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.”

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 much as $31.4 billion in new funds to combat the coronavirus pandemic, as it seeks to ensure the government has the resources necessary to purchase more treatments, testing and vaccines this year.

The private discussions have unfolded as public health experts warn that monkeypox, which can spread by skin-to-skin contact and cause fever, lesions and severe pain, is at risk of becoming permanently entrenched in the United States. Federal officials have identified about 3,500 cases, overwhelmingly among gay and bisexual men, and have warned that the virus is likely to spread to broader populations…

According to the memo obtained by The Post, officials estimate that $6.9 billion in new funding for the monkeypox response would allow the Department of Health and Human Services to support “domestic end-to-end vaccine manufacturing capacity and technology transfer” in the United States. The only vaccine specifically approved by the Food and Drug Administration for monkeypox, Jynneos, is produced in Denmark, which has caused significant complications in the U.S. response — for instance, hundreds of thousands of Jynneos doses were stranded overseas for weeks, awaiting U.S. inspection and transport.

With that much funding, officials further estimate that they would be able to secure 19 million new doses of vaccine for monkeypox and replenish about 4 million doses for paused smallpox preparedness efforts, as well as purchase more antiviral treatments, expand testing, improve vaccine distribution, and provide coverage of services for uninsured and underinsured Americans, among other goals.

Health officials also estimated the effects of a “medium” second option, seeking $2.2 billion in monkeypox funding to purchase some vaccine doses and treatments that would be targeted toward the gay and bisexual community, where the outbreak is currently concentrated. But the amount may only provide an effective response if the outbreak remains contained and does not spill into broader populations, “which is not guaranteed,” the memo cautions.

Officials also estimated a bare-bones fallback option of $500 million that would allow for purchasing some vaccine doses and continuing “minimal” operations.

Health officials have said they are funding the current monkeypox response by drawing on existing appropriations and a response fund maintained by the Centers for Disease Control and Prevention. The Biden administration has distributed 330,000 vaccine doses and contracted for a total of 6.9 million Jynneos doses by mid-2023, in addition to other investments in tests and treatments.”  (A)

“More than 3,800 monkeypox cases have been reported in the US, the most of any country around the globe, government health data shows.

The rising number of cases has reportedly prompted the Biden administration to mull declaring a national health emergency.

The virus has already been classified as a global health emergency by the World Health Organization (WHO).

To date, more than 18,000 cases have been reported in 75 countries.

According to data published online by the US Centers for Disease Control and Prevention (CDC), as of 25 July there were 3,846 confirmed or suspected monkeypox cases in the US…

With cases in the US rising, the Washington Post on 25 July reported that the Biden administration was considering declaring a public health emergency.

The measure would allow the government to use federal funds to combat the outbreak, raise public awareness and better collect relevant health data.

Additionally, the administration is reportedly preparing to name a coordinator to oversee the government’s response to monkeypox from the White House…

The US response to the virus has so far been plagued by vaccine shortages and a slow start to testing, leading some to compare the situation to the beginning of the Covid-19 pandemic in early 2020.

In Washington DC, for example, officials have warned that a “rapid increase in cases”, coupled with a “very limited” supply of vaccines, means that authorities must prioritise high-risk residents.”  (B)

“There are now more than 1,000 confirmed cases of monkeypox in New York City, which continues to be a hotspot for the virus, health officials said on Monday.

New York reached 1,040 cases as of Monday, said the most recent information released by the city. That accounts for about a quarter of all of the confirmed cases in the US…

The virus is spreading primarily among men who have sex with men, research has shown. Close sexual contact was responsible for transmission in 95% of cases, one recent study found.

There is a divide in New York City’s health department over whether the agency should advise gay men to change their sexual behavior amid the outbreak.

Even as cases in New York have surged, officials have struggled to respond with adequate vaccination and testing. At the end of June, as New Yorkers scrambled to get a limited supply of monkeypox vaccines, there were 300,000 doses sitting in a warehouse in Denmark, the New York Times reported on Monday. Then, once officials decided to send those doses to the US, they arrived slowly, missing a chance to slow the spread of the virus.

New York’s governor, Kathy Hochul, also announced on Monday that the state had reached an agreement with Quest Diagnostics to use a PCR test on people who have a rash consistent with monkeypox.

“The real challenge with testing is that it involves swabbing lesions, which must be present for the test to assess whether the virus is also present,” the New York state health commissioner, Mary Bassett, said in a statement. “Without lesions, testing is not currently possible. And we will continue working to make sure providers know when and how to test for monkeypox.” (C)

“On the Thursday before Pride Weekend last month, hundreds of men dropped what they were doing and raced to a city-run health clinic in Manhattan. Finally, more than a month after monkeypox appeared in New York City, a vaccine was being made available to sexually active gay and bisexual men, among whom the virus was rapidly spreading.

But there was a catch: There were only 1,000 doses available. Within two hours, the only clinic offering the shots began turning people away.

At that same moment, some 300,000 doses of a ready-to-use vaccine owned by the United States sat in a facility in Denmark. American officials had waited weeks as the virus spread in New York and beyond before deciding to ship those doses to the United States.

Even then, there was little apparent urgency: The doses were flown piecemeal, arriving over the span of two weeks. Many didn’t arrive until July, more than six weeks after the first case was identified in New York City.

By holding back the doses, an early opportunity to contain or slow the largest monkeypox outbreak in the country appears to have slipped by. On Saturday, the World Health Organization declared monkeypox a global health emergency. At least 16,000 cases have been reported around the world, with about 3,000 in the United States. Infections in New York City make up nearly a third of the national case count.

The federal response to monkeypox, including the limited testing capacity, has echoes of how public health authorities initially mismanaged Covid-19.

With monkeypox, however, the federal government had a powerful tool to slow the spread from the start: an effective vaccine.

Yet the government was slow to deploy the vaccine, which was originally developed and stockpiled for use against smallpox, activists say…

The United States also owned well over a million Jynneos doses in vials ready for use — and enough vaccine for millions of more doses that had yet to be filled into vials — in Denmark, where the producer of the vaccine, Bavarian Nordic, is headquartered.

Much of that supply was tied up in bureaucratic red tape because the Food and Drug Administration had yet to inspect and certify a new facility outside Copenhagen where the company now fills the vaccine into vials — an issue that has yet to be fully resolved.

But there were 372,000 doses owned by the United States that were ready to go. These doses, stored at the company’s headquarters, had been filled into vials earlier, at a different facility with the necessary F.D.A. approval.

Rather than quickly transfer those doses back to the United States and begin administering them, however, the federal government adopted a wait-and-see attitude. In the first few weeks after monkeypox was detected in the United States, the government requested only 72,000 of the 372,000 doses…

One reason that federal officials were reluctant to order all available doses early on involved cold storage and shelf life. The storage facilities in America where the doses would be kept weren’t as cold as the Denmark facility, said Dr. Disbrow, a senior official at the Department of Health and Human Services who runs BARDA.

“So if all the doses were not necessary for the outbreak,” he said, “their shelf life would be dramatically shortened.”

Joseph Osmundson, a microbiologist and queer activist, said that the monkeypox outbreak may not have been the emergency that the federal government had prepared for — weaponized smallpox — “but this is an emergency nevertheless.”

The first monkeypox case to be detected in the United States this year was identified in Massachusetts on May 18. New York City identified a case the next day. On May 20, BARDA requested that Bavarian Nordic send over 36,000 doses, a spokeswoman for the agency said. They arrived five days later.

On May 27, BARDA requested another 36,000 doses, which arrived two weeks later, Dr. Disbrow said. By then, 16 cases of monkeypox had been detected in New York City, along with cases in 14 other states and the District of Columbia.

Dr. Disbrow said that only so many doses could be transported per flight. In an email, a spokesman for Bavarian Nordic explained that each large order required some lead time. The company had to first receive a container, known as a cocoon, from the shippers and then “freeze them to temperature for five days” before packing it with vaccine.

As of June 10, the federal government had distributed just a few thousand doses of monkeypox vaccines to states, officials said in a call that day with reporters. A senior Health and Human Services official, Dawn O’Connell, said the United States would receive 300,000 doses of Jynneos “over the next several weeks.”  (D)

“Gov. Phil Murphy is asking President Joe Biden’s administration for more vaccines against monkeypox as the number of cases in New Jersey continues to climb and access to the vaccine has grown scarce.

The governor and the state’s top health official said in a letter to federal officials that New Jersey isn’t getting its fair share of vaccines given what they estimate the state will need to protect people and stop the spread of the disease.

New Jersey expects to receive nearly 2,700 additional doses this week, according to the state Department of Health. That — which is in addition to the 2,800 doses the state was already sent — accounts for 2.06% of the federal government’s 131,000 available doses being sent out, according to a letter they sent to the U.S. Department of Health & Human Services and Centers for Disease Control and Prevention.

“We do not believe that New Jersey has received an equitable percentage of available vaccine through this allocation strategy,” Murphy and state Health Commissioner Judith Persichilli wrote in their letter. “I would like to request that HHS and the CDC reconsider the allocation strategy and increase New Jersey’s vaccine allocation to account for our population size and considerations raised in this letter.”

It was sent as the number of confirmed monkeypox cases has climbed to 102 people. Neighboring New York has the highest number of cases in the nation — 900 people — according to the CDC.

“It’s a free-for-all across the state and across the country,” Perry Halkitis, dean of the Rutgers School of Public Health, said about getting a shot…

According to a study on monkeypox infections across 16 countries released last week by the New England Journal of Medicine, 98% of the people infected were gay or bisexual men.

“A lot of it is making the hair stand up on the back of my neck,” Halkitis said. “There’s got to be some bottom line homophobia here.”

And while the head of the World Health Organization said Wednesday that at-risk men should reduce their sexual partners “for the moment,” Halkitis was quick to say this is not a “gay disease” or a sexually transmitted disease.

“That’s where the stigma lies,” he said.

It spreads by direct skin contact and respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, according to the CDC. It can also spread by touching clothes and linens that came in contact with an infectious rash or body fluids.

“But it’s not a gay disease. Gay men are being unduly burdened by this disease and we’ve got to acknowledge that,” Halkitis said. “Let’s all pitch in so it doesn’t spread further. By helping gay men we’re helping ourselves.”…

Murphy was asked at a public event Wednesday if he would declare a public health emergency over monkeypox in New Jersey.

“I don’t know that we’re at the verge of a public health emergency, but everything’s on the table,” he told reporters in Camden.

Halkitis, meanwhile, predicted the disease won’t limit itself to only infecting gay and bisexual men within months if it isn’t stamped out.

“If we don’t stop it from spreading it will be in our population for the foreseeable future,” he said. “Do we want this thing to be another thing we live with for the rest of our lives?” (E)

“Health and Human Services Secretary Xavier Becerra said the federal government will announce allocations of the 786,000 vaccine doses to local authorities on Thursday.

The doses couldn’t be released until the Food and Drug Administration cleared them for use.

The FDA approved the two-dose Jynneos vaccine in 2019 for people ages 18 and older who are at high risk of exposure to monkeypox or smallpox.

Limited supply of the vaccine has led to long lines at clinics across the U.S.

The U.S. will make 786,000 additional monkeypox vaccine doses available to local health departments “as soon as possible” after the Food and Drug Administration approved the shots for distribution, the nation’s top health official said on Wednesday.” (F)

“Two months after the United States’ first monkeypox case was confirmed, the total has risen to about 2,900. But details about those cases and other epidemiological data aren’t spreading nearly as quickly as the virus itself, leaving holes in the response.

“It’s a new and really fast-moving outbreak, and I think there have been some challenges around having a smooth and efficient way for the data to be sent from jurisdictions” to the US Centers for Disease Control and Prevention, said Janet Hamilton, executive director of the Council of State and Territorial Epidemiologists.

The CDC only recently shared a first public look at monkeypox case demographics, which showed that the vast majority of cases have been among men who have sex with men, with a median age of 36.

But the agency has detailed information on only about half of the reported cases, CDC Director Dr. Rochelle Walensky said.

