Sunday, August 29, 2021

When in Texas

News blues

A thought-provoking article written by evangelical pastor
I don't believe in editing information from my daughters, from the churches where I served as an evangelical pastor, from my students or from my family and friends. I never understood when people were unwilling to engage with material that threatened their own point of view. Unfortunately for my fellow Christians, this is a major part of church history and the current Christian culture. This close-minded approach has been on full display during this pandemic of the unvaccinated.
Read “Evangelicals, science and the vaccine: Refusal is built on deep-seated fear” >> 
***
Reporting from Texas on the Houston border with Galveston County, where rates of Covid infection are high, masks are invisible and unprotected people are everywhere. COVID-19 hospitalizations approach a peak in the US as Delta variant spreads. Patients are younger, and disparities across race and ethnicity persist as hospitalizations soar
***
Despite last year’s lessons from the motorcycle rally in Sturgis, South Dakota, a repeat this year: “Sturgis Rally Is What a Vaccine-Era Coronavirus Superspreader Event Looks Like” 
(More below on Sturgis fallout….)

Meanwhile, back at the ranch…

Monkey see, monkey do.
I’m visiting family in Texas, and chagrined as I am to admit it, I’m following local protocol and not wearing a mask every time I venture into the community.
Friday night we went to dinner in a crowded, Texas-style restaurant – that is, large, crowded, full of parents and kids and a busy, crowded, outdoor play area for kids.
This morning, Sunday, we opted for an IHOP for breakfast. Smaller venue but still busy and full of unmasked patrons. Servers and staff wore chin covers rather than masks.
I feel embarrassed by my action – or lack of action. But I am “in touch” with my embarrassment, even have come to terms with it. It’s called “when in Texas do as Texans do”. I pray that I live to regret this attitude.
I plan to be tested for Covid when I return to work on Tuesday.
Testing. Better late than never? Or too late to do anything about it?
Yes, of course, I’m vaccinated, but that does not mean I’m not also one of the stupidly, willfully blind following the stupidly, willfully blind.

Heck, in South Africa, where snow is falling - an extraordinary though not unheard of event - even the snow-people wear masks. 
 Pray for this sinner in Texas (who knows better…)
I should have more compassion for a couple of people I know at the marina where I moor my houseboat. They schlepped their motorcycles to Sturgis to participate in the rally. (See link in News blues section.) I just got notice that they’ve come down with Covid and been abed for the past two weeks.
On the bright side, Hurricane Ida, in its headlong rush for Louisiana, passed by this area of Texas. Lots of lightning and thunder last night and power when down for about an hour in the early hours of the morning, but no further flooding or hurricane mayhem.
Pray for Louisiana, too.


Friday, August 27, 2021

Covid - la vida loca

News blues

With all the conflicting information, conspiracies, and craziness “out there”, you may feel dazed and confused. If so, here’s a view of what to consider believing about Covid-19…. 

What do 203 doctors tell us about what they think Of COVID vaccines… 

And, what’s in a dose?
The Pfizer-BioNTech COVID-19 Vaccine is supplied as a frozen suspension in multiple dose vials; each vial must be diluted with 1.8 mL of sterile 0.9% Sodium Chloride Injection, USP prior to use to form the vaccine. Each dose of the Pfizer-BioNTech COVID-19 Vaccine contains 30 mcg of a nucleoside-modified messenger RNA (modRNA) encoding the viral spike (S) glycoprotein of SARS-CoV-2.
Each dose of the Pfizer-BioNTech COVID-19 Vaccine also includes the following ingredients: lipids (0.43mg (4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate), 0.05 mg 2[(polyethylene glycol)-2000]N,N-ditetradecylacetamide, 0.09 mg 1,2-distearoyl-sn-glycero-3-phosphocholine, and 0.2 mg cholesterol), 0.01mg potassium chloride, 0.01 mg monobasic potassium phosphate, 0.36 mg sodium chloride, 0.07 mg dibasic sodium phosphate dihydrate, and 6mg sucrose. The diluent (0.9% Sodium Chloride Injection, USP) contributes an additional 2.16 mg sodium chloride per dose. The Pfizer-BioNTech COVID-19 Vaccine does not contain preservative.
See a breakdown of components in all 3 vaccines used in the US:

A close scrutiny of this list shows no sign of aborted fetal tissue, no micro microchips, no Fauci ouchie, no live virus, and no signs of magnetic components - not in any of these vaccines.
Of course, I could simply be naïve in believing what I’m reading, and the conspiracy theorists are 100 percent correct: “the government – aka “they” and “the deep state” – are lying and these ingredients are a smoke screen to “take away our freedoms”, etc., etc., etc.
***
The Lincoln Project Pro-Life  (0:55 mins)
DeSantis Lies  (0:25 mins)
Meidas Touch America’s Biggest Loser  (2:16 mins)

Healthy planet, anyone?

