Category: Corona Virus

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The Path Forward: Coronavirus Surge in India and School Reopening Successes in the US – uschamber.com

April 30, 2021

This weeks Path Forward event focused on the American business communitys response to the devastating surge of coronavirus in India and school reopening successes in the U.S.

The Path Forward, a U.S. Chamber of Commerce Foundation event series, helps business and community leaders find the answers they need to execute a responsible reopening strategy for a post-pandemic world.

What Happened?A discussion between U.S. Chamber President and CEO Suzanne Clark and the Ambassador of India to the U.S. Taranjit Singh Sandhu highlighted the vital help the American business community and federal government are sending to India as it deals with a surge in coronavirus cases and hospitalizations. Ambassador Sandhu noted that the first flights carrying U.S. medical supplies had already departed for the country and specifically thanked the U.S. Chamber for helping to mobilize the business community and wider action.

The conversation then shifted to the reopening of U.S. schools as the percent of those getting vaccinated increases and cases decline. Ohio Gov. Mike DeWine said that as of today, 99% of Ohio students are back in school. In comparison, on Jan. 1, 2021 only half of students were back in school in the state, he said. Health experts also joined the discussion, saying that if mitigation measures are in place (like mask wearing and social distancing) then classroom activities are not a major source of transmission of the coronavirus.

What the Experts Are Saying:

Now, with vaccines being increasingly rolled out across the country and more information about how to safely gather in-person, we want to see kids safely return to school and childcare so we can fully reopen our economy. Suzanne Clark, President and CEO, U.S. Chamber of Commerce.

I understand that even as we speak, additional supplies of medical equipment are being dispatched to India. The manner in which the U.S. Chamber of Commerce, particularly, had mobilized support, brought together partners from other industry bodies, coordinated with the U.S. government, and delivered the most critical itemshas been tremendously heartening. Ambassador of India to the U.S. Taranjit Singh Sandhu.

Kids who are already behind, who may not be able to have an Internet connection, for example. May not have the parental support, maybe their parents are working two jobsIt was clear that we needed to get kids back in school. Ohio Gov. Mike DeWine.

We made the decision early on last summer that any kid that went back into school, they needed to be masked the entire time. We really attribute that to keeping the spread down. Ohio Gov. Mike DeWine.

The threat of COVID to children is far more minimal that we thought this time last year. John Bailey, Advisor, the Walton Family Foundation.

What weve learnedis that kids tend to be the least at risk from this virus. Its not zero, but its much, much lower than older populations. And also, the transmission of the virus tends to be a lot less with kids under the age of 10. John Bailey.

[In schools] where mitigation processes are followed, transmission rates have been low. Primarily, rates of transmission among students have been related to athletic groups. Laurie Combe, President, National Association of School Nurses.

What You Can Do:To learn how your organization can help in the fight against the coronavirus in India, visit the U.S. Chamber of Commerce Foundation website.

Also, please consider joining the Rally for Recovery Commitment, a U.S. Chamber-led program encouraging every company and organization to take three basic, but important, steps to get the country back to health and American workers back to work by:

Up Next:Please join future Path Forward events to learn how to better protect you workers, customers, coworkers, and friends from the spread of coronavirus.

Additional Resources:

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The Path Forward: Coronavirus Surge in India and School Reopening Successes in the US - uschamber.com

Athletes At Tokyo Olympics To Be Tested Daily For Coronavirus, Officials Say – NPR

April 30, 2021

Tokyo Games Delivery Officer Hidemasa Nakamura holds a sample of an updated version of the playbook during a news briefing on Wednesday. Franck Robichon/Getty Images hide caption

Tokyo Games Delivery Officer Hidemasa Nakamura holds a sample of an updated version of the playbook during a news briefing on Wednesday.

The organizers of Japan's Summer Olympics, due to start just weeks from now, say they will administer daily coronavirus tests to athletes and will decide in June on what is a safe number of spectators.

