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ASPartOfMe
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21 Dec 2020, 9:08 am

LA Moves To Ration Healthcare If COVID-19 Hospital Crisis Worsens

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As cases continue to spike in the United States that is resulting in hospitals reaching full capacity, intensive care units in Southern California's medical system is not being able to provide critical medical care to people.

Many hospitals are preparing for the possibility of rationing care in the coming weeks as the number of patients exceeds their staffs' abilities to care for them, wherein the guidelines call for a shift in mindset that is unfamiliar to many medical providers, Los Angeles Times reported.

The overflow of patients in ICU (Intensive Care Unit) and other critical wards keep the patients on ambulances for as long as eight hours until space is available.

According to Los Angeles Times, there is hope for the arrival of an army of additional medical professionals who can greatly expand intensive care unit availability through the end of the year.

The goal during the ongoing crisis is to save people as much as possible, patients with less likely to survive will not receive the same level of care which others will get. Doctors will strategize to keep people save as many as possible.

"Some compromise of the standard of care is unavoidable; it is not that an entity, system, or locale chooses to limit resources, it is that the resources are clearly not available to provide care in a regular manner," Los Angeles Times quoted a document obtained by the newspaper that highlights how to allocate resources in a crisis situation was recently circulated among doctors at the four hospitals run by Los Angeles County.

"In an email that the guidelines were not in place as of Friday night but that they were essential to develop given the surge has arrived and "the worst is yet to come," The Los Angeles Times quoted Dr Christina Ghaly, LA County Health Services Director as saying.

"We have enough beds, supplies, and equipment for now, but we don't have enough trained staff for the number of patients who need care. We have brought in new staff, retrained and redeployed staff from other areas of the system, and have requested additional resources from the state," Ghaly said adding "But these measures are not anticipated to be enough to meet the continuously escalating number of patients that are presenting across the county for care."

Across the nation, it has already become harder to get admitted to the hospital with COVID-19 symptoms today than it was a couple of months ago, Dr Kirsten Bibbins-Domingo, UC San Francisco chair of the department of epidemiology and biostatistics said.

"When hospitals start to get full ... we subtly change our thresholds for admitting someone to the hospital," Bibbins-Domingo said.

The chief medical officer of LA County's flagship public hospital warned that the county has not yet suffered catastrophic consequences, it "is now moving towards becoming the epicenter of the pandemic ... and if we don't stop the spread, our hospitals will be overwhelmed."

"If you have a heart attack, if you get into a car accident, if you fall off a ladder, or have a stroke, we may not have a bed for you," said Dr Brad Spellberg, chief medical officer of LA County-USC Medical Center.

California on Friday broke a record with regard to the most coronavirus cases in a single day with 53,326, Los Angeles Times reported.


Gov. Cuomo: UK’s COVID-19 mutation ‘is on a plane to JFK’ without testing
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Gov. Andrew Cuomo on Sunday called it “reprehensible” and “grossly negligent” to allow UK travelers to fly into JFK Airport without being tested despite a contagious new mutation of the coronavirus shutting down London.

“Right now, this variant in the UK is getting on a plane and flying to JFK,” Cuomo, in a call to reporters Sunday, said of the mutation that UK Prime Minister Boris Johnson has warned could be 70 percent more transmissible.

“Right now. Today,” the governor stressed, calling for the feds to impose coronavirus testing of UK travelers at a “minimum,” if not an outright ban.

“Literally six flights a day. And all it takes is one person,” he said of the possible seed for the new strain’s spread.

The Port Authority has no authority to ban passengers, health-monitor passengers. It’s federal,” he said.

“Doing nothing is negligent. It’s grossly negligent,” he fumed.

“How many times in life do you have to make the same mistake before you learn?”

Cuomo stressed that so far, “we do not have any evidence” that the new strain has reached the US — saying that it is a fear that “kept me up last night.”

He also feared that there was only a “working assumption” that the coronavirus vaccines would be effective against the new strain, saying, “the experts have been so wrong … I take it all with a grain of salt, to tell you the truth.”

His statement came shortly after US Assistant Secretary of Health Adm. Brett Giroir insisted there was no reason to do anything other than “continue to watch” news of the spread in the UK.

“I don’t think there should be any reason for alarm right now,” Giroir told George Stephanopoulos on ABC’s “This Week.”

I was wondering the same thing myself considering the New York March-April outbreak was believed to have come directly from Europe via plane not from China. It is probably too late at this point, the London strain is likely here but a travel ban might prevent some super spreaders from coming here.


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jimmy m
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21 Dec 2020, 10:12 am

Waiting Your Turn for the Vaccine

The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices on Sunday made recommendations on who will get the vaccines next. The committee voted 13-to-1 in favor of the recommendations, which will now go to CDC Director Dr. Robert Redfield for final approval.

Phase 1A: Health Care Personnel & Long-Term Care Facility Residents.

Phase 1B: Frontline Essential Workers and Persons Aged 75 Years and Older

The so-called Phase 1B group is estimated to include about 49 million people, or nearly 15% of Americans.