Monkeypox is now a reportable disease, which means public health departments work with local health care providers to collect information about people who are diagnosed and how they became ill. But it is still completely voluntary for states to share data on monkeypox with the CDC.

CNN reached out to the health departments of all 50 states; 29 responded, and they all said they are committed to sharing case data with the CDC. Some, however, said that they are collecting more information than they share.

As the US battles another public health challenge amid the ongoing Covid-19 pandemic, Walensky said she is “struck” by “how little authority we at CDC have to receive the data.”

“We very much want to get as much information and informed decisions out to the American public as possible. And yet again, like we were for Covid, we are again really challenged by the fact that we at the agency have no authority to receive those data. We’re working on that right now,” she said in a conversation with The Washington Post on Friday.

For example, Walensky said, the CDC has no data on who has been vaccinated for monkeypox and does not yet have the authority to collect that data.

The only data shared publicly on monkeypox vaccines is weekly updates from the US Department of Health and Human Services on how many doses have been distributed to each state…

Overall, the lack of data is hindering efforts to forecast the path the monkeypox outbreak might take.

“Right now we do not have enough detailed case data to develop robust estimates,” a CDC spokesperson said.

The CDC’s new Center for Forecasting and Outbreak Analytics, which formally launched this spring, “has been working to better understand the monkeypox outbreak,” including how to best optimize interventions such as vaccines.

“We anticipate that as the outbreak progresses we will be able to share forecasts,” the spokesperson said.

In the meantime, the vaccine supply is far from enough to meet demand — and covers just a fraction of the population that the CDC has recommended get it.

Walensky said she anticipates an increase in cases in the coming weeks, for three main reasons: a streamlined reporting form that makes it quicker and easier for states to report cases, a surge in testing as commercial laboratories have begun to offer tests, and recent exposures that will start to show symptoms.

“It is true that we have work to do — here and internationally — and are likely to see more monkeypox cases in the near term, but it is possible to significantly decrease the number of cases and contain the current monkeypox outbreak through education and increased testing and access to vaccines — all priorities we’ve made dramatic progress on,” the CDC said in a statement to CNN.” (G)

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 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 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/

PART3. February 3, 2020. “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/

PART 4. February 9, 2020. 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/

PART 5. February 12, 2020. 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/

POST 6. February 18, 2020.  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/

PART 7. February 20, 2020. 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/

PART 8. February 24, 2020. 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/

PART 9. February 27, 2020. 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/

Part 10. March 1, 2020. 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/

PART 11. March 5, 2020.  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/

Part 12. March 10, 2020. 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/

Part 13.. March 14, 2020. CORONAVIRUS. “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

PART 14. March 17, 2020. CORONAVIRUS. “ “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/

PART 15. March 22, 2020. CORONAVIRUS. “…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/

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 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/

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, administration staff told a House panel.

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/

PART 19. April 13, 2020 CORONOAVIRUS. “…overlooked in the United States’ halting mobilization against the novel 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/

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/

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 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/

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[JM1] ….”

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/

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/

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/

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/

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/

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/

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/

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,” (Governor Cuomo). 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/

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/

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 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/

POST 33. June 21, 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/

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/

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…”

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 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/

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 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/

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/

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/

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-2/

POST 42. August 11, 2020. CORONAVIRUS. “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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 54. October 22, 2020. CORONAVIRUS. POST 54A. 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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/

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/

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/

POST 80. November 29, 2020. CORONAVIRUS. Op-Ed in the Jersey Journal. Do you know which hospital is right for you if you have coronavirus? | Opinion

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/

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/

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/

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/

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..”

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 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/

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. (Please allow about 20 seconds for the text to download. Thanx!)

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/

POST 87. December 10, 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/

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/

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/

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/

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/

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.” (Trump appointee July 4th 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/

POST 93. December 19, 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/

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/

POST 95. December 23, 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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.”

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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,” Dr. Meyers said. “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/

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/

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/

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 inequitable distribution to” 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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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-2/

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/

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/

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/

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/

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/

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/

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/

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, 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/

POST 151. April 14, 2021. CORONAVIRUS.   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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 162. May 21, 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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 171. June 19, 2021. “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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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,”

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/

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/

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/

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 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/

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/

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 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/

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/

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/

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/

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/

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 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/

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,” he said.”

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/

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/

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”…“Faced with a novel health crisis, researchers are collecting data on the long-term impact of using opioids to treat COVID-19 pain…

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/

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/

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/

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/

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/

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/

POST 200. September 23, 2021. CORONAVIRUS. CDC Director overrides a recommendation of its scientific advisors saying “that people can get a booster if they are ages 18 to 64 years and are health-care workers or have another job that puts them at increased risk of being exposed to the virus.”…“In a pandemic, even with uncertainty, we must take actions that we anticipate will do the greatest good.”

https://doctordidyouwashyourhands.com/2021/09/post-200-september-23-2021-coronavirus-cdc-director-overrides-a-recommendation-of-its-scientific-advisors-saying-that-people-can-get-a-booster-if-they-are-ages-18-to-64-years-and-are-heal/

POST 201. September 27, 2021. CORONAVIRUS. “A multibillion-dollar institution in the Seattle area is sitting on nearly $12 billion in cash… received at least $509 million in government funds (from) a federal program that is supposed to prevent health care providers from capsizing during the coronavirus pandemic.”

“Based on our estimates…we find preventable COVID-19 hospitalizations cost $5.7 billion from June to August in 2021.”…

https://doctordidyouwashyourhands.com/2021/09/post-201-september-27-2021-coronavirus-a-multibillion-dollar-institution-in-the-seattle-area-is-sitting-on-nearly-12-billion-in-cash-received-at-least-509-million-in-government/

POST 202. September 30, 2021. CORONAVIRUS. “..NY Governor Hochul signed an executive order expanding healthcare worker eligibility requirements…to head off potential staffing shortages fueled by the state’s new COVID-19 vaccination requirements.” “The.. order allows out-of-state/ out-of-country healthcare workers to practice in New York…”..”It allows EMTs graduates to temporarily pitch in at additional healthcare settings; allows various types of healthcare workers to more easily administer and order COVID-19 vaccinations; enables telemedicine physician visits in nursing homes; permits facilities to more quickly discharge, transfer or receive patients…”

https://doctordidyouwashyourhands.com/2021/09/post-202-september-30-2021-coronavirus-ny-governor-hochul-signed-an-executive-order-expanding-healthcare-worker-eligibility-requirementsto-head-off-potential-staffing-shortages/

POST 203. October 3, 2021. CORONAVIRUS. “.. more than 125,000 laboratory-confirmed COVID-19 cases have been reported in pregnant people, including more than 22,000 hospitalized cases and 161 deaths”…The risk is not just to the mother. Covid-19 in pregnancy can cause preterm birth or babies born so sick they have to go straight to the neonatal intensive care unit, or NICU.” 

https://doctordidyouwashyourhands.com/2021/10/post-203-october-3-2021-coronavirus-more-than-125000-laboratory-confirmed-covid-19-cases-have-been-reported-in-pregnant-people-including-more-than-22000-hospitalized-cases-and-161-deaths/

POST 204. October 5, 2021.CORONAVIRUS. “News that an experimental antiviral drug from Merck appears to halve the risk of hospitalization or death from Covid-19 has bolstered hopes of finding a simple at-home treatment for the virus.”..” A more blunt assessment came from vaccine scientist Dr. Peter Hotez of Baylor College of Medicine’s National School of Tropical Medicine. “It’s not a miracle cure but a companion tool, So get vaccinated.””

https://doctordidyouwashyourhands.com/2021/10/post-204-october-5-2021-coronavirus-news-that-an-experimental-antiviral-drug-from-merck-appears-to-halve-the-risk-of-hospitalization-or-death-from-covid-19-has-bolstered-hopes-of-finding-a/

POST 205. October 11, 2021. CORONAVIRUS. The AAP reported nearly 226,000 new child cases over the past week ending. “Hospital care for children does not occur in isolation from that of adults. Many of the resources we use are the same—a twenty-pound baby and a two-hundred-pound man might use the same kind of ventilator, for example. Dialysis machines, which could cleanse a seven-year-old’s blood as easily as his grandfather’s, are in high demand. Pediatric resident physicians, nurses, and respiratory therapists get cross-deployed to care for adults during the surges.”

https://doctordidyouwashyourhands.com/2021/10/post-205-october-11-2021-coronavirus-the-aap-reported-nearly-226000-new-child-cases-over-the-past-week-ending-hospital-care-for-children-does-not-occur-in-isolation-from-that-of-adults/

POST 206. October 15, 2021. CORONAVIRUS. to borrow from Winston Churchill about where we are with the pandemic –  “Now 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/2021/10/post-206-october-15-2021-coronavirus-to-borrow-from-winston-churchill-about-where-we-are-with-the-pandemic-now-this-is-not-the-end-it-is-not-even-the-beginning-of-the-end-but-it-is/

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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-%e2%81%a019-this-winter/

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/

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/

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/

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/

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/

POST 223. December 28, 2021. CORONAVIRUS. Links for a case study of Crisis Standards of Care.

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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.’”

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/

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/

POST 236. February 22, 2021. CORONAVIRUS.  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/

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/

POST 238. March 5, 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/

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/

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/

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/

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/

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 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/

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/

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/

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, Pharmacists +++)

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/

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/

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/

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/

POST 250. May 11, 2022. Herd Immunity Deja 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/

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/

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 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/

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/

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/

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.”

“The shooting in Tulsa is an extreme example of a growing trend: violence against doctors, nurses, and other health care workers.”

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/

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/

POST 257. June 17, 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/

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/

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/

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/

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)

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/

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) New this week: Parechovirus & Marburg virus disease.

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/

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/

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.”

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/

July 28, 2022

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.”

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 course of treatment for people who are considered to be at higher risk of adverse affects of COVID, including anyone over 50.

Biden “will isolate at the White House and will continue to carry out all of his duties fully during that time,” Jean-Pierre said in a statement. “He has been in contact with members of the White House staff by phone this morning, and will participate in his planned meetings at the White House this morning via phone and Zoom from the residence.” (B)

“In the early days, Mr. Biden was a president in a bubble, governing the country mostly by Zoom inside the Oval Office. He rarely traveled. He held few in-person meetings. And most of the ceremonial trappings of the office — like the medal ceremony — were canceled or postponed, victims of the lockdowns that were deemed necessary to stop the spread.

But like many other Americans, Mr. Biden has loosened up in recent months. Protected by multiple doses of the vaccine, the president and his aides have changed their risk assessments and have begun to live with the coronavirus.

“Whatever your thing is — whether it’s being the president of the United States, going to school, going to work, doing the things you enjoy, being with who we love — it can’t be put off forever,” said Andy Slavitt, who advised the White House on its Covid-19 response early in the Biden administration.

Mr. Slavitt said Covid-19 has become a disease that “comes around as frequently as a common cold but with much more severe consequences. It’s a much more uncomfortable middle state for people to adjust to.”…

But the pandemic is not over.

According to the C.D.C., most of the country is now classified as areas with high community transmission. The latest Omicron subvariant to become dominant, BA.5, is vastly more contagious than the original coronavirus, though doctors say the vaccines remain effective at preventing hospitalization and death.

So Mr. Biden has to walk a careful line, demonstrating that he is just like every other American eager to be done with Covid-19, even as he keeps his eye on the possibility that the pandemic could come roaring back.

Inside the West Wing, there was never much doubt that Mr. Biden would eventually contract the disease. By this week, many of the people around him already had: Vice President Kamala Harris; Jen O’Malley Dillon, his deputy chief of staff; Karine Jean-Pierre, his press secretary; several cabinet members, including the attorney general; Doug Emhoff, the second gentleman; and Jen Psaki, his former press secretary — twice…

“We’re in a much, much better place than where we were 18 months ago, when the president took office,” Dr. Jha said, adding that the current level of about 400 Covid-19 deaths per day was “unacceptable.” He also added a grim warning.“This virus,” he said, “is going to be with us forever.”  (A)

“1. What are the important risk factors for Biden?