At a virtual meeting on Wednesday, International Olympic Committee President Thomas Bach and representatives of the other organizers discussed measures to keep the coronavirus in check during the games, which begin July 23.

"The IOC is fully committed to the successful and safe delivery of the Olympic and Paralympic Games Tokyo 2020," Bach said in his opening remarks.

He said organizers will "strictly enforce" the restrictions, according to Kyodo News, which said that the revised rules are part of the newest version of the organizers' "playbook."

The games already delayed by a year due to the pandemic are set to go ahead despite reluctance among the Japanese public. Recent opinion polls have shown that more than half are not in favor of hosting the games this year.

Japan has had relatively few coronavirus infections to date around 600,000, with around 10,000 deaths.

Even so, despite securing the largest number of doses of any country in Asia and having among the best health care systems in the world, Japan has struggled to vaccinate its 126 million people. It has one of the lowest vaccination rates among wealthy countries, with less than 2% of its population fully inoculated against COVID-19. That figure is far lower than the U.S. (29.1%) and also lags behind most of Asia.

By the end of the month, Japan will have imported 17 million doses of the Pfizer-BioNTech vaccine, according to a schedule from the Cabinet Office that was cited by Reuters.

Tokyo on Wednesday confirmed 925 infections its largest single-day figure since the end of January. Osaka, the country's third-most populous prefecture, reported 1,260 cases on Wednesday, Japan Times reports.

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Athletes At Tokyo Olympics To Be Tested Daily For Coronavirus, Officials Say - NPR

Coronavirus news & more: Whats trending today – cleveland.com

April 30, 2021

CLEVELAND, Ohio - Get the latest coronavirus news from around the world, read more about the first round of the 2021 NFL Draft and see more stories trending online today.

2021 NFL Draft: Winners and losers of Day 1 (PFF)

NFL Draft 2021 Round 1 recap (cleveland.com)

NFL second-round mock draft 2021: Resetting the field for Day 2 (cleveland.com)

Aaron Rodgers doesnt want to return to Green Bay Packers, sources say (ESPN)

Rudy Giuliani: FBI raid on NY apartment, offices unjustified; denies wrongdoing (USA Today)

Policing reform legislation gets renewed push on Capitol Hill (ABC News)

St. Louis couple who confronted protesters back in court (AP)

Al Qaeda promises war on all fronts against America as Biden pulls out of Afghanistan (CNN)

Biden holds car rally in Georgia to mark 100 days in office (CBS)

Pro-Trump web forums are abuzz with directions to forge Covid vaccine cards (NBC News)

As America starts to reopen, experts warn more people need to get vaccinated (CNN)

Hackers are attacking the COVID-19 vaccine supply chain (CBS)

Emergent BioSolutions under scrutiny following quality control issues with COVID-19 vaccines (ABC)

Brazil COVID-19 Deaths Top 400,000 Amid Fears Of Worsening Crisis (NPR)

India reports record Covid cases again with over 386,000 new infections (CNBC)

Anne Douglas, Philanthropist and Widow of Kirk Douglas, Dies at 102 (Hollywood Reporter)

5 Facing Charges Over Shooting Of Lady Gagas Dog Walker And Theft Of French Bulldogs (NPR)

Religious festival stampede in Israel kills 44, hurts dozens (AP)

Velvet Ice Cream Is Recalling Ice Cream And Sherbet Products Due To Listeria Concerns (Delish)

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Coronavirus news & more: Whats trending today - cleveland.com

Exposure To High Heat Neutralizes Coronavirus In Less Than One Second – Texas A&M Today – Texas A&M University

April 30, 2021

If the coronavirus-containing solution is heated to around 72 degrees Celsius for about half a second, it can reduce the titer, or quantity of the virus in the solution, by 100,000 times.

Matthew Linguist/Texas A&M Engineering

Arum Han, professor in the Department of Electrical and Computer Engineering at Texas A&M University, and his collaborators have designed an experimental system that shows exposure of coronavirus to a very high temperature, even if applied for less than a second, can be sufficient to neutralize the virus so that it can no longer infect another human host.

