Sunday, July 12, 2020

"Staggering failure of governance”

In South AFrica, I find it difficult to receive regularly updated updates on Covid-19.
Until this latest cycle of load shedding, Eskom’s app, EskomSePush, published daily updates on gross numbers: total infections, new infections, total deaths, new deaths….
Alas, load shedding alerts have coopted those updates.
Incongruous, perhaps, for a national power grid to publish Covid statistics but Eskom’s daily Covid updates were the easiest place to find gross numbers. More conventional avenues for stats – health dept, etc. – appear to update only when someone remembers to do so. That hit-or-miss quality could be disconcerting to “normal” people. To a control freak, 14,000 miles from home, locked down in someone else’s household with someone else’s domestic workers and someone else’s seven pampered mongrels, it triggers massive anxiety.
Ironically, to date, every upcoming load shedding event proclaimed on EskomSePush has failed to appear - electricity remains on.
Eskom sends out alerts prior to, immediately prior to, and simultaneous with shedding then … nada, zero, zilch, niks.

Tracking US Covid-19 Response – a state-by-state map of infection

News blues…

(Not so) Lone ranger …
or the Businessman’s Wedge
Click to enlarge.
(Not so) Lone Ranger 
Is what I call the “Businessman’s Wedge” a strategy of businessmen everywhere?
This picture shows Trump leading the sharp edge of a wedge with his entourage fanning out behind him. The stance aims to intimidate business rivals.
Here, Trump, finally masked, looks as if he and his gang aim to rob a bank.
You’d think President Donald Trump had just discovered a medical cure the way his campaign team figuratively fainted at his feet Saturday. But no, he was simply, finally wearing a face mask during a visit to the Walter Reed National Military Medical Center as a COVID-19 safety measure — months after just about everybody else in the world.
In the White House and in Trump’s entourage, “You get made fun of, if you wear a mask…. There’s social pressure not to do it.”
Facing no threat of enforcement, the Trump campaign has continued to make its own rules on coronavirus protections, said the individuals, who requested anonymity to speak freely. For instance, staff have been told to wear masks outside the office, in case they’re spotted by reporters, but they’ve been instructed that it’s acceptable to remove them in the office, the individuals said, adding that staff also publicly joke about the risk of coronavirus and play down the pandemic’s threat. The individuals described an environment where campaign staff have been discouraged from telling colleagues whether they were exposed to the virus, particularly after a series of negative headlines about multiple campaign staff testing positive ahead of last month’s campaign rally in Tulsa, Okla. Instead, campaign staff have been encouraged by officials to quietly self-quarantine when they are thought to have come in contact with the virus.
***
Rare air…
(South African) Doctors report that “happy hypoxics” are showing up in numbers at clinics and hospitals – patients with oxygen saturation levels so low they are in danger, but who do not realise they are in the red zone.
“Usually a little bit of oxygen at a clinic can get them through. You can prevent complications that way,” says Dr Francesca Conradie, deputy director of the Clinical HIV Research Unit at Wits University, adding that “We are beginning to run short of oxygen in public hospitals and clinics.”
You don’t need ventilators for this stage of illness but can deliver oxygen through a mask or use high flow nasal oxygen, which has worked well in the Western Cape….
At clinics, the first port of call for eight in 10 people in Gauteng and Johannesburg who are sick, tanks of oxygen are running out.
***
New York Times columnist and author, Nicholas Kristoff writes,
One of the puzzles had been that even as coronavirus infections were rising over the last month, Covid-19 deaths were still dropping. President Trump bragged that this was because the United States was doing the right thing. Epidemiologists said that was simply because of lags: It often takes a month after infection for someone to die. They were right, for deaths are now swinging up again, up about 50 percent higher than they were a week earlier.
We may have 200,000 Covid-19 deaths in America by Election Day, and that’s by the undercount that we’re all using (the real total may be about 30,000 higher, based on “excess deaths” reported by local authorities). This toll reflects a staggering failure of governance, for the United States has 4 percent of the world’s population but a quarter of the world’s deaths.

Meanwhile, back at the ranch…

A recent email update from the City of Alameda (where I live in California):
As of this morning, there are 121 cases of COVID-19 in the City of Alameda, up from 92 last week. Alameda County has 7,725 cases with 140 current hospitalizations and 148 deaths. The State of California has 304,297 cases and 6,851 deaths. The US continues to lead every other country in the world in cases and deaths with more than 3 million cases and 134,349 deaths. Across the world, the caseload increased by over 229,000 yesterday, with over 12.5 million cases and 561,311 deaths.
Now, that level of detail makes this control freak happy.


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