The most important risk factor for developing severe COVID-19 is age. If you are 79 years old when you become infected with COVID-19, like President Biden, you are eight times more likely to become hospitalized and 140 times more likely to die compared with someone who gets COVID-19 at age 20. Preexisting health conditions – like obesity, cancer and chronic kidney or lung disease – also increase the risk of severe illness. But Biden is reported to be fairly healthy.

Fortunately, preexisting immunity from vaccination or from a previous episode of COVID-19 is highly protective against severe disease. Researchers only have limited data on the BA.5 variant that is responsible for most recent COVID-19 cases in the U.S. – and likely Biden’s, too – but the level of protection from vaccines is likely similar to that of the previous strains BA.1 and BA.2…

2. What is the first line of treatment for someone like Biden, and why?

Current best medical practice is to give antiviral treatments to patients who have recently developed mild to moderate COVID-19 symptoms and are at higher risk of severe illness. The goal of antivirals is to stop the virus from replicating in the body in order to prevent hospitalization or death.

Currently there are four antiviral drugs available in the U.S. for the treatment of COVID-19 in outpatients: nirmatrelvir-ritonavir, better known by the brand name Paxlovid, remdesivir, bebtelovimab and molnupiravir. The best drug for a particular patient depends on preexisting health conditions, accessibility and drug interactions with other medications. Paxlovid is widely used because it was shown to be highly effective in a clinical trial and is available in pill form…

3. How does Paxlovid work, and what are its shortcomings?

Paxlovid is an oral antiviral drug that is used to treat some patients with mild to moderate COVID-19 who do not require hospitalization. Paxlovid is a combination of two medications. One is nirmatrelvir, a drug that works by disrupting the coronavirus’ ability to make functioning proteins. The other is ritonavir, an HIV drug that boosts the level of nirmatrelvir in the blood by blocking an enzyme in the liver that breaks down nirmatrelvir…

Paxlovid is not a panacea. It cannot be used for some patients who have significant kidney or liver problems, and it interacts negatively with a large number of other medications. Some patients cannot take Paxlovid because of the other drugs they use, but physicians can sometimes manage these interactions.

4. What will Biden’s health care team be on the lookout for?

Biden’s doctors will be monitoring his symptoms and checking his blood oxygen level. If Biden’s symptoms – like cough, shortness of breath or fever – worsen or he needs supplemental oxygen, it is possible he would be hospitalized where he may get treated with additional drugs, including steroids.

Some patients experience an initial improvement followed by a “rebound” of their COVID-19 symptoms. It is not clear how often rebounds happen or if they are associated with COVID-19 treatment. Rebounds appear to be generally mild and not associated with hospitalization or death, though they can prolong the required period of isolation.

It is still too early to tell how mild or severe Biden’s bout of COVID-19 will be. With most mild cases only lasting around a week, the U.S. should only need to wait a few days to get a sense of what kind of fight the president is facing.” (E)

“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.

It’s staffed by doctors, nurses, physician assistants, and medics, and operates similar to an urgent care center. As part of the job, presidents always have a doctor traveling with them. 

One former senior official in the Trump administration who spoke to Insider on condition of anonymity said the White House can also bring in outside physicians, such as specialists in infectious disease.

Arthur Caplan, a leading bioethicist who teaches at NYU Langone, said the president has immediate access to primary care, regular testing, and any medication doctors determine are needed.

“Obviously you have excellent rapid access to whatever drugs you might need,” Caplan said. “Many Americans do not.”

On top of that, the president can quarantine while still doing his job in a way many US workers cannot, particularly if they don’t receive paid sick days that will help them support their families.

“The president doesn’t have this problem,” Caplan said. “He can Zoom 24/7 and do things that CEOs and other people in fortunate positions can do in isolation.”

Should the president’s condition worsen, he’d be transferred to Walter Reed National Military Medical Center, a world-class facility about 16 miles north of the White House in Bethesda, Maryland. It’s the same place where presidents receive their annual physicals and screenings such as colonoscopies.

Biden can travel to Walter Reed either through a motorcade or by helicopter. And he wouldn’t have to wait hours in the emergency department like most regular patients.

If Biden were to go to Walter Reed then he’d stay at the presidential suite. According to the former Trump administration official, the space is similar to an apartment and includes both a bedroom and a Cabinet room so “you can keep being president even while you’re in the hospital.”

“Think of it like a very deluxe hospital setting,” the person said.”It’s the size of what you would imagine the leader of the free world to run the government from if he should need to be in the hospital.”

On top of that, Walter Reed doctors can call on specialists at the nearby National Institutes of Health, such as Dr. Anthony Fauci, the federal government’s top infectious disease expert, or another clinical expert.

Open questions remain about whether the president could get what has been called “long COVID,” meaning symptoms of the illness that persist for months including fatigue and headache. Caplan said the best healthcare in the world won’t matter if doctors find themselves unable to treat serious, persistent symptoms.

It’s too early in Biden’s diagnosis to know whether he’ll have long COVID, and it’s still not clear what proportion of people who get COVID have these extended symptoms.

“I’m not aware of data that age is a significant risk factor for long COVID,” Jha said. “He gets excellent care from his physician and if he has persistent symptoms they will get addressed.” (F)

“President Biden’s coronavirus infection is a stark illustration that the Covid vaccines, powerful as they are, are far from the bulletproof shields that scientists once hoped for.

Mr. Biden has received multiple doses of the Pfizer-BioNTech vaccine; his most recent shot, a second booster, was on March 30. Studies suggest that those doses will provide a powerful bulwark against severe illness — and indeed, the president has only mild symptoms so far after testing positive on Thursday, according to the White House.

But even booster doses offer little defense against infection, particularly with the most recent versions of the virus. What protection they do offer wanes sharply and quickly, several studies have shown. In the president’s case, the booster shot he received nearly four months ago is likely to have lost most of its potency at preventing infection.

Earlier in the pandemic, experts believed that the vaccines would be enough to forestall not just severe disease, but also the vast majority of infections. And that was true when earlier versions of the virus, including the Delta variant, swept the globe.

But the Omicron variant upended those hopes. As more of the population gained some immunity, whether from infection or vaccines, the virus evolved to dodge those defenses. BA.1, the subvariant of Omicron that circulated over the winter, was adept at causing infections even in those who had received a booster dose just weeks earlier.

Each subsequent avatar of the virus has become still better at sidestepping immunity. BA.5, which now accounts for nearly 80 percent of cases in the United States, is the most wily yet. Detailed data collected in Qatar suggests that immunity from previous infection and vaccines is weakest against BA.5 compared with its predecessors.

BA.5 is also highly contagious. The nation is recording roughly 130,000 cases per day on average; that number is likely to be a huge underestimate, because most people test at home or do not test at all.

The number of hospitalizations has also spiked over the past few weeks, although BA.5 does not appear to cause more severe disease than other forms of Omicron.

Given how much the virus has changed, the administration has been debating the value of authorizing additional shots of the original vaccine in the fall and offering second boosters to adults younger than age 50. An advisory panel of the Food and Drug Administration said last month that vaccine manufacturers should tailor shots to the newest variants.

But it’s unclear whether those shots will arrive in time to forestall a fall surge, and whether the virus will have once again evolved beyond their reach.” (C)

“When all 50 states, the District of Columbia and United States territories declared public health emergencies in response to the coronavirus pandemic in March 2020, those declarations allowed state officials to lift limits on hospital capacity, expand access to telehealth services and even allow highway weight limits to be exceeded, in case the National Guard needed to quickly move in.

By Monday, fewer than a dozen states will have emergency declarations in place, according to the National Academy for State Health Policy. States have let the declarations expire even though the Omicron subvariant known as BA.5, perhaps the most transmissible coronavirus subvariant yet, is pushing up positive tests, hospitalizations and intensive care admissions across the country.

The wider latitude conferred by a state’s public health emergency, like making it easier for out-of-state medical providers to help with in-person and telehealth care and for retired health care workers to return to work, was critical to states’ responses to earlier waves of coronavirus cases.

But as Americans adjust to living with the virus, the country’s governors have increasingly had to justify the extension of such declarations to legislators who consider them an unnecessary use of executive power. On Wednesday, Gov. Kathy Hochul of New York said that she needed to extend her pandemic emergency powers into the fall in case serious disease and hospitalizations spike higher.

At the same time, the Biden administration last week again extended the federal coronavirus public health emergency, which was first set in January 2020. The declaration means the emergency period will last at least through mid-October.

The federal designation allows millions of low-income Americans expanded access to Medicaid coverage; adds flexibility for telehealth; and grants states access to pandemic-related funds.

Additionally, private insurers and Medicare will continue to cover the cost of at-home virus tests as long as the public health emergency remains in effect…

In some cases, the state must have a declaration in place to receive funding from the federal government. Though Connecticut’s public health emergency ended last month, the state kept a limited version in place so that it can receive more federal money for food assistance for low-income families.

The pandemic has prompted some states to change the regulations surrounding emergency orders during the pandemic, said Andy Baker-White, senior director of state health policy at the Association of State and Territorial Health Officials. Legislatures have amended the process for declaring an emergency, shortened the maximum length of each emergency and reduced the number of times that a governor can renew an emergency declaration. In Arizona, beginning next January, the governor cannot declare a public health emergency without the legislature’s approval.

“With the backlash to the exercise of this authority, there has to be political will, as well as the expense of political capital to bring back a declaration,” Mr. Baker-White said. “Some states have taken things that they were only able to do in an emergency and put that action into the law, so they don’t need the emergency trigger.”..

But one effect of the pandemic — the improved access to telehealth — is at risk, since many waivers that allow such care across state borders have expired. And in states that no longer have emergencies declared, hospitals have once again instated capacity limits. Lifting those in the event of another surge would require issuing another declaration.”  (D)

UPDATES

“The World Health Organization on Saturday declared the unprecedented monkeypox outbreak that has spread around the world a public health emergency, a decision that will empower the agency to take additional measures to try to curb the virus’s spread.

In an unusual move, WHO Director-General Tedros Adhanom Ghebreyesus made the declaration even though a committee of experts he had convened to study the issue did not advise him to do so, having failed to reach a consensus. The same committee met just one month ago and declined to declare a public health emergency of international concern, or PHEIC…

“Nine and six is very, very close,” Tedros said in a news conference called to announce the decision. “Since the role of the committee is to advise, I then had to act as a tie-breaker.” (G)

“Two cases of monkeypox have been identified in children in the United States, the US Centers for Disease Control and Prevention said Friday.

The two cases are unrelated and probably the result of household transmission, the CDC said.

One case is a toddler who is a resident of California. The other is an infant who is not a US resident. Public health officials are investigating how the children were infected.

Both have symptoms but are in good health and receiving treatment with an antiviral medication named tecovirimat or TPOXX, which the CDC recommends for children under the age of 8 because they are considered to be at higher risk from infection.

Since the monkeypox outbreak began in May, most of the cases have happened among men who have sex with men. However, anyone can catch the virus through close skin-to-skin contact. In the case of children, the agency said this could include “holding, cuddling, feeding, as well as through shared items such as towels, bedding, cups, and utensils.”

The CDC says the Jynneos monkeypox vaccine is being made available for children through special expanded use protocols. The agency has also developed new guidance for health care providers about identifying, treating and preventing monkeypox in children and teens…

The US government has shipped 300,000 monkeypox vaccines to US states and territories as of Friday afternoon.

“That means hundreds of thousands of Americans are going to be getting vaccinated in a matter of days or weeks,” Dr. Ashish Jha, the White House Covid-19 response coordinator, said Friday. “Jurisdictions, states territories, cities are getting their vaccines typically about 30 hours after ordering them.”

Jha said Friday that New York City had received enough monkeypox vaccine to provide at least one dose to about half its eligible population, while DC had gotten enough to provide one dose to 70% of its eligible population.

The newly released doses increase available supply, but they cover just a small portion of the eligible population. The CDC estimates that more than 1.5 million people are eligible for the monkeypox vaccine.