Applying heat to neutralize COVID-19 has been demonstrated before, but in previous studies temperatures were applied from anywhere from one to 20 minutes. This length of time is not a practical solution, as applying heat for a long period of time is both difficult and costly. Han and his team have now demonstrated that heat treatment for less than a second completely inactivates the coronavirus providing a possible solution to mitigating the ongoing spread of COVID-19, particularly through long-range airborne transmission.

The Medistar Corporation approached leadership and researchers from the College of Engineering in the spring of 2020 to collaborate and explore the possibility of applying heat for a short amount of time to kill COVID-19. Soon after, Han and his team got to work, and built a system to investigate the feasibility of such a procedure.

Their process works by heating one section of a stainless-steel tube, through which the coronavirus-containing solution is run, to a high temperature and then cooling the section immediately afterward. This experimental setup allows the coronavirus running through the tube to be heated only for a very short period of time. Through this rapid thermal process, the team found the virus to be completely neutralized in a significantly shorter time than previously thought possible. Their initial results were released within two months of proof-of-concept experiments.

Han said if the solution is heated to nearly 72 degrees Celsius for about half a second, it can reduce the virus titer, or quantity of the virus in the solution, by 100,000 times which is sufficient to neutralize the virus and prevent transmission.

In their future work, the investigators will build a microfluidic-scale testing chip that will allow them to heat-treat viruses for even shorter periods of time.

Matthew Linguist/Texas A&M Engineering

The potential impact is huge, Han said. I was curious of how high of temperatures we can apply in how short of a time frame and to see whether we can indeed heat-inactivate the coronavirus with only a very short time. And, whether such a temperature-based coronavirus neutralization strategy would work or not from a practical standpoint. The biggest driver was, Can we do something that can mitigate the situation with the coronavirus?

Their research was featured on thecover of theMayissue of the journalBiotechnology and Bioengineering.

Not only is this sub-second heat treatment a more efficient and practical solution to stopping the spread of COVID-19 through the air, but it also allows for the implementation of this method in existing systems, such as heating, ventilation and air conditioning systems.

It also can lead to potential applications with other viruses, such as the influenza virus, that are also spread through the air. Han and his collaborators expect that this heat-inactivation method can be broadly applied and have a true global impact.

Influenza is less dangerous but still proves deadly each year, so if this can lead to the development of an air purification system, that would be a huge deal, not just with the coronavirus, but for other airborne viruses in general, Han said.

In their future work, the investigators will build a microfluidic-scale testing chip that will allow them to heat-treat viruses for much shorter periods of time, for example, tens of milliseconds, with the hope of identifying a temperature that will allow the virus to be inactivated even with such a short exposure time.

The lead authors of the work are electrical engineering postdoctoral researchers, Yuqian Jiang and Han Zhang. Other collaborators on this project are Professor Julian L. Leibowitz, and Associate Professor Paul de Figueiredo from the College of Medicine; biomedical postdoctoral researcher Jose A. Wippold; Jyotsana Gupta, associate research scientist in microbial pathogenesis and immunology; and Jing Dai, electrical engineering assistant research scientist.

This work has been supported by grants from Medistar Corporation. Several research personnel on the project team were also supported by grants from the National Institutes of Healths National Institute of Allergy and Infectious Diseases.

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Exposure To High Heat Neutralizes Coronavirus In Less Than One Second - Texas A&M Today - Texas A&M University

How TV Productions Are Adapting to the Covid-19 Pandemic – The New York Times

April 30, 2021

When it became clear early in the pandemic that it was safer to be outdoors than in, the creators of Big Shot, a new Disney+ series being made with John Stamos, started rewriting scenes so they could be shot outside. Then new guidance emerged, which underscored that loading a cast and crew into buses and dispatching them to sites all over Los Angeles posed its own risks. So they rewrote their scripts again so scenes could be shot on sets.

