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2022-06-01Little Rock and Relief
This article details the $19 million dollars in aid Arkansas' capital received from the federal government. As part of the American Rescue Plan, many larger cities are receiving direct aid from the federal government and Little Rock previously received $18.8 million in May of 2021. The city has decided to allocate much of the funds to improving public works, renovations, and policing. It is interesting to see just how excessively covid impacted cities and the extreme necessity of federal aid. It is particularly beneficial when state legislatures have failed to provide money for needed refurbishment. However, payouts such as this begs the question: who will pay? -
2022-05-02You can't co-opt "my body, my choice"
This is a tweet from Anna Akana regarding the leaked opinion draft from the Supreme Court, which would overturn Roe v. Wade. Here, she is criticizing people who use "my body, my choice" in regards to masks, but don't allow it for when it comes to women's reproductive health. -
2022-06-18Coronavirus: which works better to handle a pandemic – democracy or autocracy?
This is a news story from the South China Morning Post by Priyanka Shankar. This article is discussing the difference in responses based on forms of government. When it came to handling the pandemic, people from Asian countries where restrictions were much tougher rated a higher rate of satisfaction in government response compared to Latin America and Europe. This was taken from the Democracy Perception Index. According to researcher Fredrick DeVeaux, a leader in conducting this survey, the tight restrictions common in Asian countries are generally accepted because it gets associated with low death rates. The survey does make mention that in countries such as Iran and China, they hid data about the virus from their citizens, affecting their overall response to changes in lockdowns. However, Singapore is also authoritarian, and the prime minister has made an effort to create transparency in what is occurring, so items get hoarded less. Overall, the article claims that the mass mobilization of people and goods under authoritarian regimes fares better than democracies do at creating an effective COVID response. -
2022-06-17Vaccines for kids 5-11
This is an Instagram post by ntsnoticiaspatz. It is saying that if you have not, you should register your kid to receive their vaccine. This is being promoted by the Mexican government. -
2021-12The “Vaccine Passport” Agenda
This is information on vaccine passports by Swiss Policy Research. The overall message is that there is a correlation between totalitarianism and panic over the virus. This panic, in turn, has translated into governments around the world bringing up the possibility of vaccine passports. The vaccine passports may be used for more than vaccines, as they would be a way for the government to identify movement of individuals easier. The groups uses a number of ways to sway the audience, using information on what different organizations have funded, in addition to bringing up what other governments have said about the vaccine passports. Vaccine passports, according to this publication, really got traction from the digital identity lobby group ID2020 in February 2021, which has funding from both the Gates Foundation and the Rockefeller Foundation. The research foundation cites pushback against the vaccine passports too. Places like Ontario, Canada have had to take away the vaccine mandate for healthcare workers, as they would potentially lose many workers in the process. In Spain, they have been called "ineffective and unconstitutional." The publication ends by calling the pandemic a "plandemic," saying that it was likely lab-created for the purpose of controlling the populations more. I think given the information available, this is persuasive. There are links to where the claims come from, such as what Bill Gates says himself, as well as information on the Good Health Pass, which is a collaboration between many different organizations and their implementation of vaccine passports. In my own opinion, I find vaccine passports unconstitutional and an invasion of privacy. A vaccine passport makes it so you are forced to disclose personal health information to strangers in order to do things like grocery shopping, which I consider to be a potential HIPAA violation. It is also breech of the Fourth Amendment in the Constitution. If people feel inclined to get vaccinated, they should, but forcing people to do so through vaccine passports creates more overall distrust in the government. I have known people that would have otherwise have gotten the vaccine if it wasn't so forced. Even though vaccine passports were never mandated where I live, there have been people that have lost their livelihoods over not wanting to get vaccinated. I myself was very hesitant to get the vaccine for a while due to the way the government was handling it. Trying to implement vaccine passports and mandates has made it so society becomes more segregated, where unvaccinated would be forced to shop at different places, work at different places, and many other things. I am glad that the overall effort to actually do this has failed, but that is only because of many groups of people throughout the United States exercising their rights. I am pro-choice too, and I extend that reasoning to vaccine passports. People need bodily autonomy and vaccine mandates remove some of that. -
2022-04-28What Musk's free-speech Twitter could unleash