The prescribing information for the Jynneos vaccine says a full course is two shots given four weeks apart. The CDC and the US Food and Drug Administration have said that people need both doses to fully prevent disease.

But in New York City and some other places seeing a high degree of viral spread, officials have been giving out a first shot to as many people as they can, even before second doses are available.”  (H)

“The New York State Department of Health and its Rockland County counterpart confirmed that the infection was transmitted from someone who received the oral polio vaccine, which has not been administered in the United States since 2000. Officials said in a news release that the virus may have originated outside the United States, where the oral vaccine is still administered.

“I want to stress that this individual is no longer contagious,” said Ed Day, the Rockland County executive, in a news conference Thursday afternoon. “Our efforts now are focused on two issues: vaccinations and figuring out if anyone else has been impacted by this disease.”

Those who are unvaccinated or haven’t completed their vaccination series should get vaccinated, officials said. The current polio case presents a very low risk to those who are already vaccinated against polio: Those who have had all three shots have close to 100 percent protection.

The person’s symptoms began about a month ago, said Dr. Patricia Schnabel Ruppert, Rockland County’s health commissioner, at the news conference. The patient presented with “weakness and paralysis,” she said, and the department was notified on Monday about the confirmed case…

The highly contagious virus was one of the most feared diseases until the 1950s, when the first vaccine was developed…

The last case of polio in the United States was in 2013, in someone who brought the disease in from abroad. There has not been a case originating in the United States since 1979, according to the Centers for Disease Control and Prevention.

The disease was one of the most feared in the country until the 1950s, when the first vaccine was developed.

Sixty percent of Rockland County’s 2-year-olds have received all three doses of the polio vaccine, according to state data — a considerably lower rate than the 80 percent rate in the rest of the state excluding New York City.

To achieve herd immunity for polio, the target vaccination rate is 80 percent, according to the World Health Organization.” (I)

“It was still not clear exactly when or where the patient had contracted the disease, though health officials believe the person was infected by someone who had received the oral polio vaccine, which contains weakened live virus.

Such vaccines have not been administered in the United States since 2000, suggesting that the virus may have “originated in a location outside of the U.S. where O.P.V. is administered,” according to county officials. The oral vaccine is safe, but people who are unvaccinated can become infected if vaccine-derived virus is circulating in a community.” (J)

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 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 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/

PART3. February 3, 2020. “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/

PART 4. February 9, 2020. 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/

PART 5. February 12, 2020. 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/

POST 6. February 18, 2020.  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/

PART 7. February 20, 2020. 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/

PART 8. February 24, 2020. 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/

PART 9. February 27, 2020. 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/

Part 10. March 1, 2020. 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/

PART 11. March 5, 2020.  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/

Part 12. March 10, 2020. 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/

Part 13.. March 14, 2020. CORONAVIRUS. “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

PART 14. March 17, 2020. CORONAVIRUS. “ “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/

PART 15. March 22, 2020. CORONAVIRUS. “…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/

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 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/

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, administration staff told a House panel.

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/

PART 19. April 13, 2020 CORONOAVIRUS. “…overlooked in the United States’ halting mobilization against the novel 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/

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/

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 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/

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[JM1] ….”

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/

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/

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/

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/

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/

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/

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/

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,” (Governor Cuomo). 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/

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/

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 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/

POST 33. June 21, 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/

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/

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…”

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 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/

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 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/

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/

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/

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-2/

POST 42. August 11, 2020. CORONAVIRUS. “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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 54. October 22, 2020. CORONAVIRUS. POST 54A. 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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/

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/

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/

POST 80. November 29, 2020. CORONAVIRUS. Op-Ed in the Jersey Journal. Do you know which hospital is right for you if you have coronavirus? | Opinion

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/

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/

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/

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/

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..”

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 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/

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. (Please allow about 20 seconds for the text to download. Thanx!)

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/

POST 87. December 10, 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/

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/

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/

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/

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/

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.” (Trump appointee July 4th 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/

POST 93. December 19, 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/

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/

POST 95. December 23, 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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.”

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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,” Dr. Meyers said. “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/

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/

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/

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 inequitable distribution to” 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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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-2/

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/

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/

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/

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/

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/

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/

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/

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, 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/

POST 151. April 14, 2021. CORONAVIRUS.   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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 162. May 21, 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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 171. June 19, 2021. “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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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,”

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/

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/

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/

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 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/

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/

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 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/

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/

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/

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/

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/

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 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/

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,” he said.”

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/

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/

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”…“Faced with a novel health crisis, researchers are collecting data on the long-term impact of using opioids to treat COVID-19 pain…

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/

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/

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/

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/

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/

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/

POST 200. September 23, 2021. CORONAVIRUS. CDC Director overrides a recommendation of its scientific advisors saying “that people can get a booster if they are ages 18 to 64 years and are health-care workers or have another job that puts them at increased risk of being exposed to the virus.”…“In a pandemic, even with uncertainty, we must take actions that we anticipate will do the greatest good.”

https://doctordidyouwashyourhands.com/2021/09/post-200-september-23-2021-coronavirus-cdc-director-overrides-a-recommendation-of-its-scientific-advisors-saying-that-people-can-get-a-booster-if-they-are-ages-18-to-64-years-and-are-heal/

POST 201. September 27, 2021. CORONAVIRUS. “A multibillion-dollar institution in the Seattle area is sitting on nearly $12 billion in cash… received at least $509 million in government funds (from) a federal program that is supposed to prevent health care providers from capsizing during the coronavirus pandemic.”

“Based on our estimates…we find preventable COVID-19 hospitalizations cost $5.7 billion from June to August in 2021.”…

https://doctordidyouwashyourhands.com/2021/09/post-201-september-27-2021-coronavirus-a-multibillion-dollar-institution-in-the-seattle-area-is-sitting-on-nearly-12-billion-in-cash-received-at-least-509-million-in-government/

POST 202. September 30, 2021. CORONAVIRUS. “..NY Governor Hochul signed an executive order expanding healthcare worker eligibility requirements…to head off potential staffing shortages fueled by the state’s new COVID-19 vaccination requirements.” “The.. order allows out-of-state/ out-of-country healthcare workers to practice in New York…”..”It allows EMTs graduates to temporarily pitch in at additional healthcare settings; allows various types of healthcare workers to more easily administer and order COVID-19 vaccinations; enables telemedicine physician visits in nursing homes; permits facilities to more quickly discharge, transfer or receive patients…”

https://doctordidyouwashyourhands.com/2021/09/post-202-september-30-2021-coronavirus-ny-governor-hochul-signed-an-executive-order-expanding-healthcare-worker-eligibility-requirementsto-head-off-potential-staffing-shortages/

POST 203. October 3, 2021. CORONAVIRUS. “.. more than 125,000 laboratory-confirmed COVID-19 cases have been reported in pregnant people, including more than 22,000 hospitalized cases and 161 deaths”…The risk is not just to the mother. Covid-19 in pregnancy can cause preterm birth or babies born so sick they have to go straight to the neonatal intensive care unit, or NICU.” 

https://doctordidyouwashyourhands.com/2021/10/post-203-october-3-2021-coronavirus-more-than-125000-laboratory-confirmed-covid-19-cases-have-been-reported-in-pregnant-people-including-more-than-22000-hospitalized-cases-and-161-deaths/

POST 204. October 5, 2021.CORONAVIRUS. “News that an experimental antiviral drug from Merck appears to halve the risk of hospitalization or death from Covid-19 has bolstered hopes of finding a simple at-home treatment for the virus.”..” A more blunt assessment came from vaccine scientist Dr. Peter Hotez of Baylor College of Medicine’s National School of Tropical Medicine. “It’s not a miracle cure but a companion tool, So get vaccinated.””

https://doctordidyouwashyourhands.com/2021/10/post-204-october-5-2021-coronavirus-news-that-an-experimental-antiviral-drug-from-merck-appears-to-halve-the-risk-of-hospitalization-or-death-from-covid-19-has-bolstered-hopes-of-finding-a/

POST 205. October 11, 2021. CORONAVIRUS. The AAP reported nearly 226,000 new child cases over the past week ending. “Hospital care for children does not occur in isolation from that of adults. Many of the resources we use are the same—a twenty-pound baby and a two-hundred-pound man might use the same kind of ventilator, for example. Dialysis machines, which could cleanse a seven-year-old’s blood as easily as his grandfather’s, are in high demand. Pediatric resident physicians, nurses, and respiratory therapists get cross-deployed to care for adults during the surges.”

https://doctordidyouwashyourhands.com/2021/10/post-205-october-11-2021-coronavirus-the-aap-reported-nearly-226000-new-child-cases-over-the-past-week-ending-hospital-care-for-children-does-not-occur-in-isolation-from-that-of-adults/

POST 206. October 15, 2021. CORONAVIRUS. to borrow from Winston Churchill about where we are with the pandemic –  “Now 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/2021/10/post-206-october-15-2021-coronavirus-to-borrow-from-winston-churchill-about-where-we-are-with-the-pandemic-now-this-is-not-the-end-it-is-not-even-the-beginning-of-the-end-but-it-is/

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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-%e2%81%a019-this-winter/

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/

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/

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/

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/

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/

POST 223. December 28, 2021. CORONAVIRUS. Links for a case study of Crisis Standards of Care.

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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.’”

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/

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/

POST 236. February 22, 2021. CORONAVIRUS.  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/

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/

POST 238. March 5, 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/

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/

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/

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/

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/

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 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/

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/

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/

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, Pharmacists +++)

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/

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/

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/

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/

POST 250. May 11, 2022. Herd Immunity Deja 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/

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/

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 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/

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/

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/

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.”

“The shooting in Tulsa is an extreme example of a growing trend: violence against doctors, nurses, and other health care workers.”

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/

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/

POST 257. June 17, 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/

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/

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/

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/

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)

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/

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) New this week: Parechovirus & Marburg virus disease.

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/

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/

July 24, 2022

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)

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 tissue damage…

Last week, the Centers for Disease Control and Prevention issued a health alert notifying doctors, nurses and public health departments to the fact that the virus has been circulating nationally since May. The C.D.C. is urging clinicians to consider it as a possible diagnosis for any babies with unexplained fever, seizures or sepsis-like symptoms….

“For the most part, parechovirus causes illness that tends to be very mild,” said Dr. Ami Patel, an attending physician in the division of pediatric infectious diseases with the Ann & Robert H. Lurie Children’s Hospital of Chicago. “Very rarely do we get more severe illness.”..

The C.D.C. alert said it has received reports of cases since May, but did not specify how many or in which states. It did note, however, that the cases have all been a subtype of parechovirus known as A3, which is most often linked to severe illness…

Parechovirus tends to circulate in the late summer and early fall, and typically peaks every other year, the C.D.C. says. But beyond that, there is not much specific information about national infection rates and whether they are increasing.

“It’s not one we commonly test for, or that we necessarily need to test for,” Dr. Patel said. “It’s not a virus we nationally track, like influenza.”

The C.D.C. alert said it has received reports of cases since May, but did not specify how many or in which states. It did note, however, that the cases have all been a subtype of parechovirus known as A3, which is most often linked to severe illness…

The purpose of the C.D.C. alert is not to alarm parents, experts say. It is to help ensure that pediatricians and other health care providers are aware parechovirus is circulating, so they can consider it as a possible diagnosis in certain sick children.” (A)

“Ghana has confirmed its first two cases of the highly infectious Marburg virus disease, the World Health Organization (WHO) said Sunday in a statement.

The announcement comes after two unrelated patients from the southern Ashanti region of Ghana, both of whom later died, tested positive for the virus.

The patients had shown symptoms including diarrhea, fever, nausea, and vomiting, WHO said, adding that more than 90 contacts are being monitored.

Marburg is a highly infectious viral hemorrhagic fever in the same family as the better known Ebola virus disease and has a fatality ratio of up to 88%, according to WHO. “Illness begins abruptly, with high fever, severe headache, and malaise,” it stated.