Does smoke make it harder for clouds to drop rain and alleviate drought, potentially kicking of a “very scary” feedback loop? 
***
Best intentions… or, the helping hand strikes again….
In 2010, the vice president and prime minister of the United Arab Emirates and ruler of Dubai, announced the One Million Trees initiative. The aim? To increase green areas in Dubai through afforestation, while contributing to overall beautification of the city.
It went horribly wrong. Hundreds of thousands of trees died after costly real estate projects thwarted attempts to halt desertification. 
***
On Covid and climate we can achieve change – but we’re running out of time 

Meanwhile, back at the ranch…

Thousands of feet over the southwest, cooped up in a fuselage with dozens of others all wearing masks and, for the most part, practicing social distancing. This flight is unlike the first leg of my trip to Texas. For that leg, stopover in Los Angeles, the plane was full to the brim - what I call a flying Petrie dish. I must be nuts to take a Flying a Petrie dish to Texas, the Covid Capital of the southwest. But here I am.
The last weeks have been very busy. I’m semi-moved from my houseboat in the Sacto Delta, semi-moved into my condo on San Francisco Bay, semi-prepared for my upcoming work for California’s upcoming flu season and, after a week, almost fully functional in the Covid vax clinic.
I’ve learned so much about Covid, from the CDC website, hospital training sessions, and documents prepared by the federal government about protocols.
I’m impressed by the overall attention to detail that went into the planning and rollout for vaccinating Americans.
Is it a conspiracy? Well, I suggest that anyone paying attention would recognize that the program is too well-organized for a nationwide, ubiquitous federal (or Fauci or Bill Gates) hoax perpetrated to “take away our freedoms.”
The effort to vax millions of Americans – and the rest of the world – involves millions of workers with amazing training and skills working in concert day and night to ensure We the People have the best chances of success against a virulent virus and emerging variants.
If you haven’t yet, get vaxed. Stories from the front lines:
Last week, third dose vaccinations were made available to immunocompromised individuals. Simultaneously, Pfizer’s vaccine was fully approved and people older than 12 became eligible for vaccination.
Our clinic was inundated with immunocompromised people, some walking independently, some in wheelchairs or on walkers and walking sticks as well as dozens of young people over the age of 12 accompanied by a parent – sometimes two parents - and dozens of people who’d been waiting for the move from EUA (Emergency Use Approval) to full approval before accepting a jab.
A young woman arrived with her mother seeking a second Astrazeneca jab. She’d received her first Astrazeneca shot in India. Turns out the US does not offer that vaccine. Her options: accept either a first Moderna or first Pfizer jab, then return for a second jab of the same vaccine in 28 days.
While every person who takes a jab must remain in the clinic for observation for at least 15 minutes after the jab – 30 minutes if sensitive – we’ve had only 3 people requiring extra care. One woman left after 15 minutes then returned an hour later as she was feeling dizzy and nauseous. I accompanied her to the Emergency department for evaluation. Outcome? Nothing further than her initial symptoms and she was released after two hours of observation. 
One man opted for the J&J vax and, while sitting in the clinic afterwards, was berated by an opinionated and over-solicitous patient who’d opted for the Pfizer vax. “Why did you take J&J? Don’t you know J&J has negative symptoms? You shoulda done xx, like I did…”
Unfortunately, with a stranger kvetching at him, the J&J candidate had a panic attack.
Lesson learned? Keep your opinions to yourself when it comes to which vaccine other people choose.
The third person was diabetic and under-estimated the effect on his blood sugar levels of not eating breakfast. He’d decided he was tough enough to skip breakfast and get his vax. Afterwards, he became light-headed, likely because of low-blood sugar and notthe vaccine. He was medically checked, provided snacks and juice, then opted to go home to recover.
Oy, people!

