Coronavirus in the US

A dozen of those people (and their entourage behind the scenes) were invited to meet with the President in the White House on January 15th for the Trade deal signing. Everyone in close proximity, handshakes all around. Were Dr Birx and Dr Fauci and others warning the president of the breakout in China? Was there intelligence in that time? Hard to say - but this could have been a disaster. Even if our government didn’t know what was going in in Wuhan - Xi certainly did and went ahead with the meeting!

https://www.cnbc.com/2020/01/15/trump-and-china-sign-phase-one-trade-agreement.html

still you need to take 9 months of antibiotics because it is not sure if the positive comes from the vax or exposure.<<<<<<

Erh. no, you get a CXR. I have always tested positive on skin tests, normally it is explained by the BCG and for immigration, a CXR.

Was this posted? I don’t understand how this is happening. I understand free market and all but in this situation shouldn’t and can’t the government step in?

https://www.forbes.com/sites/daviddisalvo/2020/03/30/i-spent-a-day-in-the-coronavirus-driven-feeding-frenzy-of-n95-mask-sellers-and-buyers-and-this-is-what-i-learned/#2660c3c856d4

Millions of N95 masks have been available throughout the U.S., Canada and the UK during the pandemic, according to brokers trying to sell them.

The high price point per mask, driven by extreme demand, has contributed to an overwhelmed reaction among potential buyers, especially in the U.S.

Scrutiny surrounding these deals is high because of ongoing scams and claims of price-gouging, both of which are triggering emotionally charged reactions and fear of making deals.

Millions of masks are being purchased by foreign buyers and are leaving the country, according to the brokers, while the domestic need remains alarmingly high.

This is the capitalist world. You pay higher for high demand. There is no socialist bent in the USA.

Exactly. I tested positive 40+ years ago and have had several chest x-rays, but never taken antibiotics.

Great News! There is no one on the planet stupid enough to ingest fish tank cleaner because they heard Trump say it prevents Covid-19 and trusted his word enough to try it, and never has been!!

Bad News - There are people who hate both Trump and their spouse enough to tell that story.

Worse news - The national media just eat that stuff up.

Below if from Fox, let me know when others retract this farcically unlikely story.

This is the part I don’t understand. If 0.7%-2.5% of MA gets infected, then what would make the pandemic end at that point? There won’t be any herd immunity. There won’t be any vaccine. It doesn’t look like the warm weather will get it under control (I hope I am wrong on that one) Why would it go away then? They got it under control in Wuhan, but US isn’t China.

I guess my main question is, “At which point will this end?” Is there really another option besides vaccine or herd immunity?

(This applies to all places not only MA. I selected MA because it was in today’s news)

Spies, hijacks and export bans: the global battle for coronavirus equipment

Fears of shortages are driving many countries to take increasingly devious measures to secure masks and tests

US buyers waving wads of cash managed to wrest control of a consignment of masks as it was about to be dispatched from China to one of the worst-hit coronavirus areas of France, according to two French officials.

The masks were on a plane at Shanghai airport that was ready to take off when the US buyers turned up and offered three times what their French counterparts were paying.

Jean Rottner, a doctor and president of the GrandEst regional council, said part of the order of several million masks heading for the region, where intensive care units are inundated with Covid-19 patients, had been lost to the buyers.

“On the tarmac, they arrive, get the cash out … so we really have to fight,” he told RTL radio.

Rottner would not identify the buyers, who they were working for or which US state the cargo was flown to, but another French official also involved in procuring masks from China said the group were acting for the US government.

“The icing on the cake, there is a foreign country that paid three times the price of the cargo on the tarmac,” Rénaud Muselier, the head of the south-eastern Provence-Alpes-Côte d’Azur region, told the French channel, BFMTV. The Guardian has contacted the US state department for comment.

A senior administration official told AFP “the United States government has not purchased any masks intended for delivery from China to France. Reports to the contrary are completely false.”

Canada’s prime minister Justin Trudeau described such reports as “concerning and asked officials to look into similar claims that masks were being diverted away from his country.