As the surging virus made in-person work risky, many actors sought jobs on animated shows they could voice from home. But work-from-home acting posed challenges, even for seasoned veterans: Members of The Simpsons cast recorded episodes from inside closets, under blankets and makeshift studios fashioned from pillow forts and dog beds.

And when the long-running police procedural Law & Order: SVU resumed shooting in New York this fall, it too changed with the times. Air filters would blast on set up until the moment someone yelled Action! There were fewer scenes shot on location, fewer costume changes, and fewer extras, since each one had to be tested for the coronavirus.

It has been a year of struggle and experimentation for the television industry, which has had to learn on the fly while trying to create new diversions for an unusually captive home audience. The work has not been without risk: After TV production restarted over the summer, it had to be halted at times when stars fell ill or the virus ran rampant; in Los Angeles there have been 23 outbreaks at television and film production sites since July, leading to 187 cases, according to county health data provided to The New York Times.

Now the unions representing cast and crew members have been in negotiations with the major studios to extend the return-to-work agreement they reached in September establishing safety protocols. Industry insiders said that they believe the current agreement, which expires as the end of the month, would simply be extended with changes on the margins in the short-term. But they also said that as the share of vaccinated Americans increases, studios could eventually require workers to get vaccinated, and seek to significantly lower the amount of required testing for some workers who are currently tested at least three times a week. Other aspects of the agreement could be overhauled as well.

But some changes could outlast the pandemic. Just as the nature of schooling and office work has been transformed as millions have learned to function remotely, television has adapted as well, with showrunners, actors and crews all forced to innovate, tweak and change.

The pandemic accelerated our use of technology in a productive way and made things more efficient, said Jaime Dvila, the president of Campanario Entertainment in Los Angeles, which produced the Netflix show, Selena: The Series. Rather than visiting the set in person, Mr. Dvila said that he ended up watching much of the production live through an online video setup something that he realized will now let him more easily oversee multiple projects. Technology allows me not to have to be there, he said.

For much of the year, when theaters were closed and live performances banned, television was the only game in town for actors struggling to find work.

Law & Order: SVU has been appearing as a credit in stage actors Playbill biographies for many years, but once Broadway shut down it became an even more integral part of their work diet in part because flying in stars was complicated by quarantine rules, and in part out of a conscious effort to help the New York theater community.

When everything shut down, we were all like, What are we going to do? said Adriane Lenox, a Tony Award winner who played a judge on SVU just months after testing positive for the virus early in the pandemic. Ms. Lenox, like many other actors, said she had to go on unemployment at one point and that she had tried to make ends meet by looking for jobs such as dog walking on websites like ZipRecruiter.

She was one of more than 100 local stage actors who were featured on the show this year, according to Warren Leight, its showrunner.

I just made the call early on: Lets make this the year where the first pool of actors we go to is the Broadway actors, the off-Broadway actors, he said. It really does seem like the right thing to do. Logistically, its easier to hire locally.

April 30, 2021, 12:50 p.m. ET

The effects of the pandemic have been felt most acutely in the cities like Los Angeles and New York, where, at least in prepandemic times, roughly two thirds of the countrys film, television and theatrical jobs were located. In New York City, for instance, officials have estimated that employment in the arts, entertainment and recreation sector fell by 66 percent from December 2019 to December 2020.

But there are signs of a rebound. By the end of last year, television shoot days in Los Angeles had recovered to roughly 62 percent of what they had been in 2019, according to FilmLA, the official film office for the city and county of Los Angeles. After taking a hiatus during the winter as an outbreak hobbled California, TV production in the city is approaching normal, prepandemic levels, FilmLA reported last week, even as other sectors of the entertainment industry lag behind.

In New York, officials said that about 40 television shows were either in production or about to begin shooting again similar to where things stood before the March 2020 shutdown.

And in Georgia, which has become the nations third largest production hub, officials have said that the industry appears to be bouncing back from a pandemic decline that saw spending on film and television projects in the state drop from roughly $2.9 billion in the 2019 fiscal year to $2.2 billion in the 2020 fiscal year.