Next month, boosters will be available to anyone who was vaccinated 8 months ago. I expect we’ll experience more days with lines 500 to 600 people deep.
Our Covid clinic’s future promises 8-hour nightmares exacerbated by the opening of the drive-thru flu clinic. (According to those working the flu clinic in past years, in the first weeks of flu season up to 1,500 people per day arrive for flu shots.)
Yet, I can’t think of anything I’d rather be doing with my life.
Working with dedicated people.
Performing necessary tasks in concert with others, all of us doing vital work…
What’s the downside?
Experiences to remember.

Thursday, August 26, 2021

Forever?

Worldwide (Map
August 26, 2021 – 213,854,000 confirmed infections; 4,463,000 deaths
July 29, 2021 – 196,414,175 confirmed infections; 4,194,100 deaths
 
US (Map
August 26, 2021 – 38,222,000 confirmed infections; 632,300 deaths
July 29, 2021 – 34,724,000 confirmed infections; 612,050 deaths
 
SA (Coronavirus portal
August 26, 2021 – 2,722,205 confirmed infections; 80,470 deaths
July 29, 2021 – 2,422,155 confirmed infections; 71,431 deaths

News blues

The virus will be around “forever”? Advice on how to live with it  – a compendium of articles from The Atlantic Monthly
COVID-19 is not going away. The virus that causes it is on track to become endemic, like the ones that cause the common cold. You’ll probably encounter it at some point, if you haven’t already
That doesn’t mean you should stop taking precautions. We can still buy ourselves time  — time to vaccinate more people and avoid deadly hospital surges. But the virus will be part of our lives in the long term.
“We need to prepare people that [the current wave of cases is] not going to come down to zero,” one psychologist warns…
***
Deaths Data Shows 80% of South Africans May Have Had Covid 
As many as four out of five South Africans may have contracted the coronavirus, indicating that the country may be one of the world’s hardest-hit nations by the disease, the chief actuary at Africa’s biggest health insurer said.
Emile Stipp, the actuary at Discovery Health, based his calculations on the country’s case-fatality rate and excess deaths, a measure of the number of fatalities compared with an historical average. They are thought to provide a more accurate picture of the impact of the pandemic than the official toll.
***
The Lincoln Project The Best of Us  (0:41 mins)
Monster Trump Rally  (1:00 mins)

Meanwhile, back at the ranch…

Well, I’m snowed under. My new job – at a Covid vax clinic – presents an hour each way commute for 28 miles each direction. Stop and go traffic up the wazoo. Nine hours putting out fires at the job, supervising the vax-ing of at least 200, and sometimes more than double that number, per day.
The staff is truly amazing. Project manager type that I am, this job presents multiple tasks, from big to little – to occupy my busy mind.
I’ve so much to say about the wonderful work – exhausting as it is - and share what I’m learning about Covid-19. There’s nothing secret or confidential about the information. It is available to anyone who knows where to look. That’ll be my role: indicating areas of good information.
I fly to Texas today, but I plan to begin sharing information over the next couple of days.
Tune in for more….


Sunday, August 22, 2021

Hip deep

News blues

The not-so-blue news: “The U.S. administered more than 1 million vaccine doses Friday, marking the third day in a row more than a million shots were distributed, including 526,000 first shots. 
So, finally, with Covid-19 hospitalizations increasing, a greater number of Americans have recently made the decision to get vaccinated than in the last six weeks. .”
(See below for a personal experience of front vaccinations of at least 600 of those 1.05 million doses.)
***
According to Daily Maverick, 80% or as many as four out of five South Africans may have contracted coronavirus, indicating South Africa may be among the world’s hardest-hit nations. 
***
The Lincoln Project Ducey  (0:38 mins)
Last week in the Republican Party, next episode  (1:45 mins)

Healthy planet, anyone?

We can’t predict the next coronavirus variant. But there are some fundamental principles that explain why the virus has morphed as it has and where we could be headed next. 

