The coronavirus crisis will create peak demand on California's health care resources on April 26, but the state will be likely able to meet the need for hospital beds, according to a state-by-state forecast from researchers at the University of Washington's medical school.
The Golden State will see more than 4,300 deaths due to coronavirus, with fatalities continuing into August, the forecast found as of Monday. The numbers are expected to peak with about 100 deaths per day in late April.
The state-by-state projections were published last week by the Institute for Health Metrics and Evaluation at the university in Seattle. The modeling is being updated daily, and the figures available for California on Monday show improvement since the forecast's March 26 release.
The state has been preparing for a surge that will require two-thirds increase in hospital system capacity, Gov. Gavin Newsom said Monday, when a top state health official indicated the state's own "very dynamic" modeling indicated a peak in the second half of May.
...Across the country, demand for ventilators and beds in hospital intensive care units is expected to far exceed capacity when need peaks on April 15, and deaths from the virus will continue into July, the researchers found.
"An estimated need of 224,321 total beds (33,440 for ICU) and 26,753 ventilators at peak could be devastating for hospitals and health workers nationwide," an update published Monday stated.
The data is based on observed death rates and an expectation of continuing adherence to social distancing guidelines throughout the pandemic — and on states that have not already adopted such measures doing so within the next week.
...California's peak is 11 days behind the U.S. average, which should occur April 15, according to the institute's projections.
At the predicted April 26 peak, California will have enough ICU beds to meet peak demand for COVID-19 patients, with 1,564 intensive care beds needed out of 1,993 available, the forecast stated.
A worst-case projection, however, shows the state falling far short of a possible 3,417 ICU beds needed.
...“The truth of the matter is none of us really know,” Dr. Barbara Ferrer said. “We’re all making the best guess that we can using the different modeling techniques that are available.”
The fact that no one has ever experienced this virus before makes it very difficult to make accurate predictions, but we'll know more when we see this week if county rates continue to double or triple, she said.
She praised those in the nation's most populous county — with some 10 million residents — for practicing social distancing and isolation.
“If we’re really good at this … we might have a different trajectory here in L.A. County," Ferrer said. "I don’t know for sure, but that’s the hope I offer: Let's get really good at what we know we can do to dampen the curve."
Sacramento area community musical theater (esp. DMTC in Davis, 2000-2020); Liberal politics; Meteorology; "Breaking Bad," "Better Call Saul," and Albuquerque movie filming locations; New Mexico and California arcana, and general weirdness.
Friday, April 03, 2020
Some Hope For California
This came out on March 30th. Grounds for optimism. We might actually flatten that damned curve. Zombies better look elsewhere for brains.
Thursday, April 02, 2020
Sorry For The Light Posting
I've been focused on updating the spreadsheet version of the DMTC Master cast List. Fell down a rabbit hole there. Days of work, but now it's updated!
Monday, March 23, 2020
China's Bat Woman
Really interesting article:BEIJING—The mysterious patient samples arrived at Wuhan Institute of Virology at 7 P.M. on December 30, 2019. Moments later, Shi Zhengli’s cell phone rang. It was her boss, the institute’s director. The Wuhan Center for Disease Control and Prevention had detected a novel coronavirus in two hospital patients with atypical pneumonia, and it wanted Shi’s renowned laboratory to investigate. If the finding was confirmed, the new pathogen could pose a serious public health threat—because it belonged to the same family of bat-borne viruses as the one that caused severe acute respiratory syndrome (SARS), a disease that plagued 8,100 people and killed nearly 800 of them between 2002 and 2003. “Drop whatever you are doing and deal with it now,” she recalls the director saying.
Shi—a virologist who is often called China’s “bat woman” by her colleagues because of her virus-hunting expeditions in bat caves over the past 16 years—walked out of the conference she was attending in Shanghai and hopped on the next train back to Wuhan. “I wondered if [the municipal health authority] got it wrong,” she says. “I had never expected this kind of thing to happen in Wuhan, in central China.” Her studies had shown that the southern, subtropical areas of Guangdong, Guangxi and Yunnan have the greatest risk of coronaviruses jumping to humans from animals—particularly bats, a known reservoir for many viruses. If coronaviruses were the culprit, she remembers thinking, “could they have come from our lab?”
