hospital information we often wind up at hospital web sites. Hospital web sites are marketing based so how does one find and aggregate key elements and then do comparative analysis? You can use these web sites for this exercise, all hospitals with which I have been involved City Hospital Center at Elmhurst - [Doctor, Did You Wash Your Hands?® There is a sign in my primary care provider’s examination room:](https://doctordidyouwashyourhands.com/2019/12/doctor-did-you-wash-your-hands-there-is-a-sign-in-my-primary-care-providers-examination-room/) - Patients and Visitors ASK FOR SAFE CARE ASK FOR CLEAN HANDS Germs that can cause serious infections are in every healthcare facility. They can be on your healthcare provider’s hands and also your own. It’s OK to ask for clean hands. It could save your life. Make sure everyone around you has clean hands to - [Two years ago, while on vacation, my wife punctured her hand with a BBQ skewer. So she went to the nearest ER.](https://doctordidyouwashyourhands.com/2017/08/recently-while-on-vacation-my-wife-punctured-her-hand-with-a-bbq-skewer-so-she-went-to-the-nearest-er/) - She was triaged and escorted to a treatment room. Then sat there for 45 minutes because the desk never told the doctor she was waiting, even though the ER had a computerized patient tracking system. A COMMUNICATIONS FAILURE. While standing at the treatment room door, trying to remind the staff she was there, she overheard - [PART 3. SURPRISE MEDICAL BILLS. “I was never in a position to preselect who (would) perform my heart transplant,” (and if the physicians and surgeons were in network)….because I did not know when a new heart would become available.](https://doctordidyouwashyourhands.com/2019/09/part-3-surprise-medical-bills-i-was-never-in-a-position-to-preselect-who-would-perform-my-heart-transplant-and-if-the-physicians-and-surgeons-were-in-network-because/) - . PART 1: January 31, 2019. “If you’re shot, stabbed, hit by a car, fall off a roof or suffer any other major injury in San Francisco, you’ll be whisked to San Francisco General Hospital, the only trauma center in the city “ PART 2: February 20, 2019. A new bill would outlaw the big, - [“Trust but Verify” (Ronald Reagan) – Four Lessons Learned as a junior CEO back in the day..](https://doctordidyouwashyourhands.com/2017/08/trust-but-verify-ronald-reagan-four-lessons-learned-as-a-junior-ceo-back-in-the-day/) - “It is fine to celebrate success, but it is more important to heed the lessons of failure.” – Bill Gates Back in the day… One summer Friday late afternoon I was in my car heading off for the weekend when the Commissioner of Health found me and told me he was closing the JCMC Trauma - [PART 5. What are the Lessons Learned (or not!) from the Johns Hopkins All Children’s Hospital and North Carolina Children’s Hospital pediatric cardiac surgery program failures?](https://doctordidyouwashyourhands.com/2019/12/part-5-what-are-the-lessons-learned-or-not-from-the-johns-hopkins-all-childrens-hospital-and-north-carolina-childrens-hospital-pediatric-open-cardiac-surgery-program-failures/) - “Repairing a heart is a risky business, especially when the organ fails to develop properly in the womb. Any number of abnormalities can arise, from major arteries that grow in the wrong place to pumping chambers that fail to form. Now, a 2017 U.S. News analysis underscores a crucial factor that can tip the balance - [PART 4. New Jersey. “..heart transplant center, inflated survival rates to keep its funding — keeping a brain-dead patient on life support until he hit a one-year survival benchmark..”](https://doctordidyouwashyourhands.com/2019/10/part-4-new-jersey-heart-transplant-center-inflated-survival-rates-to-keep-its-funding-keeping-a-brain-dead-patient-on-life-support-until-he-hit-a-one-year-survival-benchmark/) - When I started as President & CEO of Jersey City Medical Center in 1989, New Jersey had a comprehensive Certificate of Need process. When the state awarded a “CN” funding followed through the all payor reimbursement system then in place. Over time JCMC was designated as: a Regional Perinatal Center; Level II Trauma Center; Teaching - [MEDICARE FOR ALL. “Midway through July’s interminable Democratic debate, Senator Elizabeth Warren asked a simple question. “I don’t understand why anybody goes to all the trouble of running for president of the United States just to talk about what we really can’t do and shouldn’t fight for,”..“I don’t get it.” (A)](https://doctordidyouwashyourhands.com/2019/11/medicare-for-all-midway-through-julys-interminable-democratic-debate-senator-elizabeth-warren-asked-a-simple-question-i-dont-understand-why-anybody-goes-to-all/) - ASSIGNMENT: After scanning From REPEAL & REPLACE to WRECK & REJOICE (from Obamacare to Trumpcare) https://doctordidyouwashyourhands.com/2018/04/from-repeal-replace-to-wreck-rejoice-from-obamacare-to-trumpcare/ , start tracking Medicare for All. “On March 24th, 2017. “Speaker Paul Ryan (R-Wis.) on Friday said his party “came up short” in a news conference minutes after pulling the GOP healthcare bill off the House floor, acknowledging that - [“The soldier, above all other people, prays for peace, for he must suffer and bear the deepest wounds and scars of war.” Douglas MacArthur](https://doctordidyouwashyourhands.com/2019/11/the-soldier-above-all-other-people-prays-for-peace-for-he-must-suffer-and-bear-the-deepest-wounds-and-scars-of-war-douglas-macarthur/) - From 1967 to 1970, during the Vietnam War, my first assignment as a junior Air Force 2nd Lieutenant, was as Administrative Officer of the 4th Casualty Staging Flight attached to Wilford Hall USAF Medical Center, Lackland AFB in San Antonio, Texas. We received combat casualties still in battlefield bandages, often within 24 hours of injury, - [PART 2. “Massachusetts Surgeons will have to document each time they enter and leave the operating room, and who took over in their absence… amid controversies over doctors who perform more than one surgery at a time…](https://doctordidyouwashyourhands.com/2019/10/part-2-massachusetts-surgeons-will-have-to-document-each-time-they-enter-and-leave-the-operating-room-and-who-took-over-in-their-absence-amid-controversies-over-doctors-who-perform/) - Over twenty years ago a general surgeon at one of our community hospitals left the OR to operate at a competing hospital and told a nurse to close the incision. He claimed OR nurses could train and be certified as “closers”. Problem was the nurse hadn’t been certified and we did not have hospital privileges - [“A SEVERE FLU PANDEMIC… could kill more than 33 million people worldwide in just 250 days.” - “Boy, do we not have our act together.” — Bill Gates”. (J)](https://doctordidyouwashyourhands.com/2019/10/a-severe-flu-pandemic-could-kill-more-than-33-million-people-worldwide-in-just-250-days-boy-do-we-not-have-our-act-together-bill-gates/) - “It’s never an easy business to predict which flu viruses will make people sick the following winter. And there’s reason to believe two of the four choices made last winter for this upcoming season’s vaccine could be off the mark.” “Flu circulation “remains difficult to predict and flu viruses are constantly breaking rules that we - [PANDEMIC PREPAREDNESS. "It's like a chain—one weak link and the whole thing falls apart. You need no weak links."](https://doctordidyouwashyourhands.com/2018/06/pandemic-preparedness-its-like-a-chain-one-weak-link-and-the-whole-thing-falls-apart-you-need-no-weak-links/) - “A statement late Friday said the confirmed cases are in Mbandaka city, where a single case was confirmed earlier in the week. There are now 17 confirmed Ebola cases in this outbreak, including one death, plus 21 probable cases and five suspected ones. Three new cases of the often lethal Ebola virus have been confirmed - [“… if there was a severe flu pandemic, more than 33 million people could be killed across the world in 250 days.”](https://doctordidyouwashyourhands.com/2018/07/if-there-was-a-severe-flu-pandemic-more-than-33-million-people-could-be-killed-across-the-world-in-250-days/) - “Just seven weeks after an Ebola outbreak was discovered in the Democratic Republic of Congo, it’s already looking like the end is in sight. According to the DRC’s health ministry, as of June 28, all people who were potentially exposed to the Ebola virus have finished a 21-day incubation period. It can take that long - [EBOLA. PART 13. Ebola Treatment Centers are having difficulty maintaining their ability to respond to Ebola cases that may come again to the U.S.](https://doctordidyouwashyourhands.com/2019/09/ebola-new-part-13-ebola-treatment-centers-are-having-difficulty-maintaining-their-ability-to-respond-to-ebola-cases-that-may-come-again-to-the-u-s/) - In 2016 The World Health Organization identified the top 8 emerging diseases that were likely to cause severe outbreaks in the near future: Crimean-Congo haemorrhagic fever; Ebola; Marburg; Lassa Fever; MERS; SARS; Nipah; and Rift Valley fever. (Q) The Ebola epidemic in the Democratic Republic of Congo is breaching its contiguous borders with South Sudan, - [“Walmart's (health care) strategy is based on price competition. Patients know what services will cost before they walk into the physician's office. Prices are rock-bottom.”](https://doctordidyouwashyourhands.com/2019/09/walmarts-health-care-strategy-is-based-on-price-competition-patients-know-what-services-will-cost-before-they-walk-into-the-physicians-office-prices-are-rock-bottom/) - Health care “disruption” is well underway with most attention focused on paradigm-challenging players like: Amazon, Berkshire Hathaway and JPMorgan Chase forming an independent health care company for their employees; and the CVS Health Aetna Acquisition. In the meantime, under-the-radar, Walmart’s strategy has been “based on the hospital inefficiency in innovation and the business theory of - [SEPTEMBER 11, 2001. PART 1. Military helicopters and jets were overhead, as President Bush was getting ready to leave NYC. PART 2. LESSONS LEARNED memorandum by hospital CEO Jonathan Metsch goes “viral”…](https://doctordidyouwashyourhands.com/2019/09/september-11-2001-part-1-military-helicopters-and-jets-were-overhead-as-president-bush-was-getting-ready-to-leave-nyc-part-2-lessons-learned-memorandum-by-hospital-ceo-jonathan-metsch-goes/) - PART 1. *written by Jonathan M. Metsch on September 14, 2001; published in the Jersey Journal on September 18, 2001 Military helicopters and jets were overhead, as President Bush was getting ready to leave. The plumes of smoke from the World Trade Center were still billowing skyward. Suddenly a huge white military hospital ship with - [RAPID RESPONSE. Hurricane Dorian – Hospital Preparedness](https://doctordidyouwashyourhands.com/2019/09/rapid-response-hurricane-dorian-hospital-preparedness/) - ASSIGNMENT: You are the CEO of a hospital in the cone of Hurricane Dorian! Tomorrow morning you have an 8AM Board of Trustees Conference Call to brief Board members on your hospital’s Rapid Response plan. Starting with the sources below prepare your 15 minute presentation! ____________________ We don’t know what we don’t know” The challenge - [PART 4. San Francisco General, a public hospital with San Francisco's only trauma center, all commercial insurance WAS "out-of-network."](https://doctordidyouwashyourhands.com/2019/08/part-4-san-francisco-general-a-public-hospital-with-san-franciscos-only-trauma-center-all-commercial-insurance-was-out-of-network/) - See new PART 4 after PARTS 1, 2and 3. PART 1: January 31, 2019. "If you're shot, stabbed, hit by a car, fall off a roof or suffer any other major injury in San Francisco, you'll be whisked to San Francisco General Hospital, the only trauma center in the city " PART 2: February 20, - [PART 3. Hopkins All Children’s Hospital/ North Carolina Children’s – pediatric cardiac surgery debacles.](https://doctordidyouwashyourhands.com/2019/08/part-3-hopkins-all-childrens-hospital-north-carolina-childrens-pediatric-cardiac-surgery-debacles/) - ASSIGNMENT: What are the Lessons Learned from the Johns Hopkins All Children's Hospital and North Carolina Children’s Hospital pediatric open cardiac surgery program failures? What are the regulatory implications? New PART 3 after PARTs 1 and 2. PART 1. February 26, 2019. Johns Hopkins All Children's Hospital (St Petersburg, Florida) – problems in the hospital's - [“When you come to a fork in the road, take it.”](https://doctordidyouwashyourhands.com/2019/08/when-you-come-to-a-fork-in-the-road-take-it/) - Over the years I have collected some aphorisms, quotations and “classics” perhaps worth sharing. “I made a lot of mistakes in my time but didn’t waste any time making them.” (attributed to Gustave Levy, Goldman Sachs) “There are no secrets to success. It is the result of preparation, hard work and learning from failure.” (Colin - [PART 2. Conflict of Interest. MSK continued & top executives at the University of Maryland Medical System have resigned amid investigations into accusations of self-dealing among the hospital network's board members](https://doctordidyouwashyourhands.com/2019/08/part-2-conflict-of-interest-continued-memorial-sloan-kettering-university-of-maryland-medical-system/) - ASSIGNMENT: Identify other health care conflicts in the news then identify Best Practices of Boards of Trustees. New PART 2 after old PART 1. PART 1. September 28, 2018. HOW ACADEMIC MEDICAL CENTERS ADDRESS CONFLICTS-OF-INTEREST. ASSIGNMENT: Profile the University of Maryland Medical System COI challenge. DISCLOSURE. I am a member and Interim Chairman of the - [Slow down Bernie…….Lessons Learned from a local government buying a failing not-for-profit hospital](https://doctordidyouwashyourhands.com/2019/07/slow-down-bernie-lessons-learned-from-a-local-government-buying-a-failing-not-for-profit-hospital/) - "I will be very soon introducing legislation in the Senate to establish a $20 billion emergency trust fund to help states and local communities purchase hospitals that are in financial distress," Sanders said. "In my view, any time a hospital is put up for sale in America, the local community or the state must have - [PART 3. (Chief Fourth of July Officer)…the term "CEO" is not long for the world… we should do the business world a huge favor and decide, ahead of time, what term should replace "CEO"](https://doctordidyouwashyourhands.com/2019/07/part-3-chief-fourth-of-july-officerthe-term-ceo-is-not-long-for-the-world-we-should-do-the-business-world-a-huge-favor-and-decide-ahead-of-time-what-term-should-replace-ce/) - “What does a Chief Happiness Officer actually do?” (A) ASSIGNMENT: Find out which NFP mega-hospital system in your region has the most C-Suite titles and then develop a “reporting relationships” Table of Organization. For example, here are some corporate leadership pages from New York/ New Jersey*: https://www.mountsinai.org/about/leadership ** *Hospital Presidents may or may not be - [PART 17. July 1, 2019. A federal judge has ordered a mediator to move swiftly to improve health and sanitation (FOR MIGRANT CHILDREN) at Border Patrol facilities in Texas](https://doctordidyouwashyourhands.com/2019/07/part-17-july-1-2019-a-federal-judge-has-ordered-a-mediator-to-move-swiftly-to-improve-health-and-sanitation-for-migrant-children-at-border-patrol-facilities-in-texas/) - ASSIGNMENT: You are the head of the Department of Public Health Sciences, The University of Texas at El Paso and have been “volunteered” to develop a Rapid Response “shadow” licensing program for the new Carrizo Springs, Texas “emergency” shelter which will house as many as 1,600 teens. “What are the basic rules that determine how - [PART 16. “The federal government is opening a new MASS FACILITY TO HOLD MIGRANT CHILDREN, a temporary emergency shelter that will not be subject to state child welfare licensing requirements.”](https://doctordidyouwashyourhands.com/2019/06/part-16-the-federal-government-is-opening-a-new-mass-facility-to-hold-migrant-children-a-temporary-emergency-shelter-that-will-not-be-subject-to-state-child-welfare-licensing-requirements/) - ASSIGNMENT: You are the head of the Department of Public Health Sciences, The University of Texas at El Paso and have been "volunteered" to develop a Rapid Response "shadow" licensing program for the new Carrizo Springs, Texas "emergency" shelter which will house as many as 1,600 teens. "Are you arguing seriously that you do not - [Renaissance Master Caravaggio Didn't Die of Syphilis, but of Sepsis,](https://doctordidyouwashyourhands.com/2019/03/renaissance-master-caravaggio-didnt-die-of-syphilis-but-of-sepsis/) - Assignment: Learn everything you can about sepsis than make sure your local hospital uses Artificial Intelligence to diagnose (and even recommend treatment for) sepsis? Less than one day after burying his beloved wife Barbara, former President George H.W. Bush was hospitalized in the intensive care unit with sepsis. He recovered and left the hospital, but - [PART 2. May 28, 2019. “BATTLEFIELD” MEDICINE: THE CIVIL WAR. “Many of America’s modern medical accomplishments have their roots in the legacy of America’s defining war.”](https://doctordidyouwashyourhands.com/2019/05/part-2-may-28-2019-battlefield-medicine-the-civil-war-many-of-americas-modern-medical-accomplishments-have-their-roots-in-the-legacy-of-americas-defin/) - ASSIGNMENT: Profile medical advances made during World War I, World WAR II, the Korean War, Vietnam, Afghanistan and Iraq. Memorial Day 2019 From 1967 to 1970, during the Vietnam War, I served first as a 2nd Lieutenant and Administrative Officer of the 4th Casualty Staging Flight attached to Wilford Hall USAF Medical Center, Lackland AFB - [Johns Hopkins All Children's Hospital (St Petersburg, Florida) - problems in the hospital's heart surgery unit](https://doctordidyouwashyourhands.com/2019/02/johns-hopkins-all-childrens-hospital-st-petersburg-florida-problems-in-the-hospitals-heart-surgery-unit-3/) - Assignment: How could this problem have been avoided if Johns Hopkins quality assurance and patient safety protocols had been followed? "The Patient Safety and Healthcare Quality Masters program is a fully online, interdisciplinary degree offered by Johns Hopkins University. It is a first-of-its-kind collaboration between the Johns Hopkins Bloomberg