The virus is transmitted to humans from fruit bats and can then be spread human-to-human through direct contact with the bodily fluids of infected people or surfaces and materials contaminated with these fluids, WHO explained.

The global health body said containment measures were being put in place and that more resources would be deployed in response to the outbreak in Ghana. WHO also warned that “without immediate and decisive action, Marburg can easily get out of hand.”

There are no approved vaccines or antiviral treatments for the Marburg virus. However, a patient’s chances of survival can be improved with care including oral or intravenous rehydration and treatment of specific symptoms, WHO said.” (B)

UPDATES

As cases of monkeypox continue to rise in the US, a top health official is stressing that the outbreak needs to be handled in a more rigorous manner.

“This is something we definitely need to take seriously. We don’t know the scope and the potential of it yet, but we have to act like it will have the capability of spreading much more widely than it’s spreading right now,” Dr. Anthony Fauci told CNN on Saturday.

Former US Food and Drug Administration Commissioner Dr. Scott Gottlieb warned that it may be too late to control and contain the virus.

“I think the window for getting control of this and containing it probably has closed. If it hasn’t closed, it’s certainly starting to close,” Gottlieb told CBS’ Margaret Brennan on Sunday on “Face the Nation.”

Monkeypox has been detected throughout most of the US, except for a handful of states, according to the US Centers for Disease Control and Prevention. The states with the most cases include New York, California, Illinois and Florida.

The latest data shows that the CDC has tracked at least 1,814 probable or confirmed cases in the US, as of Friday, and a total of 12,556 confirmed cases in 68 countries.

Fauci, who is director of the National Institute of Allergy and Infectious Diseases and President Joe Biden’s chief medical adviser, told CNN’s Laura Coates that the numbers are “very likely an undercount.”

“Whenever you have the emergence of something like this, you are always probably looking at what might be — might be, we don’t know — the tip of the iceberg, so that’s the reason why we’ve got to get the testing out there in a much, much more vigorous way,” Fauci said.

Gottlieb echoed the need for testing.

“We’re probably detecting just a fraction of the actual cases because we had, for a long time, a very narrow case definition on who got tested and by and large, we’re looking in the community of men who have sex with men and at STD clinics. So we’re looking there, we’re finding cases there, but it’s a fact that there’s cases outside that community right now. We’re not picking them up because we are not looking there.”

The US Centers for Disease Control and Prevention said Friday that there have been eight cases of monkeypox diagnosed among individuals who were female at birth and that no cases have been reported in children or adolescents…

The former FDA commissioner compared the response to the monkeypox virus with the start of the Covid-19 pandemic, saying the US is making “a lot of the same mistakes,” such as a lack of testing early on and not enough vaccines distributed to the community.

“We could have gotten control of this if we had been more aggressive up front,” Gottlieb said.

The CDC is working with five commercial laboratories to expand testing capacity, expanding capacity from an initial 6,000 up to 80,000 specimens per week.

Gottlieb also criticized the CDC for its response to the virus.

“The White House has intervened to take more control of the response away from CDC. This can’t be our response every time, that when CDC drops the ball, the White House and the political leadership need to step in,” Gottlieb said. “That’s what’s happened here. It happened in Covid. We need to fundamentally reform how we respond to these crises.” (C)

“As the monkeypox outbreak grows in the United States, demand for the vaccine is outstripping the nation’s supply, Dr. Rochelle Walensky, the director of the Centers for Disease Control and Prevention, said at a news briefing on Friday.

“We don’t yet have all the vaccine that we would like in this moment,” she said.

When the supply crunch will ease is unknown. The federal government made another 131,000 doses available to states and other jurisdictions on Friday. But the scope of the outbreak remains unclear, in part because diagnostic testing has been slow and limited.

Nearly 1,500 cases have been identified in the United States, primarily in men who have sex with men, and the figure is likely to rise in the coming weeks, Dr. Walensky said. Globally, more than 11,000 cases have been identified in 65 countries, she added.

“Our window of opportunity to control it is rapidly closing,” said Anne Rimoin, an epidemiologist and monkeypox expert at the University of California, Los Angeles. “There are probably a lot more cases out there than we’re aware of.”

The Department of Health and Human Services ordered an additional 2.5 million doses of the vaccine, known as Jynneos, on Friday, but those doses are not scheduled to arrive until next year.

A previously ordered 2.5 million doses should begin arriving late this year, officials said…

Public health experts have criticized the U.S. response to the outbreak as slow and inefficient, beset by some of the same problems that plagued the early months of the Covid-19 pandemic.

Initially, for instance, monkeypox testing was extremely limited, and each diagnosis had to be confirmed by the C.D.C., creating delays that might have allowed the virus to spread unseen and unchecked.

“Now we’re in a situation where it’s going to be exceedingly difficult, with limited supplies of the vaccine and still some problems with testing, to get this under control,” Dr. Gonsalves said…

But health officials should be doing more active surveillance for the disease, experts said…

New tests, including those that can detect the virus in asymptomatic people, are needed, Dr. Rimoin said, as is active surveillance in animal populations, which might become reservoirs for the virus.

The virus is unlikely to remain in the networks and communities in which it is currently spreading, she added, and expanding testing is particularly important given the limited vaccine supply.

“The faster you can identify cases, the better you are at isolating them and preventing onward transmission,” Dr. Rimoin said.

Jynneos, the only vaccine approved by the F.D.A. specifically for monkeypox, is given in two doses, 28 days apart. It is made by Bavarian Nordic, a small company in Denmark, and its global supply has been exceedingly limited.

The United States has purchased nearly seven million doses in total, but has received just 372,000 of them, Dawn O’Connell, the assistant secretary for preparedness and response at the Department of Health and Human Services, said on Friday. So far, 156,000 doses have been distributed nationally, she said.”  (D)

“The spread of monkeypox has ignited a debate within the New York City Health Department over whether the agency should encourage gay men to reduce their number of sexual partners during this summer’s outbreak.

Inside the department, officials are battling over public messaging as the number of monkeypox cases has nearly tripled in the last week, nearly all of them among men who have sex with men. A few epidemiologists say the city should be encouraging gay men to temporarily change their sexual behavior while the disease spreads, while other officials argue that approach would stigmatize gay men and would backfire.

The internal divisions peaked when the health department issued an advisory last week suggesting that having sex while infected with monkeypox could be made safer if people avoided kissing and covered their sores. Several officials at the agency were outraged, saying the agency was giving misleading and even dangerous health advice, according to several epidemiologists within the department and a review of internal emails.

The advice on safer sex was not medically sound, said Dr. Don Weiss, the director of surveillance for the department’s Bureau of Communicable Disease, in an interview. He believes the department should advise those at risk of monkeypox to temporarily reduce their number of partners, saying, “We’re not telling people what they have to do to be safe.”

His concerns are shared by some of his colleagues, emails and interviews show, indicating growing frustration and pessimism within the ranks of the health department as the window for controlling New York City’s monkeypox epidemic — the largest such outbreak in the United States — quickly closes.

Monkeypox has been spreading globally since early May. In New York City, where nearly all monkeypox patients are gay or bisexual men, there were 618 documented cases of monkeypox in the city as of Monday, though Dr. Weiss said that the true number of infections was far higher, because testing has been limited.

The strategy favored by Dr. Weiss, who has long played a frontline role in the department’s response to disease outbreaks, has received little traction within the department.”  (E)

“Several highly effective vaccines were developed at an unprecedented speed to combat the COVID-19 pandemic. During the phase 3 clinical trials, mRNA vaccines had vaccine efficacy of 94–95% in preventing symptomatic infections. After the rollout, real-world evidence showed that the mRNA vaccines provided ~90% effectiveness against infection. Then came the variants. The wave after wave of new variants, with ever-increasing transmissibility and capacity to escape existing immunity, challenge the ability of vaccines to prevent infection and transmission. The effectiveness of a primary series of mRNA vaccines (two doses) to prevent hospitalization and death is also being chipped away by these highly immune-evasive variants. Vaccine-mediated protection became shorter-lived, especially with the emergence of Omicron variants. People look at these data and wonder, what is the point of getting the vaccines if they will not prevent symptomatic infections, and the protection does not last? Well, to expect robust protection from just the primary series of any vaccines is unreasonable—and was always likely to be—but somehow society has placed too high a bar on what is considered an acceptable number of doses for COVID-19 vaccines. Instead, we need to understand that we’re going to be getting boosters in the foreseeable future, and to appreciate their benefits.

Vaccines against other infectious diseases are given in multiple doses. Many of our childhood vaccines require multiple doses—5 doses for (diphtheria/tetanus/pertussis), 4 doses (Haemophilus influenza type b, pneumococcal conjugate, inactivated poliovirus), or 3 doses (hepatitis B) are all commonly given before the age of 18 years. These doses are required and not considered optional to achieve immunity. In adulthood, many of these vaccines need periodic booster doses to maintain immunity. The influenza virus requires annual vaccination doses for all ages. Yet, people don’t complain about having to get their 60th dose of the influenza vaccine. We should think of COVID-19 vaccines the same way.

Why do we need booster doses? The primary series of vaccines kick-starts the immune response by engaging lymphocytes, white blood cells that detect specific features of the pathogen to expand in numbers and become instructed to eliminate the pathogen. Most of these cells disappear over time, except for a small subset of cells that are kept by the body for future use. These “memory cells” are responsible for long-lasting immunity against a given pathogen. What boosters do is stimulate these memory lymphocytes to quickly expand in numbers and to produce even more effective defenders. The booster also selects for B cells that can secrete antibodies that are even better at binding and blocking virus infection and spread.” (F)

“The rapid evolution of the coronavirus into an alphabet soup of subvariants presents a vexing challenge to health officials: They must make far-reaching policy decisions based on little biological certainty of which viral variants will be dominant this fall or winter.

The Food and Drug Administration said at the end of June that it would update coronavirus vaccines for a booster campaign in the fall targeting highly contagious Omicron subvariants. But the ground is shifting beneath its feet.

In just eight weeks, the subvariant known as BA.5 has gone from a blip in U.S. case counts to the dominant version of the virus in the country, now making up more than three-quarters of new cases. Perhaps the most transmissible subvariant yet, it is pushing up positive tests, hospitalizations and intensive care admissions across the country,

There is no evidence that BA.5 causes more severe disease, but the latest metrics certainly bust the myth that the virus will become milder as it evolves.

“None of us has a crystal ball, and we are trying to use every last ounce of what we can from predictive modeling and from the data that we have to try to get ahead of a virus that has been very crafty,” said Dr. Peter Marks, a top vaccine regulator at the F.D.A., after an advisory committee recommended that the agency prioritize vaccines specific to the Omicron subvariants. “For something that’s only nanometers in size, it’s pretty darn crafty. We’re trying to make our best judgment here.”

Omicron and its offshoots have dominated for about six months now, and whatever incarnation of the virus comes next is more likely to be tied to the Omicron family than to earlier versions, said Jerry Weir, a senior F.D.A. regulator.

That assumption is the best calculation that can be made at this time, according to outside experts not on the F.D.A. expert panel.

“Viruses like SARS-CoV-2 are always evolving, and it’s a near certainty that new mutants will emerge in any given six-month time frame,” said Jesse Bloom of the Fred Hutchinson Cancer Center in Seattle. “But as long as these mutants are descendants or close relatives of BA.2 or BA.4/BA.5, then a vaccine booster based on BA.4/BA.5, as the F.D.A. has recommended, should be a much better match to them than the current vaccine, even if it’s not a perfect match.”..

Emma Hodcroft, a molecular epidemiologist and researcher at the University of Bern in Switzerland, said Omicron’s evolution pattern had diverged from that of earlier variants. “The children of Delta were not dominant, but the children of Omicron are pushing out their siblings, if you will,” she said. “That’s hinting that Omicron is at the peak and that there will be smaller changes.”

Though more Omicron children could be on the way, she and other scientists emphasized that this would not preclude another variant appearing.

