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Interim Management, Skilled Monitoring, and Reinvention
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Greetings!
We turn first to The New York Times “The State of the Virus” for April 27, 2021, which offers the following:
- The country’s case numbers are starting to drop again after a month of stagnation.
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Outbreaks are subsiding in the Upper Midwest. Michigan, Minnesota, and Illinois are all reporting drops in new cases.
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The pace of vaccination has slowed somewhat in recent days.
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Reports of new cases are increasing rapidly in Oregon, though the state’s recent infection rate is not yet among the country’s worst.
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Officials in New Jersey removed more than 9,000 cases on Monday, which caused an artificially large decline on the national case curve.
Before the rest of the world, we turn to Michigan, home of our Midwest office, where Huffington Post reports that “Michigan became national hotspot for Covid-19 due to variants and lack of vigilance. Michigan recorded a highest-in-the-nation 91,000 new Covid-19 cases over the last two weeks. That is more cases than California and Texas combined.” As to California, in our LA office we are saying "nosedives are bad for pilots and gymnasts, yet great when it comes to Covid Statistics." Apologies to the Los Angeles Times, which reports “Los Angeles County has one foot in the most lenient tier of the state’s Covid-19 reopening system, a momentous achievement for a region that was once so ravaged by the Coronavirus that it was considered the epicenter of the pandemic in California." The story does a great job of explaining a complex data collection effort that now shows “the proportion of those tests coming back positive has nosedived, reaching a seven-day average of 1.2 percent as of Tuesday. During the darkest days of the fall-and-winter surge, the weekly statewide positivity rate approached 15 percent.”
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The United Kingdom had 2,685 new cases (161 more new cases than reported last week) and 4,409,631 total cases. There were 17 new deaths (16 fewer deaths than last week’s issue), increasing the UK’s Covid death total to 127,451.
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In Italy on April 27, there were 10,041 new cases and on that day Italy had 373 new deaths (this was 2,073 fewer new cases and a 103 fewer deaths than data reported in the last issue); there are to date 3,981,509 total cases and 119,912 total Covid-19 deaths.
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In France, fourth in number of cases, on April 27, there were 30,317 new cases, (a 2,073 fewer cases than what was reported 7 days ago) with a total of 5,534,513 cases. There were 33 new deaths (43 fewer deaths than reported in last week’s issue) with a total of 103,603 Covid-19 deaths in France.
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In Germany on April 27, there were 19,009 new cases; there have been 3,326,778 total cases. There were 354 new deaths (82,698 total Covid-19 deaths in Germany). In comparison to data reported 7 days ago, Germany had a 16 percent increase in new cases and 42 more deaths.
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On April 27, Canada had 7,071 new cases on April 27 (201 fewer new cases than reported 7 days ago); 1,194,989 total cases. Canada had 41 new deaths, five fewer new deaths than 7 days ago’s reporting for a total of 24,065 deaths.
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India had on April 27 had 362,902 new cases; 17,998,637 total cases. India had 3285 new deaths, for a total of 201,165 deaths. In comparison to data reported 7 days ago, India had a 23 percent increase in new cases and a 62 percent increase in new deaths. We jump to STATNews for the recent report on India where they find “In India, ambulances are being crammed with the dead on their way to crematoria and burial grounds. Funeral pyres glowing 24/7 are a constant reminder of the staggering death toll.” And The New Yorker has “India’s uncounted Covid-19 deaths," where Rukmini S, a data journalist in Chennai, speaks about the coronavirus cases and death toll in India, and why unofficial statistics suggest that the true numbers are likely far greater than reported.
Vox has a great six part series that “explores the successes – and setbacks – in six nations as they fought Covid-19.” We link to two of the six – Germany and the U.K.; we encourage you to go to the lead site to explore those two as well as Vietnam, South Korea, Senegal, and dropping on April 29, the U.S. You can also go to Vox’s "The Weeds" podcast and listen to an introduction and summary podcast on the series
And the good news straight from the CDC, illustrated in their “Choosing Safer Activities” post on April 27.
Dr. Vin Gupta and Dr. Leana Wen visited "Hell & High Water" with John Heilemann. These are my favorite doctors who are on the wards and in the policy-practice shaping rooms and they discuss “the Biden administration’s response to the pandemic and whether its success in exceeding its vaccination goals portends victory in the fight against Covid.” We also link you to Dr. Wen’s recent Washington Post column. As further encouragement, I sent this link to our inner circle of practitioners and pod producers and have got back from this discerning crowd instant rave reviews.
Our final section is our now weekly yet to be formally named or branded “Long-term care’s one-step-forward-two-step-back-path.” We start with the Pittsburgh Tribune’s reporting on White House Press Secretary Jen Psaki stating that “Pandemic 'exposed what a problem we have on our hands' in U.S. nursing.” We then conclude with Skilled Nursing News’ recent reporting on “Why SNF-at-home programs could provide a path forward for traditional nursing home operators.” This is a return to what has recently been and will continue to be our reporting on home and community health as a key stop on the long term care path. From a cul de sac of fully vaccinated adults about to have their first outdoor, maskless dinner party, across the U.S. and the world this is Revitalize for April 29, 2021:
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Revitalize: The week in health-care news you need
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Follows India numbers: In Covid's grip, India gasps for air: If there is an apocalypse, this has to be one. In India, ambulances are being crammed with the dead on their way to crematoria and burial grounds. Funeral pyres glowing 24/7 are a constant reminder of the staggering death toll.
India’s uncounted Covid-19 deaths. Rukmini S, a data journalist in Chennai, speaks about the coronavirus cases and death toll in India, and why unofficial statistics suggest that the true numbers are likely far greater than reported.
Exploring the successes — and setbacks — in six nations as they fought Covid-19. Before last March, the United States was considered better prepared than any country in the world to contain an infectious disease outbreak. Then came the novel coronavirus. The US response was slow, disorganized, and ineffective: The richest nation on Earth endured the most cases and deaths anywhere in the world, and it fared poorly even when adjusting for population.
Germany contained Covid-19. Politics brought it back. Germany was returning to normal last summer. Then Covid-19 surged.
How the U.K. found the first effective Covid-19 treatment – and saved a million lives. The U.K. is not a pandemic success story. But its massive Covid-19 trials program is.
Choosing safer activities.
New variants and lack of vigilance turned Michigan into national hotspot for Covid-19. Michigan recorded a highest-in-the-nation 91,000 new COVID-19 cases over the last two weeks.
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In which John Heilemann talks with Dr. Vin Gupta and Dr. Leana Wen, two public health rising stars who have emerged as influential and indispensable voices on Covid-19 in the past year. Heilemann, Gupta, and Wen discuss the Biden administration’s response to the pandemic and whether its success in exceeding its vaccination goals portends victory in the fight against Covid; the controversies over the Johnson & Johnson and AstraZeneca vaccines in America and Europe, respectively; the factors behind vaccine hesitancy and what measures might be taken to overcome it; and restarting the economy and why vaccine passports may be part of the solution.
The Covid-19 vaccines are an extraordinary success story. The media should tell it that way.
Biden spokeswoman: Pandemic 'exposed what a problem we have on our hands' in U.S. nursing homes.
Why SNF-at-home programs could provide a path forward for traditional nursing home operators. Even before the pandemic, executives at onehome saw opportunity in developing a robust rehab program that could provide a skilled nursing facility level of care at home. The Miramar, Fla.-based home health provider and convener partners primarily with managed Medicare insurers, with limited traditional fee-for-service Medicare or Medicaid business lines; instead, onehome opts for risk-sharing
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Jerry Seelig, CEO
Fax: 310-841-2842
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