School of Public Health, Johns Hopkins - [“…the only way..to respond to a crisis ..is to ensure every member of the staff feels as though they are part of a team.” (Hurricanes, Mass Disasters, Wild Fires)](https://doctordidyouwashyourhands.com/2017/10/the-only-way-to-respond-to-a-crisis-is-to-ensure-every-member-of-the-staff-feels-as-though-they-are-part-of-a-team-hurricanes-mass-disasters-wild-fires/) - ASSIGNMENT: When it occurs prepare a Rapid Response Plan for the next "natural" disaster. “President Trump has downplayed the scale of the disaster in Puerto Rico, where the official death toll now sits at 45. But hospital employees, funeral directors, and healthcare volunteers in Puerto Rico who spoke to VICE News put the count much - [PARTS 1-3. San Francisco General, a public hospital with San Francisco’s only trauma center, all commercial insurance is “out-of-network.”](https://doctordidyouwashyourhands.com/2019/02/san-francisco-general-a-public-hospital-with-san-franciscos-only-trauma-center-all-commercial-insurance-is-out-of-network/) - ASSIGNMENT: What is the California state legislature doing to address the Out-of-Network challenge? PART 1. March 21, 2019 “If you’re shot, stabbed, hit by a car, fall off a roof or suffer any other major injury in San Francisco, you’ll be whisked to San Francisco General Hospital, the only trauma center in the city. …But - [HOW ACADEMIC MEDICAL CENTERS ADDRESS CONFLICTS-OF-INTEREST](https://doctordidyouwashyourhands.com/2018/09/how-academic-medical-centers-address-conflicts-of-interest/) - ASSIGNMENT: Profile the University of Maryland Medical System COI challenge. DISCLOSURE. I am a member and Interim Chairman of the IRB* at Stevens Institute of Technology. “There are many varieties of conflicts of interest, and they appear in different settings and across all disciplines. While conflicts of interest apply to a "wide range of behaviors - [PART 2. May 13, 2019. CANDIDA AURIS. “In 30 years, I’ve never faced so tough a reporting challenge — and one so unexpected. Who wouldn’t want to talk about a fungus?...](https://doctordidyouwashyourhands.com/2019/05/part-2-may-13-2019-candida-auris-in-30-years-ive-never-faced-so-tough-a-reporting-challenge-and-one-so-unexpected-who-wouldnt-want-to-talk-about-a-fungus/) - New PART 2 after PART 1. PART 1. April16, 2019. Assignment: it ethical for the public not be notified about new "super bugs" in hospitals so they can decide whether or not to go to affected hospitals? "Last May, an elderly man was admitted to the Brooklyn branch of Mount Sinai Hospital for abdominal surgery. - [PART 2. May 20, 2019. OUT-OF-NETWORK BILLS. Private Equity is a Driving Force Behind Devious Surprise Billings](https://doctordidyouwashyourhands.com/2019/05/part-2-may-20-2019-out-of-network-bills-private-equity-is-a-driving-force-behind-devious-surprise-billings/) - ASSIGNMENT: Draft the principles for federal "surprise bill" legislation I thought I was a good OUT-OF-NETWORK detective and could avoid SURPRISE MEDICAL BILLS. Not so! Recently I switched physicians within a sub-specialty practice group. The first MD took my Medicare “GAP” insurance but the second did not. This lesson already cost me $1,000 versus an - [PART 3. June 6, 2019. CANDIDA AURIS. “Antibiotic-resistant superbugs are everywhere. If your hospital claims it doesn’t have them, it isn’t looking hard enough.” (D)](https://doctordidyouwashyourhands.com/2019/06/part-3-june-6-2019-candida-auris-antibiotic-resistant-superbugs-are-everywhere-if-your-hospital-claims-it-doesnt-have-them-it-isnt-looking-hard-enough-d/) - ASSIGNMENT: How should a hospital respond to the New York State initiative to prevent the spread of Candida auris, when there are no evidenced based best practices? New PART 3 after PARTS 1 & 2 ART 1. April16, 2019. Is it ethical for the public not to be notified about new "super bugs" in hospitals - [PART 12. June17, 2019. “Three cases of EBOLA have emerged in Uganda, a neighboring country to the Democratic Republic of the Congo.”](https://doctordidyouwashyourhands.com/2019/06/part-12-june17-2019-three-cases-of-ebola-have-emerged-in-uganda-a-neighboring-country-to-the-democratic-republic-of-the-congo/) - In a "worst-case scenario," the current Ebola outbreak in the Democratic Republic of Congo may take up to two years to end…. San Antonio found itself ill-prepared to handle a sudden influx of refugees from the Democratic Republic of Congo. ASSIGNMENT: What immediate actions should be taken in the United States? PARTS 1-11, May 15, - [PART 2. June 1, 2019. “The situation that the New York Times described in North Carolina parallels that at Johns Hopkins All Children’s Hospital in St. Petersburg, which stopped performing heart surgeries after the Tampa Bay Times reported on problems in the unit](https://doctordidyouwashyourhands.com/2019/06/part-2-june-1-2019-the-situation-that-the-new-york-times-described-in-north-carolina-parallels-that-at-johns-hopkins-all-childrens-hospital-in-st-petersburg-which-stopped-perfor/) - In the doctors’ meeting, the (UNC) chief of pediatric cardiology, Dr. Timothy Hoffman, was blunt. “It’s a nightmare right now,” he said. “We are in crisis, and everyone is aware of that.” North Carolina’s secretary of health on Friday called for an investigation into a hospital where doctors had suspected children with complex heart conditions - [“The longer these (measles) outbreaks continue, the greater the chance measles will again get a sustained foothold in the United States.”](https://doctordidyouwashyourhands.com/2019/05/the-longer-these-measles-outbreaks-continue-the-greater-the-chance-measles-will-again-get-a-sustained-foothold-in-the-united-states/) - PART 1. April 30, 2019 PART 2. May 6, 2019. "We are getting very close to a tipping point. If (measles) cases continue to escalate, the U.S. could lose its elimination status…” Assignment: Develop a continuum of evidenced based strategies for states focusing on avoiding measles cases (22 states are already “infected”) New PART 2 - [Project Management. The hardest part of getting started….is getting started](https://doctordidyouwashyourhands.com/2019/04/project-management-the-hardest-part-of-getting-started-is-getting-started/) - Every major project (worth doing) is unique! But there is no “magic bullet” Project Management template. However, one way of starting any project is by reaching a consensus on “anchor concepts” which can serve to keep the project on track (and can be revised during the project). Assignment: Your program is up for a CAHME - [“President Donald Trump declared that the GOP will now be the “party of health care…”](https://doctordidyouwashyourhands.com/2019/04/president-donald-trump-declared-that-the-gop-will-now-be-the-party-of-health-care/) - On March 26, 2017 I posted an obituary on REPEAL & REPLACE after House Speaker Paul Ryan said his party “came up short” in a news conference minutes after pulling the GOP healthcare bill off the House floor, acknowledging that ObamaCare will stay in place “for the foreseeable future.”” Yet on December 20th, 2017 the - [Syllabus. Health Care “Transformational” Management (2013)](https://doctordidyouwashyourhands.com/2019/03/syllabus-health-care-transformational-management-2013/) - BUS 9100: Business and Society Health Care “Transformational” Management COURSE MATERIALS - Required 1. RESPONDING TO HEALTHCARE REFORM – A Strategy Guide for Health Care Leaders, By Daniel B/ McLaughlin, HAP ACHE Management Series Read one chapter per week starting with Chapter 1, Week 2. Harvard Case Studies The Cradle Dilemma, kel511 Performance Management at - [Case Study Teaching](https://doctordidyouwashyourhands.com/2019/03/case-study-teaching/) - I am retired from teaching so I asked Professor "GOOGLE" about getting up-to-date on Case Study teaching. Here's what I found. The Case Method Cases are narratives, situations, select data samplings, or statements that present unresolved and provocative issues, situations, or questions (Indiana University Teaching Handbook, 2005). The case method is a participatory, discussion-based way - ["President Garfield didn't die from an assassin's bullet, but rather from a doctor's dirty hands."](https://doctordidyouwashyourhands.com/2019/03/president-garfield-didnt-die-from-an-assassins-bullet-but-rather-from-a-doctors-dirty-hands-2/) - Recently after a doctor's appointment I went to a nearby lab to have blood drawn for routine tests. I asked the phlebotomist to wash her hands to which she replied she already had. She had washed her hands in another room after the last patient, done some other work, come into the room, put gloves - [You are a new member of the Board of University Medical Center and have been appointed chairperson of the Board’s Compliance Committee.](https://doctordidyouwashyourhands.com/2019/03/you-are-a-new-member-of-the-board-of-university-medical-center-and-have-been-appointed-chairperson-of-the-boards-compliance-committee/) - You were recruited due to concerns about two controversial challenges that apply to your organization. How do you turn these “challenges into “opportunities?” Find two other Compliance situations that need to be addressed. Opportunity 1 “Not-for-profit health systems—no strangers to paying top dollar for talented executives—are using sophisticated methods to avoid the penalties on high - [“…what would it look like if Amazon CEO Jeff Bezos took the helm of a major integrated (health care) delivery system?”](https://doctordidyouwashyourhands.com/2019/01/what-would-it-look-like-if-amazon-ceo-jeff-bezos-took-the-helm-of-a-major-integrated-health-care-delivery-system/) - “Big Silicon Valley companies have often competed for talent with specialized skills, like expertise in artificial intelligence or trendy new programming languages. Now they're competing for heart doctors. Apple hired Dr. Alexis Beatty, a cardiologist, to its growing health team in July, according to a LinkedIn search. Amazon hired Dr. Maulik Majmudar, also a cardiologist, - [“If you don't have a seat at the table, you're probably on the menu.”](https://doctordidyouwashyourhands.com/2018/12/if-you-dont-have-a-seat-at-the-table-youre-probably-on-the-menu-2/) - “Most everyone is undoubtedly familiar with the term “having a seat at the table.” Often reserved for those who are considered to have both the influence and power to make decisions and effect change, the table has become a symbol of power, negotiation and credibility through which one can forward their career, generate a sale - [PUBLIC HEALTH administrators can transform monumental unique challenges to “rapid response” opportunities. Think: Hurricanes Florence and Michael, the California wildfires, the mysterious polio-like illness, the opioid epidemic, mass shootings, and immigrant family separation.](https://doctordidyouwashyourhands.com/2018/12/public-health-administrators-can-transform-monumental-unique-challenges-to-rapid-response-opportunities-think-hurricanes-florence-and-michael-the-california-wildfires-the-myster/) - You are the head of the Department of Public Health Sciences, The University of Texas at El Paso and have been “volunteered” to develop a Rapid Response “shadow” licensing program for the Tornillo, Texas detention camp housing 2300 teens. INTRODUCTION Statement from the American Public Health Association and Trust for America’s Health "As public health - [“…really targeting the depth of the opioid epidemic would require an infusion of federal dollars on par with the more than $20 billion a year spent on HIV/AIDs.”](https://doctordidyouwashyourhands.com/2018/11/really-targeting-the-depth-of-the-opioid-epidemic-would-require-an-infusion-of-federal-dollars-on-par-with-the-more-than-20-billion-a-year-spent-on-hiv-aids/) - “Subdued and on-script, President Donald Trump struck a bipartisan tone as he signed sweeping legislation Wednesday to combat the opioid epidemic, an issue that has animated his effort to support Republican midterm candidates. Discussing a crisis affecting urban centers as well as rural communities that supported his election, Trump touted the measure as a bipartisan - [“For most of my surgical career, I gave out opioids like candy….” “With approximately 142 Americans dying every day”….” We need to take away the matches, not put out the fires.”](https://doctordidyouwashyourhands.com/2017/08/8224/) - “President Donald Trump on Tuesday vowed his administration would beat the opioid epidemic by beefing up law enforcement, strengthening security on the southern border to stop illegal drugs from entering the country. Trump, joined in Bedminster, New Jersey, by Health and Human Services Secretary Tom Price and other administration officials, emphasized a tough law-and-order approach, - [Tomorrow morning’s Emergency Preparedness meeting (just scheduled for 8AM)](https://doctordidyouwashyourhands.com/2018/10/tomorrow-mornings-emergency-preparedness-meeting-just-scheduled-for-8am/) - October 28, 2018 FROM: CEO, Northern New Jersey Regional Medical Center TO: SVPs SUBJECT: Tomorrow morning’s Preparedness meeting (just scheduled for 8AM) Over the last few days there has been a convergence of preparedness challenges. We need to set priorities, confirm assignments, allocate resources, initiate communications plan. 1. NOR’EASTER/ FLOODING. Assessment. Review SuperStorm Sandy rapid - [Nothing is certain but death and taxes, and “preexisting conditions”!](https://doctordidyouwashyourhands.com/2018/10/nothing-is-certain-but-death-and-taxes-and-preexisting-conditions/) - “Healthcare is the top issue for many heading into the midterm elections, and particularly for Democratic voters, according to a new report. In the Kaiser Family Foundation's latest tracking poll of about 1,200 people, 30% said healthcare was the most important issue in this election. By comparison, 21% said the economy and jobs was their - [“The youngest child to come before the bench in federal immigration courtroom No. 14 was so small she had to be lifted into the chair…](https://doctordidyouwashyourhands.com/2018/10/the-youngest-child-to-come-before-the-bench-in-federal-immigration-courtroom-no-14-was-so-small-she-had-to-be-lifted-into-the-chair/) - PUBLIC HEALTH CRISIS CREATED BY TRUMP ADMINISTRATION FAMILY SEPARATION POLICY “Even the judge in her black robes breathed a soft “aww” as her latest case perched on the brown leather. Her feet stuck out from the seat in small gray sneakers, her legs too short to dangle. Her fists were stuffed under her knees. As - [DON’T DEPEND ON ANYONE ELSE TO BRING THE COFFEE! & other Lessons Learned as a junior hospital CEO back in the day….](https://doctordidyouwashyourhands.com/2018/10/dont-depend-on-anyone-else-to-bring-the-coffee-other-lessons-learned-as-a-junior-hospital-ceo-back-in-the-day/) - “It is fine to celebrate success, but it is more important to heed the lessons of failure.” – Bill Gates Vignette 1 One summer Friday early afternoon I was in my car heading off for the weekend when the New Jersey Commissioner of Health called and told me he was closing the Jersey City Medical - [Confidential September 11, 2001 LESSONS LEARNED memorandum by hospital CEO Jonathan Metsch goes "viral" and becomes a New Jersey gubernatorial campaign issue](https://doctordidyouwashyourhands.com/2018/09/confidential-september-11-2001-lessons-learned-memorandum-by-hospital-ceo-jonathan-metsch-goes-viral-and-becomes-a-new-jersey-gubernatorial-campaign-issue/) - Previously posted was an op-ed describing Jersey City Medical Center's "Rapid Response" role after the attack on the World Trade Center towers. Military helicopters and jets were overhead, as President Bush was getting ready to leave. The plumes of smoke from the World Trade Center were still billowing skyward. https://network.aupha.org/communities/community-home/digestviewer/viewthread?MessageKey=d375f16c-d2ff-4d54-b93f-d33c3c6330b3&CommunityKey=7457c476-880a-47b2-ad0b-8677bba9e9e4&tab=digestviewer#bmd375f16c-d2ff-4d54-b93f-d33c3c6330b3 Since Jersey City Medical Center - [Military helicopters and jets were overhead, as President Bush was getting ready to leave. The plumes of smoke from the World Trade Center were still billowing skyward.](https://doctordidyouwashyourhands.com/2018/09/9041/) - *written by Jonathan M. Metsch on September 14, 2001; published in the Jersey Journal on September 18, 2001 Suddenly a huge white military hospital ship with four Red Crosses steamed by and docked right across river. I thought how this hospital ship brought the war even closer to home but mostly about how the hospitals - [“…(WHO) reports the next seven to 10 days are critical in controlling the spread of the Ebola virus in eastern Democratic Republic of Congo.”](https://doctordidyouwashyourhands.com/2018/08/who-reports-the-next-seven-to-10-days-are-critical-in-controlling-the-spread-of-the-ebola-virus-in-eastern-democratic-republic-of-congo/) - “A doctor in the Democratic Republic of Congo (DRC) has been hospitalised with the deadly Ebola virus after coming into contact with nearly 100 people… The World Health Organization (WHO) said on Friday investigating the infection and its possible spread to 97 people in contact with the physician would be difficult because the area was - [At least 10 health-care workers have been infected with the deadly Ebola virus as they battle an outbreak in an eastern province of Congo](https://doctordidyouwashyourhands.com/2018/08/at-least-10-health-care-workers-have-been-infected-with-the-deadly-ebola-virus-as-they-battle-an-outbreak-in-an-eastern-province-of-congo/) - "We are on an epidemiological precipice. We have a critical, time-limited window of opportunity to prevent the #DRC #Ebola outbreak from taking hold in areas that are much more difficult to access because of insecurity. There is not a minute to lose." Peter Salama, deputy director-general for emergency preparedness and response Public health officials in - [“The U.S. is about 5% of the world's population yet consumes about 80% of the world's oxycodone supply.” (I)](https://doctordidyouwashyourhands.com/2018/08/the-u-s-is-about-5-of-the-worlds-population-yet-consumes-about-80-of-the-worlds-oxycodone-supply-i/) - “When historians trace back the roots of today’s opioid epidemic, they often find themselves returning to the wave of addiction that swept the U.S. in the