This is a news story from Axios by Ina Fried. This is about the ramifications that could happen with Elon Musk's Twitter buyout. The author is worried about both election and COVID misinformation becoming more common on Twitter again. Other things added to this list include: sharing of manipulated media, impersonating others, increase of spam content, hateful conduct, and forms of violence being allowed. -
2022-04-13American Samoa COVID Cases Situational Report #22
This is the twentieth-second report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of April 13, 2022, positive cases have risen to 5457 from 5254 on April 08, 2022. A total of four individuals are hospitalized, and nineteen recorded deaths related to COVID-19 have been documented. American Samo's vaccination coverage of individuals who are fully vaccinated currently stands at 83.7%. -
2022-04-08American Samoa COVID Cases Situational Report #21
This is the twentieth-first report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of April 08, 2022, positive cases have risen to 5254 from 4957 on April 05, 2022. A total of two individuals are hospitalized, and eleven recorded deaths related to COVID-19 have been documented. American Samo's vaccination coverage of individuals who are fully vaccinated currently stands at 83.4%. -
2022-04-05American Samoa COVID Cases Situational Report #20
This is the twentieth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of April 05, 2022, positive cases have risen to 4957 from 3756 on March 29, 2022. A total of five individuals are hospitalized, and eight recorded deaths related to COVID-19 have been documented. -
2022-03-29American Samoa COVID Cases Situational Report #19
This is the nineteenth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 29, 2022, positive cases have risen to 3756 from 3381 on March 27, 2022. A total of five individuals are hospitalized and 4 recorded deaths related to COVID-19 have been documented. -
2022-03-27American Samoa COVID Cases Situational Report #18
This is the eighteenth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 27, 2022, positive cases have risen to 3381 from 2953 on March 25, 2022. -
2022-03-25American Samoa COVID Cases Situational Report #17
This is the seventeenth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 25, 2022, positive cases have risen to 2953 from 1932 on March 22, 2022. On this report, a number of 7 individuals are hospitalized to covid and there is 1 death related to COVID-19. -
2022-03-22American Samoa COVID Cases Situational Report #16
This is the sixteenth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 22, 2022, positive cases have risen to 1932 from 1565 on March 21, 2022. -
2022-03-21American Samoa COVID Cases Situational Report #15
This is the fifteenth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 21, 2022, positive cases have risen to 1565 from 1188 on March 17, 2022. -
2022-03-17American Samoa COVID Cases Situational Report #14
This is the fourteenth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 17, 2022, positive cases have risen to 1188 from 433 on March 10, 2022. -
2022-03-10American Samoa COVID Cases Situational Report #13
This is the thirteenth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 10, 2022, positive cases have risen to 433 from 343 on March 9, 2022. The DOH advised that elders are strongly recommended to get the booster shot. -
2022-03-09American Samoa COVID Cases Situational Report #12
This is the twelfth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 9, 2022, positive cases have risen to 343 from 291 on March 7, 2022. The people of American Samoa are still advised to get their vaccine shots and booster shot. The numbers jumped by 52 cases after two days. The report also shows how many doses of vaccine and booster were administered. -
2022-03-07American Samoa COVID Cases Situational Report #11
This is the eleventh report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 7, 2022, positive cases have risen to 291 from 243 on March 6, 2022. The people of American Samoa are still advised to get their vaccine shots and booster shot. It is also heartwarming that within these reports that are released to the public, the DOH encourages people to send text messages, video messages, or groceries to someone who tested positive. -
2022-03-06American Samoa COVID Cases Situational Report #10
This is the tenth report released by the American Samoa Department of Public Health regarding the rise of covid cases in American Samoa. As of March 6, 2022, positive cases have risen to 243 from 229 on March 5, 2022. The people of American Samoa are still advised to get their vaccine shots and booster shot. And if they are to get tested, there are clinics on the East and West of the island to get tested if people are positive. The DOH released these reports daily or weekly to inform the public about the number of cases on the island. -
2022-03-05American Samoa COVID Cases Situational Report #9
This is the ninth report released by the American Samoa Department of Public Health in regards to the rise of covid cases in American Samoa. As of March 5, 2022, positive cases have risen to 229 from 215 on March 4, 2022. -
2022-03-04American Samoa COVID Cases Situational Report #8
This is the eighth report released by the American Samoa Department of Public Health in regards to the rise of covid cases in American Samoa. As of March 4, 2022, positive cases have risen to 215 from 154 on March 3, 2022. The DOH also changed the look of the Situational Report to show the map of American Samoa and color-coded villages with their number of cases. -
2022-03-03American Samoa COVID Cases Situational Report #7
This is the seventh report released by the American Samoa Department of Public Health in regards to the rise of covid cases in American Samoa. As of March 3, 2022, positive cases have risen to 154 from 135 on March 2, 2022. -