“We need to make sure that equipment that is destined for Canada gets to and stays in Canada, and I’ve asked ministers to follow up on these particular reports,” he said on Thursday.

At a press conference in Brazil on Wednesday, the health minister, Luiz Henrique Mandetta, said recent attempts by Brasília to purchase protection gear such as gloves and masks from China had fallen through.

“Today the US sent 23 of their biggest cargo planes to China to pick up the material they had acquired. Many of our purchases, which we had hoped to confirm in order to supply [our health system], fell through,” he said. “The whole world wants [these things] too. There is a problem of hyper-demand.”

Mandetta asked ordinary Brazilians to make themselves homemade masks from pieces of cloth so that health professionals could have the remaining professional equipment.

As the pandemic worsens, panicked governments have been accused of using questionable methods to acquire supplies in the battle against the coronavirus. Tactics have ranged from blocking exports of medical supplies to sending spies on clandestine missions to find tests.

Fearing shortages and a strain on their health systems, a number of states, including France, Germany and Russia, have taken measures such as stockpiling masks and hazardous materials, or hazmat suits. This has meant limiting exports of protective medical equipment.

Turkey allegedly went further, not only banning exports of protective gear but also appearing to renege on foreign sales of masks that had already been paid for.

Reports by the Belgian newspaper Le Soir and the Italian daily Corriere della Sera said Turkish-made masks destined for those countries had never arrived. In Italy, it took more than two weeks following a phone call from the prime minister, Giuseppe Conte, to the Turkish president, Recep Tayyip Erdoğan, for the masks to be released. In Belgium, supplies had still not been delivered despite a formal police complaint from the country’s health ministry.

Turkey has also threatened to commandeer domestic mask producers to make sure they are provided only to the state. The local news outlet Hurriyet quoted the interior minister, Süleyman Soylu, as saying that authorities would seize factories if companies did not agree to sell on an exclusive basis to the health ministry.

China, the world’s largest mask manufacturer, was the first country to be hit by the Covid-19 outbreak and was also accused of stashing its supplies. It has, however, since been one of the few countries to go the other way, selling or donating millions of masks to Europe. One such shipment bound for Italy went through the Czech Republic, where it was seized by authorities under disputed circumstances.

Czech authorities denied allegations of state-backed stealing by Giornale Radio Rai, the radio news arm of Italy’s public broadcasting company, RAI. They said the masks had made their way to a warehouse north of Prague, where they were confiscated in an anti-trafficking operation. The foreign minister, Tomáš Petříček, later said his government had sent 110,000 masks to Rome as compensation.

A similar incident occurred in Kenya, where a shipment of up to 6m masks bound for Germany mysteriously disappeared while passing through the east African country, although there has been no suggestion that the government was responsible.

Drugs and coronavirus tests are also being coveted around the globe. After the US president suggested, without fully backed scientific evidence, that a common anti-malaria drug could treat Covid-19, India immediately moved to ban exports of hydroxychloroquine.

Israel’s Mossad intelligence agency has launched several clandestine international operations to fly in hundreds of thousands of coronavirus testing kits.

Local media reports, citing unidentified medical and intelligence officials, suggested the kits had been bought from an enemy state that would not want such a deal to be made public. Many countries do not recognise Israel because of its treatment of the Palestinians.

A few governments have even moved in recent weeks to stockpile domestic food supplies. Kazakhstan, a major flour producer, banned exports, and Vietnam, the world’s third largest rice exporter, did the same. Serbia moved first to block medicine and then sunflower exports.

Global food shortages are not anticipated and most countries have kept their markets open, but efforts by anxious governments to wrest control of resources have many spooked.

Abraham L Newman, a professor at Georgetown University’s department of government, and Henry Farrell, a professor of political science and international affairs at George Washington University,said there was a risk of the world “sequestering into distrust and selfishness”.

“The high level of mutual suspicion currently brewing between states will make it harder to coordinate an international response,” they wrote in the Harvard Business Review. “It is hard for governments to be generous when their citizens are frightened and supplies are tight. Yet it may lead to a spiral of fear and retaliation.”

