COVID-19 is Airborne

This Viewpoint suggests that infection control guidelines should be re-evaluated to account for the predominance of small particles within infectious aerosols. Protective devices available to health-care workers have a range of protection, increasing from surgical masks to filtering facepiece respirators to powered air-purifying respirators. Although these are indicated for close encounters, their limitations highlight the need for improved administrative controls, such as more rapid diagnosis and isolation, and the development of vaccines and treatments. These data support calls for the recognition of aerosol (ie, traditional airborne) transmission of SARS-CoV-2.144 This could facilitate the use of enhanced dilution and directional ventilation and other environmental control options—eg, air disinfection with ultraviolet germicidal irradiation,145 which might be especially helpful in congregate settings such as nursing homes. Implementation of improved infection control measures could prevent future morbidity and mortality among health-care workers.

thelancet.com

It is airborne. I wish they would just come out and say the word airborne in the media that is targeted at the general public. The average person isn’t going to care about the vagaries of the scientific definition of airborne. A reproduction rate over 5 (which COVID can have) means that the transmission is functionally airborne. Why quibble over the semantics?

If airborne transmission were shown to be a major factor, some experts have suggested it could be helpful to wear masks indoors, even in settings where social distancing is being enforced; that tighter regulations may be needed for ventilation and air conditioning to minimise recirculating air; and that it may even be appropriate to install UV lights in some buildings to guard against potentially infectious particles.

theguardian.com

This article from the New York Times details investigations into methods of transmission aboard the Diamond Princess back in January. Nothing short of a properly adjusted N95 mask or multiple layers of cloth over the mouth and nose will keep you from catching the disease when someone is standing next to you has it. This makes Trump’s fumbling of the supply chains even more damning than I initially thought it was. If masks had been mandatory and available early, a good portion of the deaths we have seen across the country could have been avoided.

nytimes.com

Sacred Life

No, if we truly value LIFE, if we truly believe it to be SACRED, then before it even begins we as a people and as a nation must bend every effort to ensure not only its survival, but that it thrives to reach its full potential.

Twitter – Stonekettle

Editor’s note – I planned to add this quote to the end of Roe-v-Wade Was a Conservative Decision If I hadn’t broken the blog (05/16/2020) Now that it’s back up, I think I will add it to something even better than that post.

Losing at Chicken

Fifteen days ago, Texas began reopening. Yesterday, fourteen days later (the average incubation period of the…

Posted by Jim Wright on Friday, May 15, 2020
Facebook – Stonekettle

Austin remains largely under lockdown other than the parts of the economy that Greg Abbott has foolishly insisted on controlling at the state level. Austinites are starting to go out and party now. It is summer (or feels like it) and you really can’t keep people cooped up for months on end when the weather is beautiful. This is especially true when the President and the Governor tell you it is OK to go out and socialize.

The Wife was telling me about an impromptu party that sprang up next door to the worst violator of Texas drinking laws (not to mention fire codes) in our neighborhood. A building that was a Pizza Inn in a previous life but is now an Elk’s lodge, right on the highway that leads out of town to Houston. Every weekend they packed the building to the seams with drunken buffoons, and the drunken buffoons don’t know where else to go other than the neighboring parking lot to get drunk these days.

There is little that can be done to curb these yahoos without the threat of force and that threat of force has to come from the Federal or State governments, neither of which are willing to take a stand against the drive to let off the pressure that most people feel at being told to slowly starve to death in their homes while they simultaneously go broke. Most people in Texas live from paycheck to paycheck, a fact that is even more true in the big cities than it is in the country and towns.

We are locked in the no win scenario here in Texas and across the heartland of the United States. We are playing chicken with a train locomotive on an overpass. We could swerve and take the resulting personal damage on ourselves but Governor Abbott has the steering wheel, and he’s convinced the COVID train is going to swerve first. The resultant trainwreck will be amusing for the outside observer to witness. There isn’t going to be much to recommend living through it.

