COVID-19 DIARY – CAREFUL ICARUS

Princess Alexandra Hospital | Our Digital Health Service

March 12

There tend to be moments during this pandemic when hope overtakes us.

Particularly here in Australia because case numbers have been very low.

There are these moments where the disease just does appear to be out there in the community.

At these moments governments make restrictions that seem to inspire a feeling of monumental change and hope.

In June 2020 case numbes were low as we came out of the first wave and restrictions were lowering across the board.

Sure on some level people know there have to be subsequent waves but when the threat is not present…

Calls to nominate departing CMO Brendan Murphy for Australian of ...

Then there was an outbreak in Victoria following a case coming out of hotel quarantine and the number of dead from aged care residents skyrocketed.

Almost 600 COVID-19 cases at Victoria aged care homes - HealthTimes

In early December all the state borders were open.

This had not happened in seven months and Christmas was days away and case numbers were low.

RACGP - Vaccine policy identifies priority groups – but order proves  'contentious'

Were we going to have Christmas like normal in Australia?

Sadly no.

The Avalon cluster took off in Sydney causing border restrictions to return in time for Christmas.

Image result for sydney christmas covid 19

With the vaccine rolling out in UK and US and others to come people looked to 2021 to be radically different from 2020.

Covid-19: First vaccine patient has her second jab - BBC News

But within the first week of the new year there was the attack on the U.S. Capitol, my home town went into lockdown and the death toll in the UK, US and places like Brazil and others was truly horrifying.

Viewpoint: What the Capitol riot means for US foreign policy - BBC News

Grim start to 2021 for Brazil with 200,000 Covid deaths

So standing in a full crowd without masks to go see Triple X as if everything was back to normal sent alarm bells ringing.

We’re never out of this.

Not until everybody has been vacinnated and then how are we are going to get booster jabs to the necessary people in time.

There are many challenges ahead of us but also hope to be taken from the possible – POSSIBLE! – slowing down of the virus’s evolution and what appears to be less hospitalisations and deaths than can be obtained from even our first batch vaccines against new strains even if if eradicating the disease remains a long shot.

Until then.

This thing comes in cycles and when people are ready to let their hair that kind of is when the cycle comes back around.

So it should come as no surprise that comes Friday the 12th of March this was a small scare to come out of the Princess Alexandra hospital.

A doctor working at the PA caught COVID wednesday and was out and about Thursday before testing positive Friday morning. 

This ended Queensland’s run of 59 days of no community transmission.

The PA went into a form of lockdown, only essential visitors were allowed, all staff, patients and those coming to the hospital must wear masks.

While the Emergency Department remained open, the public were encouraged to seek help elsewhere.

Non urgent outpatient booking and elective surgery was to be postponed.

I think this may serve as a timely reminder that the virus hasn’t gone away despite our excellent control in this state and this country, and that’s why we need to really get on with that vaccination program to further reduce the risks of events like this happening,” Director of Infectious Diseases at the Mater Hospital, Paul Griffin, said.

There were 40 active cases in Queensland.

Biden announces national vaccine finder website, May 1 eligibility for all  adults | Healthcare IT News

In the United States of America it was one year on from when the World Health Organisation announced a global pandemic, the NBA suspended its season and the US stockmarket plunged.

“We’ve lost family and friends, we’ve lost businesses and dreams. We’ve lost time.” President Joe Biden solemly noted.

All adult Americans would be elligible to get a vaccine no later than May 1 he promised.

The American President set a goal to have the country be in a different place by the 4th of July.

“Where we not only mark our independence as a nation but we begin to mark our independence from this virus,” he said.

I hope it comes to be so but the new variants will need to dealt with too.

Reassuringly here was a President who would not set dates for a re-opening with no scientific basis but would make goals based on real ground made.

March 13

It was reported that the PA doctor had seen two COVID patients on Wednesday with the UK strain of COVID.

