Sunday, January 10, 2021

Global – 88,400,000/1,900,000 USA – 22,100,000/371,100 And the surge goes on….. There is a real concern that we have our own mutant that is resulting in an increased surge in cases. People are saying they have no idea how they got infected since they have been observing public health recommendations. See below comments from Birx. After Thanksgiving the Northern Plains MN, IL, MI held and did not significantly deteriorate. In contrast this current post Holiday surge is causing deterioration in all metros including metros that were stable and metros that did not experience a significant post Thanksgiving surge. NYC has returned to case counts equal to the Spring recognizing we are testing at much higher rates but this surge is just beginning in NYC and with this current rate of rise of cases could drive significant cases, hospitalizations and deaths especially if it deteriorates at the rate of LA. Proactive setting up of infusion sites now is critical in all large metros and active immunization of those over 65. We have enough vaccine in the States to immunize nearly 15M senior which would be nearly 25% of all seniors over 65. We need to treat this current situation as the emergency it is. Deb Deb’s report: 1. Reporting has stabilized and we have returned to the pre-thanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL and resume a full log phase rate 2. EVERY METRO over 500K residents is deteriorating except Honolulu. - even those that had been stable now have rising cases slides 6-52 : NYC area is now reached cases greater than the Spring surge 3. All of the most populous states are deteriorating or continuing to deteriorate – CA, TX, FL, NY – only CA maybe showing signs of reaching a high plateau – TX, FL, NY will become the new epicenter of this surge over the next 3 weeks – I believe we have had our own evolved and more transmissible strain or strains since September by reviewing all the epidemiologic data – this fall/winter has a more rapid rate of rise from the beginning which predated Thanksgiving and continues at the rate post the Holidays (slide 3) – this rate of rise is now independent of the weather as it is occurring across the South, LA, etc - the surge is more difficult to mitigate - which will require more aggressive action to control and all actions need to be taken now to flatten this curve and preserve the health system) Normally the weekly high for fatalities is Wednesday – deeply concerning that both Weds Thurs and now Friday have deaths near 4000/day See graphs on slide set below (frightening): 10Jan2021DataSum mary.pptx Major discussion among Congress in invoking the 25th Amendment to remove Trump. Pelosi is going to go ahead with impeachment proceedings even though there would be no time to convict, they can impeach. Several people in the White House and Cabinet are resigning – Elaine Chao, Matt Pottinger. POTUS is attacking Pence for not going along with his attempts to overthrow the election. Poor Pence. He had been so loyal, but I am pleased to see that the goodness that I recognized in him is coming out, albeit a bit late in the game. The crazies in the Trump following are calling for the execution of Pence, similar to Crazy Steve Bannon calling for my beheading. PRESS: WGN Radio (Steve Dale) – Chicago; Satire from The Borowitz Report Fauci Says Immunity from Trump Requires Two Doses of Impeachment By Andy Borowitz