Facebook – AustinTexasGov – We are in stage three

Editor’s note: July 4, 2020. Governor Abbott swerved to miss the oncoming train today. He has reinstated the statewide requirement for masks, with several very large exceptions. Too large, according to Mayor Adler. Weirdly, I never stopped wearing a mask outdoors even though I didn’t have to wear one and still don’t have to since I won’t go into a crowded public space so long as the pandemic rages. Hopefully I will get my ballots by mail as I requested. Hopefully there will be people present at the vote counting that will ensure that mail-in ballots are not simply thrown in the trash. There are some very thin shoe-strings of hope weaving the future of the country together. That is not a reassuring thought.

The Restaurant From The Future

Planet Money – The Restaurant From The Future – May 13, 2020

The idea is to build a scalable brand, not just a restaurant. So they have a research kitchen in the basement where they try out new recipes. One of their locations is what’s known as a ghost kitchen. You can’t eat there. It’s a kitchen that exists just for delivery. Overall, Yong is trying to build this beautiful restaurant chain. And it was going pretty well.

Two months into the lockdown, Yong and his team have kind of figured out how to survive. The family meals, the deliveries to hospital workers, the three-course dinners – it’s keeping the business afloat for now.

But Yong is not thinking about now. As usual, he’s focusing on what happens next when the lockdown is lifted, when he’ll have to face the single most dangerous thing in this pandemic – people, people starting to eat at his restaurants again.

Planet Money

This episode was inspirational for me. I’ve worked in and around restaurants and bars for a good portion of my life. It was great to hear from someone who isn’t terrified into inaction by the prospect of having to change how he does business. He is heading towards the future with an eye on what people are doing in other places that are coming out the other side of this pandemic. I wish I was confident that more people in the United States were following his stellar example.

nytimes.com

I’ve now read of a few places trying to reinvent themselves on the other side of pandemic. This could be a good sign. I look forward to hearing of others.

All Things Considered – Boston Tavern Pivots To ‘Plan B’ To Try To Survive The Pandemic – July 7, 2020

How will I be when I get out of this?

I shared a room with a homeless person, a Colombian cleaner, and a man from Bangladesh—all three diabetics, incidentally, which is consistent with the known picture of the disease. The days and nights were lonely because no one had the energy to talk. I could only whisper for weeks; even now, my voice loses power in the evening. But I always had that question going around in my head: How will I be when I get out of this?

After fighting viruses all over the world for more than 40 years, I have become an expert in infections. I’m glad I had corona and not Ebola, although I read a scientific study yesterday that concluded you have a 30% chance of dying if you end up in a British hospital with COVID-19. That’s about the same overall mortality rate as for Ebola in 2014 in West Africa. That makes you lose your scientific level-headedness at times, and you surrender to emotional reflections. They got me, I sometimes thought. I have devoted my life to fighting viruses and finally, they get their revenge. For a week I balanced between heaven and Earth, on the edge of what could have been the end.

sciencemag.org

Hat/tip to Eric Buck

Face Covering

Got a Minute? –Monday, April 27

New state directives are coming… Want to know how Austin is planning to reopen safely? Join us at 7pm to learn what the state and local orders mean for you.

Posted by Austin Mayor Steve Adler on Monday, April 27, 2020
Facebook – Austin Mayor Adler

I resisted wearing face covering for as long as I could. I did this not just because I have a hard time reading faces and so want to make myself more easily read by people I might talk to, but also because I have a hard enough time breathing while out on a walk or doing any strenuous activity without having a barrier between me and the air I so desperately need. Austin made face covering mandatory, so I finally gave in and started wearing something to cover my mouth and nose.

I wear a bandanna tied in the classic bandit style to go along with my straw hat and tinted prescription glasses. I’m sure I strike a menacing appearance in this getup, or would if it wasn’t for the bright blue sweatpants and bright yellow walking shoes. The bandanna does seem to reduce the amount of pollen that I am exposed to, even if it doesn’t remove all of it, so I may have to keep wearing the damn thing on high allergy days even after all this coronavirus madness is nothing more than an almost forgotten nightmare.