That the doctor had not yet received a vaccine jab as part of the 1A rollout.

The doctor had limited interaction with the community on Thursday but five sites were named.

The Morning After Cafe at West End, Corporate Box gym at Greenslopes, Stones Corner Hotel at Stones Corner and the two low risk venues of McDonalds at Coorparoo and the after 7pm on the Thursay at the Corporate Box gym after the Doctor had left that site.

Throughout the Greater Brisbane area all aged care and disability homes and hospitals were closed to visitors

All inside those places had to wear masks – there was no mask mandate for the greater community.

In January one case of COVID-19 in the community had sparked a three day lockdown.

That case had been out in the community for more than one day and had caught public transport.

This was maybe why there was a different reaction for the moment from the state government.

Maybe there were larger considerations.

THe political capital that is expended from lockdowns, there were parts of the community that believe such actions are showboating and devastate small business. Since January, Jobkeeper was due to end March 28th and Jobseeker payments would be significantly reduced.

I do not know but as time wore on the PA case would remain relevant.

In the United States of America the COVID Relief Bill was signed into law and 100 million vaccine doses had been delivered after 52 days in office.

The Director of National Institute of Allergy and Infectious Diseases, Dr Anthony Fauci was interviewed on The Late Show with Stephen Colbert who spoke of the increasing vaccine rollout and more collaboration between state governments and the federal one.

As Colbert noted there was a sense of hope in the air and Dr Anthony Fauci told him that hope was not misplaced – the main point was when.

Dr Fauci noted cases were plateuing in their decrease and he warned that the plateau was at too high a point. Public health measures he said were still required.

He also spoke about the likelihood of eradicating the virus but he hoped to strike a balance between controlling it and eliminating it.

It was an interesting interview to have with Dr Fauci a year on from the outbreak in the U.S.

He spoke of how the virus spreads in maybe half of cases from people asymptomatic or presyptomatic and that he wished had they known that a year earlier as they would have moved more agressively in shutting things down.

-Lloyd Marken

COVID-19 DIARY – ROLL OUT ROLL UP PART V

Utter disaster': Manaus fills mass graves as Covid-19 hits the Amazon |  Brazil | The Guardian

March 02

As the vaccine rolled out across America, the Director fo the National Institute of Allergy and Infectious Diseases, Dr Anthony Fauci advised the U.S. would not delay second doses of the vaccine like the UK had.

Accepting that there were risks on both sides of the arguement, Fauci advised leaving people with less protection could help encourage new variants to pop up.

He told of speaking with UK officials and that, “We both agreed that both of our approaches were quite reasonable.

He did cite another consideration was building confidence in the American people with regards to getting vaccinated and not changing policy too much to undermine that confidence.

It is worth noting that during the early days of the pandemic taking off in America, mask usage had been downplayed since there was a serious concern that supplies would run out for frontline workers.

At this point both regulators in the UK and the US had given the green light to use of Pfizer-BioNTech and Moderna vaccines. The U.S. had just approved the Johnson and Johnson vaccine. The UK was also using the locally produced Oxford AstraZeneca vaccine.

Just this week Public Health England reported, “that a single shot of the Pfizer-BioNTech and Oxford-AstraZeneca vaccines had been more than 80% effective at preventing hospitalization of people over age 80 roughly three to four weeks after one dose, though it’s unclear just how long that level of protection will last.

Covid in Scotland: Mass vaccination of health and care staff begins - BBC  News

In Great Britain, during an interview with BBC Radio 4, Oxford University Professor Andrew Pollard who was in charge of running trials of the university’s vaccines advised that booster jabs will take of noticeably new dangerous variants of COVID. He expected a necessary one would be ready from AstraZeneca by August.

These variants from Kent, Brazil, South Africa had been able to reinfect people that had had COVID.

Director of the variant tracking COG UK Institute, Professor Sharon Peacock, had also hopefully said the virus was showing signs of “convergent evolution.” Less mutations were developing and unconnected variants appeared the same.