late 19th century. That was when physicians first got their hands on morphine: a truly effective treatment for pain, delivered first by tablet and then by the newly invented - [After Ebola scare, Denver Health wishes it notified public of potential deadly virus sooner](https://doctordidyouwashyourhands.com/2018/08/after-ebola-scare-denver-health-wishes-it-notified-public-of-potential-deadly-virus-sooner/) - “The World Health Organisation (WHO) has raised the alarm that cases from the resurgent Ebola outbreak in the Democratic Republic of the Congo (DRC) are expected to rise in the coming days. WHO’s Deputy Director General of Emergency Preparedness and Response, Peter Salama, said in Geneva that there had been around 20 deaths as a - [“…of the 1.5 million Americans who develop sepsis each year, nearly 260,000 die from it.” (A)](https://doctordidyouwashyourhands.com/2018/08/of-the-1-5-million-americans-who-develop-sepsis-each-year-nearly-260000-die-from-it-a/) - “Sepsis is the body’s overwhelming response to an infection. It can occur in virtually anyone with an infection, though it’s more likely to appear among elderly individuals and those who have undergone surgery. While health care providers are broadly aware of the condition and its symptoms, it can be difficult to identify early. Sepsis can - [write in AS LONG AS THE PROVIDERS ARE IN MY NETWORK…before you sign any hospital admission documents accepting financial responsibility for your care](https://doctordidyouwashyourhands.com/2018/07/write-in-as-long-as-the-providers-are-in-my-networkbefore-you-sign-any-hospital-admission-documents-accepting-financial-responsibility-for-your-care/) - “No Surprise Charges” is one of the key Lessons Learned in Elisabeth Rosenthal’s fabulous new book AN AMERICAN SICKNESS (Penguin Press, 2017). “Hospitals in your network should also be required to guarantee that all doctors who treat you are in your insurance network.” We have all harshly experienced or heard about under-the counter out-of-network hospital - [US health official reveals fentanyl almost killed his son](https://doctordidyouwashyourhands.com/2018/07/us-health-official-reveals-fentanyl-almost-killed-his-son/) - “The head of the nation’s top public health agency says the opioid epidemic will be one of his priorities, and he revealed a personal reason for it: His son almost died from taking cocaine contaminated with the powerful painkiller fentanyl. “For me, it’s personal. I almost lost one of my children from it,” Dr. Robert - [Can Kavanaugh Be Trusted on Obamacare?](https://doctordidyouwashyourhands.com/2018/07/can-kavanaugh-be-trusted-on-obamacare/) - "In 2011, Judge Brett Kavanaugh was selected at random to rule on whether President Barack Obama’s signature legislative achievement, the Affordable Care Act, was constitutional. It was a career-defining moment for the aspiring Supreme Court justice, who was 46 at the time. The case promised to be a political bomb splitting two powerful forces. On - [Apple, Amazon, Google and Microsoft trajectories for healthcare](https://doctordidyouwashyourhands.com/2018/07/apple-amazon-google-and-microsoft-trajectories-for-healthcare/) - PREQUEL March 18, 2018 Case Study on Disruption/Disintermediation in health care (10 posts) https://doctordidyouwashyourhands.com/2018/03/case-study-on-disruption-disintermediation-in-health-care-10-posts/ “After months of speculation about when Amazon would officially enter the drug distribution market, the online retail giant offered a definitive answer on Thursday, announcing the acquisition of the online pharmacy PillPack. The full-service pharmacy offers presorted packaging and home delivery - [CONSULTANTS are the one big winner of the Obamacare wars](https://doctordidyouwashyourhands.com/2018/07/consultants-are-the-one-big-winner-of-the-obamacare-wars/) - “After failing to get a comprehensive Affordable Care Act repeal through Congress — you know, the place where laws are supposed to be made — and then winning a repeal of one of the law's provisions in last year's massive tax cut, the Trump administration now asks a judge to undo the rest of the - [..The HHS needs to review thousands of case files by hand for clues to which children were taken from their parents…](https://doctordidyouwashyourhands.com/2018/07/the-hhs-needs-to-review-thousands-of-case-files-by-hand-for-clues-to-which-children-were-taken-from-their-parents/) - “A migrant mother said her 14-month-old son was “full of dirt and lice” after being separated from his family for months by the Trump administration. Olivia Caceras's claims are included in a lawsuit against the Trump administration’s immigration policy separating families that was filed by 17 states and the District of Columbia, PBS News Hour - [“Most immigrants facing deportation wouldn’t climb onto a table during their court hearings. But then again, most 3-year-olds don’t go to court without parents or lawyers.](https://doctordidyouwashyourhands.com/2018/07/most-immigrants-facing-deportation-wouldnt-climb-onto-a-table-during-their-court-hearings-but-then-again-most-3-year-olds-dont-go-to-court-without-parents-or-lawyers/) - Nonetheless, that was the situation during a recent court hearing for a child represented by the Immigrant Defenders Law Center in Los Angeles… Court hearings are beginning for the 2,000 or more children who have been separated from their parents under the federal policy of “zero tolerance” for illegal border crossings, the Tribune says. And - [On July 4th as we respect and admire hospital staff members who are working 24/7, it is interesting to look at hospital care during the Revolutionary War](https://doctordidyouwashyourhands.com/2018/07/on-july-4th-as-we-respect-and-admire-hospital-staff-members-who-are-working-24-7-it-is-interesting-to-look-at-hospital-care-during-the-revolutionary-war/) - From 1967 to 1970, during the Vietnam War, I served first as a 2nd Lieutenant and Chief Administrative Officer of the 4th Casualty Staging Flight attached to Wilford Hall USAF Medical Center, Lackland AFB in San Antonio, Texas. We received combat casualties still in battlefield bandages, often within 24 hours of injury, and either admitted - [“Only a dead heart is unstirred by the intentional infliction of suffering on children and babies as a weapon of deterrence.”](https://doctordidyouwashyourhands.com/2018/06/only-a-dead-heart-is-unstirred-by-the-intentional-infliction-of-suffering-on-children-and-babies-as-a-weapon-of-deterrence/) - Congress goes on vacation again without addressing immigrant family separation “The House rejected the GOP’s compromise immigration measure Wednesday following weeks of negotiations and a last-minute endorsement from President Donald Trump. Lawmakers overwhelmingly rejected the bill in a 121-301 vote, falling short of the roughly 218 votes needed to pass. No Democrats voted in favor - [“In 6 Days, Trump Admin Reunited Only 6 Immigrant Children With Their Families”](https://doctordidyouwashyourhands.com/2018/06/in-6-days-trump-admin-reunited-only-6-immigrant-children-with-their-families/) - “Alex M. Azar II, the secretary of health and human services, told a Senate committee on Tuesday that his department had custody of 2,047 migrant children who had been separated from their parents. Before releasing the children to parents or other relatives, he said, the government must “vet them.” That task can take weeks, officials - [“…the only way parents can quickly be reunited with their children is to drop their claims for asylum… and agree to be deported.”](https://doctordidyouwashyourhands.com/2018/06/the-only-way-parents-can-quickly-be-reunited-with-their-children-is-to-drop-their-claims-for-asylum-and-agree-to-be-deported/) - “A federal judge in California has ordered U.S. immigration authorities to reunite separated families on the border within 30 days, describing the Trump administration's handling of the crisis as attempts "to address a chaotic circumstance of the government’s own making." The preliminary injunction from U.S. District Judge Dana Sabraw in San Diego said children younger - [“For at least six months, staffers in the Office of National Drug Control Policy — often political appointees in their 20s — (have) sat through weekly meetings of an “opioids cabinet” chaired by Kellyanne Conway.](https://doctordidyouwashyourhands.com/2018/06/for-at-least-six-months-staffers-in-the-office-of-national-drug-control-policy-often-political-appointees-in-their-20s-have-sat-through-weekly-meetings-of-an-o/) - “In the decades since the crack epidemic, our country has learned an important lesson: there is no arresting our way out of drug addiction. The failed “War on Drugs” put too many people in jail instead of treatment, a mistake that cost us countless lives and taxpayer dollars. Now, we’re facing a new drug crisis - [White House Press Secretary Sarah Huckabee Sanders said the government was starting to “run out of space” to house people apprehended crossing the border](https://doctordidyouwashyourhands.com/2018/06/white-house-press-secretary-sarah-huckabee-sanders-said-the-government-was-starting-to-run-out-of-space-to-house-people-apprehended-crossing-the-border/) - “Since April, when Attorney General Jeff Sessions unveiled a "zero-tolerance" policy, the government has routinely brought federal criminal charges against migrants apprehended crossing the border without authorization, including parents traveling with children. Parents went to jail while their children were dispersed to a vast network of shelters across the country for "unaccompanied minors." But on - [Trump’s policy “could be creating thousands of immigrant orphans in the U.S.”](https://doctordidyouwashyourhands.com/2018/06/trumps-policy-could-be-creating-thousands-of-immigrant-orphans-in-the-u-s/) - “Under cover of darkness and in the custody of the federal government, migrant children have been coming in waves to New York, taken from their parents after crossing the southern border. Even as President Trump signed an executive order on Wednesday ending his administration’s policy of separating parents and children who have illegally crossed the - [“Slightly over a month into the response, further spread of [Ebola Virus Disease] has largely been contained,” WHO announced on June 20.](https://doctordidyouwashyourhands.com/2018/06/slightly-over-a-month-into-the-response-further-spread-of-ebola-virus-disease-has-largely-been-contained-who-announced-on-june-20/) - That’s largely thanks to the multi-pronged approach health officials in the port city of Mbandaka took to stop the disease, before it could spread to other cities and countries… Dr. Alhassane Touré, one of the health officials behind the vaccination drive, explained how his team targeted people who shared social circles with known and suspected - [“The House on Friday passed bipartisan legislation aimed at fighting the nationwide epidemic of opioid abuse, culminating months of work on the crisis…](https://doctordidyouwashyourhands.com/2018/06/the-house-on-friday-passed-bipartisan-legislation-aimed-at-fighting-the-nationwide-epidemic-of-opioid-abuse-culminating-months-of-work-on-the-crisis/) - Still, some say the legislation is not enough to make the large-scale changes needed to fight the epidemic. Addiction advocates largely praise the measures as good steps forward, but say that much more work and funding is needed to tackle the issue's scale… The legislation, passed Friday, includes a range of measures to fight the - [Tender-Age Immigrant Children.“They need bilingual workers. Some kids speak indigenous languages, so that’s an issue as well.](https://doctordidyouwashyourhands.com/2018/06/tender-age-immigrant-children-they-need-bilingual-workers-some-kids-speak-indigenous-languages-so-thats-an-issue-as-well/) - Then there are children who may not yet be verbal, and who aren’t able to articulate their needs, and that will have to be addressed.” “Earlier this week, news broke that some of the nearly three thousand immigrant children who have been taken from their parents at the border are being transferred to “tender-age” shelters - [“The idea of pulling a child out of a parent’s arms, or identifying a parent but still keeping them separate—it isn’t right.”](https://doctordidyouwashyourhands.com/2018/06/the-idea-of-pulling-a-child-out-of-a-parents-arms-or-identifying-a-parent-but-still-keeping-them-separate-it-isnt-right/) - “Alicia Hart has worked as an emergency physician in South Texas for ten years, and has seen a stream of migrant children from Guatemala and Honduras come to the U.S. fleeing gang violence… But then the Trump Administration began to enforce a “zero tolerance” approach toward migrants arriving at the U.S.-Mexico border, a move that - [Democratic Republic of Congo's Ebola outbreak has been "largely contained"…](https://doctordidyouwashyourhands.com/2018/06/democratic-republic-of-congos-ebola-outbreak-has-been-largely-contained/) - …and no new cases of the disease have been confirmed since the last known sufferer died on 9 June, the World Health Organisation said on Wednesday. The UN health body said it viewed the situation with "cautious optimism", despite the difficulty of tracking down people who may have been exposed to the deadly virus in - ["The business of housing, transporting and watching over migrant children detained along the southwest border is not a multimillion-dollar business. It's a billion-dollar one…](https://doctordidyouwashyourhands.com/2018/06/the-business-of-housing-transporting-and-watching-over-migrant-children-detained-along-the-southwest-border-is-not-a-multimillion-dollar-business-its-a-billion-dollar-one/) - The recent separation of some 2,300 migrant children from their families under the Trump administration’s “zero tolerance” policy on illegal border crossers has thrust this invisible industry into the spotlight in recent weeks, as images of toddlers and teenagers taken from their parents and detained behind locked doors have set off a political firestorm. President - [“If it could happen to them…why can’t it happen to us?”…separating children from their parents](https://doctordidyouwashyourhands.com/2018/06/if-it-could-happen-to-themwhy-cant-it-happen-to-usseparating-children-from-their-parents/) - “My older daughter began having nightmares that “the people” would take her away from us and give her to another family. She was inconsolable. “If it could happen to them,” she asked with the cleareyed logic of a 7-year-old, “why can’t it happen to us?”.. (A) “The Trump administration has set up at least three - [“…Trump’s (family separation) policy amounts to “government-sanctioned child abuse.””](https://doctordidyouwashyourhands.com/2018/06/trumps-family-separation-policy-amounts-to-government-sanctioned-child-abuse/) - The president of the American Academy of Pediatrics on Monday said President Trump's “zero tolerance” policy separating families at the U.S.-Mexico border “amounts to child abuse.” “I can’t describe to you the room I was in with the toddlers,” Kraft said. “Normally toddlers are rambunctious and running around. We had one child just screaming and - ["The Trump administration’s policy of separating parents and children at the U.S.-Mexico border will have a dire impact on their health, both now and into the future.” (C)](https://doctordidyouwashyourhands.com/2018/06/the-trump-administrations-policy-of-separating-parents-and-children-at-the-u-s-mexico-border-will-have-a-dire-impact-on-their-health-both-now-and-into-the-future-c/) - “Over the last year, as a result of a new policy established by top officials in the Trump administration, U.S. Customs and Border Protection has separated at least hundreds—and possibly thousands—of families at the border with Mexico who are seeking asylum in the United States… Our field recognizes the importance of avoiding Adverse Childhood Experiences - [EBOLA, ZIKA. EMERGING VIRUSES. “ All too often with infectious diseases, it is only when people start to die that necessary action is taken.”](https://doctordidyouwashyourhands.com/2018/06/ebola-zika-emerging-viruses-all-too-often-with-infectious-diseases-it-is-only-when-people-start-to-die-that-necessary-action-is-taken/) - “On average, in one corner of the world or another, a new infectious disease has emerged every year for the past 30 years: mers, Nipah, Hendra, and many more. …Despite advances in antibiotics and vaccines, and the successful eradication of smallpox, Homo sapiens is still locked in the same epic battle with viruses and other - [“With an outbreak like this, it’s a race against time, as one Ebola patient with symptoms can infect several people every day.”](https://doctordidyouwashyourhands.com/2018/06/with-an-outbreak-like-this-its-a-race-against-time-as-one-ebola-patient-with-symptoms-can-infect-several-people-every-day/) - “Paul Jawor, who has just returned home from the African nation, admitted he was 'very scared' about the killer virus in a written account of his time on the ground… Mr Jawor, a Doctors Without Borders and Médecins Sans Frontières water and sanitation expert, was sent to the DRC on May 20… The current Ebola - [“This would appear to be Republicans’ last-ditch attempt (well, their latest last-ditch attempt) to repeal Obamacare.”](https://doctordidyouwashyourhands.com/2018/06/this-would-appear-to-be-republicans-last-ditch-attempt-well-their-latest-last-ditch-attempt-to-repeal-obamacare/) - ____________________ Trump's Justice Department says the ACA is unconstitutional (June 6th) “The Justice Department will not defend the Affordable Care Act in court, and says it believes the law's individual mandate — the provision the Supreme Court upheld in 2012 — has become unconstitutional… The details: The ACA's individual mandate requires most people to buy - [“Raw” Curated Contemporaneous Health Care Case Study Methodology by Jonathan M. Metsch, Dr.P.H.](https://doctordidyouwashyourhands.com/2018/05/raw-curated-contemporaneous-health-care-case-study-methodology-by-jonathan-m-metsch-dr-p-h/) - I taught full time in the Baruch MBA in Health Care Administration program from 1972 to 1975, then was a health care administrator for over thirty years, finishing for seventeen years as President & CEO of LibertyHealth/ Jersey City Medical Center, where we built a replacement safety-net hospital (it took 15 years), played a key - [As ZIKA and EBOLA reemerge, Trump administration cuts funding to halt international epidemics](https://doctordidyouwashyourhands.com/2018/05/as-zika-and-ebola-reemerge-trump-administration-cuts-funding-to-halt-international-epidemics/) - March 13th “The White House appeared to declare victory this week for an Obama-era initiative to stamp out disease outbreaks around the world even as it moved to scale back the program…, But the United States is set to dramatically shrink its contributions to the initiative, a point that the report omitted. The Centers for - [New Ebola outbreak declared in Democratic Republic of the Congo](https://doctordidyouwashyourhands.com/2018/05/new-ebola-outbreak-declared-in-democratic-republic-of-the-congo/) - On May 3rd we posted: “we are not finished with Zika… It very well could come back.” Are we ready? https://doctordidyouwashyourhands.com/2018/05/we-are-not-finished-with-zika-it-very-well-could-come-back-are-we-ready/ Today: The Government of the Democratic Republic of the Congo declared a new outbreak of Ebola virus disease (EVD) in Bikoro in Equateur Province today (8 May). The outbreak declaration occurred after laboratory results - ["we are not finished with Zika… It very well could come back." Are we ready?](https://doctordidyouwashyourhands.com/2018/05/we-are-not-finished-with-zika-it-very-well-could-come-back-are-we-ready/) - In 2014, I suggested several anchor principles for Ebola preparedness in New Jersey, as hospitals of all sizes and scope “marketed” their Ebola readiness, only to learn that it took well over 20/ 25 full time staff to care for one Ebola patient (and 50 in Dallas!). These recommendations included that every hospital that certified - [Why is there a nationwide hospital shortage of injectable opioids? - follow the money. (part 3 of a continuing case study on the opioid crisis)](https://doctordidyouwashyourhands.com/2018/04/why-is-there-a-nationwide-hospital-shortage-of-injectable-opioids-follow-the-money-part-3-of-a-continuing-case-study-on-the-opioid-crisis/) - “The incident command system kicked in at Brigham and Women’s Hospital about a week ago. A large team of doctors, pharmacists, and nurses began assembling every morning to confront an emerging crisis with the potential to severely undermine care for patients. The challenge was different than it was during the Boston Marathon bombing, another event - [New health care case study methodology starting with DISRUPTION/ DISINTERMEDIATION](https://doctordidyouwashyourhands.com/2018/03/new-health-care-study-methodology-starting-with-disruption-disintermediation/) - https://doctordidyouwashyourhands.com Doctor, Did You Wash Your Hands?