2022-03-02American Samoa COVID Cases Situational Report #6
This is the sixth report released by the American Samoa Department of Public Health in regards to the rise of covid cases in American Samoa. As of March 2, 2022, positive cases have risen to 135 from 94 on March 1, 2022. -
2022-02-24American Samoa COVID Cases Situational Report #1
This is a report from the American Samoa Department of Public Health in regards to reporting the number of cases American Samoa has with COVID reaching the island. Ever since cases began to rise on the island, the American Samoa Department of Public Health has been releasing these situational reports on COVID cases publicly and weekly. The importance of these reports was to keep the public inform and we could see just how fast the disease spread in a significantly high amount weekly or even in a couple of days. -
2022-04-03COVID: China struggles to contain large outbreak
This is a news story by DW News. It is a story about how the outbreak of COVID has not been very well controlled in China, with China reporting 13,146 new cases, the most since the beginning of the pandemic in 2020. Despite these numbers, the Chinese government has claimed that there have been no new deaths despite the high number of infections. Shanghai is the worst affected region in China, in which as city of 25 million has been under lockdown. Vice President Sun Chunlan, who is on the Communist Party's Politburo claims that swift actions taken will help stop the spread of the virus. In Beijing, there have been lockdowns, mass testing, and travel restrictions placed on the populace. Residents of Shanghai are worried about the lockdowns exceeding four days, as it will limit their ability to obtain fresh food. Parents also fear being separated from their children for too long under strict quarantine. The article mentions Xi being in tough spot with this too, as these lockdowns will have an ill effect on an already fragile economic situation. -
2022-03-23South Korea's total COVID-19 cases top 10 million as crematoria, funeral homes overwhelmed
This is a story by Channel News Asia about the ongoing issues with funeral homes in South Korea. This article says that in Seoul, 28 crematoria are operating at 114.2% capacity, while other crematoria around the country are operating at 83%. For the past two week, the number of critically ill patients has been hovering above 1,000; but it could get to 2,000 by early April. To combat this, the federal government has approved the use of Merck & Co's COVID-19 treatment pill. The pill is branded as Lageviro and is the second antiviral to be authorized in South Korea after Pfizer's Paxlovid. This pill, however, is only approved for adults 18 and above. The government is hoping that actions such as these will help limit the crowdedness in funeral homes and hospitals. -
2022-03-15Passionate and (mostly) respectful recent debate in the waning pandemic
While the all-encompassing strength of the COVID-19 Pandemic is waning, it still persists and lingers. This is a critical time where countries can either dreamily and abruptly attempt to return to idealized pre-pandemic existence or continue to return to their visions of normalcy through steps found in scientific methodology. Debates that focused on safety, health, and personal freedoms (especially about masks and vaccines) were constantly in the news the last two years, with some deteriorating into disheartening and embarrassing public displays. Surely, these debates will continue indefinitely, and all perspectives will be important to history. While browsing this archive, many of the stories are of those who subscribe to the reality of the pandemic, who trust and listen to science, and who have highlighted the way their lives have changed during the pandemic. I am from Arizona, born and raised. I often find myself to be the lone liberal or democrat, particularly at work, in a state formerly known as a red state, now perhaps purple. While Arizona is well represented in this archive regarding life during a pandemic, it has many people living in it who dispute the pandemic's origin, virulence, and the government's attempt to control personal freedoms, as much as I personally disagree. The attached YouTube video shows a meeting of the Kyrene School District Governing Board from January 25th, 2022. The relevant background is that before the 2021 Winter Holiday break this district emailed parents that masks would no longer be mandatory after the new year. By the end of the break, Omicron infections had increased, and the district regressed back to mandatory masks after the holidays. Please watch, specifically from minutes 20:35 through 38:28. To me, a person who reads a diverse group of news sites daily, this clip has brought me hope. Of all the ugly comments I have read on far right or left news sites, debate like the one in this video is instead mostly constructive, passionate, and respectful. I may not agree with everything discussed in this sample, but I respect people's right to debate their beliefs. I believe studying other perspectives is useful for future generations. Historians one hundred years from now may wonder why certain people thought masks were useless in schools. Hopefully, between this J.O.T.P.Y. archive and the articles that exist on the internet, a thoughtful sample of diverse perspectives can be researched. Additionally, I hope this video adds to material in this archive that demonstrates the anti-mask perspective to historians who could research and educate future generations on state and federal authority during health crises to hopefully prevent conflicts as we saw during the COVID-19 pandemic. This video is owned and uploaded by the Kyrene School District to YouTube. -