A comforting thought but for now the Brazillian strain for example was getting a lot of attention. Conservative estimates suggested it was 50 per cent more transmissible and may reinfect anywhere from 25 to 61 pere cent who are already immune. A study today revealed the Brazilian variant discovered in the UK over the weekend is around 50 per cent more transmissible than the original version of the coronavirus.

A published study by the Imperial College London had researched the P1 variant in the Brazillian city of Manaus. Blood testing had suggested 67 per cent of the city’s population had had COVID by October 2020.

A subsequent wave hit the city hard in early 2021, the study found that the number of COVID cases in Manaus with the P1 variant grew from zero to 87 per cent in eight weeks.

A city in Brazil where covid-19 ran amok may be a 'sentinel' for the rest  of the world | MIT Technology Review

The report found that P! was anywhere between 1.4 to 2.2 times more transmissible and evaded 25 to 61 per cent immunity given from previous infection.

P1 had arrived in the United Kingdom over the weekend.

“If 100 people were infected in Manaus last year, somewhere between 25 and 61 of them are susceptible to reinfection with P1,” Dr Nuno Faria of the Imperial College London told.

The P1 variant has also caused more deaths in Manaus but this was not necessarily due to the severity of the illness but the rate of hospitalisations leading to a lack of supplies and care that could be adminsitered by a health care system that had reached breaking point.

The main mutations that had people’s attention was the N501Y, E484K and K417. The mutations are on the virus’s external spike protein which is used to latch onto the body allowing the virus to spread faster and leading to them becoming the dominant form of the disease. N501Y is found in the Kent strain known globally as the UK strain. E484K and K417 are found in the Brazil and South Africa strains. These latter two mutations make the virus less susceptible to immune cells making previous infections or vaccines less effective against them. However the expectation was the vaccines were likely to still prevent serious illness or death from these new strains.

Brazil Doesn't Seem to Have a Coronavirus Plan, and Results Are Grim

It is difficult because we’re very focused on what we’re seeing today and of course the nature of this virus is that it will continue to throw out new mutations in time. And so, to some extent, we’ve got to start moving away from an obsession with each variant as it appears [and] try to rely on the excellent sequencing that is being run nationally to pick up variants so that new designs of vaccines can be made as and when they are needed,” said Professor Pollard.

Certainly at the moment there are some similarities between the P.1 Brazil variant and the B.1351 South African variant. So the work at the moment is partly to understand whether a vaccine for one of them might actually protect against both. There’s a lot more that we don’t know yet about this, but all the developers are working on new vaccines to make sure we are ready if we need to be.

Professor Peacock was pretty confident that with the new P1 variant being found in Britain that the UK’s own horrible strain would remain the variant to combat with no disturbance to coming out of lockdown or the roll out of the vaccine.

The majority of disease in the UK is caused by the B117 [Kent] variant which we can vaccinate against using the vaccines that we have available to us at the moment. The numbers of cases [of P1] in the UK are very low at the moment and I don’t think there is any threat to our vaccination strategy or effectiveness,” said Professor Peacock.

More importantly AstraZeneca, Pfizer and Moderna were all working on new jabs for variants.

It could be there’s a point at which the virus has optimal fitness in terms of transmission and immunity… what we don’t know is what happens after that. I don’t anticipate that things are going to get worse from this point. We seem to have reached a relative plateau in terms of what the virus is doing in terms of evolution. But we need to keep our eye on it. Unfortunately, I don’t have a crystal ball so I can’t predict what’s going to happen next,” she said.

The Brazillian variant has been found in 15 countries that are not on the UK’s Red List of banned international travel.

Covid-19: First travellers arrive in UK for hotel quarantine stay - BBC News

The first arrival of UK residents that needed to quarantine in hotels for ten days after returning from 33 countries where variants of concern were currently had arrived on the 15th of February, 2021. That was  almost a year after a similar policy had been made by Australia on the 27th fo March, 2020 for all international travel from all countries.