Me and my new walking buddy getting ready to sally forth.

I don’t care what Governor Abbott or his lunatic Lieutenant Governor, Dan Patrick, think about anything. They are taking marching orders from the madman in the White House, and so consequently what they might say or do is pretty much irrelevant if not downright harmful or possibly fatal in the long run. Don’t listen to the madman in the White House. That is the best advice I can offer to anyone. I have no idea why anyone does listen to him anymore.

I’ll continue wearing my bandit mask for as long as it suits me. If they make me go physically to the polls during the runoffs and then in November, I will go there wearing the thing as well. I will wear the mask and vote all of them out of office. This is proof positive that real criminals don’t wear bandannas and straw hats. Real criminals wear business suits and ties and they lie right to your face with not a hint of insincerity. “I have a great deal for you!” Sure you do.


I have been experiencing some deep depression lately. It came to me last night what this depression probably stems from. I don’t know what to write about in this time of coronavirus that isn’t somehow related to the coronavirus. All of my podcasts are going full-on coverage of the subject, and most of the news is also about it.

I’ve been deleting most news podcasts for weeks. Over the last week I have finished two books on tape rather than listen to any of the podcasts that I usually spend time listening to. I have no use for more news about this disease. I know what I need to know to stay healthy, and most of what is being said is correction of the misinformation that the Orange Hate-Monkey (OHM) has been spreading about the disease on a nightly basis, with the help of the media that can’t seem to stop spreading his lies for him. The WaPo ran a piece today title Trump has played the media like a puppet. Ya think? I’ve only been trying to say this for four years now. Nice that you’ve finally noticed that you are being used. Maybe you should fix that problem before it gets out of hand.

The Wife came to me today and said she had a revelation. “The blame game is about to start.” I tried to be patient with her, but this really isn’t a revelation to me. The OHM has been engaging in the blame game for four years now. He and his cronies are clearly gearing up to start blaming the Democrats for cracking down on the populations under their control, imposing restrictions that the severe acute respiratory syndrome coronavirus 2 (Covid-19) did not require. They’ll say people aren’t dying at greater rates than previously. The cities and states will point to the elevated numbers of deaths. The OHM will say those aren’t coronavirus deaths. The cities and states will say they were coronavirus deaths. The OHM will say they weren’t because they weren’t tested for coronavirus. The cities and states will object and point out that there aren’t enough tests to test all the dead people. The OHM will shrug and go back to golfing. Just like he has always done.

ALL IN – Trump hits 108 days at his own golf properties – April 20, 2018

It’s important to remember that this guy complained bitterly about all the time that Barack Obama spent on the golf course. What he hates most about Barack Obama on the golf course (other than he is a black man on a golf course that isn’t a caddy) is that Obama is a better golfer than he is, and Barack Obama spent less time getting there than the OHM has already spent on the golf course during his joke of a presidency.

Donald Trump wants to open the country back up so he can get back to golfing and get back to charging people to golf with him. It hasn’t got anything to do with the deaths and the suffering, or how much worse it will all be after we end social distancing. He just wants to keep doing what he has always done. Screw people and steal their money.

This is par for the course. This is how every single embarrassing event has been played since Trump blundered onto the political stage and demonstrated that he has no capacity to feel shame for his shameful behavior. There is a fly in this ointment though. There are records of his malfeasance.

For weeks, the PDB — as the report is known — traced the virus’s spread around the globe, made clear that China was suppressing information about the contagion’s transmissibility and lethal toll, and raised the prospect of dire political and economic consequences.

But the alarms appear to have failed to register with the president, who routinely skips reading the PDB and has at times shown little patience even for the oral summary he now takes two or three times per week, according to the officials who spoke on the condition of anonymity to discuss classified material.