...In many bat dwellings Shi has sampled, including Shitou Cave, “constant mixing of different viruses creates a great opportunity for dangerous new pathogens to emerge,” says Ralph Baric, a virologist at the University of North Carolina at Chapel Hill. And in the vicinity of such viral melting pots, Shi says, “you don’t need to be a wildlife trader to be infected.”
...On the train back to Wuhan on December 30 last year, Shi and her colleagues discussed ways to immediately start testing the patient samples. In the following weeks—the most intense and the most stressful time of her life—China’s bat woman felt she was fighting a battle in her worst nightmare, even though it was one she had been preparing for over the past 16 years. Using a technique called polymerase chain reaction, which can detect a virus by amplifying its genetic material, the first round of tests showed that samples from five of seven patients contained genetic sequences known to be present in all coronaviruses.
...By January 7 the Wuhan team determined that the new virus had indeed caused the disease those patients suffered—a conclusion based on results from polymerase chain reaction analysis, full genome sequencing, antibody tests of blood samples and the virus’s ability to infect human lung cells in a petri dish. The genomic sequence of the virus—now officially called SARS-CoV-2 because it is related to the SARS pathogen—was 96 percent identical to that of a coronavirus the researchers had identified in horseshoe bats in Yunnan, they reported in a paper published last month in Nature. “It’s crystal clear that bats, once again, are the natural reservoir,” says Daszak, who was not involved in the study.
In 2004, an international team of scientists takes blood and swab samples from bats at night in order to discover potential bat-borne pathogens.
...Many scientists say the world should move beyond merely responding to deadly pathogens when they arise. “The best way forward is prevention,” Daszak says. Because 70 percent of animal-borne emerging infectious diseases come from wild creatures, “where we should start is to find all those viruses in wildlife globally and develop better diagnostic tests,” he adds. Doing so would essentially mean rolling out what researchers such as Daszak and Shi have been doing on a much bigger scale.
Such efforts should focus on high-risk viral groups in certain mammals prone to coronavirus infections, such as bats, rodents, badgers, civets, pangolins, and nonhuman primates, Daszak says. He adds that developing countries in the tropics, where wildlife diversity is greatest, should be the front line of this battle against viruses.
...Back in Wuhan, China’s bat woman has decided to retire from the front line of virus-hunting expeditions. “But the mission must go on,” says Shi, who will continue to lead research programs. “What we have uncovered is just the tip of an iceberg.” Daszak’s team has estimated that there are as many as 5,000 coronavirus strains waiting to be discovered in bats globally. Shi is planning a national project to systematically sample viruses in bat caves—with much greater scope and intensity than her team’s previous attempts.
“Bat-borne coronaviruses will cause more outbreaks,” she says with a tone of brooding certainty. “We must find them before they find us.”
The GOP Embraces Death
A breathtaking new leap by the Republicans, to literally sacrifice the nation's elderly to disease, in order to preserve a good economy, family values be damned.
As long as the GOP runs on this death platform in November!
As long as the GOP runs on this death platform in November!
Texas Lt. Gov. Dan Patrick said Monday night that he's "not living in fear" of the novel coronavirus pandemic and is "all in" on lifting social distancing guidelines recommended by public health experts in order to help the economy.
Patrick, who said he turns 70 next week, would be among the high-risk population that is most affected by the coronavirus. But he said people like him have to weigh the hazards to their personal health that the virus poses with the challenges to health of the American economy brought on by social distancing guidelines.
"No one reached out to me and said, 'As a senior citizen, are you willing to take a chance on your survival in exchange for keeping the America that all America loves for your children and grandchildren?' And if that is the exchange, I'm all in," Patrick told Fox News.
He added, "My messages is that let's get back to work, let's get back to living. Let's be smart about it and those of us who are 70+, we'll take care of ourselves. But don't sacrifice the country."