“Too many times we have made predictions on how we think SARS-CoV-2 will evolve and then been emphatically wrong,” said Nathan Grubaugh, an epidemiologist at the Yale School of Public Health. Last fall, he correctly predicted that an immune-evasive subvariant would emerge, but his expectation that it would come from the Delta variant was wrong.

“Obviously, we are seeing new variants emerge from within Omicron right now — BA.2, BA.4 and BA.5 — and that may continue to happen,” he said. “But we shouldn’t become unimaginative and think that will continue.”

Last year, ​​Sarah Cobey, an evolutionary biologist at the University of Chicago, was almost certain that the next variant would descend from Delta. “I nonetheless think it’s extremely likely the next variant will descend from Omicron,” she said last week, adding that it could have a wider degree of immune escape or increased transmissibility. “It’s likely the next variant has emerged already but will evade surveillance for some time,” she said…

“We’ve been trying to better guess the next flu variant for decades,” Dr. Hodcroft said. “And it turns out that it’s very complicated.”

The many variables mean that she and other experts cannot make a declaration with full confidence. She said, “It’s very hard to put these all into a machine and crunch it.”” (G)

“The new COVID-19 variant, called BA.5, has been rapidly spreading across the country and is now estimated to make up more than 60% of new cases, according to the CDC. It is highly transmissible, compared to previous variants, and seemingly more resistant to prior vaccinations and immunities.

These factors are making people think differently about wearing masks, which experts say are still an effective way to curb the spread of the virus. Los Angeles County, for example, will likely reinstate an indoor mask mandate at the end of the month due to rising COVID-19 cases.” (I)

“Right now, COVID-19 surges happen at all times of the year, unlike flu season, which can typically be linked to winter, Teng said.

“If we get to a point where it SARS-CoV-2 is also a seasonal virus … we can treat it more like the flu,” he said. “Then we have a prediction. We know when we have to start vaccinating to provide protection over the course of the season.”” (J)

“Dr. Anthony S. Fauci, who has repeatedly brushed off speculation that he would retire, says he has a time frame in mind for the end of his long government career. But those who are eager for him to go may have to wait a while: His plan is to leave by January 2025, the end of President Biden’s current term.” (K)

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 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 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/

PART3. February 3, 2020. “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/

PART 4. February 9, 2020. 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/

PART 5. February 12, 2020. 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/

POST 6. February 18, 2020.  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/

PART 7. February 20, 2020. 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/

PART 8. February 24, 2020. 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/

PART 9. February 27, 2020. 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/

Part 10. March 1, 2020. 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/

PART 11. March 5, 2020.  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/

Part 12. March 10, 2020. 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/

Part 13.. March 14, 2020. CORONAVIRUS. “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

PART 14. March 17, 2020. CORONAVIRUS. “ “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/

PART 15. March 22, 2020. CORONAVIRUS. “…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/

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 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/

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, administration staff told a House panel.

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/

PART 19. April 13, 2020 CORONOAVIRUS. “…overlooked in the United States’ halting mobilization against the novel 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/

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/

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 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/

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[JM1] ….”

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/

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/

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/

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/

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/

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/

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/

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,” (Governor Cuomo). 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/

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/

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 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/

POST 33. June 21, 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/

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/

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…”

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 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/

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 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/

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/

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/

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-2/

POST 42. August 11, 2020. CORONAVIRUS. “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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 54. October 22, 2020. CORONAVIRUS. POST 54A. 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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/

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/

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/

POST 80. November 29, 2020. CORONAVIRUS. Op-Ed in the Jersey Journal. Do you know which hospital is right for you if you have coronavirus? | Opinion

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/

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/

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/

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/

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..”

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 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/

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. (Please allow about 20 seconds for the text to download. Thanx!)

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/

POST 87. December 10, 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/

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/

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/

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/

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/

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.” (Trump appointee July 4th 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/

POST 93. December 19, 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/

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/

POST 95. December 23, 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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.”

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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,” Dr. Meyers said. “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/

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/

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/

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 inequitable distribution to” 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/

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/

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/

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/

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/

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 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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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-2/

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/

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/

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/

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/

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/

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/

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/

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, 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/

POST 151. April 14, 2021. CORONAVIRUS.   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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 162. May 21, 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/

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/

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/

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/

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/

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/

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/

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/

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/

POST 171. June 19, 2021. “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/

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/

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/

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/

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/

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/

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 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/

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/

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/

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,”

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/

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/

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/

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 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/

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/

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 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/

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/

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/

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/

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/

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 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/

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,” he said.”

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/

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/

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”…“Faced with a novel health crisis, researchers are collecting data on the long-term impact of using opioids to treat COVID-19 pain…

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/

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/

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/

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/

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/

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/

POST 200. September 23, 2021. CORONAVIRUS. CDC Director overrides a recommendation of its scientific advisors saying “that people can get a booster if they are ages 18 to 64 years and are health-care workers or have another job that puts them at increased risk of being exposed to the virus.”…“In a pandemic, even with uncertainty, we must take actions that we anticipate will do the greatest good.”

https://doctordidyouwashyourhands.com/2021/09/post-200-september-23-2021-coronavirus-cdc-director-overrides-a-recommendation-of-its-scientific-advisors-saying-that-people-can-get-a-booster-if-they-are-ages-18-to-64-years-and-are-heal/

POST 201. September 27, 2021. CORONAVIRUS. “A multibillion-dollar institution in the Seattle area is sitting on nearly $12 billion in cash… received at least $509 million in government funds (from) a federal program that is supposed to prevent health care providers from capsizing during the coronavirus pandemic.”

“Based on our estimates…we find preventable COVID-19 hospitalizations cost $5.7 billion from June to August in 2021.”…

https://doctordidyouwashyourhands.com/2021/09/post-201-september-27-2021-coronavirus-a-multibillion-dollar-institution-in-the-seattle-area-is-sitting-on-nearly-12-billion-in-cash-received-at-least-509-million-in-government/

POST 202. September 30, 2021. CORONAVIRUS. “..NY Governor Hochul signed an executive order expanding healthcare worker eligibility requirements…to head off potential staffing shortages fueled by the state’s new COVID-19 vaccination requirements.” “The.. order allows out-of-state/ out-of-country healthcare workers to practice in New York…”..”It allows EMTs graduates to temporarily pitch in at additional healthcare settings; allows various types of healthcare workers to more easily administer and order COVID-19 vaccinations; enables telemedicine physician visits in nursing homes; permits facilities to more quickly discharge, transfer or receive patients…”

https://doctordidyouwashyourhands.com/2021/09/post-202-september-30-2021-coronavirus-ny-governor-hochul-signed-an-executive-order-expanding-healthcare-worker-eligibility-requirementsto-head-off-potential-staffing-shortages/

POST 203. October 3, 2021. CORONAVIRUS. “.. more than 125,000 laboratory-confirmed COVID-19 cases have been reported in pregnant people, including more than 22,000 hospitalized cases and 161 deaths”…The risk is not just to the mother. Covid-19 in pregnancy can cause preterm birth or babies born so sick they have to go straight to the neonatal intensive care unit, or NICU.” 

https://doctordidyouwashyourhands.com/2021/10/post-203-october-3-2021-coronavirus-more-than-125000-laboratory-confirmed-covid-19-cases-have-been-reported-in-pregnant-people-including-more-than-22000-hospitalized-cases-and-161-deaths/

POST 204. October 5, 2021.CORONAVIRUS. “News that an experimental antiviral drug from Merck appears to halve the risk of hospitalization or death from Covid-19 has bolstered hopes of finding a simple at-home treatment for the virus.”..” A more blunt assessment came from vaccine scientist Dr. Peter Hotez of Baylor College of Medicine’s National School of Tropical Medicine. “It’s not a miracle cure but a companion tool, So get vaccinated.””

https://doctordidyouwashyourhands.com/2021/10/post-204-october-5-2021-coronavirus-news-that-an-experimental-antiviral-drug-from-merck-appears-to-halve-the-risk-of-hospitalization-or-death-from-covid-19-has-bolstered-hopes-of-finding-a/

POST 205. October 11, 2021. CORONAVIRUS. The AAP reported nearly 226,000 new child cases over the past week ending. “Hospital care for children does not occur in isolation from that of adults. Many of the resources we use are the same—a twenty-pound baby and a two-hundred-pound man might use the same kind of ventilator, for example. Dialysis machines, which could cleanse a seven-year-old’s blood as easily as his grandfather’s, are in high demand. Pediatric resident physicians, nurses, and respiratory therapists get cross-deployed to care for adults during the surges.”

https://doctordidyouwashyourhands.com/2021/10/post-205-october-11-2021-coronavirus-the-aap-reported-nearly-226000-new-child-cases-over-the-past-week-ending-hospital-care-for-children-does-not-occur-in-isolation-from-that-of-adults/

POST 206. October 15, 2021. CORONAVIRUS. to borrow from Winston Churchill about where we are with the pandemic –  “Now 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/2021/10/post-206-october-15-2021-coronavirus-to-borrow-from-winston-churchill-about-where-we-are-with-the-pandemic-now-this-is-not-the-end-it-is-not-even-the-beginning-of-the-end-but-it-is/

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/

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/

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/

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/

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/

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/

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/

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 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/

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/

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-%e2%81%a019-this-winter/

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/

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/

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/

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/

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/

POST 223. December 28, 2021. CORONAVIRUS. Links for a case study of Crisis Standards of Care.

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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.’”

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/

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/

POST 236. February 22, 2021. CORONAVIRUS.  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/

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/

POST 238. March 5, 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/

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/

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/

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/

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/

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 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/

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/

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/

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, Pharmacists +++)

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/

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/

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/

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/

POST 250. May 11, 2022. Herd Immunity Deja 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/

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/

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 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/

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/

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/

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.”

“The shooting in Tulsa is an extreme example of a growing trend: violence against doctors, nurses, and other health care workers.”

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/

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/

POST 257. June 17, 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/

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/

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/

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/

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)

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/

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) New this week: Parechovirus & Marburg virus disease.

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/

July 20, 2022

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)

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 past some of the immune defenses acquired by vaccinated people, or those infected by earlier variants. Those who have managed to avoid the virus for close to three years will find it a little harder to continue that streak, and some who recently caught COVID are getting it again. “People shouldn’t be surprised if they get infected, and they shouldn’t be surprised if it’s pretty unpleasant,” Stephen Goldstein, a virologist at the University of Utah, told me…

Why, then, does it feel like we’re in a reinfection wave right now, with anecdotal reports being prominent in a way they weren’t seven months ago? It’s because Omicron completely changed our baseline. Before its arrival, only a third of Americans had ever experienced COVID. By the end of February, almost 60 percent had. We’re hearing more about reinfections now in part because the number of people who could possibly be reinfected has doubled…

….The Biden administration, other political leaders, and many media figures have promoted laxer COVID policies, on the grounds that vaccines are still reducing the risk of death and hospitalization. But this stance is foolish for several reasons.

The stakes of that game depend on a very simple question: Should we still care about preventing infections? If the answer is “not so much,” which is the implicit and sometimes explicit posture that America’s leaders have adopted, then BA.5 changes little. But if the answer is “yes,” as I and most of the experts I talk to still believe, then BA.5 is a problem.” (A)

“Fact Sheet: Biden Administration Outlines Strategy to Manage BA.5

Today, the White House COVID-19 Team is announcing its strategy to manage BA.5. The strategy relies on ensuring that Americans continue to have easy and convenient access to the vaccines, treatments, tests, and other tools that protect against and treat COVID-19. These tools – even in the face of BA.5 – work to prevent serious illness, keep people out of the hospital, and save lives – and we can prevent nearly all COVID-19 deaths with them.

To confront BA.5, the Administration will continue mobilizing the full strength and capabilities of the federal government and working with state and local leaders, health care workers, the private sector, and community- and faith-based organizations to ensure that the American people have easy and convenient access to and use vaccines, tests, and treatments.