Restricting international travel from red-listed countries may slow down the introduction of new variants from elsewhere, but eventually, such variants will likely spread to non-red-listed countries from red-listed countries – then to the UK from there – if different countries have different red lists,” Dr Julian Tang, a virologist from University of Leicester, said.

It was also reported by the BBC that capturing variants before the spread further through the community is a hope.

Professor Jeffrey Barrett, a researcher at the Sanger Institute and in charge of Britain’s Covid-19 genome sequencing programme told, “We’re still sequencing on the minority, maybe 20 per cent of the infections that happen.

“But when we do see examples of – in this case – P.1 that information can then be used to detect specific kinds of interventions such as the ones we’re seeing now to try to keep the onward transmissions as low as possible. The hope being that as the case numbers continue to go down and our capacity for sequencing continues to go up we can be capturing a larger and larger fraction of all of these infections,” he said.

Covid: New Oxford vaccine 'ready by the autumn' to tackle mutations - BBC  News

Professor Adam Finn, a member of the Joint Committee on Vaccination and Immunisation (JCVI) and expert at the University of Bristol, said on BBC Breakfast today: ‘At the moment, the evidence we have suggests that certainly the South African variant, and potentially this Brazilian variant – which is somewhat similar – the vaccines that we have at the moment are less effective at reducing at least mild disease and possibly transmission. We’re optimistic that the vaccines will continue to prevent severe disease but the evidence for that is still fairly limited. But for the moment the vaccines that we’re using are very effective against the strains that are predominantly circulating in the UK and it’s important that people understand that that’s still the case because we do need people to get immunised as fast as possible to get things under control.” said Professor Adam Finn who was a member of the Joint Committee on Vaccination and Immunisation (JCVI).

Imperial College London immunoligist Professor Danny Altmann told Times Radio, “When I look at the data on how well this variant gets neutralised, it’s not that all immunity is gone, it’s that the vaccines look so much less potent, so there’ll be more people who have low antibody responses where it can break through and get affected. It all comes back much harder.

Los Angeles' Dodger Stadium COVID Vaccine Super Site in 13 Photographs |

March 03

In America as the vaccine rollout continued there were troubling patterns emerging.

Take for example in Los Angeles where in Vernon one in 27 people had been vaccinated. Over the past year one in five residents had contracted COVID. Yet in Bel Air one in four had been vaccinated and one in 27 had contracted the virus in the past year. The income of Bel Air residents on average was five times the amount of money made by Verson residents.

Across LA County, we’re seeing that the vaccines are going to more affluent areas, and it is not necessarily those who are hit hardest by the pandemic,” nurse Anita Zamora, deputy director of community health service Venice Family Clinic, said.

The disparties reflected race and wealth in those areas but there were other factors at play.

Maybe it’s not a volume question as much as it is a value question to get to those communities,” Zamora said.

Homelessness can be a factor, the elderley or anyone needing a car to be driven to a mass vaccination site and people with limited internet access and time to book an appointment including shift workers at grocery stores.

Then there is also the factor of those hesitant in communities to get vaccinated. Some recent polls suggested a third of Americans intended to not get vaccinated.

For Nurse Zamora though the need was to get more vaccines. Her clinic get a couple of hundred Moderna vials each week but she believed a larger allocation to centres like the Venice Family Clinic which has deep connections to the local community would lead to more vaccinations.

More people dying and in a disproportionate way,” she said.

Just another hero trying to make a difference in the City of Angels.

-Lloyd Marken

A mobile clinic brings vaccine to Vernon workers - Los Angeles Times

COVID-19 DIARY – BACK IN THE GAME – PART II

Coronavirus live updates: US marks deadliest day since pandemic began - ABC  News

December 10

Dr Anthony Fauci was quoted saying in the lead up to Christmas, “For the first time in more than 30 years, I’m not spending the Christmas holidays with my daughters.”

