Monday, July 13, 2020

Repeated repetition

Repetition is the act of repeating or being repeated while repeat is an iteration or a repetition.
Hmm....
These days the news is repetitive: numbers of coronavirus infections break records; wear masks, wear masks, wear masks… stay home, stay home, stay home…

News blues…

  • The US posted yet another daily record of confirmed cases on Saturday night, with 66,528 new infections, while the death toll rose by almost 800 to nearly 135,000.
  • Last Thursday, California, Texas, and Florida reported new record daily highs for deaths:
    - California: 149 deaths
    - Florida: 12 deaths (more than 12,000 infections in one day – another record broken)
    - Texas: 105 deaths (ditto on another record set for the third-straight day)
  • South Africa recorded 12,349 new cases on 10 July, taking the cumulative total to 250 687 (with 118 232 recoveries).
    Deaths rose by:
    - 140+ in the Western Cape,
    - 39+ in Gauteng,
    - 24+ in the Eastern Cape and
    - 11+ in KwaZulu-Natal
    - Total death toll (today): 4,079+
Ominously:
***
Ramaphosa speaks: President Cyril Ramaphosa Nation Address | 12 July 2020
Takeaways:
  • Country remains at Alert Level 3
  • Tighten up on mandatory wearing of masks
    (let’s hope – insist? - “tighten up” does not mean “beat up”) 
  • “Mask” defined as anything – t-shirt, cloth – that covers nose and mouth.
  • Curfew from 9pm to 4am
  • Reinstituting the ban on the sale of alcohol as of last night.
***
Alas, TV presenter and journalist, Justice Malala writes, “The ANC and those who voted for it aren’t victims. They chose the mess SA is in.”
***
Daily Maverick webinar: “Inside Track: Hotspot Gauteng
Hosted by Mark Heywood with Doctors Nathi Mdladla and Jeremy Nel.
Takeaways:
  • “In terms of people, we never actually instituted Lockdown. We went from hard Lockdown to softer… the reverse from what the rest of the world did. We behaved like Sweden.”
  • “We’ve lost control of the pandemic. … We can intervene, but escalating higher level of lock down now may lose more benefits than gain…”
  • Hospitals in Johannesburg are groaning but still managing – for now.
  • Predominantly a respiratory disease although often affects other organs. 
  • Oxygen is the primary therapy for Covid 19. Getting right the delivery of oxygen is essential. 
  • Stocks of oxygen depleted. Oxygen delivery more important than ventilators.
  • Infrastructure – hospitals, oxygen, beds, and personnel – remains the challenge.
  • Systems are getting better at managing care.
  • Integration of private and government hospitals across provinces is vital; all must cooperate/ network to provide best delivery of scarce resources.
  • Obsession with numbers isn’t helping people feel safe…. (Mea culpa – guilty!)
  • Seeing more young people affected but SA is a country with many young people. This will help keep mortality rates down although co-morbidities don’t help rates of survival (diabetes, hyper-tension, obesity, etc.).
  • Flattening the curve: more important than ever to wear a mask – the best prevention - practice social distancing, sanitize, stay home, and avoid groups of people.
  • We are going into peak risk period.
Whackjobery*
Young Americans tempt fate and attempt – fatally - by trying to prove the pandemic is, as Donald Trump claims, “a hoax.”
A 30-year-old patient died after attending a ‘“Covid-19 Party”, believing the virus to be a hoax, a Texas medical official has said.
“Just before the patient died, they looked at their nurse and said ‘I think I made a mistake, I thought this was a hoax, but it’s not,’” said Dr Jane Appleby, the chief medical officer at Methodist hospital in San Antonio.
*Whackjobery: term promoted by Steve Schmidt of The Lincoln Project to denote virulent Trump supporters who’ve given up common sense in favor of Trumpism.

Meanwhile, back at the ranch…

I instituted a set of protocols for anyone entering the property – beginning with the gardener.
I placed hand sanitizer and viral guard throat spray on a table near the gate and txt’d him instructions.
That went off without a hitch. He appeared to find it novel, rather than intrusive.

Temperatures overnight expected to drop below zero for the next week. This, just as seedlings emerge. Let's hope the cold frame/greenhouse protects them.



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