2020-03-30
Having to wear masks
The news article I put is an article about having to wear masks through the pandemic. This was a big change for America with many people wearing masks to help slow the spread and keep ourselves and those around us safe from covid. Many states had laws on when to wear masks, this was a historic moment for America when they announced we had to wear masks because the covid illness is very serious. -
12/01/2020Wade Pitrucha Oral History, 2020/12/01
Wade Pitrucha, Marine Corps veteran and butcher, was raised in Texas and lived in California for several years, and currently works as a butcher and lives in Barron, Wisconsin. In this interview, Wade discusses the political and economic developments he has observed since the beginning of the COVID-19 pandemic. Wade gives an inside look at the COVID-19 meat shortage, and explains some of the causes, as well as the impacts on farmers and families. Wade also shares some of his personal experiences and frustrations with the local handling of the pandemic, and how he feels the federal government and the Trump administration has contributed to the massive spread of COVID-19 in the United States. In an entertaining and sometimes darkly humorous interview, Wade’s military experience and personal beliefs provide a unique and well-balanced view of the COVID-19 pandemic and modern American society. -
12/09/2021SL and S Oral History, 2021/12/09
[SL] and [S] (Last name unknown) take turns interviewing each other on the topics of covid-19 and how it relates to past pandemics in history. -
2021-10-01(HIST30060) Disaster Payment: "Getting Payed to Study"
HIST30060. The COVID-19 Disaster Payment, given to workers unable to earn income due to COVID-19 state or territory health order, was given to construction workers during the two-week construction shutdown in Victoria. Traffic control in the construction sector has been my casual job alongside university for the past three years. The recent construction shutdown, however, allowed me to receive the $750 a week from the Disaster Payment without working at all. My housemates and I called this “getting paid to study”. This was especially true in the lead up to exams were we spent the majority of time at home with very little excuse to do anything other than “hit the books”. -
2021-10-01
Disaster Payment: "Getting Paid to Study"
The COVID-19 Disaster Payment, given to workers unable to earn income due to COVID-19 state or territory health order, was given to construction workers during the two-week construction shutdown in Victoria. Traffic control in the construction sector has been my casual job alongside university for the past three years. The recent construction shutdown, however, allowed me to receive the $750 a week from the Disaster Payment without working at all. My housemates and I called this “getting paid to study”. This was especially true in the lead up to exams were we spent the majority of time at home with very little excuse to do anything other than “hit the books”. -
2021-09-20Town of Cochrane commits to Truth and Reconciliation, declares Sept. 30 a stat holiday
This is a newspaper from Cochrane Today, a subsidiary of the Cochrane Eagle on the adoption of the National day of Truth and Reconciliation in the town of Cochrane. The document talks about how other municipalities and even the provincial government have chosen not to participate in the first day of this incredibly important national holiday. -
2021-05-16Vaccine Hesitancy in the Black Community
This tweet reflects an ongoing controversy of the Covid-19 vaccine. The media has reported a hesitancy of the mRNA vaccine amongst the black community, but with little to no context on why there is such hesitancy. Based on the history of the U.S. public health institution, there have been reported inequalities that include a racial hierarchy within the medical system. This tweet specifies the instances of medical malpractice committed towards people of color and insists on an understanding of racial inequality through the lens of people of color that led to skeptical feelings about the vaccine. -
2021-05Reopening too Soon
In many states, the government seemingly ended mask mandates and opened back up in one day. Washington State lifted mask mandates and reopened everything at 100% only to reinstate mask mandates and reduce compacity a few weeks later. This has lead to the meme of everything is on fire but let's just reopen anyways. -
2021-07-29Basilico’s Pasta e Vino in Huntington Beach
After submitting a restaurant's sign promoting their anti-vax stance I was curious as to whether or not they were still in business. It turns out this restaurant has made quite a buzz in California. They unapologetically promote misinformation and publically prefer their customers to be unvaccinated but happily took thousands in PPP funds. They have spent money on controversial billboards and are not at risk of losing their liquor license. I'm so interested to see where else this story goes. The last sentence of this article sums up the ignorance of the restaurant owner - “Our stand is for all Americans,” wrote Roman. “They can thank us later.” -
2020Humorous memes about coronavirus
During quarantine I collected many humorous memes about staying at home and the problems that brought. All sorts of subjects were covered: cooking, getting along with your spouse/roommates, homeschooling the kids, learning to bake bread, being stuck at home, sanitizing, facemasks, people hoarding toilet paper, boredom, effects of isolation, etc. Here are a few of those memes. -