The 79 year-old Director of the Institute of Allergy and Infectious Diseases would most likely talk to them via Zoom along with his wife of 35 years.

The advice he had for his fellow Americans was to do the same.

Ten people inside during the holidays he felt was likely too many and a surge in numbers from Thanksgiving gatherings would only start to reach their heights as we entered the longer holiday period of Christmas and New Years.

Speaking to New York Governor Andrew Cuomo he advised, “We could start to see things start to get really bad in the middle of January, not only for New York state but for any state or city. [That] could be a really dark time for us.

Hospital admissions had soared over 70 per cent in the previous two weeks with ICU availability at less than ten per cent in the state. In Southern California it was 4.2%.

In areas where ICU wards were at less than 15% California Governor Gavin Newsom had issued stay at home orders.

America had set a new record for COVID-19 hospitalisations in December with more than 109,000 patients with 21,200 of them in Intensive Care.

The New York Times calculated that hospitals that serve more than 100 million Americans were at 15 per cent ICU capacity – no more.

On the 10th of December, the World Health Organisation reported in the United States of American there had been 14,972,356 with a daily increase of 216,360. There had been 283,994 deaths with a daily increase of 2,552.

December 11

Close to three million kits of the Pfizer vaccine were getting ready to roll out of the Pfizer vaccine.

The CDC Director Robert Redfield advised on the same day that daily deaths in America in the coming weeks were set to exceed total fatalities from the attack on Pearl Harbour or September 11, 2001.

December 12

The American Food and Drug Administration gave approval for the Pfizer vaccine to be used in the United States late Friday there.

California Governor Gavin Newsom advised more than 300,000 doses were coming to his state.

Experts warned the vaccine would not affect the rising American death toll from COVID-19 for the next couple of months at least.

US Launches Coronavirus Vaccine Distribution, First Inoculations Possibly  Monday | Voice of America - English

December 13

Sunday.

More than 184,000 vials left a Pfizer manufacturing facility in Kalamazoo, Michigan on trucks bound for air freight across the country. United Parcel Service and FedEx planes would take off from Lansing and Grand Rapids to hubs in Louisville and Memphis from where the vaccines were loaded onto planes and trucks to go to the first 145 of 636 vaccine staging areas across America.

Planes, trucks and ultracold boxes: Pfizer preps massive COVID-19 vaccine  distribution effort | FiercePharma

It was hoped 2.9 million doses would be given by the end of the year with health care workers and the elderley the first in line to receive a jab.

Stephen Hahn, the Commissioner of the F.D.A. said it was possible 20 million Americans could receive both jabs by the end of the month.

Moncef Slaoui, the chief adviser to the government’s vaccine development, told “Fox News Sunday” that 100 million Americans might be vaccinated by the end of March. 

Slaoui advised that the U.S. needed to acquire herd immunity from the virus to halt transmission and that would mean 75-80% of the population had to be immunised. Some polling showed only half of Americans were keen to get the vaccine, others put the number at a quarter. Let’s hope the latter were more accurate.

It was hoped three quarters of the country would have been vaccinated by the May or June.

United States Pfizer vaccine shipments begin after emergency authorisation  - ABC News

Even as relief was in sight, the reality of the situation was still pronounced as numbers skyrockteted.

New Jersey Governor Phil Murphy whose state had suffered so much in March and April advised, “The next six to eight weeks are going to be hell.

Shipments were being dispersed to 145 distribution sites on Monday, 425 on Tuesday and the remaining 66 on Wednesday. Each state is receiving an amount of doses based on their adult population.

The vaccine is transported using containers with dry ice and GPS sensors to ensure shipment stays 94 degrees below zero.