™ My name is Jonathan Metsch and I would like to share my Career Capstone Project with you. http://www.mountsinai.org/profiles/jonathan-m-metsch I taught full time in the Baruch MBA in Health Care Administration program from 1972 to 1975, then was a health care administrator for over thirty years, finishing for seventeen - [Case Study on Disruption/Disintermediation in health care (10 posts)](https://doctordidyouwashyourhands.com/2018/03/case-study-on-disruption-disintermediation-in-health-care-10-posts/) - Please feel free to use this case study, with attribution, and pass it onto others as well and...your feedback would be appreciated jonathanmetsch@gmail.com 1. August 23, 2017 | UBER HEALTH Inc., WALMART HOSPITALS NFP, AMAZONrx (Ireland), MicrosoftCare LLC. https://doctordidyouwashyourhands.com/2017/08/uber-health-inc-walmart-hospitals-inc-amazonrx-inc-microsoftcare-inc/ 2. November 3, 2017 | Is “Silicon Valley” – artificial intelligence – disrupting and taking over - [“In 2016, more than 40 percent of opioid overdose deaths in the U.S. involved a prescription opioid.”](https://doctordidyouwashyourhands.com/2018/04/in-2016-more-than-40-percent-of-opioid-overdose-deaths-in-the-u-s-involved-a-prescription-opioid/) - I have recently been posting CURATED CONTEMPORANEOUS CASE STUDIES with the objective of developing real-time health care policy information and analysis. The OPIOID CRISIS has been a real challenge absent any federal government leadership for state governments, public health agencies, hospitals, and the public. So this post is to catch-up on the various threads out - [CASE STUDY ON THE OPIOID CRISIS. “We still have lacked the insight that this is a crisis, a cataclysmic crisis”](https://doctordidyouwashyourhands.com/2018/03/case-study-on-the-opioid-crisis-we-still-have-lacked-the-insight-that-this-is-a-crisis-a-cataclysmic-crisis/) - “The opioid crisis has cost the U.S. $1 trillion since 2001, according to Altarum, a nonprofit health research firm. Those costs have been increasing more rapidly over the past few years, and Altarum projects they’ll grow by another $500 billion just by 2020. By the numbers: Most of that $1 trillion comes from lost wages, - [It appears that Hurricane Irma evacuation shelter managers may make people wait outside for hours? If so, just welcome them in and then do the registration process inside.](https://doctordidyouwashyourhands.com/2017/09/it-appears-that-hurricane-irene-evacuation-shelter-managers-may-make-people-wait-outside-for-hours-if-so-just-welcome-them-in-and-then-do-the-registration-process-inside/) - Making evacuees wait outside adds the anxiety of worrying about whether they made the right decision to seek shelter, to the already existing fear of temporary “homelessness” becoming permanent. “The storm is here,” Gov. Rick Scott said Saturday morning, noting that the storm surge could reach 15 feet in some places. “Fifteen feet is devastating - [“Calling 911 (about Hurricane Harvey) didn't work. Begging for help on Facebook and Instagram failed, too. "I was like, 'Siri's smart enough! Let me ask her!' …](https://doctordidyouwashyourhands.com/2017/09/calling-911-about-hurricane-harvey-didnt-work-begging-for-help-on-facebook-and-instagram-failed-too-i-was-like-siris-smart-enough-let-me-ask-her/) - Stranded outside in the rising waters of Hurricane Harvey, feverish and in great pain, 14-year-old Tyler Frank tried desperately to think of ways to get herself and her family to safety. And indeed, Siri was smart enough. With one inquiry to the Apple personal assistant -- "Siri, call the Coast Guard" -- Tyler got her - [The HEALTH SECTOR is ripe for DISRUPTION… organizations need to rethink how & where care is delivered to consumers (F)](https://doctordidyouwashyourhands.com/2018/03/the-health-sector-is-ripe-for-disruption-organizations-need-to-rethink-how-where-care-is-delivered-to-consumers-f/) - “Some of the biggest and most famous brands in America are making big bets on health care. The blue chips of Silicon Valley — Amazon, Apple, Google, Uber — have announced in the past few weeks they’re interested in disrupting an industry that has bedeviled us with rising costs and inefficiencies for decades. Amazon is - [Health care disruption....”executives are paying close attention to who/what poses the greatest threat to their business models.”](https://doctordidyouwashyourhands.com/2018/01/health-care-disruption-executives-are-paying-close-attention-to-who-what-poses-the-greatest-threat-to-their-business-models/) - “The health care industry is consolidating rapidly — hospitals are merging with each other and with insurers; pharmacies are buying insurance companies; and drug companies are snapping up other drug companies. The big question: Are these deals good for consumers? What happens to networks of hospitals, doctors and pharmacies? Those options will likely narrow as - [The power of artificial intelligence in disrupting health care](https://doctordidyouwashyourhands.com/2018/03/the-power-of-artificial-intelligence-in-disrupting-health-care/) - “Speaking at the Federation of American Hospitals convention in D.C., Health and Human Services (HHS) Secretary Alex Azar laid out a series of actions the administration will take that are aimed at lowering health care costs, and warned that it wouldn’t be deterred by powerful special interests. “Today is an opportunity to let everyone know - [AMAZON: Health Care DISRUPTION by DISINTERMEDIATION. (what the heck is that?)](https://doctordidyouwashyourhands.com/2018/02/amazon-health-care-disruption-by-disintermediation-what-the-heck-is-that/) - “Hospitals are disappearing. While they may never completely go away, they will continue to shrink in number and importance….” (A) “What do Ashton Kutcher(Airbnb), Donald Trump and Travis Kalanick (Uber) have in common? They recognized an opportunity and used it to their advantage. That trend: disintermediation—the opportunity to deliver a product or service to a - [health care DISRUPTERS like Amazon “have a strong self-interest in keeping hospital leadership on edge…”](https://doctordidyouwashyourhands.com/2018/02/the-health-care-disrupters-like-amazon-have-a-strong-self-interest-in-keeping-hospital-leadership-on-edge/) - “Rising costs, growing consumerism and heightened government scrutiny have created a cocktail of forces that leave the healthcare industry “ripe for disruption," according to a new S&P Global Ratings report. Amazon, which last year upended the supermarket industry with its purchase of Whole Foods Market, could seize market share from medical supplies distributors such as - [Amazon is openly DISRUPTING health care as well as quietly under-the-radar](https://doctordidyouwashyourhands.com/2018/02/amazon-is-openly-disrupting-health-care-and-also-quietly-under-the-radar/) - “Three corporate behemoths — Amazon, Berkshire Hathaway and JPMorgan Chase — announced…that they would form an independent health care company for their employees in the United States. The alliance was a sign of just how frustrated American businesses are with the state of the nation’s health care system and the rapidly spiraling cost of medical - [“Think hospitals are under a strain now, from a slightly bad flu season? Wait until a really bad one hits.”](https://doctordidyouwashyourhands.com/2018/01/think-hospitals-are-under-a-strain-now-from-a-slightly-bad-flu-season-wait-until-a-really-bad-one-hits/) - “In a press briefing on Friday, Dr. Dan Jernigan — director of the influenza division in the CDC’s National Center for Immunization and Respiratory Diseases — confirmed that the outbreak can legitimately be called an epidemic. “We have very specific criteria where we can say the epidemic is beginning and ending based on when flu - [Government Shutdown. "The CDC would furlough key staff amid one of the most severe flu seasons in recent memory…."](https://doctordidyouwashyourhands.com/2018/01/government-shutdown-the-cdc-will-furlough-key-staff-amid-one-of-the-most-severe-flu-seasons-in-recent-memory/) - “The last government shutdown — which lasted for 16 days in October 2013 — sheds light on just how far flung are the consequences of congressional inaction, especially for health companies and public health workers. STAT talked to former officials at the FDA, CDC, and NIH about how that shutdown affected the work they could - [“..in a severe (flu) pandemic, the U.S. healthcare system could be overwhelmed in just weeks.](https://doctordidyouwashyourhands.com/2018/01/let-there-be-no-mistake-in-a-severe-flu-pandemic-the-u-s-healthcare-system-could-be-overwhelmed-in-just-weeks/) - Hospitals and clinics would be forced to turn away millions of patients. Critical medications and care would not reach people in time. Millions of people in every state would be felled by the virus, and hundreds of thousands—including newborn babies, toddlers and older adults—would die in the weeks and months following the initial outbreak. The - [In the ICU at Massachusetts General Hospital, nurses use Gatorade to combat flu-related dehydration (due to shortages of intravenous fluids)](https://doctordidyouwashyourhands.com/2018/01/in-the-icu-at-massachusetts-general-hospital-nurses-use-gatorade-to-combat-flu-related-dehydration-due-to-shortages-of-intravenous-fluids/) - “This winter’s flu season is turning into a “moderately severe” one that might get worse because of an imperfect vaccine and steady cold weather, flu experts and public health officials said this week… About 80 percent of cases are of the H3N2 strain, which caused many hospitalizations and deaths this year in Australia, where winter - [Opioid commission member: Our work is a 'sham'](https://doctordidyouwashyourhands.com/2018/01/opioid-commission-member-our-work-is-a-sham/) - “The Trump administration has extended the opioid public health emergency issued by President Trump, days before that declaration was set to expire. In October, President Trump announced in the White House’s East Room that he was declaring the opioid epidemic a national public health emergency. The move was without precedent, as such declarations had in - [Health care “disruption” doesn’t have any rules!](https://doctordidyouwashyourhands.com/2018/01/health-care-disruption-doesnt-have-any-rules/) - Novel strategies often “appear” full blown. Sometimes they appear to be counterintuitive. Often there seem to be conflicting ideas out there. New players enter the competition. There is no continuum within which to place different initiatives. So DOCTOR is taking a break to try to learn more and perhaps might come back “disruptively”! Here are - [GOP Rep. Blames Obamacare For Sexual Harassment Allegations](https://doctordidyouwashyourhands.com/2018/01/gop-rep-blames-obamacare-for-sexual-harassment-allegations/) - “Early last year as an Obamacare repeal bill was flailing in the House, top Trump administration officials showed select House conservatives a secret road map of how they planned to gut the health law using executive authority. The March 23 document, which had not been public until now, reveals that while the effort to scrap - [As Washington dawdles, the States step in on the opioid crisis, with initiatives and lawyers](https://doctordidyouwashyourhands.com/2017/08/as-washington-dawdles-the-states-step-in-on-the-opioid-crisis-with-initiatives-and-lawyers/) - “It has to be both law enforcement and health, we have to do more of everything because of the crisis that we’re in,” said Baum, acting director of the White House Office of National Drug Control Policy… “We need to draw a distinction between people who are basically engaged in drug use, drug possession, and - [After Hurricane Harvey – Robust Public Health Response](https://doctordidyouwashyourhands.com/2017/08/after-hurricane-harvey-robust-public-health-intervention/) - “In the immediate emergency there’s concern around drowning, and especially for folks who are in motor vehicles where there is severe flooding, blunt trauma, fire-related injuries,” said Marisa Raphael, deputy commissioner of the Office of Emergency Preparedness and Response at the New York City Health Department. Vulnerable populations, like the homeless, the elderly and the - [“Houston’s world-renowned health care infrastructure found itself battered by Hurricane Harvey, struggling to treat storm victims while becoming a victim itself.”](https://doctordidyouwashyourhands.com/2017/08/houstons-world-renowned-health-care-infrastructure-found-itself-battered-by-hurricane-harvey-struggling-to-treat-storm-victims-while-becoming-a-victim-itself/) - "Water poured into hospitals. Ambulances were caught up in roiling floodwaters. Medical transport helicopters were grounded by high winds. Houston’s world-renowned health care infrastructure found itself battered by Hurricane Harvey, struggling to treat storm victims while becoming a victim itself…. The response to Harvey, now a tropical storm but still wreaking havoc over the state, - [Hurricane Harvey. “There’s no need to test it (flood water),”…“It’s contaminated. There’s millions of contaminants.”