Tag Archives: Health

Medical Economics: Virus Exposes America’s “Broken Healthcare System” (2020)

From The Guardian (April 16, 2020):

The Guardian Healthcare“As this epidemic makes clear, at any moment, any of us could become sick, could become hospitalized, could be on a mechanical ventilator,” said Adam Gaffney, an ICU doctor in Boston. “And that, in the United States, could mean potentially ruinous healthcare costs.”

With over 21,000 people dead and more than a 547,000 infected with the coronavirus in the US the last question on a person’s mind should be how they will pay for life-saving treatment.

There were 27.9 million people without health insurance in 2018, and record-high unemployment will increase that figure by millions

But as the death toll mounted, a patient who was about to be put on a ventilator in one of New York City’s stretched to capacity intensive care units had a final question for his nurse: “Who’s going to pay for it?”

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Health: Testing, Approving And Fairly Distributing A New Coronavirus Vaccine

SCIENTISTS ARE working at an unprecedented pace to find a vaccine for SARS-CoV-2, the virus that causes covid-19. The stakes are high. Natasha Loder, The Economist’s health policy editor, explains how an effective vaccine might be developed.

Dr Trevor Drew of the Australian Centre for Disease Preparedness speaks to host Kenneth Cukier about two trials which have reached the animal-testing stage. Plus, once a vaccine is discovered, what can be done to make sure it is distributed fairly? Dr Seth Berkely, chief executive of GAVI, the vaccine alliance, explains the importance of global cooperation. Runtime: 26 min

Social Distancing: 3-D Simulation Of How Respiratory Droplets Spread Coronavirus

From The New York Times (April 14, 2020):

Face Mask Disrupts trajectory of cough New York Times April 14 2020
Face Mask Disrupts trajectory of cough New York Times April 14 2020

But as this simulation suggests, and scientists have argued, droplets can travel farther than six feet. And small droplets known as aerosols can remain suspended or travel through the air before they eventually settle on surfaces. This is how they could disperse over the next 20 minutes.

The Centers for Disease Control and Prevention encourages people to stay home. If you must venture out, you should stay at least six feet away from others. The World Health Organization recommends a minimum of three feet of separation.

Scientists are learning about the novel coronavirus in real time, and those who study similar respiratory illnesses say that until it is better understood, no guideline is likely to offer perfect safety. Instead, understanding the possible transmission routes for the virus can help us see why keeping our distance is so important.

View 3-D simulation

Coronavirus/Covid-19: “Face Shields” Are Best In Preventing Transmission Says Epidemiologist

From web post by Michael B. Edmond (April 11, 2020):

Our goal should be to have a face shield for every person in the country. It should be worn anytime a person leaves their home, while in any public place, and even at work. From news reports, it appears that face shields are already being more commonly worn in other nations, particularly in some Asian countries. 

The advantages of face shields are their durability allowing them to be worn an indefinite number of times, the ability to easily clean them after use, their comfort, and they prevent the wearer from touching their face. Importantly, they cover all the portals of entry for this virus–the eyes, the nose, and the mouth. Moreover, the supply chain is significantly more diversified than that of face masks, so availability is much greater.

Some are critical of any strategy that isn’t perfect. But let’s think about the influenza vaccine. Although the effectiveness varies from year to year, on average it’s 40%. We push this vaccine hard in the hospital and in the community. Could we expect that face shields are at least 40% effective in reducing the transmission of COVID-19? I think so. Universal shielding would bend the curve more quickly and accelerate the ability to reduce social distancing and restrictions on movement.
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Face shields are a simple solution that if implemented universally would have a major impact on public health. Until we have a vaccine, this may be our best intervention for preventing transmission in the community.
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Michael B. Edmond, MD, MPH, MPA, MBA is the Chief Quality Officer and Associate Chief Medical Officer for University of Iowa Health Care and Clinical Professor of Infectious Diseases at the University of Iowa Carver College of Medicine. He previously served as the Richard P. Wenzel Professor of Internal Medicine, Chair of the Division of Infectious Diseases, and Hospital Epidemiologist at Virginia Commonwealth University in Richmond.

Society: Sleep Industry Helps Consumers “Sleep Less, More Productively” As Their Health Worsens

From a The Architectural Review online article (April 9, 2020):

The Long Sleep by Briton RiviereThe sleep industry caters to a working consumer’s wish to sleep less, yet sleep more productively, and accommodates transnational industry which has joined the state as a custodian of biopolitics. Jonathan Crary’s 24/7 spells out in detail how the state and a capitalist economy are encroaching stupendously on the private sphere, in which sleep was one of the last vestiges of unfettered time.

About 15 years ago, someone calculated the financial loss US companies incurred through workers’ illicit practice of sleeping on the job. Indeed, the trope of the lazy sleeper is an old one, resignified at present in our more than callous attitude towards the homeless, whose sleeping bodies punctuate many a journey to and from work.

Even in this most passive stance – someone simply disregarding normative codes and regulations by giving in to a physical need – sleep seems suspiciously subversive. Less an act than a way of being, the sleeper, by sleeping when and where it is not condoned, challenges everyone else, who is doing/working/functioning/functionalised. Contrary to the tree falling in the forest, the sleeper in the workplace or in public space affects and thus ever so slightly transforms those around them.

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Coronavirus / Covid-19: How Social Gatherings Were “Rocket Fuel” For Spread Of The Pandemic

From a The Guardian article (April 9, 2020):

The Cluster Effect How Social Gatherings were Rocket Fuel for Coronavirus The Guardian April 9 2020A hundred days after a Chinese government website announced the discovery of a “pneumonia of unknown cause”, it has become clearer that the dynamics behind the virus’s rapid expansion across the globe has relied heavily on such “cluster effects”.

Each of the countries most heavily hit by the pandemic has reported similar stories of social, cultural or religious gatherings where large numbers spent numerous hours in close company – holding hands, kissing, sharing drinks from the same glass – which then turbo-charged the spread of the pandemic.

“Most infections didn’t take place in supermarkets or restaurants,” Streeck said of his preliminary findings. In Heinsberg, his team of coronavirus detectives could find scant evidence of the virus being transmitted via the surfaces of door handles, smart phones or other objects.

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The Elderly & Dementia: “Managing Daily Activities & Fall Prevention” (UCSF)

Presented by Sarah Dulaney, RN, CNS, a nurse at the UCSF Memory and Aging Center, and Helen Medsger, a family caregiver and LBD support group leader, as part of the Lewy Body Dementia Caregiver Webinar Series supported by the UCSF Memory and Aging Center and the Administration for Community Living.