2021-07-14Protests in France against COVID-19 'health pass' rules
Police in Paris clashed with protesters railing against President Emmanuel Macron's plan to require a COVID-19 vaccine certificate or negative PCR test to gain entry to bars, restaurants and cinemas from next month. Macron this week announced sweeping measures to fight a rapid surge in new coronavirus infections, including the mandatory vaccination of health workers and new health pass rules for the wider public. In doing so, he went further than most other European nations have done as the highly contagious Delta variant fans a new wave of cases, and other governments are watching carefully to see how the French public responds. -
2021-04-02Strength and Innovation of Indigenous Communities During the Pandemic
This article demonstrates that despite the inequities faced by Native Americans and indigenous populations they have been innovative in combatting the pandemic and shown strength in the face of fear, illness, and uncertainty. -
2021-05-09Fred O'Gorman Oral History, 2021/05/09
Interview conducted by a nephew with uncle regarding the COVID response as it occured in the Republic of Ireland. Interviewee Fred O'Gorman discussed topics ranging from business closure and government response to personal and communal attitudes and behaviors in relation to pandemic in Ireland. The discussion also discussed ongoing vaccine rollout in Ireland and the dynamics of mental health through the course of the pandemic. -
2021-03How to Survive a Plague with a Disability
As I’m writing this, it is March 2021 and it’s been a year since I’ve updated this blog. Although I don’t only write about travel here, it’s been depressing to look back on my past trips and have to wonder when I could be in the world again. But I’ve been far from silent during this time. You can read many of my reflections on the pandemic and other topics over at The Mighty, where I have been an editor for the past five years. One year ago, when the pandemic was just beginning in the United States, one of my good friends posted a social media message about supporting each other during what most people thought would be a strange, scary, but ultimately short period of our lives. Part of it went something like this: My mask protects you. Your mask protects me. It’s a nice sentiment. Wearing a few layers of cloth over your face may not help you much, but it helps to prevent other people from getting sick. It’s a kind, visible act we can all do to show we care during a difficult time, to protect others who are at risk even if we may think we would not become seriously ill. It seems so simple, right? How could people not do this? But we all know what happened. “My mask protects you. Your mask protects me,” only works if the other person values your life enough to consider it worth protecting. I’ve been horrified by the number of government officials and online commenters who have viewed the deaths of elderly and disabled people as “acceptable losses” in exchange for keeping non-essential gathering spaces open. My life, and the lives of people with high-risk conditions, are more important than your trip to Disneyland. Don’t you think we want to go to Disneyland too? I’ve also noticed that able-bodied people often assume disabled people will be provided for in emergencies, and in general. They believe there are a lot of government programs and charities to help us, and that such programs are run well and meet our needs. This widespread — but utterly false — belief in a functioning safety net for “the vulnerable” gives people an excuse to behave selfishly while convincing themselves they’re not doing anything wrong. “Of course, there will be a plan to protect nursing home residents, and immune-suppressed people can stay home, so we can throw parties and go without masks if we don’t like them.” In reality, the needs of people with disabilities are often disregarded, misunderstood, ignored, and even actively opposed. We have to fight for access to everything, and sometimes end up on multi-year waiting lists for housing assistance, in-home care, and other essential programs and services. We must battle with government and private insurance to get the mobility equipment we need. We are GPS tracked like criminals if we need personal care assistants, with “fraud prevention” used as an excuse. We often depend on programs with ridiculously complicated requirements, and one missed deadline, one paperwork error, one month where we made “too much money” can cost us everything. -
2021-04-19Navajo Department of Health Public Health Emergency Orders through 19 April 2021
These eight documents are the eight Public Health Emergency Orders issued by the Navajo Department of Health issued through 19 April 2021. -
2021-04-18Child care services in Illinois are getting prioritized
Northern Illinois University and an Early Childhood Transformation Team developed by Gov. J.B. Pritzker will work together to make getting vaccinations more obtainable. The primary goal for this movement is to make the process simpler. Most of the article refers to those in the child care industry, though. Pritzker intends to make it more accessible. Child care services have been struggling throughout the pandemic, and Pritzker has been trying to turn things around. Federal aid of $1.6 billion was allocated "to expand access to high-quality early childhood education and childcare for children and families across the state." Every demographic is to be included — children of color, children with disabilities, among others. -
2021-04-18What made California’s vaccine rollout so difficult?