Sunday, March 22, 2020
Karma
Harvey Weinstein has been exposed to coronavirus:
According to the Niagara-Gazette, the ailing and aging Weinstein is being housed in the notorious Rikers Island jail, where there are reports of two cases of the virus. It’s unclear if Weinstein was the first case or if he contracted it from that case.Rand Paul too:
Paul’s Twitter account announced “Senator Rand Paul has tested positive for COVID-19. He is feeling fine and is in quarantine. He is asymptomatic and was tested out of an abundance of caution due to his extensive travel and events. He was not aware of any direct contact with any infected person,” making him the first senator to be afflicted.
Better Air Quality
It looks like typical levels have fallen about half, from 14 to 7 ug/m3.
Saturday, March 21, 2020
Had Just Laid Down on the Couch. Sat Up.
Felt this quake yesterday evening. Entertainment center made a noise.
M 4.5 - 6km N of Johnson Lane, Nevada
2020-03-21 01:33:35 (UTC)
39.111°N 119.736°W 8.4 km depth
M 4.5 - 6km N of Johnson Lane, Nevada
2020-03-21 01:33:35 (UTC)
39.111°N 119.736°W 8.4 km depth
Friday, March 20, 2020
Went to the DMV Today
Hardly anybody in the parking lot! Still, I was greeted by people who said do everything online. Basically, the message was the same as that voiced here near the start:
World of Hurt for the Non-Profits
Survival mode:
Nonprofit leaders and boards: Be tough-minded. Nonprofits must go into cash-conservation mode. It is hard to stiff vendors, lay people off, furlough or reduce pay or take advantage of eviction-stays to simply not pay the rent. But a tough restructuring allowing for survival and the continuation of the mission (which is a nonprofit's sole reason for being) is far better than hitting the wall and closing up shop altogether.
Sleeping Under The Kitchen Table
V.K. is an actress friend from Utah who did several shows at DMTC a few years ago, notably 2015's "Sweeney Todd," which I stage-managed.
V.K. got rattled by the earthquakes near Salt Lake City, and responded to my Facebook post about it:
V.K. got rattled by the earthquakes near Salt Lake City, and responded to my Facebook post about it:
V.K.: I've been in it. The first earthquake woke me up and the aftershocks have been almost non stop.
M.V.: Hi! Hope you are well. You're down around Midvale, right? Theater was cancelled at lightning speed around here due to coronavirus. Same with you?
V.K.: I'm in West Jordan. Theater has been cancelled too and Evermore where I worked shut down temporarily.
M.V.: So sad! Could do a plague primer there, but reality is a little too close.
V.K.: Yeah, I'm just hoping all this crazy stuff calms down soon. I'm honestly okay being quarantined for a bit because its been giving me more time to spend with my family and to write, but the earthquakes are not that cool haha.
M.V.: Nature isn't cooperating. Could self-isolate outside in the cold.
V.K.: Utah has been over do for a huge earthquake for awhile. This was was big and did some damage but wasn't too big. I'm hoping the aftershocks are keeping a bigger earthquake at bay for the future. It's very unlikely that one greater than the 5.6 hits very soon, but my family is all sleeping upstairs and we've got our jackets and shoes right by the door. I'm currently held up in a fort underneath my kitchen table and sleeping with my dog. Aftershocks have been somewhat tame for the most part, we had a couple 4.0's and one 4.6 I believe and they've been pretty constant up until a couple hours ago. I believe we've had more than a hundred by now.
V.K.: There was a big power outage for some people. Airport started flooding and we had a chemical spill in one of the mines as well. Today has been a very interesting day.
M.V.: I wonder why the airport started flooding? I'm glad you are keeping your dog company, and have a shield over you both. Still, uncomfortable. I have a friend in New Zealand who had a major quake nearly under his house. He said the ground trembled nearly constantly for a couple of months. Hope things calm down for you.
V.K.: I'm hoping they do too. The first earthquake was the scariest. I have major anxiety so when I woke up my brain wasn't processing what was happening. I just remember the whole room shaking and things beginning to fall off the walls and bookshelves. It felt like our house was just a toy being shaken by a little kid. I always slept through the earthquakes in California. This one was loud though. Mother earth sounded very angry.
