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 – BACK IN THE GAME – PART I

UK woman Margaret Keenan the first person to get the Pfizer COVID-19 vaccine  | The West Australian

 

December 07

Monday and a new week and while I was off sick Monday and Tuesday hotel quarantine started up again in Melbourne, Victoria.

For the first time since late June international flights with returning Australians were landing to complete 14 days of hotel quarantine in Melbourne.

The Australian city that had experienced the most loss of life and the longest lockdown period and government imposed restrictions following an outbreak when security protocols failed at a hotel quarantine site.

In the new hotel quarantine system 300 police officers will be deployed to do the work every day. One hundred and seventy-two Australian Defence Force Personnel are deploying to do front desk tasks and no private security guards will be involved. 

ADF officers lined up on arriving in Melbourne wearing blue surgical masks.

The use of private security companies had been a fixture of the COVID-19 Hotel inquiry. 

From the ABC News website.

Former Family Court judge Jennifer Coate, the inquiry’s chair, said in her interim report that it was mostly private security personnel working in hotel quarantine who had “seeded” the major community outbreaks in Victoria’s second wave.

Lawyers for the inquiry have said the failure of the program was responsible for more than 760 deaths, and more than 18,000 infections.

The inquiry heard in August that 90 per cent of the state’s active cases at that time could be traced back to a family of four who stayed at Melbourne’s Rydges on Swanston hotel.

Concerns were raised about guards and other staff members working across multiple locations, as well as the level of training they were given in infection control.

There were a range of rules for those quarantining to follow.

Three police officers talk on a Melbourne street.

They couldn’t leave their rooms for fresh air or exercise unless there are relevant reasons. They won’t be able to receive care packages from their families.

Everyone working in the quarantine hotels, with the exception of the cleaning staff, will be employed or directly contracted by the newly established Covid Quaratine Victoria.

Cleaners will be employed through fixed term contacts to avoid the need to work across different locations as casuals.

They will be tested for COVID-19 every day, while the members of their households will also be tested on a regular basis.

They will work together on the same rosters with colleagues to limit the spread if one of them becomes sick. 

Hotel quarantine will cost the returnee $3,000 dollars, $1,000 per additional adult and $500 per child over three years of age.

On the 7th of December, the World Health Organisation reported in Australia there had been 27,965 confirmed cases with a daily increase of nine. There had been 908 deaths.

 

 

December 08


In the United States of America, Ballbag continued to try and steal the election whilst proclaiming it stolen.

It’s funny to say this but no matter the lack of legal grounds, what the pundits said, Ballbag just created anxiety with his actions.

Here was an elected official undermining an election result.

For his followers this was real, although you can’t protest a count in one state and insist it go ahead in another because its going your way.

That clearly shows its not about the principal of the matter.

US election sees protesters confront vote-counting centres in Phoenix and  Detroit, 50 arrested in New York - ABC News

Having worked in an election warehouse counting votes albeit in a different country with different systems it seemed crazy to me how you could pull off such a miscarriage of the count.

I guess nothing is impossible but its not like every election official is affiliated one way or the other. The fact that security was needed at such sites is shocking to me having it never be a concern here in Australia. 

Right now, democracy is fragile in America in a way I never thought I would see in my lifetime.

You would hope when a bunch of people die and the President talks about using bleach in the human body, yells at reporters for asking simple questions, leaves states to bid for medical supplies and hands out pens to health officials rather than hear their cries for help that Americans would strap on the biggest boot they could find and send it right on up his wide load tennis shorts size ass! 

US happiness hits lowest point in 50 years: New poll finds just 14% of  Americans are 'very happy' | Daily Mail Online

The fact that they did that and then the only work he did for the next two months was bleat about it and then go off and play golf rather than deal with the real crisis in America which were COVID cases and deaths skyrocketing is just really sad.

How did it get to this and why is any of this tribally political? Regardless of age, political disposition, race, colour, or creed why would anyone not think this President has been horrible in dealing with COVID-19?

On the 8th of December the World Health Organisation reported in the United States of America there had been 14,570,523 confirmed COVID cases with a daily increase of 173,388. There had been 279,913 deaths with a daily increase of 1,107.

 

UK woman Margaret Keenan the first person to get the Pfizer COVID-19 vaccine  | The West Australian

In the United Kingdom a young lady named Maggie originally from Enniskillen in Fermanagh made history. 