German media reported last month that the Trump administration had offered a German medical company large sums of money for exclusive access to a vaccine. Despite the fact that the company, CureVac, denied the reports, the incident clearly rattled other countries.

China’s state-run Global Times published an editorial describing the search for a vaccine as “a battle that China cannot afford to lose”.

Citing the reports on CureVac, it said: “Given the two leading western countries’ moves, we can see there is no way for China to rely on Europe or the US in vaccine development. China has to be by itself in this crucial field.”

[ And it is in this environment that Trump, even today, says that states should be sourcing their own supplies. ]

https://www.theguardian.com/world/2020/apr/02/global-battle-coronavirus-equipment-masks-tests

@milee30:

Incorrect. A positive skin test is confirmed with a Quantiferon TB Gold. Per folks who have been inoculated with BCG and tested positive on skin test when beginning work in health care setting.

https://www.quantiferon.com/us/products/quantiferon-tb-gold-plus-us/patient-resources/what_is_qft-plus/

Unlike the skin test (cheap, but inaccurate) this test shows if there is actual infection (but expensive, so only used for confirmation). A lung X-ray can also be used.

Mortality in different countries per 1 mil people

https://www.mediterranee-infection.com/covid-19/

@bluebayou and @Sybylla
Depends on your employer and what they tell you at the time and if they demand a CXR every year you work for them. I have many, many friends (foreign born nationals) that gave up and took the INH.

Anyway I do not want to keep on it. Just something to think about since in the US we do not do routine TB vax the way other countries do and we are used not to see many positive skin tests.

Manhattan real estate sales ground to a halt in March. Prices could plunge next

Manhattan real estate sales ground to a halt at the end of March, and some industry experts say prices could fall 30% or more once activity resumes.

Total sales volume actually increased 14% for the first three months of 2020, boosted by a strong January and February, according to a report from Douglas Elliman and Miller Samuel. But the average sale price for a Manhattan apartment fell 11% in the quarter, to $1,887,740.

The last two weeks of March, when the coronavirus began to really hit the New York area, showed a market suddenly in shock. According to Olshan Realty’s market report, there were only two contracts over $4 million signed in the last week of March — the worst week since August 2009, when the financial crisis rocked markets. (CNBC)

Trump invokes Defense Production Act to “facilitate the supply” of equipment to build ventilators
From CNN’s Matthew Hoye

President Trump says he is invoking the Defense Production Act (DPA) to clear up supply chain problems encountered in the manufacturing of medical ventilators.

“Today, I have issued an order under the Defense Production Act to more fully ensure that domestic manufacturers can produce ventilators needed to save American lives," Trump said in a statement.

The statement also said this order will help domestic manufacturers “secure the supplies they need to build ventilators needed to defeat the virus.”

The use of the DPA will remove supply chain obstacles that threaten the production of ventilators, the statement added.

“Today’s order will save lives by removing obstacles in the supply chain that threaten the rapid production of ventilators,” the statement said.

The order directs Department of Homeland Security Secretary Chad Wolf and Health and Human Services Secretary Alex Azar to “use any and all authority available under the Act to facilitate the supply of materials to the appropriate subsidiary or affiliate of the following entities for the production of ventilators: General Electric Company; Hill-Rom Holdings, Inc.; Medtronic Public Limited Company; ResMed Inc.; Royal Philips N.V.; and Vyaire Medical, Inc.”

California governor on churches: “It’s essential that we practice physical distancing everywhere. Period. Full stop.”
From CNN’s Cheri Mossburg

California Gov. Gavin Newsom was stern when asked today about California churches remaining open during the pandemic.

“With all due respect,” he said, “it’s essential that we practice physical distancing everywhere. Period. Full stop.”

Newsom asked those not practicing physical distancing to reconsider and indicated social pressure is the first step to adherence.

As far as enforcement goes, the governor deferred to local authorities, but promised specific offenders would be addressed.