…](https://doctordidyouwashyourhands.com/2017/08/hurricane-harvey-theres-no-need-to-test-it-flood-waterits-contaminated-theres-millions-of-contaminants/) - Officials in Houston are just beginning to grapple with the health and environmental risks that lurk in the waters dumped by Hurricane Harvey, a stew of toxic chemicals, sewage, debris and waste that still floods much of the city. Flooded sewers are stoking fears of cholera, typhoid and other infectious diseases. Runoff from the city’s - [After Hurricane Harvey a man in Texas says he got infected with flesh-eating bacteria](https://doctordidyouwashyourhands.com/2017/09/a-man-in-texas-says-he-got-infected-with-flesh-eating-bacteria-while-helping-his-neighbors-in-the-aftermath-of-hurricane-harvey-last-week/) - J.R. Atkins, of Missouri City, Texas, wrote in a Facebook post that he was hospitalized after what he thought was a small bug bite turned into swelling and some numbness in his hand. He had been kayaking through flooded streets to check on his neighbors, Atkins wrote, and noticed the bite when he returned home.The - [As he looked at the full beds and patients “packed and stacked in the hallways,” he shifted into triage mode, asking himself “Who’s dying first?” and who could he save.](https://doctordidyouwashyourhands.com/2017/10/as-he-looked-at-the-full-beds-and-patients-packed-and-stacked-in-the-hallways-he-shifted-into-triage-mode-asking-himself-whos-dying-first-and-who-could/) - “The Las Vegas University Medical Center looked like a war zone when trauma surgeon Jay Coates arrived just after 11 p.m. PT to care for the scores of wounded victims of the largest mass shooting in U.S. history. “We started divvying them up, taking them to the operating room and doing what’s called ‘damage control - [‘This Is Like in War’ - Lessons Learned about Hospital Hurricane Preparedness](https://doctordidyouwashyourhands.com/2017/10/this-is-like-in-war-lessons-learned-about-hospital-hurricane-preparedness/) - “Failing infrastructure, the increasing density of cities and the growing frequency of extreme weather events create public health risks on a massive scale. In Houston, improperly maintained Superfund sites ― that is, profoundly polluted hazardous-waste sites ― could not withstand the waters that rose as high as streetlights in some areas. Drainage systems failed. Poisonous - [Is “Silicon Valley” - artificial intelligence - disrupting and taking over the health care system?](https://doctordidyouwashyourhands.com/2017/11/is-silicon-valley-artificial-intelligence-disrupting-and-taking-over-the-health-care-system/) - “For a year and a half — and more urgently for much of the last month — I have warned of the growing economic, social and political power held by the five largest American tech companies: Apple, Amazon, Google, Facebook and Microsoft. Because these companies control the world’s most important tech platforms, from smartphones to - [Are drug manufacturers in cahoots with pharmacy benefits managers, making us pay more for prescriptions?](https://doctordidyouwashyourhands.com/2017/12/are-drug-manufacturers-in-cahoots-with-pharmacy-benefits-managers-making-us-pay-more-for-prescriptions/) - When a physician prescribes medication I always ask if there is a generic and I watch carefully when a brand name drug becomes available generically, often changing a $50+ co-pay to $5 or less. But if we fill prescriptions on cruise control that is without asking the right questions, we can wind up with much - [In 2018 the CVS-Aetna “Unicorn” will buy a mega-hospital system and become a very disruptive patient “ownership” trajectory](https://doctordidyouwashyourhands.com/2017/12/in-2018-the-cvs-aetna-unicorn-will-buy-a-mega-hospital-system-and-become-a-very-disruptive-patient-ownership-trajectory/) - 2017’s headline is the rapid transformation of the American health care system with disruptive hybrid private sector mergers, mega-hospital system mergers creating horizontally and vertically super-sized systems, and major capital expansion investment by academic medical centers to retain national and regional “anchor” supremacy. And the explanation by pundits of the various competing trajectories. My approach - [Facebook users can easily find these drugs - Oxycodone, Hydrocodone, and Percocets](https://doctordidyouwashyourhands.com/2017/11/facebook-users-can-easily-find-these-drugs-oxycodone-hydrocodone-and-percocets/) - “Gov. Chris Christie's presidential opioid commission went out of business Wednesday with 56 recommendations on how to address the crisis and an admonition to Congress to spend the money needed…. Among the new recommendations: providing states with more flexibility to use federal funds to address opioid abuse, launching a media campaign to warn about the - [“We are arguably as vulnerable—or more vulnerable—to another (flu) pandemic as we were in 1918.”](https://doctordidyouwashyourhands.com/2018/01/we-are-arguably-as-vulnerable-or-more-vulnerable-to-another-flu-pandemic-as-we-were-in-1918/) - “People in public health hate H3N2 flu seasons, like the one gripping most of North America right now. So do folks who work in hospitals and in the care facilities that look after the elderly. To put it flatly, H3N2 is the problem child of seasonal flu. It causes more deaths than the other influenza - [“wreck and rejoice” - has consequences. BTW, there is a congressional exemption from ObamaCare](https://doctordidyouwashyourhands.com/2018/01/wreck-and-rejoice-has-consequences-btw-there-is-a-congressional-exemption-from-obamacare/) - “Here are the five ways President Trump could weaken the ACA in 2018….easing ACA regulations on association health plans and extending short-term coverage….Continue outreach cuts….Target the essential health benefits…4. Allow insurers to leave counties….5.Not support ACA stabilization bills. The Alexander-Murray market stabilization bill and a reinsurance proposal from Sen. Susan Collins, R-Maine, have received support - [The CDC postponed its briefing on preparation for nuclear war and will focus on responding to severe influenza (A)](https://doctordidyouwashyourhands.com/2018/01/the-cdc-postponed-its-briefing-on-preparation-for-nuclear-war-and-will-focus-on-responding-to-severe-influenza-a/) - “The emergency room at Good Samaritan Hospital has been so packed with patients suffering from miserable flu symptoms the past few weeks, with incoming ambulances lined up outside and hospital rooms jammed, the staff has gone to its “Code Green” nearly every day. “It’s all hands on deck,” said Dr. David Feldman, chairman of Good - [Opioid Crisis. President Trumps “thoughts and prayers have helped.. “But additional funding and resources would be more helpful."](https://doctordidyouwashyourhands.com/2018/01/opioid-crisis-president-trumps-thoughts-and-prayers-have-helped-but-additional-funding-and-resources-would-be-more-helpful/) - President Donald Trump in October promised to "liberate" Americans from the "scourge of addiction," officially declaring a 90-day public health emergency that would urgently mobilize the federal government to tackle the opioid epidemic. That declaration runs out on Jan. 23, and beyond drawing more attention to the crisis, virtually nothing of consequence has been done… - [The Trump administration “… hasn’t done squat” about the Opioid Crisis – but is prosecuting marijuana offenses & fired all HIV/AIDS Commission members](https://doctordidyouwashyourhands.com/2018/01/the-trump-administration-hasnt-done-squat-about-the-opioid-crisis-but-is-prosecuting-marijuana-offenses-fired-all-hiv-aids-commission-members/) - “We wonder what it will take to shake the faith of Trump’s fans. His subservience to Russia’s ongoing cyber-invasion? Nope. His relentless assaults on the integrity of our law enforcement and intelligence agencies? Nope. Shooting someone in broad daylight on Fifth Avenue? Probably nope. But his failure to tackle the opioid epidemic — his big - ["It leaves us with two laws... Call the first one Obamacare... Call the second one Trumpcare"](https://doctordidyouwashyourhands.com/2017/12/it-leaves-us-with-two-laws-call-the-first-one-obamacare-call-the-second-one-trumpcare/) - “About 8.8 million Americans enrolled in health coverage through Healthcare.gov, the Trump administration announced Thursday, a slight dip from last year after the Trump administration cut spending and outreach but far from a dramatic drop. Last year, about 9.2 million people signed up through Healthcare.gov, which serves more than 30 states. A dozen states run - [President Trump: “When the individual mandate is being repealed that means ObamaCare is being repealed”](https://doctordidyouwashyourhands.com/2017/12/trump-when-the-individual-mandate-is-being-repealed-that-means-obamacare-is-being-repealed/) - “Just like the health care vote, there were a small number of Republican senators who seemed like they might hold out. But unlike last time, Senate leadership managed to successfully cut deals with these senators to secure “yes” votes. …Collins was most concerned about the provision in the tax bill that would kill Obamacare’s individual - [By ending the Individual Mandate Republicans are “showing they have no clue how insurance works.”…or don’tcare…](https://doctordidyouwashyourhands.com/2017/12/by-ending-the-individual-mandate-republicans-are-showing-they-have-no-clue-how-insurance-works-or-dontcare/) - “Some conservative health policy experts don’t think Congress and Trump have gone far enough. They fear scrapping the mandate but leaving many rules intact would prove disastrous, possibly setting in motion an inevitable “bailout” from Congress that would let Obamacare live to see another day. Conservative thinker Chris Jacobs, for instance, wrote in The Federalist - [“….57 % of Americans now approve of Obamacare. Only 29 % approve of the GOP’s tax cuts.”](https://doctordidyouwashyourhands.com/2017/12/57-of-americans-now-approve-of-obamacare-only-29-approve-of-the-gops-tax-cuts/) - Reflect on those numbers for a moment. Republicans have managed to make tax cuts less popular than Obamacare. It’s impressive. And yet last week, given an opportunity to tweak their bill before final passage, to make it something the American people might like a little better, the main change Republicans made was to lower the - [“ the move is a winner for Republicans, who.. would otherwise have little to show for 7 years of...repeated efforts to kill Obamacare..”](https://doctordidyouwashyourhands.com/2017/12/the-move-is-a-winner-for-republicans-who-would-have-little-to-show-for-7-years-of-repeated-efforts-to-kill-obamacare/) - “With the bill finally headed to a vote this coming week, taxpayers are scrambling to determine whether the legislation renders them winners or losers. WINNERS PRESIDENT TRUMP AND HIS FAMILY. Numerous industries will benefit from the Republican tax overhaul, but perhaps none as dramatically as the industry where Mr. Trump earned his riches: commercial real - [“..the compromise tax bill from House and Senate negotiators will end the health law’s requirement that all individuals buy insurance or pay a fine….”](https://doctordidyouwashyourhands.com/2017/12/the-compromise-tax-bill-from-house-and-senate-negotiators-will-end-the-health-laws-requirement-that-all-individuals-buy-insurance-or-pay-a-fine/) - Doing so could jeopardize Obamacare’s already-shaky marketplaces, by reducing the number of healthier people who sign up for insurance. The bill will “repeal Obamacare’s individual mandate tax, delivering relief to low- and middle-income Americans who have struggled under an unpopular and unworkable law,” the Kentucky Republican said in an emailed statement.” (A) “Susan Collins believes, - [Note to Sen Collins: Look Around the Poker Table- If You Can’t See the Patsy, You’re It! *](https://doctordidyouwashyourhands.com/2017/12/note-to-sen-collins-look-around-the-poker-table-if-you-cant-see-the-patsy-youre-it/) - Before she voted for the Senate version of the Republican tax bill, Sen. Susan Collins saw that Congress would soon be passing separate spending deals, and she had demands. The Maine Republican laid out a series of conditions for her to support the final “conference committee” version of the tax proposal. Most notably, she wants - [“White House counselor Kellyanne Conway will be the point person for the Trump administration's opioid crisis efforts…](https://doctordidyouwashyourhands.com/2017/12/white-house-counselor-kellyanne-conway-will-be-the-point-person-for-the-trump-administrations-opioid-crisis-efforts/) - President Donald Trump tapped Conway to help "change the perception" about opioids and reduce addictions and deaths, Sessions said at a press briefing about the Justice Department’s efforts to combat the crisis. Sessions said Trump had made the epidemic "a top priority for his administration, including every senior official and Cabinet member." Conway worked as - [..congressional Republicans aim to reduce spending on federal health care programs to reduce America's deficit](https://doctordidyouwashyourhands.com/2017/12/congressional-republicans-aim-to-reduce-spending-on-federal-health-care-programs-to-reduce-americas-deficit/) - “We're going to have to get back next year at entitlement reform, which is how you tackle the debt and the deficit,” Ryan said during an appearance on Ross Kaminsky's talk radio show. "... Frankly, it's the health care entitlements that are the big drivers of our debt, so we spend more time on the - [In June WEST NILE was identified nationwide. Today it’s POWASSAN VIRUS. - ARE WE PREPARED FOR A SURGE OF EMERGING MOSQUITO AND TICK BORNE VIRUSES?](https://doctordidyouwashyourhands.com/2017/07/in-june-west-nile-was-identified-nationwide-today-its-powassan-virus-are-we-prepared-for-a-surge-of-emerging-mosquito-and-tick-borne-viruses/) - Last Fall I was tested for Lyme disease after the summer in a tic infested area only to find that I had West Nile sometime in the past. Last month I read that the West Nile virus was found in New York City. “The New York City Health Department says it had detected the first - [The House and Senate played "dodgeball" not wanting to be held accountable when twenty million people, their constituents, would lose access to affordable care.](https://doctordidyouwashyourhands.com/2017/07/the-house-and-senate-played-dodgeball-not-wanting-to-be-held-accountable-when-twenty-million-people-their-constituents-would-lose-access-to-affordable-care-2/) - “The Senate in the early hours of Friday morning rejected a new, scaled-down Republican plan to repeal parts of the Affordable Care Act, derailing the Republicans’ seven-year campaign to dismantle President Barack Obama’s signature health care law and dealing a huge political setback to President Trump. Senator John McCain of Arizona, who just this week - [What Congress, President Trump and Former President Obama are saying about healthcare](https://doctordidyouwashyourhands.com/2017/07/what-next-with-health-care-legislation-what-congress-president-trump-and-former-president-obama-are-saying/) - “Politically, the collapse of the repeal effort is potentially devastating for Republicans. It leaves Trump without a significant policy achievement in the critical first six months of his presidency; it casts a pall over the party’s coming drives to pass a budget and overhaul the tax code; and it exposes GOP lawmakers to rising anger - [“At a time when the United States is in the grip of an opioid epidemic, many insurers are limiting access to pain medications that carry a lower risk of addiction or dependence…..”](https://doctordidyouwashyourhands.com/2017/10/at-a-time-when-the-united-states-is-in-the-grip-of-an-opioid-epidemic-many-insurers-are-limiting-access-to-pain-medications-that-carry-a-lower-risk-of-addiction-or-dependence/) - “The president promised two months ago that his administration would “spend a lot of time, a lot of effort and a lot of money on the opioid crisis.” Sens. Elizabeth Warren (D-Mass.) and Lisa Murkowski (R-Alaska) are pushing President Donald Trump to formally declare the opioid epidemic a national emergency, something he promised in August - [“…the president.. reversed course to instead declare opioids a public health emergency, a move that releases no new funding to contend with a drug crisis….”](https://doctordidyouwashyourhands.com/2017/10/the-president-reversed-course-to-instead-declare-opioids-a-public-health-emergency-a-move-that-releases-no-new-funding-to-contend-with-a-drug-crisis/) - “The current opioid epidemic is the deadliest drug crisis in American history. Overdoses, fueled by opioids, are the leading cause of death for Americans under 50 years old — killing roughly 64,000 people last year, more than guns or car accidents, and doing so at a pace faster than the H.I.V. epidemic did at its - [The Republican deal with itself: repeal the Obamacare individual mandate and stabilize the individual health insurance market?](https://doctordidyouwashyourhands.com/2017/11/the-republican-deal-with-itself-repeal-the-obamacare-individual-mandate-and-stabilize-the-individual-health-insurance-market/) - “HEALTH CARE: The Senate plan calls for eliminating the individual mandate in the Affordable Care Act (”Obamacare”). This will gut the ACA just as much as outright repealing it as the Senate tried earlier in the year, and failed. Eliminating this mandate will cause 13+ million taxpayers, many of them Trump supporters, to lose their - [“…House and Senate Republicans will likely scrap Obamacare's individual mandate in their final tax bill.”](https://doctordidyouwashyourhands.com/2017/12/house-and-senate-republicans-will-likely-scrap-obamacares-individual-mandate-in-their-final-tax-bill/) - “Economist Larry Summers said Monday that roughly 10,000 more Americans will die each year if Republican tax-reform legislation passes and includes a repeal of the ObamaCare individual mandate. "When people lose health insurance, they're less likely to get preventive care, they're more likely to defer health care they need, and ultimately they're more likely to - [“..Conference Committee “may not change a provision on which both houses agree, nor may they add anything that is not in one version or the other,”…](https://doctordidyouwashyourhands.com/2017/12/conference-committee-may-not-change-a-provision-on-which-both-houses-agree-nor-may-they-add-anything-that-is-not-in-one-version-or-the-other/) - … according to the Congressional Research Service. The final product is a “conference report,” which is passed by the majority of the members in the conference committee and then sent to the full House and Senate floors. Both the House and Senate have to pass the conference report outright for it to be sent to - [“The Senate tax bill is really a health care bill with major implications for more than 100 million Americans…..](https://doctordidyouwashyourhands.com/2017/11/the-senate-tax-bill-is-really-a-health-care-bill-with-major-implications-for-more-than-100-million-americans/) - ...who rely on the federal government for their health insurance. The bill reaches into every major American health care program: Medicaid, Medicare, and the Obamacare marketplaces. These are expected outcomes based on two key policy changes in the bill. First, the bill repeals the individual mandate, a key piece of Obamacare that requires most Americans - [“The White House is trying kill Obamacare. Americans are throwing it a lifeline.”](https://doctordidyouwashyourhands.com/2017/11/the-white-house-is-trying-kill-obamacare-americans-are-throwing-it-a-lifeline/) - For some middle-income families the increased premium from pulling the individual mandate is going to cancel out the tax cut they would get Sunday Puzzle: "Which Health Plan Is Cheaper? Doing a thorough comparison of health care plans is difficult. But there is an imperfect, yet fairly, simple way to check whether a high-deductible plan - [Senate Republicans include repeal of Obamacare’s individual mandate in the tax bill](https://doctordidyouwashyourhands.com/2017/11/senate-republicans-include-repeal-of-obamacares-individual-mandate-in-the-tax-bill/) - “The move to tuck the repeal of the so-called individual mandate into the tax overhaul is an attempt by Republicans to solve two problems: math and politics. Repealing the mandate, a longstanding Republican goal, would save hundreds of billions of dollars over the next decade. That would free up money that could be used to - [President Trump and Republican congressional leaders falsely claim that Obamacare… is in a "death spiral.”](https://doctordidyouwashyourhands.com/2017/11/president-trump-and-republican-congressional-leaders-falsely-claim-that-obamacare-is-in-a-death-spiral/) - “And there's no Obama-era policy that he (President Trump) has fought harder to kill than the former