Meet Sandra Lindsay, the first US person to get COVID-19 vaccine - Business  Insider

December 15

Twenty seven year old Intensive Care nurse Sarah Lindsay became the first American to receive a COVID-19 Pfizer BioNTech jab.

She received it at the Long Island Jewish Medical Centre in Queens, New York City.

Part of the Northwell Health System which has treated 100,000 COVID patients since the pandemic began.

New York State Governor Andrew Cuomo watched via live stream and told the veteran nurse after, “Sandra, you didn’t even flinch.”

It didn’t feel any different than taking any other vaccine,” she replied.

I feel hopeful today, relieved. I feel like healing is coming. I hope this marks the beginning of the end of a very painful time in our history. I want to instil public confidence that the vaccine is safe,” she said.

On the reluctance of some to get vaccinated Governor Cuomo said, “We just have to do it. The vaccine doesn’t work if it’s in the vial.

Lindsay is a nurse. An intensive care nurse. She’s a New York ICU nurse.

She has been a hero for a long time.

Now she’s a symbol.

COVID-19 Memory Project- Sandra Lindsay Interview - YouTube

A symbol of hope, a symbol of the nurses who have borne the brunt of this terrible disease and risked everything, not just their lives but the lives of their loved ones who battling this disease.

They’ve seen death on a scale most war veterans have not.

They’ve gotten sick.

Some have died.

Some are fighting right now to be paid out after their health has deteriorated and they can no longer work.

Minorities per capita have gotten the brunt of this disease and it is minorities who per capita not without reason are wary of government administered vaccines.

Nurse Sandra Lindsay represents that too.

She also represents the best of us.

Thank you Nurse Lindsay and God bless.

Meet Sandra Lindsay, the first US person to get COVID-19 vaccine - Business  Insider

There were other stories across the country as reported by The Washington Post.

I just lost my 27th patient today,” said Louisville physician Valerie Briones-Pryor. “So the vaccine I took today was for her family and for the other 26 I lost.”

African American emergency medicine physician Sylvia Owusu-Ansah in Pittsburgh took her jab.

“There is a skepticism there that is not unwarranted,” she said, referencing the seed of distrust among Black Americans about experimental medicine — planted with the Tuskegee syphilis experiment, in which Black men in the study were left untreated. “Basically, if I can do it, they can do it.”

African American nurse, who works in a COVID ward, Mia Yepez got her jab in Jefferson saying, “We want to be able to stop the many admissions.

The Chief Medical Officer Robert Hart at her place of work, Ochsner Medical Center, described Yepez as, “She is in the middle of it day in and day out.

President Walter M. Kimbrough of Dillard University and President C. Reynold Verret of Xavier University, both historically black colleges of the state, both said publically they were happy to get vaccinated.

Hope': Burned out health workers buoyed by vaccine

Anesthesiologist Raymond Pla was the only black staff member of the George Washington University Hospital to be vaccinated Monday.

His message, “If you want the funerals from the covid-19 infection to slow down and stop, you got to get the vaccine.

Deni Kamper on Twitter: "The @UPS truck carrying the COVID-19 vaccine  arrived at UofL Hospital. @WLKY… "

UPS driver Byron Bishop pulled his truck up to the University of Louisville Hospital greeted by applause and an elbow bump from the Governor of the state Andy Beshear.

It’s humbling being a part of this vaccine process, because it’s going to save a lot of lives,” said the driver.

Referring back to the date that Kentucky recorded their first COVID-19 cases, the Governor told this was the best, “The best I’ve felt since March 6. Today is the day we start winning the war against covid.”

He told a story about a close friend who had lost his mother to the virus and had to quarantine for two weeks unable to grieve with the rest of his family. Just one more devastating story from the pandemic.

The vaccine will liberate our workforce, the people who are really working, taking care of patients, from worrying about whether they face a death sentence from accidentally getting infected,” said David Lubarsky, chief executive of the University of California at Davis health system.

The United States of America would breach 300,000 dead on the 17th of December reporting 301,536 deaths with a daily increase of 2,942.