The advisories being relayed by U.S. spy agencies were part of a broader collection of worrisome signals that came during a period now regarded by many public health officials and other experts as a squandered opportunity to contain the outbreak.

The Washington Post

The OHM was ignoring all the signs that COVID-19 was going to be a problem until he couldn’t ignore it anymore. Then he blamed the CDC, the WHO and the Chinese government for the things he had every right to have known months previously if he had only bothered to pay attention.

He tried to blame the Democrats for not giving him the funds that he needed to combat the disease until Nancy Pelosi handed him a check for two trillion dollars. A check that the OHM then promptly put in his and his closest buddies pockets. That bit of malfeasance will be coming back to bite him right about the time elections roll around in November.

Texas may open back up on Friday or Monday. Austin won’t be following the governor’s direction. Neither will Houston, Dallas or any other city that understands what the real problem is here. The real problem is that these Republican morons think they can bluff a virus. That they can lie to mother nature and she won’t punish them for it.

I feel bad for those people who can’t afford to stay home any longer. Those people who have purposely been kept poor by the system they are part of in some ill-gotten belief that you have to keep people hungry, homeless or on the edge of homelessness, in order to get them to work. We have all be stolen from over the course of our lives by these people in suits and ties who think they are better than we are because they have money and we don’t. They don’t understand, any more than the poor do, that they are rich because the system allows them to be rich.

The system could be adjusted so that everyone is at least comfortable with some pretty minor tweaks. The two trillion dollar coronavirus rescue package? The country’s entire population could be granted a guaranteed minimum income for an entire year for that amount of money (Andrew Yang’s Freedom Dividend) What are the benefactors of most of that money doing with it right now? Driving the stock markets up with all this extra cash they just stumbled into. Pretty much the same thing they were doing before the pandemic hit with all that free money that Trump gave them in his tax bill.

So instead of making sure that no one has to work that isn’t constitutionally set up for the kind of risky work that is required right now, instead of making sure that no Americans are homeless and have enough food to eat, we’ve given billionaires even more money to play around with. Now the poor feel compelled to return to work having burned through the $1200.00 pittance that was allowed to them.

People are going to die. Most likely a lot of people are going to die. I’m going to do my best to not be one of them. I’m not planning on going anywhere (other than to vote as I noted previously) until right about January the 20th of 2021. I might not even go out then other than to abandon this hellhole that we’ve made, heading for greener pastures if there are any of those left by then. We’ll just have to see whether the tide turns or not.


Editor’s note: July 4, 2020. Governor Abbott swerved to miss the oncoming train today. He has reinstated the statewide requirement for masks, with several very large exceptions. Too large, according to Mayor Adler. Weirdly, I never stopped wearing a mask outdoors even though I didn’t have to wear one and still don’t have to since I won’t go into a crowded public space so long as the pandemic rages. Hopefully I will get my ballots by mail as I requested. Hopefully there will be people present at the vote counting that will ensure that mail-in ballots are not simply thrown in the trash. There are some very thin shoe-strings of hope weaving the future of the country together. That is not a reassuring thought.

Two Steps Forward

When this is over this country is going to need more than bandaids. It’s going to need fucking surgery. Things need to change and not go back to normal. Ctrl-Z us back to how we were in 2016 is simply not going to cut it, and honestly it shouldn’t have taken a pandemic to prove our unemployment system is a mess, that we need universal healthcare and that workers need benefits, the right to organize and wages that reflect how essential they really are.

John Oliver – Apr 12, 2020
HBOCoronavirus IV: Last Week Tonight with John Oliver – Apr 12, 2020

Proning

At Lincoln Hospital in the Bronx, Dr. Nicholas Caputo followed 50 patients who arrived with low oxygen levels between 69 and 85 percent (95 is normal). After five minutes of proning, they had improved to a mean of 94 percent. Over the next 24 hours, nearly three-quarters were able to avoid intubation; 13 needed ventilators. Proning does not seem to work as well in older patients, a number of doctors said.