President's signature piece of legislation, Obamacare. After countless failed attempts at killing the bill through legislative means, Trump decided he'd try to kill it by starving it. Its marketing budget? Yeah that went bye-bye. The idea was that - [The new Jersey City Medical Center (2004) was constructed above the 100 year flood plain - then came Sandy, Harvey & Irma](https://doctordidyouwashyourhands.com/2017/11/the-new-jersey-city-medical-center-2004-was-constructed-above-the-100-year-flood-plain-then-came-sandy-harvey-irma/) - In 2012 “The hospitals in Hudson County were the hardest hit by the superstorm, with Hoboken University Medical Center and Palisades Medical Center temporarily closed. While Jersey City Medical Center's first floor was inundated, it moved patients to the second floor and remained open. “Fortunately for us, we were able to maintain our generator,” Scott - [Ending the subsidy for copays/ deductibles would increase the subsidy for premiums ..and ObamaCare enrollment would grow](https://doctordidyouwashyourhands.com/2017/10/ending-the-subsidy-for-copays-deductibles-would-increase-the-subsidy-for-premiums-and-obamacare-enrollment-would-grow/) - The Obama-era health care law actually has two major subsidies that benefit consumers with low-to-moderate incomes. The subsidy Trump targeted reimburses insurers for reducing copays and deductibles, and is under a legal cloud. The other subsidy is a tax credit that reduces the premiums people pay, and it is not in jeopardy. If the subsidy - [If medical error were considered a disease..it would be the 3rd leading cause of death.. behind only heart disease & and cancer](https://doctordidyouwashyourhands.com/2017/10/if-medical-error-were-considered-a-disease-it-would-be-the-3rd-leading-cause-of-death-behind-only-heart-disease-and-cancer/) - As you may have figured out by now I follow information about the health care industry pretty closely. As a hospital CEO for seventeen years, the New York Times, Newark Star Ledger and Jersey Journal were on my desk every morning when I walked in the door. Then as an adjunct professor in two graduate - [“… President Donald Trump on Wednesday backed away from a bipartisan deal on healthcare reached by two senators…](https://doctordidyouwashyourhands.com/2017/10/president-donald-trump-on-wednesday-backed-away-from-a-bipartisan-deal-on-healthcare-reached-by-two-senators/) - a day earlier, saying he could never support legislation "bailing out" insurance companies. On Tuesday, Trump appeared to embrace the deal struck by Republican Senator Lamar Alexander and Democratic Senator Patty Murray as "a short-term solution so that we don't have this very dangerous little period," apparently referring to possible premium spikes in the wake - [The rise of 'grandfamilies': Opioid crisis requires more Hoosier grandparents to raise children..](https://doctordidyouwashyourhands.com/2017/09/the-rise-of-grandfamilies-opioid-crisis-requires-more-hoosier-grandparents-to-raise-children/) - “When President Trump announced in early August, following a presidential commission’s recommendations, that the opioid crisis was a “national emergency,… he called it “a serious problem the likes of which we have never had.” A month has now passed, and that urgent talk has yet to translate into urgent action. While the president’s aides say - [President Trump tweeted he ”.. would not sign Graham-Cassidy if it did not include coverage of pre-existing conditions. It does! A great Bill. Repeal & Replace.” IT DOESN’T!](https://doctordidyouwashyourhands.com/2017/09/president-trump-tweeted-he-would-not-sign-graham-cassidy-if-it-did-not-include-coverage-of-pre-existing-conditions-it-does-a-great-bill-repeal-replace-it-doesn/) - As HuffPost’s Jonathan Cohn explains, the bill, sponsored by Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.), leaves most decisions on health insurance to states, as it converts federal money to state grants. States could dismantle key provisions of the Affordable Care Act, such as the requirement that people with preexisting conditions are not denied - ["It ain't over till it's over." (Yogi Berra). But, John McCain said he "cannot in good conscience vote for the Graham Cassidy proposal.”](https://doctordidyouwashyourhands.com/2017/09/it-aint-over-till-its-over-yogi-berra-but-john-mccain-said-he-cannot-in-good-conscience-vote-for-the-graham-cassidy-proposal/) - “As I have repeatedly stressed, health care reform legislation ought to be the product of regular order in the Senate. Committees of jurisdiction should mark up legislation with input from all committee members, and send their bill to the floor for debate and amendment. That is the only way we might achieve bipartisan consensus on - [TrumpGrahamCassidy. “Perhaps one of the biggest challenges for the bill will come next week when the Senate parliamentarian — an umpire of sorts for the chamber's rules — takes a look at the bill…"](https://doctordidyouwashyourhands.com/2017/09/8501/) - The Byrd rule, however, restricts what can be considered under budget reconciliation. If a provision of a bill is considered an "extraneous matter" or something "merely incidental" to the federal budget, it can be stripped out of the legislation…. A previous iteration of the Senate GOP's healthcare bill, the Better Care Reconciliation Act, already showed - [Congress blocked DEA action against drug companies suspected of flooding the country with prescription narcotics](https://doctordidyouwashyourhands.com/2017/10/congress-blocked-dea-action-against-drug-companies-suspected-of-flooding-the-country-with-prescription-narcotics/) - “In April 2016, at the height of the deadliest drug epidemic in U.S. history, Congress effectively stripped the Drug Enforcement Administration of its most potent weapon against large drug companies suspected of spilling prescription narcotics onto the nation’s streets... A handful of members of Congress, allied with the nation’s major drug distributors, prevailed upon the - [Trump vows to rip apart Obamacare piece by piece. (A)](https://doctordidyouwashyourhands.com/2017/10/trump-vows-to-rip-apart-obamacare-piece-by-piece-a/) - “In a move likely to roil America's insurance markets, President Donald Trump will "immediately" halt payments to insurers under the Obama-era health care law he has been trying to persuade Congress to unravel for months…. “…. the White House said the government cannot legally continue to pay the so-called cost-sharing subsidies because they lack a - [Trump’s Executive Order: “By siphoning off healthy individuals, these junk plans could cannibalize the insurance exchanges.”](https://doctordidyouwashyourhands.com/2017/10/trumps-executive-order-by-siphoning-off-healthy-individuals-these-junk-plans-could-cannibalize-the-insurance-exchanges/) - “President Donald Trump signed an executive order Thursday morning intended to allow small businesses and potentially individuals to buy a long-disputed type of health insurance that skirts state regulations and Affordable Care Act protections. The White House and allies portray the president's move to expand access to "association health plans" as wielding administrative powers to - [CDC deactivated its emergency response center for Zika.. The first probable locally acquired Zika case in 2017 has been confirmed in Texas….](https://doctordidyouwashyourhands.com/2017/10/cdc-deactivated-its-emergency-response-center-for-zika-the-first-probable-locally-acquired-zika-case-in-2017-has-been-confirmed-in-texas/) - County health officials on Thursday reported the case involves a Laguna Heights resident who sought testing at a county clinic. The individual is believed to have contracted the virus through a mosquito bite. “Based on the information that we have, the source of the transmission appears to be mosquito-borne that took place several months ago. - [Access to health care….should be considered “privileges” for those who can afford them](https://doctordidyouwashyourhands.com/2017/10/access-to-health-care-to-access-to-food-and-shelter-should-be-considered-privileges-for-those-who-can-afford-them/) - “When asked by a high school student in Wisconsin whether he considered health care a right or a privilege, Sen. Ron Johnson (R-WI) compared access to health care to access to food and shelter, arguing that all three should be considered “privileges” for those who can afford them. “I think it’s probably more of a - [Senator Cassidy a candidate for Health and Human Services Secretary?](https://doctordidyouwashyourhands.com/2017/10/senator-cassidy-a-candidate-for-health-and-human-services-secretary/) - “Sen. Cassidy failed to repeal ObamaCare, but the defeat hasn't stopped Louisiana's senior senator from trying to raise money from the effort. A fundraising pitch sent this week from Cassidy's campaign urged supporters to send donations by a Saturday deadline to "help Bill keep fighting for what we all know is right." The email describes - [LINDSEY GRAHAM ON OBAMACARE REPEAL: I HAD NO IDEA WHAT I WAS DOING](https://doctordidyouwashyourhands.com/2017/09/lindsey-graham-on-obamacare-repeal-i-had-no-idea-what-i-was-doing/) - “.. now that it’s over, the old Graham is back and more than willing to laugh at how improbable it was that a national security expert briefly held the national limelight as a supposed health policy wonk. Graham, though, said he was not alone in his lack of understanding of health care. “Nobody in our - [Last minute Sunday night Graham Cassidy revisions included.. a pretty sweet deal for the state of Louisiana, home of one of the bill's sponsors Sen. Bill Cassidy.](https://doctordidyouwashyourhands.com/2017/09/last-minute-sunday-night-graham-cassidy-revisions-included-a-pretty-sweet-deal-for-the-state-of-louisiana-home-of-one-of-the-bills-sponsors-sen-bill-cassidy/) - “Republican senators released a new version of their health care proposal Sunday night aimed at winning support from a handful of still undecided senators. The legislation includes language that gives states that expanded Medicaid after December 2015, access to an additional $750 million a year between 2023 and 2026. Experts at both the Kaiser Family - [Trump: “I want to focus on North Korea not 'fixing somebody's back',…Let the states do that.” As “synthetic repeal” of ObamaCare is underway.](https://doctordidyouwashyourhands.com/2017/10/trump-i-want-to-focus-on-north-korea-not-fixing-somebodys-backlet-the-states-do-that-as-synthetic-repeal-of-obamacare-is-underway/) - “President Trump praised health care block grants on Saturday, saying they allow the states to focus on health care, but said he would rather focus his energy on tensions with North Korea than "fixing somebody's back or their knee." "You know in theory, I want to focus on North Korea, I want to focus on - [We don’t know what we don’t know” (1) The challenge to emergency preparedness…..](https://doctordidyouwashyourhands.com/2017/08/we-dont-know-what-we-dont-know-1-the-challenge-to-emergency-preparedness/) - The OPIOD CRISIS developed under-the-radar into a large scale national epidemic. This calamity was created, not by a virus, but by the over-production of very profitable prescription pain medication, and over-prescribing due in part to “pain management” goals and patient demand. And in the recent past ZIKA spread on an unpredictable trajectory followed by a - [“Senate Republicans Commence Health Care Blame Game” – pointing fingers at each other. (But..Is a bipartisan deal next?)](https://doctordidyouwashyourhands.com/2017/09/senate-republicans-commence-health-care-blame-game-pointing-fingers-at-each-other-but-is-a-bipartisan-deal-next/) - “Frustration overtook Senate Republicans on Tuesday as the reality sunk in that they had failed again in fulfilling a seven-year campaign promise to repeal the 2010 health care law. And senators were looking to cast blame wherever they could find it. They decried the time constraints of the budget reconciliation procedure they chose to advance - [“I personally think it’s time for the American people to see what the Democrats have done to them on health care,” said Senate Finance Committee Chairman Orrin G. Hatch (R-Utah).](https://doctordidyouwashyourhands.com/2017/09/i-personally-think-its-time-for-the-american-people-to-see-what-the-democrats-have-done-to-them-on-health-care-said-senate-finance-committee-chairman-orrin-g-hatch-r-utah/) - “ “They’re going to find they can’t pay for it, they’re going to find that it doesn’t work. . . . Now that will make it tough on everybody. Maybe that’s what it take to wise people up.” Wednesday is the deadline for insurers to sign contracts with the federal government so that they can sell health - [TRUMP/ GRAHAM/ CASSIDY. “If there’s a billion more going to Maine … that’s a heck of a lot,” Cassidy said.](https://doctordidyouwashyourhands.com/2017/09/trump-graham-cassidy-if-theres-a-billion-more-going-to-maine-thats-a-heck-of-a-lot-cassidy-said/) - “The latest Republican push to repeal key parts of the Affordable Care Act appears to have met the fate of all previous Senate repeal efforts this year — it doesn't have the votes needed to pass the chamber. Maine Sen. Susan Collins announced Monday that she will oppose the bill, authored by South Carolina Sen. - [White House Director of Legislative Affairs Marc Short is defending the proposed Graham-Cassidy bill -- - by countering criticism that the bill does not provide coverage for those with pre-existing conditions.](https://doctordidyouwashyourhands.com/2017/09/white-house-director-of-legislative-affairs-marc-short-is-defending-the-proposed-graham-cassidy-bill-by-countering-criticism-that-the-bill-does-not-provide-coverage-for-those-with-pre-existing-co/) - "In fact, the Obamacare legislation required coverage of pre-existing conditions. This legislation does not change that. So pre-existing conditions continue to be covered," Short said on CBS News' "Face the Nation." While he assured that the proposed legislation "guarantees" that pre-existing conditions will continue to be covered, experts say that people with health problems or - [TRUMPCARE. “This is the choice for America, Mr. Graham said on Tuesday: “Socialism or federalism when it comes to your health care.””](https://doctordidyouwashyourhands.com/2017/09/trumpcare-this-is-the-choice-for-america-mr-graham-said-on-tuesday-socialism-or-federalism-when-it-comes-to-your-health-care/) - “Eleven governors, including five Republicans and a pivotal Alaskan independent, urged the Senate on Tuesday to reject a last-ditch push to dismantle the Affordable Care Act. But Republican leaders pressed toward a showdown vote. And they choked off separate bipartisan efforts to shore up health insurance markets under the Affordable Care Act, hoping to give - [President Trump would sign the Graham-Cassidy bill if the legislation to repeal Obamacare makes it to his desk…. IT JUST MIGHT MAKE IT THERE!](https://doctordidyouwashyourhands.com/2017/09/president-donald-trump-would-sign-the-graham-cassidy-bill-if-the-legislation-to-repeal-obamacare-makes-it-to-his-desk-it-just-might-make-it-there/) - “The Congressional Budget Office says it won't be able to provide crucial projections about the impact of the newest Republican (health care) bill….until after the Senate is expected to vote on it.” “House Speaker Paul Ryan says he is encouraging every Republican senator to vote for the latest, last-ditch effort in the Senate to dismantle - [“Senators on the health committee are working over the weekend to try to reach an agreement on a stabilization bill for Obamacare…”](https://doctordidyouwashyourhands.com/2017/09/senators-on-the-health-committee-are-working-over-the-weekend-to-try-to-reach-an-agreement-on-a-stabilization-bill-for-obamacare/) - “Liberals and conservatives in Congress were planning on Wednesday to set forth two radically different proposals for health care: a huge expansion of Medicare, which would open the program to all Americans, and a rollback of the Affordable Care Act, which would give each state a lump sum of federal money with sweeping new discretion - [Military helicopters and jets were overhead, as President Bush was getting ready to leave. The plumes of smoke from the World Trade Center were still billowing skyward.](https://doctordidyouwashyourhands.com/2017/09/military-helicopters-and-jets-were-overhead-as-president-bush-was-getting-ready-to-leave-the-plumes-of-smoke-from-the-world-trade-center-were-still-billowing-skyward/) - *written by Jonathan M. Metsch on September 14, 2001; published in the Jersey Journal on September 18, 2001 Suddenly a huge white military hospital ship with four Red Crosses steamed by and docked right across river. I thought how this hospital ship brought the war even closer to home but mostly about how the hospitals - [Study Findings: Five percent of pregnant women with a confirmed Zika infection.. went on to have a baby with a related birth defect](https://doctordidyouwashyourhands.com/2017/06/zika-update-2-five-percent-of-pregnant-women-with-a-confirmed-zika-infection-in-the-united-states-territories-including-puerto-rico-went-on-to-have-a-baby-with-a-related-birth-defect/) - DOCTOR tracked ZIKA last year and proposed the designation of REGIONAL EMERGING VIRUSES REFERRAL CENTERS. It seems that when it was an isolated mainland event in south Florida, public concern disappeared and public health authorities breathed a sigh of relief. Even though we now know that more ZIKA outbreaks are likely and that the consequences - [Perry Como sang "There’s no place like home for the holiday"….except for Republican Senators with their TrumpCare albatross](https://doctordidyouwashyourhands.com/2017/06/theres-no-place-like-home-for-the-holiday-except-for-republic-senators-with-their-trumpcare-albatross/) - Since the American people overwhelming disapprove of the Trump/ Senate health care bill, why do Republicans remained determined to Repeal and Replace? The facts are… “Just 17 percent of those surveyed say they approve of the Senate's health care plan, the Better Care Reconciliation Act. Fifty-five percent say they disapprove, while about a quarter said - [REPEAL NOW/ REPLACE LATER: "Nothing like rolling a hand grenade into ongoing