Ninety-year old Margaret Keenan become the first person to receive the COViD-19 Pfizer BioNTech vaccinne following trials and approvals.

Attending University Hospital in Coventry to get her jab from Matron May Parsons, Ms Keenan said, “I feel so privileged to be the first person vaccinated against COVID-19. It’s the best early birthday present I could wish for because it means I can finally look forward to spending time with my family and friends in the New Year after being on my own for most of the year.

We couldn’t hug her but we could clap, and everybody did so in the room,” Professor Stephen Powis, the National Medical Director of NHS England, said.

COVID-19: British woman first to receive vaccine - Vatican News

She was one of thousands getting the first of two scheduled jabs across the UK. The hope was to have 4 million Britons vaccinated by the end of 2020 primarily health care workers and people over 80 years of age.

Scotland's First Minister Nicola Sturgeon visits Western General Hospital amid the spread of the coronavirus disease

Today we should all allow ourselves a smile – but we must not drop our guard,” said Scotland’s First Minister Nicola Sturgeon.

Sturgeon did say watching the video of Maggie getting her first dose put a lump in her throat.
 

Sister Joanna Sloan

Sister Joan Sloan who will head up the vaccine rollout in Belfast was the first to get the jab in Northern Ireland at Royal Victoria hospital.

When asked what her thoughts were as she received the jab, Sister Sloan replied, “At last. At last we have got to this point. We have worked hard to get here so it felt great.” 

Palmerston care home

Palmerston, a purpose built Dementia care home in East Belfast had twenty residents vaccinated the same day with thirty five staff to follow.

There had been 55,795 confirmed cases in Northern Ireland and 1,073 deaths.

In the Republic of Ireland there had been 74,682 cases and 2,097 deaths.

The latter had more than three times the population of the former.

The first person in Wales was 48 year old home care worker Craig Atkins.

The BBC weren’t specific about who was the first person in Scotland but consultant anaesthetist Dr Katie Stewart at NHS Borders and senior charge nurse Andrew Mencnarowski who will vaccinate colleagues at Edinburgh’s Western General Hospital were among the first.

It’s a huge step forward in the battle against the Covid virus. I feel very proud and excited to be part of it all,” said the Scottish nurse.

Dr Katie Stewart

After a very long hard year looking after patients with Covid and staying apart to protect each other, we finally have something to celebrate. The new vaccination has been tested on over 43,000 people around the world so I am truly delighted to be one of the first people in the Scottish Borders to receive one,” Dr Stewart said.

Visiting London’s Guy’s Hospital Prime Minister Boris Johnson listened to 81 year old Lyn Wheeler who was the first to get vaccinated there. 

Britain has ordered 40 million doses of the Pfizer BioNTech vaccine which is less than enough for a third of the population to get vaccinated. There are reports to achieve herd immunity 70 per cent take up a national population is required.  

NHS Doctor Veer Gupta summed it up nicely to the Australian Broadcasting Corporation, “We have a vaccine for a disease that was never before seen on Earth, and within one year now we have something that can actually prevent it from spreading.

Vaccine

After receiving the first jab, 21 days later a second jab is administered with full immunity believed to take effect at the 28 day mark from the first jab.

Health Secretary Matt Hancock advised it would take several weeks for just health care workers and people over 80 to get vaccinated. The need for it to be kept in ultra-cold storage rather than just refrigerated like the vaccine developed by the Oxford University was going to create challenges for distribution. 

But we had a vaccine. 

We had a vaccine.

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

Prime Minister Boris Johnson believed it was a turning point in the country’s fortunes against the virus but one step in a battle that was far from over.

Today marks a huge step forward in the UK’s fight against coronavirus. As the program ramps up in the weeks and months ahead, it is as important as ever to keep to the COVID winter plan: Follow the rules in your area and remember the basics of hands, face and space,” he said.

On the 8th of December, the World Health Organisation reported in the United Kingdom of Great Britain and Northern Ireland there had been 1,737,964 confirmed cases with a daily increase of 14,718. There had been 61,434 deaths with a daily increase of 189.

Victoria had recovered enough to ramp up hotel quarantine again, most state borders were open as Western Australian opened up to the rest of the country, Ballbag was getting shown the door whether he liked it or not and against all odds and thanks to so many unsung scientists and health care workers vaccines were rolling out across the world.

Gee….

Anybody would have thought it was Christmas after all!

But the virus of course didn’t care what the calendar said.

-Lloyd Marken