NYTimes – What Doctors on the Front Lines Wish They’d Known a Month Ago
Twitter – DrArnsten

The Last Great Pandemic

The whole city lay under an epidemic of discreet, infectious fear. I could feel it, like influenza, in my bones.

Christopher Isherwood – the Berlin Stories

What we are going through right now is easily comparable to other times in history. The 1918 flu pandemic for example, the commonly mis-labeled Spanish flu, has been rolled out in several podcasts. This episode of Throughline goes into the recorded history of the 1918 flu.

Throughline – 1918 Flu – March 26, 2020

The Second World War was compared to the 1918 flu, as is illustrated in the quote I used to start this article. I was made aware of this comparison by listening to John Barry in this episode of Why Is This Happening?

Why Is This Happening? with Chris Hayes – The Last Great Pandemic with John M. Barry

What isn’t remembered is the pervasive fear. I know it isn’t remembered because I lived in San Angelo for more than a decade, and yet I have never heard this story before.

…when San Angelo had a breakout of polio in 1949 – the hardest- hit town per capita that year in the U.S. – it was horrifying in scope for the city of 50,000. Sixty children in San Angelo came down with polio in one summer. Many died. Movie theaters and swimming pools and public gatherings were shut down. Travelers passing through would roll up their windows so as not to breathe the potentially contaminated air. They wouldn’t even fill up a low tire at the gas station for fear of taking the virus with them. Some residents refused to talk on the phone with anyone, believing that perhaps, somehow, polio could travel through the phone lines.

This kind of fear gripped Texas every summer for years. Parents would not let their children swim or go to summer camp or do anything in groups in an effort to keep them safe. Houses were kept spotless and were scrubbed top to bottom to kill all the germs. In fact, Wooten told me, “When mothers lost a child to polio they suffered added anguish because they felt they would be judged as bad mothers and poor housekeepers. They would explain to reporters that ‘they had always kept a very clean house and didn’t understand how this could have happened.’ ”

TexasStandard.org
TexasStandard.org

…even without the orders to shelter in place, people would still not be going out and participating in public events as if there wasn’t an active pandemic. The fear would keep most of us inside anyway. That is the sensible side of your brain talking, in conditions like we are facing right now. Listen to it when it makes sense for once.

Lean On Me

Rock & Roll Hall of FameBill Withers, Stevie Wonder, John Legend perform “Lean On Me” at the 2015 Induction Ceremony – Apr 3, 2020

I had to go looking to remind myself who it was that had written that great song that I loved. Who was it that the coronavirus killed the other day? That guy? That guy who sang a song about being there when someone needed you? Wasn’t that the song? I had to not only remind myself that his name was Bill Withers, but I had to then recognize the chorus line so that I would know the song title.

Lean on Me. Yes. That song. That guy. Bill Withers. Him too, then? One more grandfather we let die because we can’t be bothered to spend some of our precious treasure to make sure that there are procedures and tests and quarantine measures and hospital beds and whatever else that we need to invest in so that we can stop disease from spreading unchecked through our cityscapes. How many more will we lose? Will it be worse than AIDS this time? Will it hurt more this time than it hurt when Freddie Mercury died and I had to listen to friends spit on him and call him faggot?

I wonder. I really do wonder. Hat/tip to Billboard for being there when I needed someone to remind me of the things I had forgotten. I was reminded of this today because John Prine died today. I can’t name a single one of his songs that I know and love, but I know his name anyway. Ellis Marsalis I can remember too, and I can’t say that I’m a jazz fan. How about Adam Schlesinger? If you watch TV you probably know his work.

(Billboard’s list of musicians who have died to the Coronavirus)

Get ready. Get ready, because there is going to be a lot more of this kind of sadness going around before this tragedy is over.

Facebook – Jimmy Buffett