negotiations…"](https://doctordidyouwashyourhands.com/2017/07/repeal-now-replace-later-nothing-like-rolling-a-hand-grenade-into-ongoing-negotiations/) - …….The President's tweet also could have the effect of further complicating health care negotiations. A GOP official close to leadership and supportive of the current repeal/replace effort told CNN.” (A) President Trump tweeted: “If Republican Senators are unable to pass what they are working on now, they should immediately REPEAL, and then REPLACE at a - [SLOW DOWN & START OVER (policy) versus REPEAL & REPLACE (politics)](https://doctordidyouwashyourhands.com/2017/07/slow-down-start-over-policy-versus-repeal-replace-politics/) - Lessons Learned to inform the next round of TrumpCare. “If the halting, messy debate over legislation to overhaul health care has taught us anything so far, it’s that when it comes to health care, Republicans don’t know what they want, much less how to get it. After years of campaigning on the promise of repealing - [What would Albert Einstein have said about TrumpCare? “The definition of insanity is doing something over and over again and expecting a different result.”](https://doctordidyouwashyourhands.com/2017/07/what-would-albert-einstein-have-said-about-trumpcare-the-definition-of-insanity-is-doing-something-over-and-over-again-and-expecting-a-different-result/) - “The White House, anxious for a legislative victory on health care, insisted that it fully expects a GOP repeal and replace bill to pass in the coming weeks that will fulfill Trump's pledge to end Obamacare. Democrats have ruled out negotiating with Republicans unless they work to fix the law, not repeal it.” (A) “Last - [Last week Senator McCain said the “Senate healthcare deal could be reached by Friday 'if pigs fly'” (A). Now he has a deciding vote on the Republican “junk insurance” bill!](https://doctordidyouwashyourhands.com/2017/07/last-week-senator-mccain-said-the-senate-healthcare-deal-could-be-reached-by-friday-if-pigs-fly-a-now-he-has-a-deciding-vote-on-the-republican-junk-insurance/) - Last week he also said: “Introduce a bill,” McCain said. “Bring it to the floor. Vote on it. That’s the normal process, and if you shut out the adversary or the opposite party, you’re going to end up the same way Obamacare did when they rammed it through with 60 votes. Only guess what? We - [“The vote is a reward to the ultras who sabotaged repeal and replace by allowing them to posture one more time as purists who have not forsaken the true faith.”](https://doctordidyouwashyourhands.com/2017/07/the-vote-is-a-reward-to-the-ultras-who-sabotaged-repeal-and-replace-by-allowing-them-to-posture-one-more-time-as-purists-who-have-not-forsaken-the-true-faith/) - “A new official analysis released Wednesday finds that repealing much of Obamacare without a replacement law would increase the number of people without health insurance by 32 million people, double insurance premiums in the individual plan market and leave most of the United States without an insurer selling such plans by 2026. The report comes - [After another day of Republican health care bill fiascos: “President Trump: ‘Let Obamacare Fail…I’m Not Going to Own It’”.](https://doctordidyouwashyourhands.com/2017/07/after-another-day-of-republican-health-care-bill-fiascos-trump-let-obamacare-failim-not-going-to-own-it/) - “President Donald Trump said Tuesday he would let Obamacare "fail" in the aftermath of his party's botched efforts to repeal and replace the Affordable Care Act. "I think we're probably in that position where we'll let Obamacare fail," Trump said at the White House. "We're not going to own it. I'm not going to own - [Are Republicans going to LET Obamacare die or MAKE it die? How can the individual market exchanges be stabilized?](https://doctordidyouwashyourhands.com/2017/07/are-republicans-going-to-let-obamacare-die-or-make-it-die-how-can-the-individual-market-exchanges-be-stabilized/) - “Mr. Trump declared that his plan was now to “let Obamacare fail,” and suggested that Democrats would then seek out Republicans to work together on a bill to bury the Affordable Care Act. If he is determined to make good on that pledge, he has plenty of levers to pull, from declining to reimburse insurance - [“Houston Braces for Another Brush With the Peril of Zika” *. But they are doing passive not active surveillance. IS YOU AREA’S HEALTH CARE SYSTEM PREPARED FOR A SURGE OF AN EMERGING VIRUS LIKE ZIKA?](https://doctordidyouwashyourhands.com/2017/07/houston-braces-for-another-brush-with-the-peril-of-zika-but-they-are-doing-passive-not-active-surveillance-is-you-areas-health-care-system-prepared-for-a-surge-of-an-eme/) - “With 4.5 million people in a hot, muggy metropolis built atop a bayou, America’s fourth-largest city, Houston, is a perfect target for the mosquito-borne Zika virus. But it may be better prepared than any other urban center to stop an outbreak. The city last year increased its mosquito-control budget by 33 percent. Officials are testing - [“….. the parliamentarian has taken an already very difficult process for enacting health care legislation in the Senate and made it nearly impossible….”](https://doctordidyouwashyourhands.com/2017/07/the-parliamentarian-has-taken-an-already-very-difficult-process-for-enacting-health-care-legislation-in-the-senate-and-made-it-nearly-impossible/) - “The official rules keeper in the Senate Friday tossed a bucket of cold water on the Senate Republican health bill by advising that major parts of the bill cannot be passed with a simple majority, but rather would require 60 votes. Republicans hold only 52 seats in the Senate. Senate Parliamentarian Elizabeth MacDonough said that - [“McConnell is still planning votes on health-care legislation next week. But many things have to go right for his strategy to succeed, and not all of them are within his control.”](https://doctordidyouwashyourhands.com/2017/07/mcconnell-is-still-planning-votes-on-health-care-legislation-next-week-but-many-things-have-to-go-right-for-his-strategy-to-succeed-and-not-all-of-them-are-within-his-control/) - As we head towards next week’s vote, you might take a look at an excellent New York Magazine analysis. Here Is Where Things Stand With the Senate Health-Care Bill , by Ed Kilgore, highlight and click on http://nymag.com/daily/intelligencer/2017/07/where-things-stand-with-the-senate-health-care-bill.html Excerpts: “Getting Senate moderates to vote for a bill with a Medicaid per capita cap and the - [New York Daily News editorial: Senate Republican vote –“An embarrassment wrapped in cruelty wrapped in political disaster.” (E)](https://doctordidyouwashyourhands.com/2017/07/new-york-daily-news-editorial-senate-republican-vote-an-embarrassment-wrapped-in-cruelty-wrapped-in-political-disaster-e/) - "I don’t know whether we’re proceeding to the House bill, a new version of the Senate bill, the old version of the Senate bill, the 2015 repeal-and-hope-that-we-come-up-with something-in-two-years bill. I truly don’t." (Senator Collins) (A) “Deductibles could become so high under the GOP plan, the CBO said, that many low-income people might decide not - [Rep. Blake Farenthold (R-Texas) suggested….that he'd like to duel with female senators he blames for the Senate's failure to repeal and replace ObamaCare (A)](https://doctordidyouwashyourhands.com/2017/07/rep-blake-farenthold-r-texas-suggested-that-hed-like-to-duel-with-female-senators-he-blames-for-the-senates-failure-to-repeal-and-replace-obamacare-a/) - “Congress gives more care and consideration to bills renaming post offices than it has to legislation with staggering consequences for the health care system.” (B) “After a strangely quiet weekend, this week Senate Republicans are scheduled to push through votes on a budget-reconciliation bill designed to repeal and/or replace Obamacare. There are at least - ["These are the moments legislatively when you get creative. We're getting creative." (B)](https://doctordidyouwashyourhands.com/2017/07/these-are-the-moments-legislatively-when-you-get-creative-were-getting-creative-b/) - “With Vice President Mike Pence casting a tie-breaking vote, Republicans moved forward on health care reform Tuesday as the Senate successfully passed a key motion to proceed to debate on repealing and possibly replacing Obamacare. Momentum built over the course of the day as several previously skeptical members announced they would support Senate GOP leaders - [“It is clear that Mr. McConnell does not much care which of these proposals the Senate passes…. — he just wants to get a bill out of the Senate.” (A)](https://doctordidyouwashyourhands.com/2017/07/8154/) - Maybe you’ve noticed that DOCTOR’S recent posts on TrumpCare are curatorial, not editorial. Only when congressional consideration is finished, and a bill is passed or not passed, will there be time to assess the impact. “The Senate voted Wednesday to defeat a bill that would have repealed Obamacare within two years without any immediate plan - [Senator Graham said he could not support a "half-assed" plan that he called "politically" the "dumbest thing in history."](https://doctordidyouwashyourhands.com/2017/07/senator-graham-said-he-could-not-support-a-half-assed-plan-that-he-called-politically-the-dumbest-thing-in-history/) - “Senate leaders now hope they can convince a majority of senators to vote for a scaled-back bill that is being called a “skinny” repeal bill. This measure would reportedly rescind the ACA’s requirement that individuals have health insurance and that employers with 50 or more workers provide coverage for their employees. The bill also would - [“.. here’s the first thing I thought about: feel better, Hillary Clinton could be president.." (Senator McConnell) (A) "McCain Voted Against Health Care Bill...Because it Would 'Screw' Arizona." (B)](https://doctordidyouwashyourhands.com/2017/08/heres-the-first-thing-i-thought-about-feel-better-hillary-clinton-could-be-president-senator-mcconnell-a-mccain-voted-against-health-care-bill-because-it-would-scr/) - Despite President Trump’s call to let Obamacare implode its unlikely come September that the Republicans in Congress, many facing reelection, will let Obamacare fail. Here’s a wrap up as Congress goes on vacation. “After the failure early Friday of the latest Republican plan to repeal the Affordable Care Act, President Trump said that he wants - [“In politics you can tell your friends from your enemies, your friends are the ones who stab you in the front”.* Look at what the Republicans are saying about each other now about health care](https://doctordidyouwashyourhands.com/2017/08/in-politics-you-can-tell-your-friends-from-your-enemies-your-friends-are-the-ones-who-stab-you-in-the-front-look-at-what-the-republicans-are-saying-about-each-other-now-about-heal/) - First prize goes to.. “Sen. Ron Johnson suggested that fellow Republican Sen. John McCain’s brain tumor and the after-midnight timing of the vote were factors in the Arizona lawmaker’s decisive vote against the GOP health care bill. In a radio interview Tuesday with AM560 ‘‘Chicago’s Morning Answer,’’ Johnson answered questions about the collapse of the - [“We would never tolerate a situation where only one in 10 people with cancer or diabetes gets treatment, and yet we do that with substance-abuse disorders,” (A)](https://doctordidyouwashyourhands.com/2017/08/we-would-never-tolerate-a-situation-where-only-one-in-10-people-with-cancer-or-diabetes-gets-treatment-and-yet-we-do-that-with-substance-abuse-disorders-a/) - “Having recognized the widespread and devastating nature of the opioid crisis, governors are taking action to stem the tide of opioid use disorder and overdose. States are uniquely positioned to do this work, because they play a central role in protecting public health and safety; regulating health care providers; establishing prescription drug monitoring programs (PDMPs); - [The Trump administration "blinks"; provides Obamacare funding](https://doctordidyouwashyourhands.com/2017/08/the-trump-administration-will-make-this-months-obamacare-payments-to-insurers/) - .“The Trump administration will make this month's Obamacare payments to insurers, a White House spokesman confirmed today, despite the president's repeated threats to cut off the subsidies and potentially tip the insurance markets into turmoil. It’s widely anticipated that insurers would jack up premiums or exit the Obamacare markets altogether if the subsidies, worth about - [“To manage and (eventually) reverse the opioid epidemic, state Medicaid programs should now take a deeper look at the role prescribing plays…”,](https://doctordidyouwashyourhands.com/2017/08/to-manage-and-eventually-reverse-the-opioid-epidemic-state-medicaid-programs-should-now-take-a-deeper-look-at-the-role-prescribing-plays/) - “The drug industry was more than willing to meet the need of increased opioid administration and more than willing to advance its usage..... Adding to this pressure to overprescribe powerful analgesics was the decision by Medicare to adjust payments to hospitals according to their Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. This naïve - [Trump told a GOP senator she could only ride on Air Force One if she voted for the healthcare bill. *](https://doctordidyouwashyourhands.com/2017/08/trump-told-a-gop-senator-she-could-only-ride-on-air-force-one-if-she-voted-for-the-healthcare-bill/) - “At no point during the campaign or since the inauguration has Trump articulated any kind of clear vision for how to improve health care. There is no unifying theme around his pronouncements, such as the promotion of a market-driven system. Instead, he makes vague statements about how the ACA is a disaster, without specifying with - [When I was appointed President and CEO of LibertyHealth/ Jersey City Medical Center in 1989 one of our goals was to become a top tier New Jersey teaching hospital.](https://doctordidyouwashyourhands.com/2017/08/when-i-was-appointed-president-and-ceo-of-libertyhealth-jersey-city-medical-center-in-1989-one-of-our-goals-was-to-become-a-top-tier-new-jersey-teaching-hospital/) - Doing that required being a risk taker, not being risk averse. So here are vignettes about some risks taken over 17 years, some with success, some with failure, and some with mixed results. These examples are from my experience. Recognizing the new health care industry algorithm is more complicated, being a risk-taker is still essential - [Stress Tests for super-size NFP hospital systems already too big to fail!](https://doctordidyouwashyourhands.com/2017/08/stress-tests-for-super-size-nfp-hospital-systems-already-too-big-to-fail-2/) - When I was growing up in Queens in the late mid-1950s the two “go-to” hospitals were Long Island Jewish and Booth Memorial. In the early 1970’s the hospital system in the NYC metropolitan area was anchored and dominated by internationally renowned academic medical centers (then defined as a medical school and its primary teaching hospital - [Opioid Crisis. ““We got here in part because there was a paper done in the 1980s by a well-meaning physician that said opioids are not addictive….](https://doctordidyouwashyourhands.com/2017/09/opioid-crisis-we-got-here-in-part-because-there-was-a-paper-done-in-the-1980s-by-a-well-meaning-physician-that-said-opioids-are-not-addictive/) - … and they should not be withheld from anybody with acute or chronic pain,” “Then we came out with the fifth vital sign, that every physician was held to the standard that we would do pain scores on everyone. Based on those studies, we couldn’t restrict opioids at all. In fact, physicians from a New - [TrumpCare. “If you don’t know (`or care`) where you’re going, any road will get you there.” – Lewis Carroll](https://doctordidyouwashyourhands.com/2017/09/trumpcare-if-you-dont-know-or-care-where-youre-going-any-road-will-get-you-there-lewis-carroll/) - “… Trump’s views about health care have been anything but consistent. Rather, there have been three constants: agnosticism about what a plan should look like; a fanatical desire to notch a win regardless of the quality of that win; and a refusal to give up. In the meantime, Trump has vacillated frequently, mostly pinging between - [“Republican plans to replace Obamacare are fading fast, but that doesn't mean Congress is done with health care.](https://doctordidyouwashyourhands.com/2017/09/8386/) - "On Wednesday, the Senate Health, Education, Labor and Pensions Committee kick(ed) off the first of four scheduled hearings this month examining the individual health care market with the goal of producing a bipartisan bill that makes modest fixes. Ideas on the table include funding cost-sharing reduction (CSR) payments that President Donald Trump has threatened to - [Don’t depend on anyone else to bring the coffee](https://doctordidyouwashyourhands.com/2017/08/dont-depend-on-anyone-else-to-bring-the-coffee-2/) - “There’s nothing worse than starting the day at a meeting where they don’t provide coffee. It’s better to have two cups than none.” (A) When I returned to MBA/ MPH/MPA teaching five years ago, after a 40 year intermission, this was the first LESSON LEARNED I shared with each of my classes. Students had to - [If Columbus had an advisory committee he would probably still be at the dock. (A)](https://doctordidyouwashyourhands.com/2017/08/if-columbus-had-an-advisory-committee-he-would-probably-still-be-at-the-dock-a-2/) - “Effective meetings don’t happen by accident, the happen by design.” (author unknown) In 1975 I was appointed Administrator of Mount Sinai Services at City Hospital at Elmhurst, a public hospital where Mount Sinai School of Medicine contractually provided professional services. We had a quarterly Dean’s Committee meeting with the Dean of the Medical School. After - [UBER HEALTH Inc., WALMART HOSPITALS NFP, AMAZONrx (Ireland), MicrosoftCare LLC.](https://doctordidyouwashyourhands.com/2017/08/uber-health-inc-walmart-hospitals-inc-amazonrx-inc-microsoftcare-inc/) - I just got an urgent cold call from a Financial Advisor recommending I buy warrants in UBER since it is about to announce the opening of a system of “gig” urgi-care, UBER HEALTH. You will be able to get a doctor to make a house call within ten minutes using a new UBER HEALTH APP. - [It’s okay and important to ask your doctor “DID YOU WASH YOUR