The Golden state only recently received news that “50% of all eligible Californians have received at least one dose of the COVID-19 vaccine." It’s progress and it’s most certainly hope. What gives people even more hope is how they expanded vaccination eligibility to 16 and over as of April 15. Schools are already reopening, but this is good news for those who are still hesitant to return — and for good reason. What made California’s vaccine rollout so difficult? One of the most obvious answers is the size of the state. Its population was recorded to be over 39 million in 2020. Even with an increase in vaccines, with roughly 2.4 million doses in the first week of April alone, it was not enough to accommodate even the 50-64 age group — a population of roughly 7.2 million. Santa Clara County Executive Officer, Jeff Smith, was also quoted to have cited the state's governor for perpetuating the pandemic — that his pandemic approach was “disorganized and petulant.” Although affordable healthcare services is a nationwide pandemic in and of itself, California also deals with fragmented healthcare responsibilities. Distribution is “split up among 58 county governments.” Issues in communication, planning and transportation of vaccines are all major factors impacted by the overwhelming lack of unified leadership. https://twitter.com/CAgovernor/status/1383132361148100609 https://www.gov.ca.gov/2021/04/01/as-california-expands-covid-19-vaccine-eligibility-to-all-californians-50-governor-newsom-receives-vaccine-in-los-angeles/ -
2021-04-06U.S. Vaccination Eligibility Expanding on April 19, 2021
With a goal of 200 million vaccine shots by the 100th day in office, President Biden announced that the deadline (May 1) for eligibility will move up to April 19. Actions to vaccinate the country are speeding up. This motion will open up eligibility to “90% of adults”. States such as New Jersey, South Dakota and Nebraska plan to expand that eligibility to 16 and older even sooner to the deadline. Naturally, part of the process is to market the vaccine to the general public, especially to the ones hesitant to get the vaccine. That funding is coming from the COVID-19 economic relief package ($1.9 trillion). -
2021-03-07Standouts/ scrap proposed changes to the Climate Bill
Park Ave /Chandler St Worcester 3/6/21: another in our series of standouts urging the State House to scrap #CharlieBakerMA 's proposed changes to the Climate Bill approved by the House and Senate. #buildbackbetter #climatecrisis #stopthemoneypipeline #keepitintheground #justrecovery #justtransitition #MassGovernor #CharlieBakerMA -
2021-04-04News Article: How a local response to COVID-19 helped slow deaths on the White Mountain Apache nation
By Amanda Morris of the Arizona Republic: When someone on the Fort Apache Indian Reservation receives a confirmed diagnosis of COVID-19, health care workers from the Whiteriver Indian Hospital jump into action. They personally visit the individual's home to test other household members, perform health evaluations on everyone there and trace any other potential contacts at risk for COVID-19 exposure. Health care workers in the community say that could be one reason why, even though the rate of confirmed COVID-19 cases among White Mountain Apache tribal members is nearly triple the state's rate, the death rate is much lower and continues to fall. Over 90% of COVID-19 cases in the White Mountain community are investigated within 24 hours of testing, according to Ryan Close, the director of the Department of Preventative Medicine at the Whiteriver hospital, which is the only hospital on the 1.67 million-acre reservation. "I feel like what we did made a huge difference," Close said. "We evaluated and admitted people aggressively and early. The tribe deserves an incredible amount of credit for mobilizing staff ... to make this response possible, because at some point it would have been very difficult to maintain without their considerable help." The quick response may have also helped the tribe turn the tide against rapid community spread of the virus, which scientists say could have been fueled by a single variant found only in the White Mountain tribal communities. The variant carried a mutation in the spike protein, which scientist theorize could have made it spread more rapidly than other strains of the virus. The number of confirmed COVID-19 cases among White Mountain Apache tribal members accounts for 24% to 28% of their population, according to Close, but the cumulative death rate among known cases is only 1.2%. By comparison, the statewide rate of infection was 11.5% with a 2% death rate among known cases. And over the winter, Close said the rate for the tribe dropped even lower, to about 0.5%. In a community with a high number of individuals with underlying health conditions, the low death rate and work of the tribe has been "remarkable," said David Engelthaler, director of the Translational Genomics Research Institute's infectious disease division in Flagstaff. The death rate also stands out as unusually low when compared with death rates in other Indigenous communities. Indigenous populations have been disproportionally affected by the pandemic. CDC data shows that Indigenous people are 3.5 more likely to be diagnosed with COVID-19 and almost twice as likely to