The Administration’s strategy to manage BA.5 includes:

Making it easy for people to get vaccines and boosters: The Administration will continue working with state and local leaders, doctors and pediatricians, pharmacies, community health centers, long-term care facilities, employers, and community- and faith-based organizations to drive additional uptake of booster shots, particularly among those age 50 and older and other at-risk populations, including long-term care facility staff and residents…

Making it easy to access COVID-19 treatments and boost provider and patient awareness: The Administration will continue working across the federal government, with state and local leaders, health care providers, as well as the public and private sectors, to take additional actions to boost access and awareness of lifesaving treatments, particularly in areas where BA.5 is spreading…

Making free COVID-19 testing, including at-home tests, widely available: Testing continues to be an important tool to help mitigate the spread of COVID-19, including BA.4 and BA.5. In the face of BA.5, the Administration is encouraging Americans to use at-home tests before attending large, indoor gatherings, traveling, or visiting indoors with immunocompromised individuals…

Making free high-quality masks widely available and communicate clear recommendations about when people should consider masking: Experts agree that masking in indoor, public spaces is an important tool to control the spread of COVID-19. The CDC’s COVID-19 Community Levels provide individuals with clear recommendations on when to consider masking in indoor, public spaces…

Prioritizing protections for immunocompromised individuals: As BA.5 cases rise, the Administration will continue to provide support to individuals who are immunocompromised so that they have the support they need to live their lives safely…

Encouraging all building owners to improve indoor ventilation: Improving ventilation can help prevent the spread of BA.4 and BA.5 indoors in buildings. The Administration has provided state and local leaders hundreds of billions of dollars in federal funds that can be used in schools, public buildings, and other settings to improve indoor air quality, and the Administration will continue to advance indoor air quality in buildings…

Empowering people with the latest information on COVID-19 and where to access vaccines, treatments, tests, and masks at COVID.Gov: The Administration will continue to communicate clearly with the American people about COVID-19 and the steps that they can take to protect themselves and their loved ones…” (B)

“President Biden’s coronavirus response team warned Americans on Tuesday that they must do more to protect themselves against Covid-19, as the highly transmissible Omicron subvariant known as BA.5 fuels a new wave of infections, re-infections and hospitalizations across the country.

But their new strategy to combat the threat sounded a lot like the old one, couched as advice that they hope more people will follow: Get vaccinated or boosted even if you have already been infected; test if you feel sick; seek out therapeutics if you test positive and wear masks in crowded indoor spaces.

“Variants will continue to emerge if the virus circulates globally and in this country,” Dr. Anthony S. Fauci, Mr. Biden’s chief medical adviser for the pandemic, said at a White House news briefing. “We should not let it disrupt our lives. But we cannot deny that it is a reality that we need to deal with.”..

“The key feature of BA.5, that we know about, is its immune evasiveness — you can be fully vaccinated and boosted and still have a risk of a breakthrough infection,” Dr. Ashish K. Jha, Mr. Biden’s coronavirus response coordinator, said in an interview Monday. “You can be previously infected — even as recent as the last couple of months — and have a very high rate of reinfection.”…

The daily number of reported cases in the United States has remained steady at around 100,000, according to a New York Times database — a figure that many experts say is an undercount because so many people are testing at home. But as of Monday, hospitalizations have risen 17 percent over the past two weeks, according to federal data…

In the interview, Dr. Jha said that figure could reflect those who are hospitalized for medical issues other than Covid, but who test positive for the virus. Many Americans have underlying health conditions, however, and if they get infected with the coronavirus, they are at risk of developing more severe disease. Dr. Jha also suggested Americans test before attending large indoor gatherings or visiting a high-risk immunocompromised person.

During Tuesday’s briefing, Dr. Fauci said the increased hospitalizations — including an uptick in Covid-19 patients who wind up in intensive care units — most likely reflected a big rise in the number of unreported infections. Nationwide as of Monday, the average number of people in I.C.U.s with the virus had increased by 21 percent over the last two weeks, to more than 4,200, according to federal data. The latter figure, which made up about 11 percent of people hospitalized with the virus, was substantially lower than it was in late January during the winter Omicron surge.”  (C)

“The newest offshoot of Omicron, along with a closely related variant, BA.4, are fueling a global surge in cases — 30% over the past fortnight, according to the World Health Organization (WHO)…

“We have been watching this virus evolve rapidly. We’ve been planning and preparing for this moment. And the message that I want to get across to the American people is this: BA.5 is something we’re closely monitoring, and most importantly, we know how to manage it,” said Dr. Ashish Jha, the White House’s Covid-19 response coordinator, in a news briefing on Tuesday.

On the same day, WHO’s Emergency Committee said Covid-19 remained a Public Health Emergency of International Concern — its highest level of alert, first declared on January 20, 2020 — amid rising cases, ongoing viral mutation and increasing pressure on already overstretched health systems. In a statement, the committee, which is made up of independent experts, highlighted challenges to the ongoing global Covid-19 response, including a drop-off in testing and spotty genome sequencing, raising the question of just how accurately any nation might reasonably be able to monitor BA.5…

What makes BA.5 different? Eric Topol, a cardiologist and professor of molecular medicine at Scripps Research, has called BA.5 “the worst version of the virus we’ve seen.” He explained in a recent newsletter: “It takes immune escape, already extensive, to the next level, and, as a function of that, enhanced transmissibility,” well beyond earlier versions of Omicron.

In other words, BA.5 can easily evade immunity from previous infections and vaccines, increasing the risk of reinfection. Though the variant does not appear to lead to more severe illness, in an interview with CNN on Monday, Topol said that given the extent of BA.5’s immune evasion, he expects to see an escalation in hospitalizations, as we’ve seen in Europe and elsewhere that the variant has taken root. “One good thing is it doesn’t appear to be accompanied by the ICU admissions and the deaths as previous variants, but this is definitely concerning,” he added…

“Sub-variants of Omicron, like BA.4 and BA.5, continue to drive waves of cases, hospitalization and death around the world,” WHO Director-General Tedros Adhanom Ghebreyesus said in a media briefing on Tuesday. “Surveillance has reduced significantly — including testing and sequencing — making it increasingly difficult to assess the impact of variants on transmission, disease characteristics, and the effectiveness of counter-measures.”

“New waves of the virus demonstrate again that the Covid-19 [pandemic] is nowhere near over,” he added.” (D)

“America has decided the pandemic is over. The coronavirus has other ideas…

“It’s the Wild West out there,” said Ziyad Al-Aly, an epidemiologist at Washington University in St. Louis. “There are no public health measures at all. We’re in a very peculiar spot, where the risk is vivid and it’s out there, but we’ve let our guard down and we’ve chosen, deliberately, to expose ourselves and make ourselves more vulnerable.”

Angela Rasmussen, a virologist at the University of Saskatchewan, would like to see more money for testing and vaccine development, as well as stronger messaging from the Biden administration and top health officials. She was dismayed recently on a trip to Southern California, where she saw few people wearing masks in the airport. “This is what happens when you don’t have politicians and leaders taking a strong stand on this,” she said.

The CDC said it has urged people to monitor community transmission, “stay up to date on vaccines, and take appropriate precautions to protect themselves and others.”

Covid deaths no longer overwhelmingly among the unvaccinated as toll on elderly grows

Nearly one-third of the U.S. population lives in counties rated as having “high” transmission levels by the CDC. Cases are rising especially in the South and West…

But the death rate from covid-19 is still much higher than the mortality from influenza or other contagious diseases. Officials have warned of a possible fall or winter wave — perhaps as many as 100 million infections in the United States — that could flood hospitals with covid patients. Beyond the direct suffering of such a massive outbreak, there could be economic disruptions as tens of millions of people become too sick to work…

Omicron blew through the largely vaccinated population last winter with stunning ease, and since then the subvariants have arrived in rapid succession, starting with BA.2 and BA.2.12.1 in the spring, and now BA.5 and its nearly identical relative BA.4.

Vaccines are based on the original strain of the virus that emerged in Wuhan, China in late 2019. The Food and Drug Administration has asked vaccine makers to come up with new formulas that target BA.5 and BA.4. Those boosters could be ready this fall.

But there is no guarantee that these latest subvariants will still be dominant four or five months from now. The virus is not only evolving; it’s also doing so with remarkable speed. The virus may continually outrace the vaccines.

“I worry that by the time we have a vaccine for BA.5 we’ll have a BA.6 or a BA.7. This virus keeps outsmarting us,” Al-Aly said…

Already there’s another omicron subvariant that has caught the attention of virologists: BA.2.75. First seen last month in India, it has been identified in a smattering of other countries, including the United States. But it’s too soon to know whether it will overtake BA.5 as the dominant variant…

It’s also unclear if these new variants will alter the risk of a person contracting the long-duration symptoms generally known as “long covid.” The percentage of people with severely debilitating symptoms is probably between 1 and 5 percent — amounting to millions of people in this country, according to Harlan Krumholz, a Yale University professor of medicine…

The precocious nature of the virus has made infectious-disease experts wary of predicting the next phase of the pandemic. Topol warns that a new batch of variants could come out of the blue, the same way omicron emerged unexpectedly in November with a stunning collection of mutations already packaged together. Omicron’s precise origin is unknown, but a leading theory is that it evolved in an immunocompromised patient with a persistent infection.

“Inevitably we could see a new Greek letter family like omicron,” Topol said. “There’s still room for this virus to evolve. It has evolved in an accelerated way for months now. So we should count on it.” (E)

“”The only new action from the White House BA.5 briefing was an admonishment to ‘Get your booster!,'” former U.S. Surgeon General Jerome Adams, MD, tweeted July 14. He went on to criticize the administration for not expanding second booster eligibility or changing the definition of “fully vaccinated,” which he said currently “implies you don’t need a booster.”” (L)

“The World Health Organization said Tuesday that it will convene a second emergency meeting next week to decide if monkeypox poses a global health threat as cases rise to 9,200.

The U.N. agency declined last month to declare a global emergency in response to monkeypox. But as infections have risen substantially over the last several weeks, the organization is expected to consider whether to issue its highest alert when the emergency committee reconvenes next week.

“The emergency committee for monkeypox will reconvene next week and look at trends, how effective the countermeasures are, and make recommendations” to countries and communities confronting the outbreak, the WHO’s director-general, Tedros Adhanom Ghebreyesus, said in a virtual press conference.

The WHO did not say which day or days the committee will be meeting in emergency session.

About 9,200 cases of monkeypox have been reported across 63 countries so far this year, up from just over 6,000 as of July 4, the agency said. Three deaths from the virus have been reported this year.

Monkeypox has likely broken out, will be hard to extinguish, says Dr. Scott Gottlieb

Most people during this most recent outbreak are recovering from monkeypox in two to four weeks, according to the U.S. Centers for Disease Control and Prevention. But the virus causes a painful rash that can spread all over the body. People who have caught the virus said the rash, which looks like pimples or blisters, can be very painful.

The WHO last issued a global health emergency in January 2020 in response to the Covid-19 outbreak and the following March declared it a pandemic. There’s no official process for the WHO to declare a pandemic under its emergency regulations, which means the term is loosely defined. In 2020, the agency declared Covid a pandemic in an effort to warn complacent governments about the “alarming levels of spread and severity” of the virus.

In contrast to Covid, monkeypox is not a new virus. Scientists first discovered monkeypox in 1958 in captive monkeys used for research and confirmed the first case of a human infected with the virus in 1970 in the nation of Zaire, now called the Democratic Republic of the Congo. Monkeypox is in the same virus family as smallpox, though it causes milder disease. The WHO and national health agencies have decades of experience fighting smallpox, which was declared eradicated in 1980. The successful fight against smallpox could provide health officials with important knowledge to combat monkeypox.

The current monkeypox outbreak is highly unusual because it is spreading widely in North American and European nations where the virus is not usually found. Europe is the global epicenter of the outbreak, reporting more than 80% of confirmed infections worldwide in 2022. The U.S. has reported more than 760 cases across 37 states, Washington, D.C. and Puerto Rico.

Historically, monkeypox has spread at low levels in remote parts of West and Central Africa where rodents and other animals carried the virus. Transmission between people was relatively rare in the past, with the virus normally jumping from animals to humans. The WHO has said the international community did not invest enough resources in fighting monkeypox in Africa before the current outbreak.” (F)

“More than 100 cases of monkeypox have been confirmed in Chicago since the first probable case of the rare disease was discovered locally in early June, according to city health officials.