Still, production in the pandemic has come with higher costs. Television producers said that they have had to test several times each week, hire orange-vested Covid officers and bring on extra cleaning companies all of which have ballooned budgets by as much as 15 percent. Eric Tomosunas, the head of Swirl Film, based in Atlanta, estimated that his company has administered close to 20,000 PCR tests since July.

Even with the safety protocols, there have been outbreaks at properties owned by CBS, NBC, Paramount, Warner Bros., Netflix and various other companies. (Los Angeles County defines an outbreak at a nonresidential setting as three or more laboratory-confirmed cases; the biggest outbreak it reported at a studio involved 26 cases on a Lionsgate production that was being shot at CBS Studio Center last December.)

But spokespeople for many of the networks and production companies say that they have taken extraordinary steps to keep their workers safe. Data from the Alliance of Motion Picture and Television Producers obtained by The New York Times showed that from September 2020 to the end of February, studios identified 1,884 cases after conducting more than 930,000 tests. There have not been any coronavirus outbreaks at a set or studio in Los Angeles County since February, a spokeswoman for the Department of Public Health said.

SAG-AFTRA, the television and film actors union, has worked with the Directors Guild, the Teamsters, other groups, and employers to establish safety protocols. The agreement, which could soon be extended, paved the way for many members to get back to work, with some pauses, as when SAG-AFTRA called for a temporary hold on in-person production in Southern California this winter when a surge threatened to overwhelm Los Angeles hospitals. (Unions have sometimes struggled to find a balance between keeping workers safe and helping them earn a living: some members of Actors Equity, which represents theater actors and stage managers, have complained that the unions safety rules have made it too hard to find work.)

David White, the national executive director and chief negotiator for SAG-AFTRA, said he believed they had found a safe way forward. I feel like it was the right thing to do to press ahead, and I feel like this is a dramatic success story, he said.

Much like companies grappling with questions about what the return to the office should look like, television executives are now having to decide which innovations of the pandemic are worth holding onto. Should they allow voice actors to keep working from home? Does a pitch meeting or even an audition absolutely have to be in person?

American Idol is now in its 19th season, and for 18 of them, ecstatic young singers have burst out of a studios swinging doors and melted into the arms of their loved ones after being told the magic words: Youre going to Hollywood!

But for this socially-distant era, the shows engineers developed a new wrinkle: an enormous screen where contestants can see their parents, their friends, or their co-workers reacting to their shifting fortunes.

I find that we have more tears and emotion from that screen than ever we did with people standing outside the door, said Trish Kinane, the shows executive producer. So were going to keep that.

Alain Delaqurire contributed research.

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How TV Productions Are Adapting to the Covid-19 Pandemic - The New York Times

Indias coronavirus death toll reaches 200,000, as new surge overwhelms health care system – KTLA

April 28, 2021

India crossed a grim milestone Wednesday of 200,000 people lost to the coronavirus as a devastating surge of new infections tears through dense cities and rural areas alike and overwhelms health care systems on the brink of collapse.

The health ministry reported a single-day record 3,293 COVID-19 deaths in the last 24 hours, bringing Indias total fatalities to 201,187, as the worlds second most populous country endures its darkest chapter of the pandemic yet.

The country also reported 362,757 new infections, a new global record, which raised the overall total past 17.9 million. The previous high of 350,000 on Monday had capped a five-day streak of recording the largest single-day increases in any country throughout the pandemic.

India, a country of nearly 1.4 billion people, is the fourth to cross 200,000 deaths, behind the United States, Brazil and Mexico. And as in many nations, experts believe the coronavirus infections and fatalities in India aresevere undercounts.

The first known COVID-19 death in India happened on March 12, 2020, in southern Karnataka state. It took five months to reach the first 50,000 dead. The toll hit 100,000 deaths in the next two months in October 2020 and 150,000 three months later in January this year. Deaths slowed until mid-March, only to sharply rise again.