die from COVID-19 than white people. Close credits a proactive strategy to combat COVID-19 that involved rapid contact tracing, in-person health evaluations and frequent outreach to high-risk COVID-19-positive individuals as well as early treatment with monoclonal antibodies and other antiviral therapies. Volunteers and health workers from the White Mountain Apache community were on the Whiteriver hospital's contact tracing team and high-risk COVID-19 outreach team, which Close said helped the team connect better with the people and work faster. One essential part of the team are the tribe's community health representatives, or CHRs, who are members of the community that serve as a cultural bridge between patients and medical establishments. JT Nashio, director of the Community Health Representatives for the tribe, said the "visceral connection" that CHRs have to the community helps them bring cultural awareness to the way questions are asked for contact tracing, which makes the process more effective and allows officials to better distribute information. "On top of that, quite simply, they know how to get around. It’s a big reservation and not all homes are easy to find," Nashio said. "But when you’ve lived here your whole life, you know where to find people. That became invaluable during the tracing and testing push during case surges." Virus mutation may have made it more transmissible When COVID-19 hit the White Mountain Apache nation, it spread rapidly. The community's first documented case was on April 1, 2020, from someone who had likely recently visited the Phoenix area, unknowingly caught COVID-19 and returned, according to Engelthaler. Within the first few weeks, Close said the community experienced a handful of deaths. "We soon had incidence rates that were skyrocketing. Case counts were going up very, very quickly," Close said. It's unclear why the disease spread so rapidly in the community, but the initial strain of COVID-19 that hit the community carried a mutation that Engelthaler believes could have made it more transmissible. "They were seeing the virus just rip through and have an 80 to 90 to 100 percent attack rate," he said. TGen partnered with the tribe and the U.S. Indian Health Services early on to provide tests to diagnose a case of COVID-19 and provide genetic analysis of the virus from each case. It showed one strain of the virus circulating in the tribal community that wasn't present anywhere else in the state. "This virus moved much faster than anything else we were seeing in Arizona at the time," Engelthaler said. "So we actually believe that we had one of these variant strains in Arizona that was causing very large numbers of cases, but it was secluded and maintained really only in that tribal population." The mutation, called the H245Y mutation, occurred in the spike of the virus, which Englethaler said is a "very sensitive" part of the virus where mutations can have a significant impact. Because of the low death rate, Engelthaler said TGen researchers would like to investigate the mutated strain of coronavirus seen among tribal members to see if it is also associated with a lower fatality rate. He acknowledged that other strains of the virus have since entered the community and that the actions of health care workers in the community and at the Whiteriver hospital is also responsible for the lower death rates. 'The earlier you treat an illness, the better' Close's biggest concern was that an outbreak would cause a "tsunami" of sick COVID-19 patients that would run the risk of overwhelming the Whiteriver hospital, which does not have an intensive care unit. Any patients that require intensive care need to be transported to other hospitals in the state. "We're a small hospital, we cannot take a wave of all very acute patients because there aren't enough ventilators in the hospital," Close said. "There aren't enough helicopters in the state to transport people out from our facility to a higher level of care." Within the first few weeks, Close said the community experienced a handful of deaths, and patients who had the poorest outcomes were the ones who self-presented at the hospital — often meaning they waited until they felt sick enough to go to the hospital. "People don't always bring themselves in early enough," Close said. "The earlier you treat an illness, the better." In response to this phenomenon, the hospital started a high-risk outreach program the third week of April. Health care workers regularly visited the homes of anyone who tested positive for COVID-19 and was at high risk for a poor outcome. Close recalls multiple days when he evaluated patients and found their oxygen levels dangerously low, even though they felt fine. It's a condition associated with COVID-19 known as "silent hypoxia," or "happy hypoxia." "They had no sense that they were even ill. They went on to get pretty sick in the hospital, but they survived and you can't help but think to yourself, 'Yeah, that's a life saved,'" Close said. "That person, if they had stayed home another day or another two days would not have done as well. They would have ended up on a ventilator or something." The Arizona Republic previously reported that the effects of the high-risk outreach program and contact tracing led to a fatality rate among tribal members