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| Can't wait to see grumpy Winston now that he's recovering from C-19 (Taken 11.10.2020) |
I think I got the mommish award of the year today. In the year that we've been home because of the pandemic, the kid is going through puberty. We've only had a couple opportunities to go shopping over the past year, and dressing rooms are out of the question, so I've been ordering stuff online, but she's gone from children's sizes to women's size. So I've mostly had to guess on loungewear like leggings and sweats and t-shirts. But I took a chance on some Old Navy jeans in women's size and today she graced me with her 'new clothes happy dance' because they were actually the right size. What a relief.
Other than that, I've been watching as many briefings as I can. Today Dr. Ghaly went into more detail as to why the stay-at-home order was lifted, and I have a lady crush on Biden's Press Secretary Psaki who gave another long one today. Biden did a little briefing, too. Then I watch PBS News Hour, NBC Nightly News, and then local news, but apparently the reporters only seek out restaurants who violate health orders, people who can't get vaccinations, people complaining that the new administration isn't doing enough (six days in), and people who complain about the weather. And then the obligatory shot of people not wearing a mask properly, like the salon owner who was wearing a plastic face shield over the bottom half of her face while breathing over her client to paint in highlights.
I mean, I've got complaints of my own. My EDD is still not fixed. The people developing the property next door ripped out our fence today and are apparently going to rip out our trees before any kind of replacement fence or wall is reinstalled. Then at some point they'll actually start construction which I'm sure will take at least a year to complete. So, yeah, we all have our shit, but I don't need to keep hearing every goddamn whiner on my television.
There was so much news today, and like I said, I watched multiple briefings so all those notes are below. But the biggest takeaways are that Biden rolled out more of their vaccination plan including increasing the US order for vaccines, Biden is considering equity across all legislation, departments, programs, rules, etc, and Susan Rice had some nice zingers for the Republicans.
"Until everyone in the world is safe, no one is safe." - Dr. Larry Brilliant
- COVID-19:
- Biden’s COVID-19 Plan Emphasizes Vaccines, Masks, and Trust - GEN (1.25.2021)
- WHO recommends follow-up care, low-dose anticoagulants for COVID-19 patients - WHO (1.26.2021)
- Full-dose blood thinners decreased need for life support and improved outcome in hospitalized COVID-19 patients - NIH (1.22.2021)
- WHO issues new clinical advice on treating COVID-19 patients - Reuters (1.26.2021)
- Everyday activities are more dangerous now that new Covid-19 variants are circulating, expert says - CNN (1.26.2021)
- ‘We’re Not Controlling It in Our Schools’: Covid Safety Lapses Abound Across US - KHN (1.26.2021)
- In-person learning during the pandemic is possible with the right precautions, CDC researchers say - CNN (1.26.2021)
- Data and Policy to Guide Opening Schools Safely to Limit the Spread of SARS-CoV-2 Infection - JAMA (1.26.2021)
- FEMA Supports Vaccine Distribution: COVID-19 Response Update - FEMA (1.25.2021)
- US CDC reported 25.02 million total cases and 417,936 deaths. The US surpassed 25 million cumulative cases in yesterday’s update.
- 1 case to 5 million cases- 200 days
- 5 million to 10 million- 92 days
- 10 million to 15 million- 29 days
- 15 million to 20 million- 24 days
- 20 million to 25 million- 23 days (Source: JHU Center for Health Security 1.26.2021)
- Covid-19: Medical community split over vaccine interval policy as WHO recommends six weeks - BMJ (1.26.2021)
- Guidance for Large or Extended Families Living in the Same Home - CDC (1.26.2021)
- Politics:
- Threading the needle (Addressing the Constitutionality of Impeachment after a politician is out of office) - Popular Information (1.26.2021)
- Science Takes Center Stage in the Biden Administration - GEN (1.21.2021)
- On Equity criticism from republicans from Susan Rice: "It's a bit rich, frankly, for Republicans to suggest that by trying to lift up everybody, we are dividing America when we just had four years of the most divisive, vitriolic presidency that one can imagine. And that division was a political strategy."
- President Biden and Jeff Zients COVID-19 Update:
- 100 Million Shots in 100 Days is not the endpoint. The goal is to beat COVID-19.
- Doing everything we can to get it done, but a lot of things can go wrong along the way.
- Vaccine program was in worse shape than anticipated or expected.