M.V.: That experience of waking up in confusion. I once had that. I woke up to a big boom. I jumped up and ran outside. I saw a glow on the horizon and thought it was a huge fire in the distance. Then, suddenly, I was wet. I slowly realized the glow was from distant city lights and the boom was from thunder. There was a little thundercloud right above the house.
V.K.: Yeah my first thought was that someone dropped a bomb. It was a lot like that dream I feel a lot of people have, where you're falling and as soon as you hit the ground you wake up. It felt like that, except I was awake. I'm having a hard time falling asleep because I don't want to wake up to that again. Luckily I'm under the table so I don't have as much of a fear that the ceiling is going to crush me.
M.V.: Right! Take care, and keep your dog from getting overly-anxious too.
V.K.: I've got three haha. They've actually been really good through out all of this and they listen to me when I tell them to get under the table. They can sense it a little before each one happens. I can see their ears perking up and I know its time to get under the table again
M.V.: Wow! Good to have those dogs with you!
V.K.: Yes! I was worried that they would try to run when the aftershocks hit, but they're starting to get into the routine of going under the table now. Nala, my rottie has been extremely sweet too. She's usually very puppy like, but today she's been sleeping at my feet or sitting calmly by my side. I'm not sure if she's scared or if she's trying to be protective, but its good to know she's got my back.
M.V.: Are you in school these days, or has it been cancelled?
V.K.: I've just been working, but most schools have been cancelled because of the virus
M.V.: Is Evermore fun?
V.K.: Yes, very. They have a wonderful group of actors and a great community.
M.V.: Well, time to walk my dog (I'm a night owl, and prowl the streets at night). The very best to you!
V.K.: You as well! Stay safe!
More Coronavirus
Remember, this guy flunked out of Yuba Community College:
Rep. Don Young (R-AK) poked fun at the fatal COVID-19 outbreak and dismissed the notion of taking cautionary measures to prevent further spread of the coronavirus.
Young made the comments during a meeting on Friday with senior citizens and members of the state’s Chamber of Commerce in Palmer, Alaska, according to the Mat-Su Valley Frontiersman. The comments were first reported this week.
“This ‘beer virus’ I call it – they call it a coronavirus, I call it a beer virus, how do you like that? – it attacks our senior citizens,” he said. “Now I’m one of you. I still say we have to as a nation, as a state to go forth with our everyday activities.”
I love Randy Rainbow!
Missed this, but love it!
Neighborhood Watch
On last night's walk, Jasper and I rounded the corner where Jasper's girlfriend, a mini-dachshund named Ladybug, lives in an upstairs apartment with her two owners, J. & M. At the corner across the street, a man was straining to reach high up a telephone pole - and also humping the telephone pole. Jasper and I walked past, and crossed the street. The strange man stopped humping the telephone pole and started striding towards us.
Then I heard a female voice, unseen, coming from somewhere. I've seen a crazy woman lingering around the corner lately, and figured it might be her. The man stopped, began saying something, and started walking away, towards the railroad. I still couldn't pin down the female voice.
Just then I noticed the voice was coming from Ladybug's owners' apartment. Apparently J. had witnessed the strange man start to approach me. "He was trying to get close to you. No way was I going to let that happen," she said.
It's nice to have neighbors that keep an eye out for you.
Then I heard a female voice, unseen, coming from somewhere. I've seen a crazy woman lingering around the corner lately, and figured it might be her. The man stopped, began saying something, and started walking away, towards the railroad. I still couldn't pin down the female voice.
Just then I noticed the voice was coming from Ladybug's owners' apartment. Apparently J. had witnessed the strange man start to approach me. "He was trying to get close to you. No way was I going to let that happen," she said.
It's nice to have neighbors that keep an eye out for you.
Thursday, March 19, 2020
How Big Does This Pile Have To Be?
"Walter Wipe" #BreakingBad #BetterCallSaul#CoronaVirus 🧻🧻🧻💨 pic.twitter.com/mZQzDyWzX0
— Daniel Moncada (@DanielMoncada80) March 19, 2020
Wednesday, March 18, 2020
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