Chicago Department of Public Health officials announced Monday that 105 Chicagoans have been diagnosed with monkeypox, with the majority – but not all – cases occurring among gay, bisexual and other men who have sex with men.

CDPH Commissioner Dr. Allison Arwady said the spread appears to be through “tight-knit social networks,” but emphasized that anyone can spread the virus.

Monkeypox, which originates in wild animals like rodents and primates, is spread to people via infected animals, with most cases occurring in central and west Africa.

However, person-to-person transmission is possible through close physical contact with monkeypox sores, items that have been contaminated with fluids or sores or through respiratory droplets following prolonged face-to-face contact, according to officials.

Chicagoans can get vaccinated against monkeypox if they’ve been exposed to someone with monkeypox. Gay, bisexual or men who have sex with men can also be vaccinated if they have intimate or sexual contact with other men in a social or sexual setting, or have intimate or sexual contact with multiple or anonymous partners, or have given or received money or other goods/services in exchange for sex, according to officials.

At this time, officials are not recommending vaccination for the general public, including men who have sex with men without other risk factors. Vaccines are being administered to those at the highest risk of exposure in order to interrupt transmission, according to Massimo Pacilli, CDPH’s deputy commissioner for disease control.

“I want folks to know one of the reasons why we can’t give out (vaccine) broadly is (we need) to make sure we have enough for known contacts because that can prevent disease in the highest risk folks,” Arwady said, adding as the city receives additional vaccines, it’ll open up vaccination to a larger population.

City officials have received 5,409 vaccines so far and expect to receive an additional 7,493 in the coming weeks.”  (G)

“The city has struggled to respond to a growing monkeypox outbreak, the first major public health crisis since the Covid pandemic began.

Officials said New York City is the “epicenter” of the nation’s monkeypox outbreak, and announced the opening of a vaccine clinic in Harlem and the reopening of another in Chelsea.CreditCredit…Hiram Durán for The New York Times

Thousands of New Yorkers spent hours refreshing a city government webpage this week, desperately seeking a monkeypox vaccine that, for now, is mostly going to the web-savvy and connected.

The rollout echoed the early days of New York City’s Covid-19 vaccine, when finding an appointment could feel like winning a radio contest. The city decided to assign appointments for the first doses of the highly sought-after monkeypox vaccine via an online system, using Twitter as the main way to notify people. The 2,500 appointments went within minutes.

On top of that, because of a glitch, the initial 600 appointments released Wednesday went only to those who happened to store an older appointment website on their browsers, because the slots appeared there before a link on the main Department of Health website went live…

New York City is the epicenter of the nation’s monkeypox outbreak, its health commissioner, Dr. Ashwin Vasan, said at a news conference on Thursday, with 141 cases recorded so far, more than any other American city. The disease is mostly spreading among men who have sex with men, and experts believe there may be many more cases than have so far been detected.

The spreading outbreak has not yet caused any deaths in the United States, but it can cause very painful lesions that take weeks to resolve.

With yet another frightening virus spreading in their community, many gay New Yorkers have pinned their hopes on getting the Jynneos vaccine, the safer of two available vaccines that can prevent monkeypox. But distribution missteps have caused anger and frustration. The first 1,000 doses of Jynneos, which arrived two weeks ago, were given out at a single clinic, in Chelsea, with almost no public notice…

Cases of monkeypox have been steadily increasing in the city, even though testing has been limited. New York City’s public health lab, which had been the sole city location running the test for the disease, has been able to test only 10 people per day, city officials said. But testing will now be able to ramp up: As of Wednesday, health providers can now order monkeypox tests through Labcorp, a commercial testing company.

Dr. Vasan said that he picked Chelsea, an upscale Manhattan area, as the location for the first clinic because 75 percent of the city’s known cases so far have been in Manhattan, and one-third of all cases have been in the Chelsea and Hell’s Kitchen neighborhoods, areas with large gay populations.

With the arrival of 6,000 additional doses this week, the city added the second vaccine clinic, which opened Thursday. It is planning a third clinic in Corona, Queens, once vaccine supply increases…

New York City has so far received about 7,000 doses of the Jynneos vaccine. About 4,000 have already been given out or assigned to appointments. An additional several thousand are being held in reserve for distribution through community partners, Dr. Vasan said.

More doses are coming, said Dr. Raj Panjabi, the coordinator of the White House Pandemic Office, who also spoke at the news conference. The federal government will release another 144,000 doses within the next weeks, with some of those coming to New York. In total, four million doses have been ordered for use nationwide, with 1.5 million of those expected to go out to health departments later this summer and fall.

The Jynneos vaccine requires two doses to be fully protective, according to the Food and Drug Administration, but so far, all of the doses coming to the city are being considered as first doses. As more doses arrive, there will be more available for second doses, said Dr. Mary Bassett, the state health commissioner…

At a news conference on Thursday, Mayor Eric Adams said the city was giving out vaccine doses as soon as it received them. “We are not just ignoring it,” he said. “There was a glitch by the third-party vendor that created the website, but we pivot and shifted and we’re getting the vaccines out the door.”  (H)

“Monkeypox has been a developing problem for decades and the current global outbreak was avoidable, but the looming threat was largely ignored, according to a leading expert on the virus.

Dr. Anne Rimoin is a UCLA epidemiology professor and has spent the last two decades in the Democratic Republic of Congo working on monkeypox.

She said it was only when the virus spread beyond rural Africa that it sparked a global response.

“This virus has been spreading in marginalized and vulnerable populations [in Africa] for decades, and we’ve done nothing about it,” Rimoin said. “We have known that monkeypox is a potential problem for decades.”..

So public health experts say the U.S. should have been able to handle the outbreak, and that the missteps right now look a lot like the start of the coronavirus pandemic: not enough tests or vaccines readily available, and an incomplete picture of the spread.

“We have no concept of the scale of the monkeypox outbreak in the U.S.,” biologist Joseph Osmundson at New York University told NPR in June…

“If we do want to get in front of emerging infectious diseases, we are going to have to prioritize dealing with emerging global disease threats at the site where they are spreading early on,” Rimoin said. “We are totally interconnected by trade and travel, population growth, population movement, and we cannot make the mistake again of thinking that an infection that’s happening somewhere in a remote area of the world isn’t going to affect us right at home.”

“We will continue to be chasing behind them, and always be paying the price for not doing what’s needed ahead of time.”

For now, Rimoin said it was a matter of trying to contain a virus that was already spreading.

“It’s much easier to stay out of trouble than it is to get out of trouble,” she said.

“The good news is we have vaccines, we have therapeutics, we know a fair amount about this virus. The bad news is now we have to get the logistics together to be able to confront it head on.” (I)

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“The spread of drug-resistant infections surged during the coronavirus pandemic, killing nearly 30,000 people in 2020 and upending much of the recent progress made in containing the spread of so-called superbugs, according to an analysis by the Centers for Disease Control and Prevention.

Deaths caused by infections impervious to antibiotics and antifungal medications rose 15 percent during the first year of the pandemic compared to 2019, federal health officials found. Much of the increase was tied to the chaos wrought by the coronavirus as doctors and nurses struggled to treat waves of grievously sick patients whose illness they did not fully understand, before vaccines and treatments were widely available.

About 40 percent of the deaths were among hospitalized patients, with the remainder occurring in nursing homes and other health care settings, the C.D.C. report found. Early on, many frontline hospital workers mistakenly administered antibiotics for viral lung infections that did not respond to such drugs, according to the study. Many of the sickest patients spent weeks or months in intensive care units, increasing the chances for drug-resistant bugs to enter their bodies through intravenous lines, catheters and ventilator tubes.

The death toll is likely much higher, federal health officials said, because the public health labs that normally track drug-resistant infections have been swamped during the pandemic, leading to significant gaps in data for many of the most dangerous pathogens.

The C.D.C. said the outbreaks of drug-resistant infections were likely abetted by a nationwide shortage of face masks, gloves and gowns — the vital armor that protects health workers and helps limit the spread of pathogens as they travel from room to room. Because of staff shortages and overwhelmed wards at many hospitals, infection control specialists were often reassigned to provide basic patient care rather than carry out their usual duties of promoting the appropriate use of antibiotics, hand washing and other safety measures, the report said.

These setbacks can and must be temporary,” Dr. Rochelle P. Walensky, the director of the C.D.C., said in a statement accompanying the report. “The Covid-19 pandemic has made it clear — prevention is preparedness. We must prepare our public health systems to fight multiple threats simultaneously.”

Federal officials were especially concerned about the increased spread of some of the most dangerous pathogens. They found a 78 percent spike in infections of Acinetobacter, a bacteria that is resistant to the antibiotic carbapenem and that often spreads among intensive care patients, and a 60 percent rise in Candida auris, a deadly fungus that often stalks nursing homes and long-term care facilities.

The analysis highlights what public health experts have long described as a slow-moving pandemic. More than 700,000 people across the world die each year from infections that no longer respond to antimicrobial drugs, and health experts warn that the death toll could climb to 10 million by 2050 without a concerted effort to reduce the overuse of antibiotics and to develop new medications.

Antimicrobial resistance occurs when bacteria and fungi mutate to outsmart the drugs that have been designed to vanquish them. This evolutionary process is inevitable, but the more these medications are given to people and farm animals, the more likely the resistance will occur.

Nearly a third of all antibiotics are mistakenly prescribed, according to the C.D.C., oftentimes for respiratory ailments like colds that are caused by viruses. The problem appears to have grown during the pandemic: Eighty percent of hospitalized Covid patients received antibiotics between March and October 2020, the agency noted…

“The magnitude of how much worse it’s gotten is really alarming,” said David Hyun, the director of the Antibiotic Resistance Project at the Pew Charitable Trusts, a nongovernmental organization. “It also underscores the urgency that we need to really focus and reinvest in the efforts to address this public health issue.” (J)

“Heavy is the head that wears the COVID-19 crown. Late last week, Pfizer revealed its antiviral Paxlovid fell short in a post-exposure protection trial. Still, in the pill’s quest to reach as many patients as possible, one setback doesn’t spell defeat.

Top-line results from the phase 2/3 EPIC-PEP study showed a five- and 10-day Paxlovid course curbed the risk of infection by 32% and 37%, respectively, versus placebo, in adults exposed to the virus through someone they live with. The readout fell short of statistical significance, the company said late Friday.

Safety looked good in EPIC-PEP whether patients took Paxlovid for five or 10 days, Pfizer said in a release. It’s wrapping up secondary endpoints and subgroup analyses for the study’s full data drop, expected in the “coming months.”

“We designed the clinical development program for Paxlovid to be comprehensive and ambitious with the aim of being able to help combat COVID-19 in a very broad population of patients,” Albert Bourla, Ph.D., Pfizer’s CEO, said in a statement.

“While we are disappointed in the outcome of this particular study, these results do not impact the strong efficacy and safety data we’ve observed in our earlier trial for the treatment of COVID-19 patients at high risk of developing severe illness, and we are pleased to see the growing global use of Paxlovid in that population.”

Pfizer’s prophylaxis trial weighed data from 2,957 patients who tested negative for the virus and didn’t have any symptoms. For study inclusion, participants had to have been exposed to a symptomatic household contact with COVID-19 within the last four days.

In the study—which started recruitment in September and wrapped up “during the peak of the COVID-19 Omicron wave,” Pfizer said—patients received Paxlovid or placebo twice daily for either five or ten days.

Paxlovid’s post-exposure protection flop “does not change our view that the peak sales potential of [Pfizer’s] COVID-19 franchise (vaccine and oral antiviral) is still under-appreciated,” Cantor Fitzgerald analysts wrote in a note to clients, calling the results a “bump in the road.”

Because Pfizer’s clinical development for Paxlovid is “comprehensive and ambitious,” not “every trial needs to work for the drug to be successful,” the Cantor team said.” (K)