Meanwhile, back at the ranch…

Posting here took a backseat to working this week – and posting will continue to take a backseat as long as I work in a Covid vaccination clinic. It’s a wild, wild ride!
A reminder: the day after I returned from my 1.5-year unexpected sojourn in South Africa, I was vaxed at a local grocery store. No line, no wait, in and out with vital vax record card in hand. Three weeks later, I repeated the process at the grocery store. Easy peasy. Why travel to a hospital and stand in line?

I work in one vax clinic in a multiple-hospital system that is member-based. My role is to ensure smooth sailing of the day-to-day vaccine program so that medical professionals can vax as many people as show up at the hospital seeking one of the three currently available vaccines (Pfizer, Moderna, and J&J).
With member medical records residing on the central computer system, check in is, in general, smooth. Member-clients make appointments before they arrive and have their documentation ready for check-in.
With the vaccines and associated collateral – syringes, etc. - provided by the federal government, vax clinic providers must guarantee that anyone who wants a free vaccination can have a free vaccination. In return, the Feds want documentation – and lots of it.
Our vax team consists of 2 client reps checking in clients, 1 client rep managing the line, 2 nurses prepping, 5 to 7 nurses jabbing, and me, smoothing the overall process. My workday begins with updating information on the numbers of registered member clients expected that day.
The member count is easy.
What is not easy is guessing how many unregistered, non-member clients will drop in for jabs – and when.
Until Friday, the process was, for the most part, smooth. Things slow down when nurses take fed Labor Department-mandated lunch breaks of one hour, but for the most part, we manage. Until Friday, numbers of drop ins each day averaged between 175 to 300 - each requiring the generation of a temporary member number and other necessary documents.
Then came Friday.
The unexpected news that immunocompromised people were eligible for a 3rd dose of vaccine threw off everything. Third doses are not booster shots (scheduled to begin mid-September), but people lined up for “booster” shots anyway. Dozens of people were given personalized explanations on the difference between “3rd dose” and “booster”; some went away resigned, some angry.
Dozens of immunocompromised members and non-members arrived, many in wheelchairs or using walkers (blocking hallways).
One person, after taking her second jab and staying for the mandatory 15 minutes of observation, left the clinic… then returned an hour later with dizziness and high blood pressure. The usual protocol is to wheel such a patient to the emergency department. This time, since her symptoms were ambiguous, a nurse and I wheeled her to an upstairs clinic for further observation by an emergency department doctor.
Third dose protocols coincided, too, with opening Pfizer vaccinations to children over 12 years old. Dozens of children - some braver than others - accompanied by parents or guardians, arrived for their first jabs.
Most touching, a young man, blind, came in with his parents for a shot. It took some persuading to seat him, have him raise his sleeve, and accept the jab. Afterwards, he received an ovation.
My next several months promise to provide many insights into people and pandemic. My current over-riding emotions? Grateful that We the People are at the point of accepting lifesaving vaccinations; being part of a team providing lifesaving vaccines; and love, yes, love for the many, many people coming into the clinic, trusting we’re doing our best for them, offering their arms for an Emergency Use Authorized (EUA) vax, and supporting one another, young and old, firm and infirm, all human.
On Friday, our team administered about 600 of the more than 1 million vaccine doses - the third day in a row more than a million shots were distributed across this nation.
Amazing times.,
We expect the FDA to fully approve the Pfizer vaccine on Monday. Once that happens, well, last Friday’s rush will have been a precursor to many more people flooding in…
Bring ‘em on…


Thursday, August 19, 2021

Hip to Covid

Worldwide (Map
August 19, 2021 – 209,892,500 confirmed infections; 4,401,700 deaths
May 20, 2021 – 164,620,000 confirmed infections; 3,413,350 deaths
December 31, 2020 – 82,656000 confirmed infections; 1,8040100 deaths

US (Map
August 19, 2021 – 37,201,600 confirmed infections; 625,150 deaths
May 20, 2021 – 33,026,300 confirmed infections; 587,870 deaths
December 31, 2020 – 19,737,200 confirmed infections; 342,260 deaths
 
SA (Tracker
August 19, 2021 – 2,652,660 confirmed infections; 78,694 deaths
May 20, 2021 – 1,621,370 confirmed infections; 55,510 deaths
December 31, 2020 – 1,039,165 confirmed infections; 28,035 deaths

Meanwhile, back at the ranch…

A sparse post for today but…
I’m now supervising a Covid vaccination clinic for a large hospital system in California. Soon – this weekend – I’ll have much information about Covid, about folks getting vaccinated, and about the day-to-day life of a worker with one hour commutes at the start and the end of the day.
How do people commute like this for a lifetime?
After just one week, the answer to the question is, “who knows? I couldn’t do it…."