Louisiana governor extends stay-at-home order until end of April
CNN

Louisiana Gov. John Bel Edwards said he will extend the state’s executive order to stay at home until April 30.

In the order, Edwards listed all businesses and services that should be closed; he did not mention anything about religious services.

Some context: Earlier this week, the pastor of a Louisiana church was charged with misdemeanors for holding church services despite the order on gatherings from the government.

Edwards did say that there should be no gatherings in groups of more than 10.

Schools will remain closed through April 30 and new guidance will come from the Department of Education in the coming days on what the rest of the school year will look like, Edwards said.

Connecticut reports 267 new coronavirus cases

Connecticut has 267 new coronavirus cases and 27 new deaths, Gov. Ned Lamont announced Thursday afternoon.

The state now has a total of 3,824 confirmed cases and a total of 112 deaths.

A total of 827 patients are currently hospitalized.

California unemployment climbs to nearly 2 million people
From CNN’s Cheri Mossburg

Job loss in California is climbing rapidly and stands at 1.9 million unemployment claims, Gov. Gavin Newsom said in a news conference today.

Over the past week, claims have been coming in at a rate of about 111,000 per day, Newsom said…

Unemployment checks usually take about three weeks to turn around in California. Through reorganization, about 1,000 workers are being brought in to administer the claims surge.

Providing more support: The governor outlined a few of new programs for small businesses and independent contractors.

The first is a one year reprieve on sales tax payments, a bridge loan with no penalties or interest.

Another program – the Paycheck Protection Program – starts Friday and will lend up to $10 million to small companies in order to pay their employees. Those loans will be eligible for a federal repayment grant, but at least 75% of the money must be used for payroll.

Additionally, the governor said $50 million is being added to the state’s infrastructure bank for micro loans – those would be payable to people not eligible for small business loans.

Newsom also noted a partnership between Fresno company Bitwise and Silicon Valley giants LinkedIn and SalesForce. That group has created onwardca.org, a website that matches unemployed workers with open jobs. It is specifically focused on healthcare, agriculture, logistics and grocers.

Suppose Massachusetts’ peak is April 10. The state keeps up the shelter in place, so new infections each day decrease. The state keeps up the shelter in place for, let’s say, another month, and now the number of new infections each day is very small. Not very many people are infected, because the people who were infected died or recovered without transmitting the disease.

There is still C-19 out there, and without precautions, there could be another surge of infections. So the state opens up, slowly, with precautions.

Everyone wears a mask. To get into a public building or a workplace, you have to have your temperature taken, and if it’s high you get a quick C-19 test and go into quarantine instead of into the building. Restaurants must have tables separated. Offices separate people by six feet. Grocery stores and other businesses restrict the number of customers allowed at one time. People still have to separate by six feet.

C-19 tests are widely available and the results come back quickly. Health departments do random testing to find potential hot spots. When a case is detected, the health department springs into action: the person is quarantined and their contacts traced. If a hot spot is detected, that area goes into lockdown again.

You have to do this entire program nationally, because if one state doesn’t do it, their residents and visitors will go infect another state.

We won’t go back to normal until everyone gets vaccinated.

@austinmshauri I saw that and “liked” that post. Recognizing the out of state volunteers is a classy move.

Addendum: and you can’t do any kind of reopening without abundant, fast tests.

@BunsenBurner
Thank you! I am glad they have this test now (approved 2005). My stories and experiences are from the 90’s!

New editorial in the New England Journal of Medicine by the former Dean of Public Health at Harvard Medical School and current member of National Academies Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats…

[Ten Weeks to Crush the Curve](https://www.nejm.org/doi/full/10.1056/NEJMe2007263?query=featured_home)

Dr. Fineberg lists 6 critical steps to stopping the coronavirus epidemic.

‘Zoom is malware’: why experts worry about the video conferencing platform

The company has seen a 535% rise in daily traffic in the past month, but security researchers say the app is a ‘privacy disaster’

As coronavirus lockdowns have moved many in-person activities online, the use of the video-conferencing platform Zoom has quickly escalated. So, too, have concerns about its security.