- After review of supply and manufacturing:
- Will expand 8.6 million doses to 10 million doses per week
- Increasing transparency with states, cities, tribes with vaccine supply. They need a plan, need to know what orders will be fulfilled. Until now had to guess how much vaccine would arrive weekly
- Jurisdictions will have a three week forecast for Governors, Mayors, Supervisors, etc. will know what to expect and plan for.
- Soon be able to confirm orders of an additional 100million doses of both the Moderna and Pfizer vaccine. These are ordered and hope to be fulfilled by summer/fall.
- 400million originally ordered, increase of 50% to 600million
- This will allow vaccination of 300million Americans by Fall
- This is a wartime effort.
- Already identified suppliers to step up production and access.
- Directed FEMA to stand up vaccine centers.
- Early February vaccinations will be in local pharmacies.
- States will get 100% reimbursement for National Guard deployed to help in vaccination efforts
- Expanding testing to allow schools to open safely
- Brutal truth is it is going to take months to get people vaccinated.
- Best way to stop COVID and reduce deaths is masking up. Experts say that 50k lives could be saved by April if people would just wear masks.
- If you wanna be patriotic, you're going to protect people.
- Masks required on interstate travel and on all Federal properties
- Testing and self quarantine for travelers
- Comprehensive plan requires approval of Economic Recovery Plan
- Media Briefing Press Secretary Psaki with guest Domestic Policy Advisor Susan Rice:
- Racial Equity Executive Order
- Average Black wealth is 1/10 of average white family
- 1/10 Black 1/11 Latinos are unemployed
- Black and Latino families are twice as likely to be experiencing food insecurity
- Black and Latino 2.8x more likely to die of COVID-19
- Biden will announce Equitable Economic Recovery Plan
- $16Trillion dollar losses over past 20 years because of discrimination
- Close racial gaps would add $5T 6 million jobs over next 5 years
- Executive Orders:
- Racial equity across all government programs
- Rent relief, Student loan reprieve, food aid
- Immigration Policy reforms
- Integrity of Census
- American Rescue Plan estimated to cut child poverty in half, overall poverty by 30%
- Critical relief to Native American tribes
- No renewal of contracts with DOJ private prisons (does not include ICE controlled facilities)
- Memorandum:
- Mitigate racial bias in housing
- Meaningful meetings with Tribal Leaders
- Combat Xenophobia against Asian Americans/Pacific Islanders
- We all rise or fall together.
- Media Questions:
- Vaccination Education among communities of color:
- Established within task force an effort on equity that will focus on health disparity but also for skepticism
- Reaching out through targeted campaigns to reach out to those communities
- What happened to day one gun liability rollback? "Give us something to do over the next few days."
- White nationalism: Biden has ordered intelligence community comprehensive assessment to find origins and roots and develop inputs for policy makers to address the challenge. National Security Council is coordinating efforts to craft and implement policies.
- Why only DOJ private prisons, not ICE? This is just reestablishing an Obama/Biden policy because private prisons have been proven to be less safe, less just.
- Committed to addressing criminal justice matters on incarceration, policing, and other matters in the coming weeks.
- Rollback access to ballot is a matter of real concern and Voting Rights Act.
- Executive orders may also be pushed to codify in Congress, but getting EOs out was the priority. Right now focus is on confirming cabinet and passing American Rescue Plan.
- Press Secretary Jen Psaki
- Yellen sworn in by Harris
- Harris meeting with NIH to get second dose
- Travel restrictions were announced yesterday. No plan to implement domestic travel testing requirements.
- Pres won't speak on impeachment because it's not his part of his branch of government.
- Biden has said hoping for immunity by summer, Fauci says by fall. Biden is giving update on 'stockpile', inventory, state, vaccinators, Tiberius data, etc, additional vaccine supply.
- $10B FEMA reallocation to deal with climate change
- President will have to make the argument for the cost of inaction. There's no alternative but urgency.
- $900 million was for inaction of the 6 months prior from CARES Act. American Rescue is for now and future.
- News:
- Mayor Todd Gloria Issues Executive Order on Delivery Fee Caps and Curbside Parking (1.25.2021) Fees capped at 15% delivery fee and 3% service fee.