These workers include first responders, such as firefighters and police officers, educational staff, such as teachers and daycare workers, food and agricultural manufacturers, corrections workers, U.S. Postal service workers, public transit workers and grocery store workers.

About 19 million adults ages 75 and older also are included in the high priority group. They account for 25% of hospitalizations and a significant share of deaths from the coronavirus.

Phase 1C: Persons Aged 65-74, Persons Aged 16-64 with High Risk Conditions, and Essential Workers Not Recommended in Phase 1B

This group includes 129 million Americans, or over one-third of the country, including people between the ages of 65 and 74, people between the ages of 16 and 64 with high-risk underlying conditions like obesity and cancer.

Roughly 57 million other essential workers will be in the group from areas including transportation and logistics, food service, shelter and housing (construction), finance, information technology and communications, energy, media, legal, public safety (engineers) and water and wastewater.

Sources:
Next COVID-19 vaccinations should go to older adults, front-line essential workers: CDC panel
ACIP COVID-19 Vaccines Work Group Presentation


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jimmy m
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21 Dec 2020, 7:27 pm

People Trying to Cut in Line to Receive the Vaccine

Some wealthy Southern California A-listers are trying to jump to the front of the line in an effort to get the coronavirus vaccine. Some attempting to leverage their power and influence and others are offering five-figure donations to hospitals to gain access.

Health care workers and nursing home residents are slated to receive the vaccine first. They will be followed by essential workers and people over 75. Doctors at medical practices that cater to exclusive clientele told Fox News that some of their patients are inquiring how they can be prioritized as doses remain limited.

Some attempting to leverage their power and influence and others are offering five-figure donations to hospitals to gain access. Dr. David Nazarian said, "We've had patients offer to pay large amounts of money ... make donations to charities or hospital institutions," he said. "My job is to follow the ethics and make sure that the people who are supposed to get the vaccine first ... and at the same time I'm working extremely hard to get as many vaccines so that once these different phases progress to be able to get it for our clients and patients."

Dr. Jeff Toll, who has admitting privileges at Cedars-Sinai Medical Center and whose clientele includes entertainers and chief executives, recalled a patient asking: "If I donate $25,000 to Cedars, would that help me get in line?"

Source: Wealthy Southern California patients seeking coronavirus vaccine


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21 Dec 2020, 10:48 pm

Are these wealthy individuals aware of the severity of the reactions that some people are having when they do get the vaccine?


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The_Face_of_Boo
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22 Dec 2020, 2:54 am

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22 Dec 2020, 3:04 am



! ! sirens are on the video



jimmy m
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22 Dec 2020, 11:56 am

As of Monday, the U.S. has distributed over 2.8 million doses of COVID-19 vaccines, and some 556,208 people have received the first of their two-dose vaccinations, according to the CDC.

The federal government is rolling out nearly 8 million doses of COVID-19 vaccines this week – between products from Pfizer and Moderna.

Source: Trump praises COVID-19 vaccine rollout: 'Great miracle'


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jimmy m
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23 Dec 2020, 10:39 am

The U.S. purchased 100 million more doses of the COVID-19 vaccine from Pfizer and BioNTech, Health and Human Services Secretary Alex Azar announced on Wednesday, enough to vaccinate around 50 million people.

The agreement is the second between the U.S. government and the drugmakers; the initial order was also for 100 million doses, which began to be doled out in all 50 states beginning last week, to priority recipients, including health care workers, top White House officials, congressional leaders and some senior citizens in nursing home facilities.

Under the nearly $2 billion deal, the companies will deliver at least 70 million of the additional doses by June 30, with the remaining 30 million doses to be delivered no later than July 31. The government also has the option to acquire up to an additional 400 million doses.

Source: US buys 100M more COVID vaccine doses from Pfizer


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ASPartOfMe
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23 Dec 2020, 3:03 pm

NYC Health Care Worker Had Significant Allergic Reaction To COVID Vaccine

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A New York City health care worker had a "significant" allergic reaction after receiving the first dose of the coronavirus vaccine, city health officials said Wednesday morning.

The health care worker was treated and is said to be in stable condition. To date, more than 30,000 vaccinations have been administered in the city.

This is the first known adverse reaction reported in New York City. It was not immediately clear if the worker had a history of significant allergic reactions.

"Vaccines do have side effects and allergic reactions – while uncommon – are known to occur," the NYC Department of Health said in an email to reporters. "We also know that based on clinical trials and reports of adverse effects in other jurisdictions, reactions such as these are rare but have been reported with the Pfizer vaccine."

The Department of Health declined to provide any further details at this time, including when the reaction occurred.

Chokshi said that those with food or seasonal allergies should take the vaccine, while those with a significant history should consult their doctor first.

Dr. Jay Varma, one of the city's top health advisers, said that the public needs to keep these incidents in perspective.

Dr. Denis Nash, an epidemiologist at CUNY, said health officials need to collect more data and closely monitor patients receiving the vaccine.