In the last month, there was a 535% rise in daily traffic to the Zoom.us download page, according to an analysis from the analytics firm SimilarWeb. Its app for iPhone has been the most downloaded app in the country for weeks, according to the mobile app market research firm Sensor Tower. Even politicians and other high-profile figures, including the British prime minister, Boris Johnson, and the former US federal reserve chair Alan Greenspan, use it for conferencing as they work from home.

But security researchers have called Zoom “a privacy disaster” and “fundamentally corrupt” as allegations of the company mishandling user data snowball.

On Monday, New York’s attorney general, Letitia James, sent a letter to the company asking it to outline the measures it had taken to address security concerns and accommodate the rise in users.

In the letter, James said Zoom had been slow to address security vulnerabilities “that could enable malicious third parties to, among other things, gain surreptitious access to consumer webcams”.

A spokesman from Zoom told the Guardian on Wednesday it was planning to send James the requested information and comply with the request. “Zoom takes its users’ privacy, security, and trust extremely seriously,” the spokesman said. “During the Covid-19 pandemic, we are working around the clock to ensure that hospitals, universities, schools and other businesses across the world can stay connected and operational.”

And on Thursday, the company announced it would freeze all new feature development and shift all engineering resources on to security and safety issues that have been called to attention in recent weeks.

Here’s what you need to know about the challenges with Zoom:

‘Zoom bombing’ on the rise
On 30 March, the FBI announced it was investigating increased cases of video hijacking, also known as “Zoom-bombing”, in which hackers infiltrate video meetings, often shouting racial slurs or threats.

Zoom meetings can be accessed by a short number-based URL, which can easily be generated and guessed by hackers, a January report from the security firm Checkpoint found. Zoom has released guidelines in recent days about how to prevent unwanted guests from crashing video meetings and a spokesman told the Guardian it had also been working to educate its users on protections through blogposts and webinars.

No end-to-end encryption
Zoom has falsely advertised itself as using end-to-end encryption, a system that secures communication so that it can only be read by the users involved, a report from the Intercept found. Zoom confirmed in a blogpost on Wednesday that end-to-end encryption was not currently possible on the platform and apologized for the “confusion” it caused by “incorrectly” suggesting the opposite.

Security flaws
A number of security flaws affecting Zoom have been reported in the past and as recently as this week. In 2009, it was revealed Zoom had quietly installed a hidden web server on user devices that could allow the user to be added to a call without their permission. And a bug discovered this week would enable hackers to take over a Zoom user’s Mac, including tapping into the webcam and hacking the microphone.

The company said on Thursday it had issued a release to fix the Mac issue, but the number of security issues with Zoom in the past make it as bad as malicious software, said Arvind Narayanan, an associate computer science professor at Princeton University.

“Let’s make this simple,” he said. “Zoom is malware.”

In-app surveillance measures
Zoom has been criticized for its “attention tracking” feature, which allows a host to see if a user clicks away from a Zoom window for 30 seconds or more.

This feature would allow employers to check if employees are really tuned into a work meeting or if students are really watching a classroom presentation remotely.

Selling user data
A report from Motherboard found Zoom sends data from users of its iOS app to Facebook for advertising purposes, even if the user does not have a Facebook account.

Zoom changed some of its policies in response and said on Thursday that the company “has never sold user data in the past and has no intention of selling users’ data going forward”. But the Motherboard story was cited in a lawsuit filed in a federal court in California this week, accusing Zoom of failing to “properly safeguard the personal information of the increasing millions of users” on its platform.

This privacy flaw was also mentioned in the letter from James, which noted such privacy violations could be of particular concern as schools migrate to Zoom for class.

“While Zoom has remediated specific reported security vulnerabilities, we would like to understand whether Zoom has undertaken a broader review of its security practices,” the letter said.

https://www.theguardian.com/technology/2020/apr/02/zoom-technology-security-coronavirus-video-conferencing