- Other Reading:
- White Nationalism Is Far Worse Than a 'Disease' Most analogies for racism as a pathology oversimplify its blight. Better diagnosing it means knowing how to treat it. - Wired (1.26.2021)
- Biden’s COVID-19 Plan Emphasizes Vaccines, Masks, and Trust - GEN (1.25.2021)
- WHO recommends follow-up care, low-dose anticoagulants for COVID-19 patients - WHO (1.26.2021)
- Full-dose blood thinners decreased need for life support and improved outcome in hospitalized COVID-19 patients - NIH (1.22.2021)
- WHO issues new clinical advice on treating COVID-19 patients - Reuters (1.26.2021)
- Everyday activities are more dangerous now that new Covid-19 variants are circulating, expert says - CNN (1.26.2021)
- ‘We’re Not Controlling It in Our Schools’: Covid Safety Lapses Abound Across US - KHN (1.26.2021)
- In-person learning during the pandemic is possible with the right precautions, CDC researchers say - CNN (1.26.2021)
- Data and Policy to Guide Opening Schools Safely to Limit the Spread of SARS-CoV-2 Infection - JAMA (1.26.2021)
- FEMA Supports Vaccine Distribution: COVID-19 Response Update - FEMA (1.25.2021)
- US CDC reported 25.02 million total cases and 417,936 deaths. The US surpassed 25 million cumulative cases in yesterday’s update.
- 1 case to 5 million cases- 200 days
- 5 million to 10 million- 92 days
- 10 million to 15 million- 29 days
- 15 million to 20 million- 24 days
- 20 million to 25 million- 23 days (Source: JHU Center for Health Security 1.26.2021)
- Covid-19: Medical community split over vaccine interval policy as WHO recommends six weeks - BMJ (1.26.2021)
- Guidance for Large or Extended Families Living in the Same Home - CDC (1.26.2021)
- Threading the needle (Addressing the Constitutionality of Impeachment after a politician is out of office) - Popular Information (1.26.2021)
- Science Takes Center Stage in the Biden Administration - GEN (1.21.2021)
- On Equity criticism from republicans from Susan Rice: "It's a bit rich, frankly, for Republicans to suggest that by trying to lift up everybody, we are dividing America when we just had four years of the most divisive, vitriolic presidency that one can imagine. And that division was a political strategy."
- 100 Million Shots in 100 Days is not the endpoint. The goal is to beat COVID-19.
- Doing everything we can to get it done, but a lot of things can go wrong along the way.
- Vaccine program was in worse shape than anticipated or expected.
- After review of supply and manufacturing:
- Will expand 8.6 million doses to 10 million doses per week
- Increasing transparency with states, cities, tribes with vaccine supply. They need a plan, need to know what orders will be fulfilled. Until now had to guess how much vaccine would arrive weekly
- Jurisdictions will have a three week forecast for Governors, Mayors, Supervisors, etc. will know what to expect and plan for.
- Soon be able to confirm orders of an additional 100million doses of both the Moderna and Pfizer vaccine. These are ordered and hope to be fulfilled by summer/fall.
- 400million originally ordered, increase of 50% to 600million
- This will allow vaccination of 300million Americans by Fall
- This is a wartime effort.
- Already identified suppliers to step up production and access.
- Directed FEMA to stand up vaccine centers.
- Early February vaccinations will be in local pharmacies.
- States will get 100% reimbursement for National Guard deployed to help in vaccination efforts
- Expanding testing to allow schools to open safely
- Brutal truth is it is going to take months to get people vaccinated.
- Best way to stop COVID and reduce deaths is masking up. Experts say that 50k lives could be saved by April if people would just wear masks.
- If you wanna be patriotic, you're going to protect people.
- Masks required on interstate travel and on all Federal properties
- Testing and self quarantine for travelers
- Comprehensive plan requires approval of Economic Recovery Plan
- Racial Equity Executive Order
- Average Black wealth is 1/10 of average white family
- 1/10 Black 1/11 Latinos are unemployed
- Black and Latino families are twice as likely to be experiencing food insecurity
- Black and Latino 2.8x more likely to die of COVID-19
- Biden will announce Equitable Economic Recovery Plan
- $16Trillion dollar losses over past 20 years because of discrimination
- Close racial gaps would add $5T 6 million jobs over next 5 years
- Executive Orders:
- Racial equity across all government programs
- Rent relief, Student loan reprieve, food aid
- Immigration Policy reforms
- Integrity of Census
- American Rescue Plan estimated to cut child poverty in half, overall poverty by 30%
- Critical relief to Native American tribes
- No renewal of contracts with DOJ private prisons (does not include ICE controlled facilities)
- Memorandum:
- Mitigate racial bias in housing
- Meaningful meetings with Tribal Leaders
- Combat Xenophobia against Asian Americans/Pacific Islanders
- We all rise or fall together.
- Media Questions:
- Vaccination Education among communities of color:
- Established within task force an effort on equity that will focus on health disparity but also for skepticism
- Reaching out through targeted campaigns to reach out to those communities
- What happened to day one gun liability rollback? "Give us something to do over the next few days."