of 1.6% last June, which was less than the state's rate of 2.5% and country's at 2.7% at the time. But the effect of the outreach program became even more pronounced over the winter, as the tribe and health workers gained access to monoclonal antibody treatments, according to Close. He said the high-risk outreach team started referring patients for antibody treatment in December as part of their protocol after the therapy received emergency use approval from the Food and Drug Administration. Hospital staff at the Whiteriver hospital then administered the antibody treatment. "We give that to people who are asymptomatic or mildly ill to prevent hospitalization," Close said. "The evidence currently suggests that reduces the risk that they're going to get sicker and get hospitalized and reduces the risk that they're going to die." Though there's no data proving the antibody treatments made a difference, Close said that after health care workers started using them, the community's COVID-19 death rate fell to 0.5%. Hospital workers also gave antiviral therapies, such as remdesivir, to patients early and often. "We probably overtreated some people," he said. "But the good news is it definitely led to significant reductions in mortality." Lessons for the future Close believes the different programs were so successful because health care workers were often able to test, trace, diagnose and treat individuals all in the same day — a feat he said was only possible because of how closely integrated hospital workers and community health workers were. "There were no barriers in communication between the public health arm of our response and the clinical care arm of our response," Close said. "It's really a case for an integrated health care system." As the tribe emerges from the pandemic and tribal members get vaccinated against the virus, Close said the hospital may start exploring other health conditions where it can use the high-risk outreach team, which is already trained and experienced in clinical evaluations. "The goal is to take what we've learned from COVID and now apply it to things that are not COVID-related," Close said. Another valuable lesson Close hopes to carry forward is how much of a difference visiting residents in their homes can make and how important building trusting relationships with the community is. Nashio said going door to door to trace and monitor COVID-19 cases was a natural step for CHRs, who had already gone door to door in the past for other community health campaigns. "We know firsthand how difficult it can be to not only connect with patients over the phone but communicate effectively over the phone," Nashio said. "When the community sees their CHRs coming to their door, it helps decrease the stigma of the disease." In addition to performing checkup evaluations and providing information, Nashio said CHRs can also provide food, medical supplies, cleaning supplies or services like grocery shopping and running basic errands. Not every tribal member has reliable internet or phone service, nor access to transportation, so Close said going door to door can be a good way to reach, and help, everyone. "Meeting patients where they are is invaluable," Close said. Amanda Morris covers all things bioscience, which includes health care, technology, new research and the environment. Send her tips, story ideas, or dog memes at amorris@gannett.com and follow her on Twitter @amandamomorris for the latest bioscience updates. Independent coverage of bioscience in Arizona is supported by a grant from the Flinn Foundation. -
2021-03-30White supremacy has been etched into the foundation of our government
Video shows past and present Social Justice movements to fight white supremacy, including current movements taken place during the pandemic. From the Video: White supremacy has been etched into the foundation of our government since the beginning. We don't rely on governments to do the work of mass movements. We don’t rely on the same tactics as white supremacists. This week, we will NOT give them what they want, which is a reaction out in the streets. Today and everyday, WE keep us safe. WE will end white supremacy. Check in on each other. Join us: blacklivesmatter.com -
2021-03-29New York Vaccine Eligibility Widens
This updates the general public of New York that vaccinations are available for those aged 30 or older. In addition, the eligibility for 16 or older will come on April 6. However, Gov. Andrew M. Cuomo emphasized that they wanted to make sure that they had enough supply before setting a fixed timeline for availabilities. -
2021-03-18Indonesia's Foreign Travel Restrictions [March 2021]
This article shines some light on the travel restrictions in Indonesia at the moment. It reports that Indonesian citizens are urged to come back into the country if they are travelling abroad. This is to limit the distance, and to assure that citizens can come back before travel becomes more difficult. However, they listed eight foreign countries (Iran, Italy, Vatican City, Spain, France, Germany, Switzerland and Great Britain) in which they would ban arrivals from. If any person had travel records that showed that they were in the listed countries in the past 14 days, they would be banned from entering the country. This article was personally translated.