Days before the U.S. reached 300,000 dead Dr Fauci had said, “The numbers are staggering — the most impactful respiratory pandemic that we have experienced in over 102 years, since the iconic 1918 Spanish flu.

It took four months for America to reach 100,000 dead and it was now believed a further 100,000 could die in the following six weeks.

Leon Kelly, the coroner of El Paso County in Colorado and the Deputy Medical Director of its health department had seen a lot of death in the past few months.

It can certainly feel like you’re standing on the beach and sandbagging a tsunami,” said Kelly.

To me it represents an extraordinary failure in our response. To think, now we can just absorb in our country 3,000 deaths a day as though it were just business as usual. It just represents a moral failing,said John Hopkins health researcher Jennifer Nuzzo.

Multimedia: The State of Biopreparedness: Lessons for Leaders, Proposals  for Progress

Jennifer Nuzzo was not wrong, none of this was good enough or justified. President Trump has blood on his hands and always will. That in my opinion is and always will remain his biggest crime. That and any of his allies, enablers and supporters.

On the 15th of December the World Health Organisation reported there had been 72,467,704 confirmed cases globally with a daily increase of 507,504.

There had been 1,620,942 deaths globally with a daily increase of 8,797.

In Australia there had been 28,039 confirmed cases with a daily increase of eight. There had been 908 deaths.

In Canada there had been 460,743 confirmed cases with a daily increase of 5,891. There had been 13,431 deaths with a daily increase of 81.

In the United Kingdom there had been 1,869,670 confirmed cases with a daily increase of 20,263. There had been 64,402 deaths with a daily increase of 232.

In India there had been 9,906,165 confirmed cases with a daily increase of 22,065. There had been 143,709 deaths with a daily increase of 354.

In the United States of America there had been 16,041,095 with a daily increase of 180,420. There had been 296,840 deaths with a daily increase of 1,434.

But this was not just a day of doom and gloom. All the days of December showed death. Showed heartbreaking loss.

December 15 was a day of hope too. A vaccine being distributed against in just nine short months after COVID-19 rapidly spread across the world and changed our lives forever.

A miracle performed by scientists.

Delivered to our greatest heroes and our most vulnerable.

First doctor in US receives coronavirus vaccine: 'I went in today feeling  very hopeful' | Coronavirus | The Guardian

Back in Queens at the Long Island Jewish Medical Centre, the second person to receive a shot was Yves Duroseau, the emergency medicine chair at Manhattan’s Lennox Hill Hospital.

Like nurse Lindsay before him, he got the needle from Michelle Chester, the Director of Employee Health Services for Northwell Health.

“Ready?” Chester asked him.

“Please,” he replied.

“Let’s do this.” she said.

Duroseau had lost an uncle to COVID and had another family member in hospital fighting the disease.

-Lloyd Marken

COVID-19 DIARY – STEP 2 IN RE-OPENING

Dr. Anthony Fauci says Americans who don't wear masks may ...

1 June

In America on Monday the 1st of June when Dr Fauci was asked by a reporter if he was still meeting regularly with Trump.

No … As you probably noticed, the taskforce meetings have not occurred as often lately. And certainly my meetings with the president have been dramatically decreased.” he answered.

He admitted the last time he was with Trump was during a teleconference with Governors on May 18.

Previously there had been calls for Trump to fire Dr Fauci and he even retweeted such a call seemingly as a threat. He also previously talked the need for the Taskforce to continue as thousands of Americans were dying due to the virus.

As Trump pushed to re-open the country Dr Fauci advised on 13MAY2020 in testimony before the U.S. Senate, “There is a real risk that you will trigger an outbreak that you might not be able to control. Not only leading to some suffering and death, but it could even set you back on the road to get economic recovery.

My concern it that we will start to see little spikes that will turn into outbreaks,” said the 79 year old who has led the National Institute of Allergy and Infectious Diseases since 1984.