Sunday, August 15, 2021

Dumb and dumber

News blues

It’s bleak out there
COVID-19 hospitalizations for people in their 30s have reached a record high in the U.S. in the latest evidence that the dangerous delta variant of the disease poses formidable risks for younger age groups.
The Centers for Disease Control and Prevention reported a total of 170,852 hospital admissions of those age 30 to 39 from the beginning of August 2020 to last Wednesday. The number of daily admissions, based on a seven-day average, jumped from 908 the week beginning July 29 to 1,113 the week starting Aug. 5. That’s a 22.6% bounce — and still climbing
Read more >> 
***
South  Africa records 10,139 new cases and 272 deaths with 10,139 new Covid-19 cases and 272 deaths recorded on Sunday.
This brings the cumulative number of cases in the country to 2,605,586 and the total number of deaths to 77,141.
The number of vaccinations administered is 9,387,129.
KZN officially in its third Covid-19 wave, largely driven by riots

***
Not directly related to Covid 19 and our global response to the pandemic, some inevitable news: Donald Trump is on the outs. Couldn’t happen to a more deserving person >>  (3:05 mins)
***
Whackidoodle-itude reaches new heights as social media posts claim the coronavirus vaccines can be passed – or “shed” – from an immunized person to an unvaccinated woman and then somehow affect the woman’s reproductive system are whipping around social media.
This is false!
Top medical experts agree that it is impossible for a person to transmit the vaccines to people they happen to be near and for a woman to experience miscarriage, menstrual cycle changes, and other reproductive problems by being around a vaccinated person.
“This is a conspiracy that has been created to weaken trust in a series of vaccines that have been demonstrated in clinical trials to be safe and effective,” said Dr Christopher Zahn, Vice President for Practice Activities at the American College of Obstetricians and Gynecologists, the leading U.S. organization for medical professionals in women’s healthcare.
Calling the vaccines “our single best tool for confronting a global pandemic that has taken 600,000 lives in this country alone,” Zahn added in a statement emailed to Reuters that “such conspiracies and false narratives are dangerous and have nothing to do with science.”
Read more >> 
Read the current top 10 conspiracy theories >>  

Healthy planet, anyone?

Lilly Geisler goes to a lot of trouble to recycle. So, she left CNN a voicemail asking: How much of my recycling actually gets recycled? John Sutter travels to Muncie, Indiana, to find out.
Watch "Let's Talk About the Climate Apocalypse" series >> 

Meanwhile, back at the ranch…

Second thoughts on spraying wasps… I did not, after all, spray the wasps that live in my houseboat ceiling. Instead, I was able to complete installing the trim without  further riling up the wasps and inviting more stings. I opted, instead, for the live and let live option. Go wasps!
***
Last year’s motorcycle rally in Sturgis, South Dakota, made the news as a giant Covid super-spreader event. Alas, that wasn’t enough of a lesson for that state’s governor or motorcyclists from around the country. They had to do it again. 
Worrying to learn that, this year, one of the co-owners of the marina in which I moor my houseboat attended this year’s event.
My new job begins tomorrow. Thank the gods it places me far from the marina for at least the next week. That’s not really enough time for Covid infections to replicate – the virus can incubate up to 2 weeks – but I’m still glad to be far from there.


Friday, August 13, 2021

Stung

News blues

According to researchers, including immunologist Nicole Doria-Rose and colleagues at the NIH’s National Institute of Allergy and Infectious Diseases,
Moderna’s Covid-19 vaccine protects people for at least six months and likely longer – even against new variants. 
Protection against the Delta variant, now dominant across the US, barely waned, the National Institutes of Health-led team found. The team will continue to look for evidence of protection beyond six months. “High levels of binding antibodies recognizing all tested variants, including B.1.351 (Beta) and B.1.617.2 (Delta), were maintained in all subjects over this time period.”
Great for those who took the Moderna jab (including my son who works in a medical facility)… not so great for others, such as, well, for example, me. I guess I’ll be back in line again soon, baring my arm for another jab. 
Thanks the gods I have that option…. Thank you, scientists, immunologists, and, yes, Dr Fauci!
***
Ed Yong, staff writer at The Atlantic Monthly, has consistently turned out some of the best writing on the pandemic and coronavirus. His most recent piece, “How the Pandemic Ends Now,” is another excellent source of (non-politicized) information.
Read it >> 

Healthy planet, anyone?