- White nationalism: Biden has ordered intelligence community comprehensive assessment to find origins and roots and develop inputs for policy makers to address the challenge. National Security Council is coordinating efforts to craft and implement policies.
- Why only DOJ private prisons, not ICE? This is just reestablishing an Obama/Biden policy because private prisons have been proven to be less safe, less just.
- Committed to addressing criminal justice matters on incarceration, policing, and other matters in the coming weeks.
- Rollback access to ballot is a matter of real concern and Voting Rights Act.
- Executive orders may also be pushed to codify in Congress, but getting EOs out was the priority. Right now focus is on confirming cabinet and passing American Rescue Plan.
- Press Secretary Jen Psaki
- Yellen sworn in by Harris
- Harris meeting with NIH to get second dose
- Travel restrictions were announced yesterday. No plan to implement domestic travel testing requirements.
- Pres won't speak on impeachment because it's not his part of his branch of government.
- Biden has said hoping for immunity by summer, Fauci says by fall. Biden is giving update on 'stockpile', inventory, state, vaccinators, Tiberius data, etc, additional vaccine supply.
- $10B FEMA reallocation to deal with climate change
- President will have to make the argument for the cost of inaction. There's no alternative but urgency.
- $900 million was for inaction of the 6 months prior from CARES Act. American Rescue is for now and future.
- Mayor Todd Gloria Issues Executive Order on Delivery Fee Caps and Curbside Parking (1.25.2021) Fees capped at 15% delivery fee and 3% service fee.
- White Nationalism Is Far Worse Than a 'Disease' Most analogies for racism as a pathology oversimplify its blight. Better diagnosing it means knowing how to treat it. - Wired (1.26.2021)
- Global COVID-19 Stats (JHU 1.26.2011 8:22pm):
- 100,248,220 Known Cases
- 2,156,941 Known Deaths
- US COVID-19 Stats
- (JHU)
- 25,438,138 Cases
- 425,073 Deaths
- (COVID Tracking Project):
- 143,745 New Cases/25,078,884 Known Cases (4.8%+ Change over 7 Days)
- 3,734 New Deaths/415,557 Known Deaths
- 108,957 Current COVID-19 Hospitalizations
- 20,573 Currently COVID-19 patients in ICU
- 6,832 COVID-19 patients currently on ventilator
- California Secretary Ghaly Media Briefing:
- Stop The Surge- Regional Stay At Home Order
- The way a region came into stay-at-home is different than exiting
- Entrance was based on actuals while exit is based on ICU projections
- Why did we reopen? Dr. Ghaly explains.
- Projections For 2/21:
- Southern California: 33.3%
- San Joaquin Valley: 22.3
- Bay Area: 25%
- Greater Sacramento: 27.3
- Northern California: 18.9%
- Putting in interventions were meaningful, even without universal compliance
- Curve has bent, R-effective has dropped meaningfully below 1, ICUs dropped
- Stay at Home potentially decreased hospitalizations by 25,000, 5,000 fewer ICU admissions
- One year ago today, first cases were identified in OC and LA, which triggered a year of immeasurable loss, over 37,500 deaths
- COVID Fatigue- Keep Your Guard Up
- We must remain vigilant, we're still in extreme purple tier
- Hospitals look like they can handle what's coming, but we still need to prevent transmission
- Vaccinate All 58
- 2.5M doses in 7 weeks
- 10 day challenge rose to increase pace of vaccinations
- Tripled pace of administering the vaccine
- Currently vaccinating 125,000 Californians each weekday
- Secretary Yolanda Richardson - Covered CA, Vaccine Strategy
- Simplifying vaccine eligibility framework
- Standardizing vaccine information and data
- Addressing supply by administering what we have and seeking additional supply
- Vaccination Network:
- Tapping into third-party administrators: public health systems, pharmacies, health systems, public hospitals, community health clinics, pop-up and mobile site
- As supply grows, expanded fixed and mobile sites
- Local public health systems will continue to play a key role
- Continued focus on equity, providers compensated on how well they reach low-income and underserved communities
- Technology Tools
- MyTurn
- pilot, when available will let people know when it is their turn and allow to schedule appointments
- Tools for providers for reporting vaccine updates
- Focusing on Equity
- Vaccines will be allocated to make sure low income neighborhoods and communities of color will have access
- Providers compensated in-part on how well they reach low-income and underserved communities
- Real time data will allow for adjustments to be made if initial targets aren't met
- Race, ethnicity, zip codes will always be looked at for equity
- MEDIA QUESTIONS:
- State is counting on Federal government to smooth out allocations to make them more predictable. No timeline.