News that Trump may not be listening to Dr Fauci certainly did not sound like good news for many people but then again Trump has been keen to dial back press conferences when such helpful musings from the 23rd of April were taken out of context by the fake news outlets.

 

In Australia as my symptoms subsided I worked from home Monday through to Wednesday and was due to return to the office on Thursday and Friday which I was very excited about.

More exciting was the Queensland’s government decision to move to Step 2 of the National Three Step Program ahead of schedule from June 12 to 12pm June 1.

You could now have a gathering of 20 people or more in your home or a public space.

The number of guests at a wedding could be 20 and the number of people attending a funeral could now be 50.

Pubs, cafes and restaurants could also seat up to 20 patrons.

Sports clubs, gyms and yoga studios could also open up to 20 people.

As could museums, cinemas, art galleries, amusement parks, theatres, zoos, tanning salons and tattoo parlous.

You could go on holidays anywhere in the state except for restricted area due to biosecurity or remote indigenous communities at risk. With accommodation able to be booked for all travel.

This was a huge life line for struggling businesses and their workers. It was a hopeful return to more of life as we had once enjoyed it.

It now remained to be seen if this would lead to further outbreaks and whether we could maintain social distancing discipline.

On the horizon were events that would suggest otherwise.

On the 1st of June the Queensland Government reported 5 active cases of COVID-19 in the state.

In Australia the World Health Organisation reported there had been 7,195 confirmed cases with a daily increase of 10. 103 Australians had died.

Globally the number of cases broke past 6 million. There had been 6,080,963 confirmed cases with a daily increase of 124,080. The number of dead were 370,160 with a daily increase 3,751.

Canada: military reveals “horrific” conditions in aged care homes ...

In Canada there had been 90,516 confirmed cases with a daily increase of 775. The here been 7,092 deaths with a daily increase of 96.

In India there had been 190,535 confirmed cases with a daily increase of 8,392. The number of dead were 5,394 with a daily increase of 230.

In Italy there had been 233,019 confirmed cases with a daily increase of 355. The number of dead were 33,415 with a daily increase of 75.

In Spain there had been 239,429 with a daily increase of 201. The number of dead were 27,127 with a daily increase of 2.

In the United Kingdom there had been 274,766 confirmed cases with a daily increase of 1,936. There were 38,489 dead with a daily increase of 113.

One of the deaths was a man named Brian Cushion. I never met Brian but he was a lifelong friend of a man named Pete Johnson. Again someone I never met but I’ve been blogging with BeetleyPete as I know him as part of my blogging community for 4 years.

A former ambo Pete has always struck me as a good man and one who has weathered the ups and downs of life with a stoic attitude. Thrpugh his eyes i saw that Brian was a good man, a loving father, a blues performer, a keen golfer and a loyal friend.

Brian’s passing made COVID-19 personal for Pete and in a way that made it just a little bit more personal for me.

As the number of cases continue to lower in Australia I often think of Pete and John and Paul and Alex and Vinnie and my sister in London. About her in-laws in Canada good people that I have met and consider family,  along with Jay and Sean in Toronto. Cindy in Arizona, Don in Minnesota and GP in Florida, John and Le0pard in L.A., Jet in San Diego and even Paol in Victoria or Eric in …say Eric where you from?

And I just want to say you’ve given me a great deal of joy and confidence over the years and this might sound selfish but I’m going to have to insist that you continue to do that in the years to come okay.

In Russia there had 414,878 confirmed cases with a daily increase of 9,035. The number of dead were 4,855 with a daily increase of 162.

In Brazil there had been 498,440 confirmed cases with a daily increase of 33,274. The number of dead were 28,834 with a daily increase of 956.

In the United States of America there had been 1,757,522 confirmed cases with a daily increase of 23,482. The number of dead 103,554 with a daily increase of 914.

-Lloyd Marken