For the past week, more than 2,000 Indians have died every day.

India thought it had weathered the worst of the pandemic last year, but the virus is now racing through its population and systems are beginning to collapse.

Hospitalizations and deaths have reached record highs,overwhelming health care workers. Patients are suffocating becausehospitals oxygen supplies have run out. Desperate family members are sendingSOS messageson social media, hoping someone would help them find oxygen cylinders, empty hospital beds and critical drugs for their loved ones.Crematoriums have spilled over into parking lots, lighting up night skies in some cities.

With its health care system sinking fast, India is now looking at other nations to pull it out of the record surge that is barreling through one state and then another.

Many countries have offered assistance, including the U.S., which has promised to help with personal protective equipment, tests and oxygen supplies. The U.S. will also send raw materials for vaccine production, strengthening Indias capacity to manufacture more AstraZeneca doses.

Health experts say huge gatherings during Hindu festivals and mammoth election rallies in some states have accelerated the unprecedented surge India is seeing now.

They also say the governments mixed messaging and its premature declarations of victory over the virus encouraged people to relax when they should have continued strict adherence to physical distancing, wearing masks and avoiding large crowds.

The national capital New Delhi is in lockdown, as are the southern states of Maharashtra and Karnataka. Some other states, too, have enforced restrictions in an attempt to curb the spread of the virus.

India has also called on its armed forces to help fight the devastating crisis. Indias chief of Defense Staff, General Bipin Rawat, said late Monday that oxygen supplies would be released from armed forces reserves and its retired medical personnel would join health facilities to ease the pressure on doctors.

Meanwhile, Indias vaccination program appears to be struggling. So far nearly 10% of the countrys population have received one jab, but just over 1.5% have received both vaccines.

Indians 18 and older will be eligible for a vaccine from Saturday.

Meanwhile, the loss of lives is accelerating.

Radha Gobindo Pramanik is among the countless Indians who lost a family member to the virus. His daughter, Navanita Paramanik Rajput, died on April 18.

At first, Rajput complained of colds and fever. But when the 37-year-olds oxygen levels started to drop, her father and husband decided to take her to a government hospital.

Pramanik said she came out of the ambulance smiling but by the time her husband finished filling the hospital registration form, her daughter was gasping for breath.

Before I could understand anything, she collapsed in the arms of her husband, Pramanik said, sobbing.

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Indias coronavirus death toll reaches 200,000, as new surge overwhelms health care system - KTLA

Boy dies after developing coronavirus symptoms within hours after arriving in Hawaii – KHON2

April 28, 2021

HONOLULU (KHON2) Hawaii has recorded its first COVID-related death of a child. Officials say the boy was less than 10 years old with underlying health conditions.

Health experts say this should serve as a wake-up call. While severe cases of COVID-19 are rare in children, it can be deadly.

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The Hawaii Department of Health says the boy traveled from the mainland to Hawaii with his parents who are both fully vaccinated and had tested negative for COVID-19.

Shortly after arriving in the islands, exhibited symptoms of COVID, taken to the hospital, and succumbed to COVID at the hospital, said Brooks Baehr, DOH spokesman.

Health experts say underlying health conditions probably played a key factor in the childs death. That includes obesity, which is the most common, asthma, and any problems with the immune system. Doctors say its important for these kids to get tested right away if they get COVID-19 symptoms like fever, sore throat, or a headache.

If they have underlying issues, then definitely they should be more directed by their personal physician to get tested because that could be something that you really need to keep an eye on, said Dr. Paul Eaken, pediatric emergency physician.

He says treating kids early for COVID-19 can make a big difference. However, cases in general are pretty mild for children who dont have underlying conditions. He says about half of the cases dont even develop any symptoms.

According to the health department there have been more than 3,000 COVID-19 cases of children 17 and younger. Thirty-three of them have been hospitalized. Dr. Eakin points out that those who wind up in the hospital can get severely ill.