HANDS?"](https://doctordidyouwashyourhands.com/2017/08/its-okay-to-ask-your-doctor-did-you-wash-your-hands/) - Recently after a doctor’s appointment I went to a nearby lab to have blood drawn for routine tests. I asked the phlebotomist to wash her hands to which she replied she already had. She had washed her hands in another room after the last patient, done some other work, come into the room, put gloves - [With recurring infection should Congressman Scalise have been transferred to another hospital rather than to the ICU where he is hospitalized?](https://doctordidyouwashyourhands.com/2017/08/with-recurring-infection-should-congressman-scalise-have-been-transferred-to-another-hospital-rather-than-to-the-icu-where-he-is-hospitalized/) - About twenty years ago as President of LibertyHealth each of our hospitals (a medical school affiliated teaching hospital and two community hospitals) had an ICU. I was always concerned that sometimes patient acuity in one of the community hospital ICUs might have exceeded its capability and pushed for clear clinical threshholds for patient transfer to - [For 17 years I was President and CEO of a safety net hospital. TrumpCare will “disinsure” twenty million+ people and devastate the hospitals we all depend on.](https://doctordidyouwashyourhands.com/2017/08/for-17-years-i-was-president-and-ceo-of-a-safety-net-hospital-trumpcare-will-disinsure-twenty-million-people-and-devastate-the-hospitals-we-all-depend-on/) - A little background…. I was appointed President and CEO of Jersey City Medical Center (JCMC) in 1989, one year after JCMC had been converted to not-for-profit governance after a long and colorful history as a public hospital (including bankruptcy protection from 1982 to 1985). JCMC was and still is Hudson County’s (500,000+ residents) regional referral - [On July 4th as we respect and admire hospital staff members who are working 24/7, it is interesting to look at hospital care during the Revolutionary War](https://doctordidyouwashyourhands.com/2017/08/on-july-4th-as-we-respect-and-admire-hospital-staff-members-who-are-working-247-it-is-interesting-to-look-at-hospital-care-during-the-revolutionary-war/) - From 1967 to 1970, during the Vietnam War, I served first as a 2nd Lieutenant and Chief Administrative Officer of the 4th Casualty Staging Flight attached to Wilford Hall USAF Medical Center, Lackland AFB in San Antonio, Texas. We received combat casualties still in battlefield bandages, often within 24 hours of injury, and either admitted - [American College of Physicians Says Hate Crimes are Public Health Issue](https://doctordidyouwashyourhands.com/2017/08/american-college-of-physicians-says-hate-crimes-are-public-health-issue/) - At a recent meeting of their Board of Regents, the American College of Physicians (ACP) adopted a new policy statement recognizing hate crimes as a public health issue. “It is imperative that physicians, and all people, speak out against hate and hate crimes and against those who foster or perpetrate it, as was seen in - [Locally transmitted ZIKA case in Texas! Are we ready?](https://doctordidyouwashyourhands.com/2017/07/locally-transmitted-zika-case-in-texas-are-we-ready/) - “Officials in Texas reported what they believe is a case of mosquito transmission of the virus within the state’s border, the first within the continental United States this year. If correct, it would be the first known instance of local mosquito transmission within the continental United States this year.” (A) This past April - “The - [“Laws are like sausages, it is better not to see them being made.” (Otto von Bismarck). Or not made…two conservative Republican Senators kill TrumpCare….for now](https://doctordidyouwashyourhands.com/2017/07/laws-are-like-sausages-it-is-better-not-to-see-them-being-made-otto-von-bismarck-or-not-madetwo-conservative-republican-senators-kill-trumpcare-for-now/) - “Senate Majority Leader Mitch McConnell was handed devastating news Monday evening just hours after the Senate was gaveled back into session: Two more defections on his health care bill. The dramatic and simultaneous announcement from Sens. Jerry Moran of Kansas and Mike Lee of Utah means McConnell officially does not have the votes to even - [Republican Talking Points on the new Senate Health Care Bill. Democratic Party response - “Senate Republicans spent the past two weeks putting lipstick on a pig”](https://doctordidyouwashyourhands.com/2017/07/republican-talking-points-on-the-new-senate-health-care-bill-democratic-party-response-senate-republicans-spent-the-past-two-weeks-putting-lipstick-on-a-pig/) - Republic Party Talking Points (A) The Better Care Reconciliation Act is only one step in a three step process to replace the Affordable Care Act and lower healthcare costs. Step two includes administrative actions, by the Department of Health and Human Services Secretary, that will make regulatory reforms to the health insurance market. Step - [Is the new Senate health proposal a responsible bill or just “stuff” to get 50 votes?](https://doctordidyouwashyourhands.com/2017/07/is-the-new-senate-health-proposal-a-responsible-bill-or-just-stuff-to-get-50-votes/) - “Overall, the new version of the bill made broad concessions to conservative Republicans who had maintained that the initial draft left too much of the Affordable Care Act in place. Mr. McConnell then backfilled the bill with money intended to placate moderates. That jury-rigging of the bill left neither side completely satisfied.” (A) “The - [Cruz health care bill amendment – “….healthy people could get coverage although that coverage might not protect them if they got sick and sick people would have to pay an unaffordable amount for coverage.”](https://doctordidyouwashyourhands.com/2017/07/cruz-health-care-bill-amendment-healthy-people-could-get-coverage-although-that-coverage-might-not-protect-them-if-they-got-sick-and-sick-people-would-have-to-pay-an-unaff/) - “The proposal would allow insurance companies the freedom to sell any kinds of health plans they want as long as they also sell at least one plan that qualifies under the regulatory requirements of the Affordable Care Act (ACA)….” ““It sounds like a recipe for segmenting the market in a way that would destabilize it. - [Is there more “heart” in the Senate health care bill? Or is it “meaner” than the House bill?](https://doctordidyouwashyourhands.com/2017/06/is-there-more-heart-in-the-senate-health-care-bill-or-is-it-meaner-than-the-house-bill/) - Let's recall that President Trump called the House "Repeal and Replace" bill "mean" after having celebrated its passage by bussing House Republicans to the Rose Garden. And then we were promised a Senate bill "... that's going to be a phenomenal bill to the people of our country: generous, kind, with heart. That's what I'm - [EBOLA is back in Africa. Is ZIKA next? Are we prepared?](https://doctordidyouwashyourhands.com/2017/05/ebola-is-back-in-africa-is-zika-next-are-we-prepared/) - Lesson Learned from recent EBOLA and ZIKA episodes. We need to designate REGIONAL EMERGING VIRUSES REFERRAL CENTERS (REVRCs). 1. There should not be an automatic default to just designating Ebola Centers as REVRCs although there is likely to be significant overlap. 2. REVRCs should be academic medical centers with respected, comprehensive infectious disease diagnostic/ treatment - [Hospital web site archeology](https://doctordidyouwashyourhands.com/2016/05/hospital-web-site-archeology/) - When “googling” for hospital information we often wind up at hospital web sites. Hospital web sites are marketing based so how does one find and aggregate key elements and then do comparative analysis? You can use these web sites for this exercise, all hospitals I have been involved with Jersey City Medical Center (I was - [Chief Fourth of July Officer](https://doctordidyouwashyourhands.com/2016/06/chief-fourth-of-july-officer/) - My first experience with hospital administrative titles was in 1967 as a 2nd Lieutenant in the Air Force assigned to Wilford Hall USAF Medical Center in San Antonio. The Hospital Commander was a physician Brigadier General. That was the only title/ rank that mattered. Returning to NYC in 1972 a typical hospital had a President - [Stop the name games! University hospitals and regional medical centers should live up to their billing *](https://doctordidyouwashyourhands.com/2016/07/stop-the-name-games-university-hospitals-and-regional-medical-centers-should-live-up-to-their-billing/) - Remember when a hospital was just a hospital, and its reputation spoke for itself? Now we have a plethora of self named healthcare institutions such as clinics, community hospitals, institutes, medical centers, national hospitals, specialty hospitals, and teaching hospitals. My home state of New Jersey, for example, started with one children’s hospital in Newark, followed - [The ER clerk asked me "How do you spell Zika?](https://doctordidyouwashyourhands.com/2016/08/i-got-zika-the-us-health-care-system-had-no-idea-what-to-do-with-me/) - CDC’s revised Zika Interim Response Plan (July) states: ”Neither vaccines nor proven clinical treatments are expected to be available to treat or prevent virus infections before local transmission begins within CONUS or Hawaii.”; “Scientific understanding of Zika virus continues to evolve, and new characteristics of the virus and how it is spread may arise.” (A) - [With little gudiance about caring for Zika patients, hospitals are planning on their own](https://doctordidyouwashyourhands.com/2016/08/with-little-known-about-zika-virus-hospitals-scramble-to-stay-ahead/) - As many of you know I have been advocating (unsuccessfully) for the designation of Zika Regional Referral Centers (ZRRFs). Perhaps this article from STAT will convince policy makers that it is time to stage Zika hospital preparedness. With little known about Zika virus, hospitals scramble to stay ahead By Andrew Joseph https://www.statnews.com/2016/08/17/hospitals-zika-virus-disease-birth-defects/ “The threat of - [Hospitals are developing their own Zika preparedness models. Compare the Central Florida and Johns Hopkins approaches! Which template makes more sense?](https://doctordidyouwashyourhands.com/2016/09/hospitals-are-developing-their-own-zika-preparedness-models-compare-the-central-florida-and-johns-hopkins-approaches-which-template-makes-more-sense/) - To fight Zika, Central Florida hospitals and doctors ramp up patient education, surveillance In the fight against the spread of Zika, local doctors and hospitals are ramping up education and surveillance in Central Florida to contain the spread of the virus. There is a heavy emphasis on patient education, while providers are on high - [All pregnant women with Zika diagnosed at community hospitals must be referred to academic medical centers for prenatal care!](https://doctordidyouwashyourhands.com/2016/09/all-pregnant-women-with-zika-diagnosed-at-community-hospitals-must-be-referred-to-academic-medical-centers-for-prenatal-care/) - Most pregnant women with Zika will eventually wind up at academic medical centers for prenatal care and delivery by a perinatologist, with newborn care provided by a comprehensive team of pediatrician sub-specialists including neonatologists and pediatric neurologists. The earlier during the pregnancy the better! Here’s why….. Highlights from August's Emergency Preparedness Coordinating Council Kevin Chason, - [LESSONS LEARNED: TrumpRyanCare Obits](https://doctordidyouwashyourhands.com/2017/03/lessons-learned-trumpryancare-obits/) - “Repeal and Replace” was a political play! After eight years of whining, “there was no there there”, no Republican plan! Following is a sequence of obituary snippets explaining what happened and why. Ryan: ObamaCare will be law for 'foreseeable future' “GOP leadership and the White House had spent weeks attempting to bring skeptical Republicans on - [Let’s prohibit Congressmen from insurance reimbursement for Prostate Screening and Treatment](https://doctordidyouwashyourhands.com/2017/03/lets-prohibit-congressmen-from-insurance-reimbursement-for-prostate-screening-and-treatment/) - Living in the rarified world of VIP access to health care maybe it’s time for a non-randomized clinical trial, with Congressman being in a study group where they have to pay out-of-pocket fee-for-service with no reimbursement, for prostate screening and treatment. So they can experience what life was like for 20 million Americans before Obamacare. - [write in AS LONG AS THE PROVIDERS ARE IN MY NETWORK…before you sign any hospital admission documents accepting financial responsibility for your care](https://doctordidyouwashyourhands.com/2017/05/write-in-as-long-as-the-providers-are-in-my-network-before-you-sign-any-hospital-admission-documents-accepting-financial-responsibility-for-your-care/) - “No Surprise Charges” is one of the key Lessons Learned in Elisabeth Rosenthal’s fabulous new book AN AMERICAN SICKNESS (Penguin Press, 2017). “Hospitals in your network should also be required to guarantee that all doctors who treat you are in your insurance network.” We have all harshly experienced or heard about under-the counter out-of-network hospital - [Hard to believe a congressman said NOBODY DIES BECAUSE THEY DON’T HAVE ACCESS TO HEALTH CARE](https://doctordidyouwashyourhands.com/2017/05/nobody-dies-because-they-dont-have-access-to-health-care/) - …according to Iowa Republican Congressman Raúl R. Labrador. * But New York Democratic Congressman Sean Patrick Maloney got it right when he said “Any member of congress who voted for the bill should be obligated to join a high risk pool.” ** HIGH RISK HEALTH INSURANCE POOLS in Trump/ Ryan Care carve out individuals with - [REVISE and RECALIBRATE Obamacare. Prevent Republican’s “mean” plan.](https://doctordidyouwashyourhands.com/2017/06/revise-and-recalibrate-obamacare-prevent-republicans-mean-plan/) - It is obvious that Repeal and Replace shouldn’t and won’t happen. After bussing republican House members to the White House Rose Garden several weeks ago to celebrate House passage of the American Health Care Act, President Trump now “… bluntly derided a House attempt to repeal the Affordable Care Act as “mean,” “ and said ## Pages - [Emerging Viruses: tracking BIRD FLU](https://doctordidyouwashyourhands.com/doctor-did-you-wash-your-hands/) - [Jonathan M. Metsch, Dr.P.H.](https://doctordidyouwashyourhands.com/about-the-author/) - Dr. Jonathan M. Metsch is: Clinical Professor of Environmental Medicine and Climate Science at the Icahn School of Medicine at Mount Sinai; and previously Affiliated Faculty, Executive MBA in Healthcare Administration, Zicklin School of Business, Baruch College, C.U.N.Y., and Adjunct Professor at Rutgers School of Public Affairs and Administration and Rutgers School of Public Health. - [Opioid Crisis](https://doctordidyouwashyourhands.com/opioid-crisis/) - Test page Opioid Crisis - [Online Links](https://doctordidyouwashyourhands.com/online-links/) - ON-LINE REFERENCES AMA Morning Rounds https://www.ama-assn.org/life-career/email-newsletter-publications Becker’s Hospital Review http://www.beckershospitalreview.com/ Fierce Healthcare http://www.fiercehealthcare.com/ Hospital Impact http://www.fiercehealthcare.com/healthcare/hospitals Medpage Today https://www.medpagetoday.com/ Medscape http://www.medscape.com/ Modern Healthcare http://www.modernhealthcare.com/ Physician’s First Watch http://www.jwatch.org/medical-news STAT Morning Rounds https://www.statnews.com/category/the-regulars/morning-rounds/ - [Subscribe Here](https://doctordidyouwashyourhands.com/subscribe-here/) - TO GET ONE FREE WEEKLY EMAIL WITH THE RECENT POST PLEASE SUBSCRIBE. Enter your email address: Delivered by FeedBurner - [Antibiotic Challenge](https://doctordidyouwashyourhands.com/antibiotic/) - Articles on “Use antibiotics wisely to help protect your health and the health of your family and community.” - [Innovation](https://doctordidyouwashyourhands.com/innovation/) - Articles on "Interesting solutions to the opportunities with health care transformation.” - [Advertise with Us](https://doctordidyouwashyourhands.com/advertise-with-us/) - To learn how to advertise on this website please email jonathanmetsch@gmail.com - [Contact Us](https://doctordidyouwashyourhands.com/contact-doctor/) - Jonathan M. Metsch, Dr.P.H., can be contacted at jonathanmetsch@gmail.com - [Customized Merchandise](https://doctordidyouwashyourhands.com/customized-merchandise/) - jonathanmetsch@gmail.com - [Privacy Statement](https://doctordidyouwashyourhands.com/privacy-statement-for-doctor-did-you-wash-your-hands/) - Privacy Statement for Doctor, Did You Wash Your Hands? ™ https://doctordidyouwashyourhands.com/ ("Doctor") is an informational website - "Providing Health Information To Consumers Regarding How To Manage And Navigate Health Care Issues" (and providers as well). Doctor does not knowingly collect, analyze and/or share visitors' personal data. Doctor does not directly sell any products or process - [Sample Page](https://doctordidyouwashyourhands.com/sample-page/) - This is an example page. It's different from a blog post because it will stay in one place and will show up in your site navigation (in most themes). Most people start with an About page that introduces them to potential site visitors. It might say something like this: Hi there! I'm a bike messenger - [Site Map](https://doctordidyouwashyourhands.com/site-map/) - [POSTS PAGE](https://doctordidyouwashyourhands.com/posts-page/) - [Rapid Response](https://doctordidyouwashyourhands.com/rapid-response/) - [Hand Washing](https://doctordidyouwashyourhands.com/hand-washing/) - [Clinical Conundrums](https://doctordidyouwashyourhands.com/clinical-conundrums/) - TEST - [Obamacare](https://doctordidyouwashyourhands.com/obamacare/) - [Health Insurance 101](https://doctordidyouwashyourhands.com/health-insurance-101/) - [Jnotes](https://doctordidyouwashyourhands.com/jnotes/) - [Be Prepared!](https://doctordidyouwashyourhands.com/be-prepared/) - It is essential to be well prepared for a doctor’s appointment. Make the most of your conversation with your physician by mastering techniques to be well focused and confident. ## Categories - [Uncategorized](https://doctordidyouwashyourhands.com/category/uncategorized/) - [Measles](https://doctordidyouwashyourhands.com/category/measles/)