- State feels stay-at-home order was correct. Regional stay-at-home order is being lifted at a time when we still have high hospital census, but community transmission has dropped so projections are still optimistic. At the time of stay-at-home, removing outdoor dining was to restrict mixing and movement as much as possible (which is science).
- Stay at home is lifted. There are not parameters for re-entry but numbers will continue to be watched closely.
- Vaccinations will focus on eligibility to make sure underserved get notified and vaccinated.
- State feels more comfortable with reliability of projections/stability of data
- State is working to scale vaccine distribution for when supply is available
- Focus is to ensure balance between risk and exposure
- Age-based framework, allocation formula is to simplify across state
- State still getting a short window notification of vaccine distribution, so they still can't speak to incoming vaccinations next week
- UK B117 variant: variants are always a concern. International community is watching closely. They could change trajectory of pandemic. (Moderna is working on a booster in case it is needed for South Africa variant)
- Only certain youth/high school sports can resume: outdoor activities with significant distancing may resume for preparation, conditioning, practice and competition. GUIDANCE FOR YOUTH/RECREATIONAL SPORTS
- 4 feet distance in schools is to facilitate safe return to schools, not inhibit schools that already have safety plans in place
- Granular vaccine data (age, race, occupation) is not ready but will be working to roll it out over the next few weeks
- Third party administrator has not been announced.
- California COVID-19 Stats:
- State of California Safe Schools For All Hub
- Vaccination progress dashboard
- Aggregate California ICU Bed Availability: 0.0%
- 17,028 New Cases/3,153,186 Total Cases (0.5% increase)/22,317 7-day Average
- 409 New Deaths/37,527 Total Deaths (1.1% increase)
- 9.0% 14-day test positivity rate/7.9% 7-day test positivity rate (33% decrease over 14 days)
- 18,039 COVID-19 Hospitalizations (-308 patients, -1.7% from prior day)
- 20.4% decrease in hospitalizations over last 14 days
- 4,384 COVID-19 ICU hospitalized in CA (-91 patients,-2.1% from prior day)
- 10.5% decrease in ICU over last 14 days
- 1,166 ICU beds available (-2 from prior day)
- San Diego County
- Free Testing Sites and Schedule in San Diego
- VaccinationSuperstationSD
- Vaccination Dashboard
- San Diego County COVID-19 Watch
- 35,420 Cases in last two weeks; 11,941 interviewed
- At least one community setting: 4,522 (37.9%)
- Reported no potential community exposures: 7,419 (62.1%)
- Bars and Restaurants: 425 (3.6%) - WHILE WE WERE IN STAY HOME ORDER
- Retail Locations: 1,143 (9.6%)
- Board of Supervisors Meeting:
- Voted to approve needle exchange program (vote 3-2)
- State Data:
- Southern California ICU Bed Availability: 0%
- 1,437 New Cases/228,630 Total Cases
- 0 Deaths/2,375 Total Deaths
- 67.7 cases/100k population (Assessed on 1/26 Unadjusted Case Rate)
- 12.6% Test Positivity (Assessed on 1/26)
- 16.7% Health Equity Positivity (Assessed on 1/26)
- 1,492 COVID-19 hospitalized patients (+1 patients, 0.1% from prior day)
- 416 COVID-19 ICU hospitalized patients (-7 patients, -1.7% from prior day)
- 168 ICU beds available (+5 from prior day)
- County Data:
- San Diego County Update - County News Center
- 1,434 New Cases/230,066 Total Cases
- 46 New Daily Deaths/2,421 Total Deaths
- 9% Daily Test Positivity/12.4% (7-day avg after 7-day lag)/9.6% Test Positivity (14-day average)
- 49.6 cases/100k population (Assessed on 1/26. Adjusted case rate per 100,000 excluding prisons.)
- 72% Case Investigation
- -6.2% Day Over Day COVID-19 Hospitalizations (1,426 patients. -4.0% increase over 30 days)
- 16% ICU Capacity (406 patients. +4.0% increase over 30 days)
- 4 New/52 Community Outbreaks (7-day)
- Business 31
- Faith-based Setting 2
- Government 4
- Daycare/preschool 6
- Healthcare 2
- Construction 1
- Emergency Services 1
- Food/Bev Processing 3
- Warehouse/Distribution 1
- Comm-Based Org 1
- Universities:
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