First, a photographic reminder of the beauty of our planet >> 
Then, how We the People wreak havoc on that same planet – and how nature tries to respond:
Plastic bottles dominate waste in the ocean, with an estimated 1m of them reaching the sea every minute. The biggest culprit is polyethylene terephthalate (Pet) bottles.
A recent study found two bacteria capable of breaking down Pet – or, as the headlines put it, “eating plastic”. Known as Thioclava sp. BHET1 and Bacillus sp. BHET2, the bacteria were isolated in a laboratory – but they were discovered in the ocean.
Read “…the ‘plastisphere’: the synthetic ecosystem evolving at sea” >>

Meanwhile, back at the ranch…

 I’d noticed the browning and shriveling of outer perimeters of the river’s vegetative islands of burgeoning hyacinth and other invasive plants. I suspected that some state department – Fish and wildlife? Regional water board? California State Parks Division of Boating and Waterways? All the above – were spraying herbicides again.
My suspicion proved correct when I captured this shot yesterday morning: herbicides being sprayed along the levee wall across from my houseboat.
While that’s not unusual, it boggles my mind that, knowing what “we” know about chemicals in our environment, “we” continue to choose this chemical way of addressing the problem.

Ironically, having expressed my distrust of environmental contaminants passed off to the public as “of no significance”, today I sprayed a pesticide advertised as “safe around people and pets” at residents of a wasp nest.
I’d repaired and repainted sections of wood trim and was nailing it back into place on the boat when several fierce wasps shot out from under the trim and stung my bare hands. Unlike bees, wasps live to sting again, and again, so I skedaddled – fast - and slammed shut the screen doors behind me.
Spiders, wasps, and similar bugs have staked out hunting and nesting territory on the houseboat. Not a problem. I’m not fearful of bugs. Indeed, I’ve built their presence into my life even as I enjoy my early morning ritual circumnavigating the boat with feather duster to remove the overnight crop of spider webs.
Through the closed window I watched several wasps aggressively patrol the area. They appeared to mean mean business.
I retrieved a can of “safe” insect spray that a friend had left on the boat and, carefully, aimed the spray nozzle in the direction of the hidden nest.
Naturally, the wasps became more agitated.
Since then, I've remained shut up in my hot and stuffy houseboat and given up my plan to finish the trim during daylight. Perhaps tonight, when the wasps are cozily tucked into their nest, I’ll sneak up and spray them. After all, as poet John Lyly wrote, “The rules of fair play do not apply in love and war.”
 
Continuing the topic of environmental contamination, after two years away in South Africa, yesterday evening I participated in an online board meeting as a member of a community overseeing the federally mandated clean up of toxic waste of former Naval Air Station Alameda. 
I’ve participated in this enterprise – the Restoration Advisory Board, RAB - since about 2003, taken great pleasure in doing so, and learned a massive amount about environmental contamination and the effort required to clean it up.
RABs are common around the nation. Many, many contaminated sites, from military bases to private and public businesses, have CERCLA (Superfund) site clean up overseen by community members.
Our community’s cleanup consists of a 2,806-acre area once a Navy installation located on the San Francisco Bay. Solid wastes generated at the site were disposed of in two on-base landfills as well as many sites with unanticipated chemical spills. All liquid industrial wastewaters generated at the site prior to 1974 were discharged untreated into a manmade lagoon and local inner harbor. 
Since this base closed in 1997, about $1 billion has been spent on clean up and rehabilitation. And this NAS is only one of at least four similar sites, all former military bases on San Francisco Bay.
It was good to be back on the board. Moreover, with mixed emotion, we bade farewell to one member who’d been part of the planning of the base closure since 1995. Bert’s about to celebrate his 100th year of life – 26 years of which were spent serving on the RAB - and he’s decided to cut back on his many community serving activities.
Thanks for your many faithful years, Bert!