In children who are actually hospitalized with COVID-19 infection like acute infection, one out of three of those will actually be admitted to the intensive care unit, so theyre actually quite sick, said Dr. Eakin.

DOH says the boy was not tested for COVID-19 before leaving for Hawaii. Children under five years old are not required to take a test in order to avoid quarantine. The state says this tragedy shows that its important to keep taking protective measures like wearing a mask, avoiding gatherings, and getting vaccinated.

As sad as this is, it does serve as a reminder that we really need to do everything not only to protect ourselves, but to protect our loved ones, to protect our neighbors, our community, said Baehr.

While we mourn all victims of COVID-19, todays announcement of the death of a child from this virus is especially heartbreaking, Gov. David Ige said in a statement on Tuesday. Dawn and I express our deepest condolences to the family and loved ones of this child. The state and counties will continue to make responsible decisions on COVID restrictions based on science, with the goal of protecting the health and safety of the people of Hawaii.

The state death toll rises to 479.

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Boy dies after developing coronavirus symptoms within hours after arriving in Hawaii - KHON2

Not just the coronavirus, the governments ineptitude has brought this tsunami on us – The Indian Express

April 28, 2021

The present pandemic has devastated our poor country and anguished its people. There are two reasons for this debacle. The first is the dreaded, deadly coronavirus, which has perhaps mutated and become even more infectious. Equally responsible is the ineptitude and mismanagement of those who govern us and have the responsibility to safeguard our health and welfare.

When the infection rate in India had significantly decreased last December and early January of this year, our netas congratulated themselves proclaiming to us and the world their efficiency in controlling the virus. Could they not realise that the second wave of infection was well-nigh inevitable? All countries in Europe, the UK, the Americas, and even developed countries in Asia such as South Korea and Japan, suffered a second wave, some even a third wave, and very often the second wave was worse than the first. Had we anticipated this, we could have buttressed our defences and increased our resources.

Perhaps the powers that be felt that we are Gods chosen country and this could not happen to us. But we are not Gods chosen country for more than one reason. So, not only do we have a disaster, but we are faced with a veritable, continuing tsunami.

To make matters worse, we allowed the Kumbh Mela, where lakhs and lakhs of people intermingled, spreading the virus, and then returned home further spreading the virus. The authorities in the northern states reassured us that all those who returned would be screened, tested, traced, isolated. Who are they trying to fool? The gullible people of our country, of course.

As the virus is tearing through our country, we witness election rallies where thousands of people day after day, standing shoulder to shoulder, without masks, listen to our netas without masks, spitting out words (and perhaps some coronaviruses) for over an hour. More infections, more misery.

Also, note the poor planning of the vaccination programme. Is it not elementary that the supply of the vaccine should relate to the demand? If indeed this were so, why is there a shortage of vaccines in many vaccination centres, with long queues of people waiting in the hot sun more spread of infections, greater misery. Again, how large-hearted we all are! What largesse we possess to give vaccines to neighbouring countries, forgetting the agony of people in our own country, forgetting that charity begins at home.

What, indeed, should we do now? As one who has treated many ill patients over many years, let me give the following suggestions.

First, treatment. Beg, borrow, steal, pay even a ransom to get more oxygen, transport it, and make it available to patients. This requires excellent logistic planning. We are fighting a war, and no war has ever been won without excellent logistic support.

Second, there are only three drugs of importance: Most crucial is oxygen (yes, oxygen is a drug); Dexamethasone administered to those requiring oxygen. If given when the oxygen saturation is satisfactory, the drug may well do harm. Finally, blood thinners to prevent and treat clotting within vessels.

Third, we need critical care for the very sick and more beds to treat more patients.

No other drug has been proven to be effective against the disease. The anxiety and urgency to stock remdesevir, in my opinion, is not warranted. This drug is no cure, it does not reduce mortality it only shortens by 5 to 6 days the duration of the illness. Use it if you will, but let us transfer this anxiety and urgency to getting more oxygen, please.

