Saturday, December 19, 2020

CoViD-19: Appeals Court Says Don't Go Opening Just Yet | SD Reports Record Cases & Hospitalizations | White House Retribution? Slashes Vaccine Shipments To 27 States | Orgs Call For Implementation of Crisis Standards Of Care


Silversun Pickups at The Observatory North Park (Taken 12.17.2019)

It was a super intense news day today, so I definitely regretted not getting through all of Thursday's inbox because it just piled on to today's. The big news was that the appeals court issued a stay on Judge Wohlfeil's ruling, meaning the restaurants and strip clubs may not be open. Meanwhile, in evidence of wishful thinking and overenthusiasm and a general lack of or disregard for COVID-19 safety, restaurants rushed to rehire staff and order product and reopen their doors, when they could've just thought for one minute that maybe they should wait and see what happens and honor the stay-at-home order because it's the right thing to do. When they show these jackasses on the news this weekend complaining about the yo-yo, just remember that they should've known better. These cases are happening all over the country, brought by lawsuits from churches and small businesses including gyms, restaurants, bars, and salons, so ultimately the states will, at some point, have to codify exactly what powers Governors and health officials can restrict under emergency situations and health crises, and what can be specifically considered as either, and we can probably expect that the Supreme Court will have final say on that down the road, hopefully long after this thing is all over. But in the meantime, just look at these numbers! It is CRAZY. With today's numbers, a Californian is dying from complications of COVID-19 every 5 minutes.
So yeah, I read a lot today and watched too much news, and then I saw this story on NBC News (starts at 11:58) about Termaine Hicks and I just broke down sobbing. He was trying to help someone and ended up shot and jailed for 19 years and is still able to smile and look forward and I wish everyone would watch it and just try and get a little perspective. 

It was also December 18, of 2019 when the House debated impeachment. As Heather Cox Richardson pointed out, at the time, Adam Schiff asked somewhat rhetorically, "How much damage can Donald Trump do between now and the next election?” and I guess now we know. It is so much worse than I could have ever imagined. 

Stay safe, stay home. 

Virus Hesitancy in US (Source: Kaiser Family Foundation)
  • Politics/News/Other Reading:
  • Global COVID-19 Stats (JHU):
    • 75,673,247 Known Cases
    • 1,674,843 Known Deaths
  • US COVID-19 Stats (COVID Tracking Project):
    • 228,825 New Cases/17,240,643 Known Cases (9.5%+ Change over 7 Days.)
    • 2,751 New Deaths/305,012 Known Deaths
    • 114,751 Current Hospitalizations
    • 21,758 Currently in ICU
    • 7,785 Currently on ventilator
  • California COVID-19 Stats/Short Video Briefing:
    • 41,012 New Cases/1,764,374 Total Cases (2.4% increase  39,810 7-day avg; 117% increase over 14 days)
    • 300 New Deaths/22,160 Total Deaths (1.4% increase, 61 on 11/17; 2,578 14-day change)
    • 11.8% 14-day test positivity rate
    • 16,965 Hospitalizations  (+70% over 14-days, +539 COVID patients, +3.2% from prior day)
    • 3,553 ICU hospitalized in CA (+58% over 14-days. +161 COVID patients, +4.5% from prior day. Compare to 12/4 2,182; 12/10 2,669.)
    • 1,234 ICU beds available (-26 prior day decrease)
    • Statewide ICU Capacity is 2.1%
    • All of California except Northern California is in "Emergency Brake Mode" stay-at-home order for having less than 15% ICU capacity 
    • 0.0% doesn't mean no beds, it means we're in surge capacity
    • 4 alternative care sites have opened 
    • State has deployed 539 staff in 69 facilities in 22 counties, outstanding requests with DOD and HHS including extension for DMAT teams
    • Health Corps members have been deployed to SNFs, Cal Vet Home, and Sleep Train Arena; actively onboarding additional members
    • 560,625 Pfizer doses for CA
      • 327,600 delivered to 117 sites
      • Second allocation has been cut to 233,025 by CHC/HHS
      • Day 1: 3,2787 doses administered
      • Cuts are Pfrustrating and a source of Pfrustration - Newsom (haha)
  • San Diego County Stats
    • State Data:
      • Southern California ICU Bed Availability: 0.0%
      • 2,604 New Cases/116,852 Total Cases
      • 22 Deaths/1,239 Total Deaths
      • 52.7 cases/100k population (Based on week ending 12/8, Assessed on 12/15. Unadjusted Case Rate)
      • 10.9% Test Positivity (Assessed on 12/15)
      • 13.5% Health Equity Positivity (Assessed on 12/15)
      • 1,219 COVID-19 hospitalized patients (+33, +2.8% increase from prior day)
      • 314 ICU hospitalized patients (+13, +4.3% increase from prior day)
      • 172 ICU beds available (+4 from prior day)
    • County Data:
      • County Reports Another Record Number of Cases As Hospitalizations Continue to Increase - County News Center (12.18.2020)
      • San Diego is hitting 8 triggers: High adjusted case rate (29.5), high community outbreaks (32), COVID-19 syndromic increasing (6%), influenza like illness increasing (4%), increasing day over day hospitalizations (13.5%), low ICU Capacity 16%, high testing positivity 10.4%, low case investigation 45% 
      • 3,611 New Cases/120,463 Total Cases 
      • 14 New Daily Deaths/1,253 Total Deaths
      • 12% Daily Test Positivity/10.4% (7-day avg after 7-day lag)/9% Test Positivity (14-day average)
      • 29.5 cases/100k population (Assessed on 12/15. Unadjusted case rate per 100,000 excluding prisons.) 
      • Case Investigation is 45% (under 70% goal)
      • Increasing Day Over Day Hospitalizations 13.5% (over 10% trigger. 220% increase over 30 days, 1,179 COVID confirmed patients)
      • ICU Capacity 16% (under 20% Trigger. 155% increase over 30 days, 296 COVID confirmed patients)
      • 4 New/32 Community Outbreaks (7-day)
        • Business 15
        • Grocery 1
        • Faith-based Setting 2
        • Daycare/preschool 6
        • Healthcare 3
        • Construction 1
        • tk-12 school 1
        • Warehouse/Distribution 3
  • Universities:

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