"Ultimately, the goal will be to understand how rare or common it is, and which things may predispose people to this kind of outcome," he said.

The National Health Institute is currently putting together a study to figure out why people may have severe allergic reactions to the vaccine.


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jimmy m
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23 Dec 2020, 5:14 pm

"With more than 30,000 COVID-19 vaccinations administered in New York City, we have received a single report of a serious adverse event in a health care worker," the New York City Health Department said in a statement on Wednesday. A health care worker in New York City suffered what officials are calling a "serious adverse event" after receiving Pfizer’s COVID-19 vaccine. The worker, who was not identified, is stable after being treated for a significant allergic reaction.

Source: NYC reports 'significant' COVID-19 vaccine reaction in health care worker

Those seem to be pretty good odds. If I have any concern it is with the second shot. Many more people seem to have adverse reactions to the second dose.


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jimmy m
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23 Dec 2020, 5:30 pm

U.S. reaches milestone of more than 1 million vaccines administered


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naturalplastic
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23 Dec 2020, 5:31 pm

Wow. Thats rather awesomely fast movement on it.



jimmy m
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23 Dec 2020, 5:55 pm

More Evidence of Aerosol Transmission

Researchers in South Korea investigated the epidemiological relationship among infected cases on a recent cluster infection of COVID-19 in an apartment building in Seoul, South Korea. All infected cases were found along two vertical lines of the building, and each line was connected through a single air duct in the bathroom for natural ventilation. Our investigation found no other possible contact between the cases than the airborne infection through a single air duct in the bathroom. The virus from the first infected case can be spread to upstairs and downstairs through the air duct by the (reverse) stack effect, explaining the air movement in a vertical shaft.

Source: Possible Aerosol Transmission of COVID-19 Associated with an Outbreak in an Apartment in Seoul, South Korea, 2020


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24 Dec 2020, 9:46 am

New studies show people who get COVID-19 less likely to get reinfected

Two new medical studies suggest that people who are infected once with COVID-19 are very unlikely to test positive again for up to six months and possibly longer.

One study, published Wednesday by the New England Journal of Medicine, involved more than 12,500 health workers at Oxford University Hospitals in the United Kingdom. Among the 1,265 who had coronavirus antibodies at the outset, only two had positive results on tests to detect active infection in the following six months and neither developed symptoms. That contrasts with the 11,364 workers who initially did not have antibodies; 223 of them tested positive for infection in the roughly six months that followed.

The National Cancer Institute study involved more than 3 million people who had antibody tests from two private labs in the United States. Less than 1% of those who initially had antibodies later tested positive for the coronavirus, compared with 3% of those who lacked such antibodies.

Infectious disease specialist Joshua Wolf said the findings were "not a surprise" but were reassuring because "it tells people that immunity to the virus is common."


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jimmy m
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25 Dec 2020, 9:27 am

[size=140]One Cause of Adverse Vaccine Side Effects[/sizei]

People with cosmetic facial fillers could experience swelling and inflammation with the Moderna coronavirus vaccines, the FDA advisory committee noted. Your immune system which causes inflammation is revved up when you get a vaccine, that's how it's supposed to work," said Dr. Shirley Chi, who noted the side effects were easily treated by medical personnel. "So it makes sense that you would see an immune response in certain areas where they see some substance that is not a naturally occurring substance in your body."

"In these cases the patients all had swelling and inflammation in the area that was given the filler," Chi said. "A couple of the patients had cheek filler six months prior to their vaccine and one patient had lip filler done two days after the vaccine. All were treated with steroids and anti-histamines and all of their reactions resolved."

Source: Moderna COVID vaccine has caused side effect for those with cosmetic facial fillers


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jimmy m
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25 Dec 2020, 9:43 am

Vitamin D

Dozens of recent studies have shown taking Vitamin D is an easy way to fight COVID-19. Vitamin D is one of the most simple and affordable ways to help you stay healthy. Vitamin D is very inexpensive. You can buy it at the local nutrition store, and it might just save your life, should you get sick.

So far, here's what medical experts say: People with low vitamin D who get COVID have a greater tendency toward dying, have a greater tendency toward hyper-inflammation in the cytokine storm that comes with COVID, and have a greater tendency toward getting on ventilators, which is very bad because ventilators don't work very well for COVID, Osborne said.

Additional studies also revealed nine out of 10 COVID-19 deaths could have been prevented if people had adequate Vitamin D levels.

Image

In the winter, Vitamin D levels are reduced because fewer people are outside and not soaking it up from the sun, the report noted. People need at least 20 minutes of sunlight every day to get an adequate amount, which is why a supplement is often needed to get to a healthy level.

"With vitamin D, there's a therapy that can be done that I recommend, and it's 1,000 international units (IU) of vitamin D per pound. So if you're 100 pounds, you would take 100,000 international units of vitamin D for three days. After that, you don't have to keep taking those higher doses, but three days of high dose vitamin D will elevate your serum vitamin D levels to adequate levels," Osborne explained.

Source: Vitamin D, other everyday vitamins could counter coronavirus effects: report


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