Vaccination is the key to victory against the disease. It is important to plan the logistics, project deadlines and ensure they are met and fix one price for the vaccine after negotiations with the manufacturers. Different prices will cause confusion. It is also necessary to set up many, many vaccination centres and augment the supply of any vaccine of proven use and safety. All people above the age of 20 must be vaccinated

Set up wardens, police cars in every crowded place in all cities to ensure that masking and social distancing norms are observed. Do not just fine, but jail for a few days, those who ignore this directive. Discipline needs to be enforced on an undisciplined people.

Major lockdowns are of no use but lockdown enclaves within a city found to be rife with infection and disease. Target people within these enclaves for priority vaccination. Test, trace, treat those within.

The television channels mouth platitudes. Where words most abound good sense is seldom found. There are, of course, a few exceptions to the above. I salute these.

Please reduce or stop the daily conclave of doctors who give the same answers to the same questions. There is surely a better way to update and educate the public. A look at how the BBC does this may give a few ideas.

Prime Minister Narendra Modi and his task force are busy fighting the pandemic. I would urge them not to just look at the statistics given to them, or just view the TV channels for the news. I urge the Prime Minister and a few of his colleagues to spend at least one day visiting the hospitals in Delhi to directly hear the dying gasps of patients deprived of oxygen, to see the despair of relatives watching their loved ones dying waiting for a bed, waiting for oxygen that never comes.

I am old and, therefore, hors de combat, but I have trained many of those who are fighting the disease at the frontline, not just in Mumbai but in other cities as well. I am anguished for their safety, yet I know that they will do their duty with courage and sacrifice. All those doctors and nurses fighting at the frontlines are the true heroes of our country.

Oh cry, my country cry, but I know we shall win and smile again. We need to fight as one; we need great qualities of both head and heart, and we have them. We need Gods blessings; we need his help, remembering however that God helps those who help themselves.

This column first appeared in the print edition on April 28, 2021 under the title In battle to breathe, next steps. The writer is emeritus professor in medicine, Grant Medical College and the JJ Group of Hospitals; consultant physician, director, Intensive Care Unit, Breach Candy Hospital; Consultant Physician, BD Petit Parsee General Hospital, Mumbai.

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Not just the coronavirus, the governments ineptitude has brought this tsunami on us - The Indian Express

See which ZIP codes have the highest coronavirus case rates in Ohio – cleveland.com

April 28, 2021

CLEVELAND, Ohio - More than half of the ZIP codes in the Greater Cleveland/Akron area have coronavirus case rates exceeding 100 per 100,000 residents over the last two weeks, according to Ohio Department of Health records.

This includes 49 ZIP codes out of 179 regionally topping 200 per 100,000, and a handful close to 350 per 100,000.

Use this database to find the latest case rates for every ZIP code in Ohio.

Some mobile users may have to use this link instead to access the database.

In Greater Cleveland, all of the highest rates are in Cleveland or bordering the city. The top rates based on data through Tuesday were in:

* 44128, covering parts of of the southeast side of Cleveland, North Randall and Warrensville Heights, 361.24 cases per 100,000 over the last two weeks.

* 44104 on the East Side of Cleveland, 351.32 per 100,000.

* 44119 covering parts of the Clevelands East Side and the western portion of Euclid, 350.93 per 100,000.

* 44109 on Clevelands West Side, 350.35 per 100,000.

* 44137 in Maple Heights, 348.68 per 100,000.

Data was not provided by the state for 39 of the 179 ZIP codes in the region, but this generally can be thought of as favorable. The state withholds for privacy reasons details for any ZIP code which has had fewer than five cases total, and for ZIP codes with fewer than 100 residents.

The case dates are based on when symptoms began, not when the cases actually were reported.

Rich Exner, data analysis editor for cleveland.com, writes about numbers on a variety of topics. Follow on Twitter @RichExner. See other data-related stories at cleveland.com/datacentral.

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See which ZIP codes have the highest coronavirus case rates in Ohio - cleveland.com

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