We ensure quality care through
Interim Management, Skilled Monitoring, and Reinvention
Greetings!

Data provided for Oct. 26, 2020 by Worldometers shows a spike in cases across the U.S. and Europe, please see the daily graph at that site. 
          On Oct 26, 2020 in the U.S., there were 69,841 new cases, an increase of over 10,000 new cases from the prior week, there are 8,456,653 total cases: on the 26th there were 529 deaths (an increase of 20 percent) and the death total has reached 231,041. In comparison, in Italy there were 17,012 new cases (almost double from prior week in “day of reported cases”), 542,789 total cases, and 141 deaths, almost double from last week (37,479 total deaths); in France, 26,771 new cases, an 80 percent increase from prior week (1,165,278 total cases) and 257 deaths almost double prior week and there have been a total of 35,031 deaths; in Germany – where yesterday’s new cases increased 300 percent and deaths increased by over one-third over data reported here last week, there are 12,261 new cases (450,258 total cases) and 44 deaths (10,162 total deaths); the United Kingdom had 20,890 new cases (an approximate 10 percent increase since last week) and 894,690 total cases, 102 deaths, an approximate 50 percent increase since last week) increasing their Covid-19 death total to 44,998. We continue to look to the second and third place countries, India and Brazil, respectively. India, with a total population of 1.38 billion, saw an approximate 40 decrease in same day new cases and deaths with 36,838 new cases (7,945,888 total cases) and 505 new deaths (119,535 total deaths); and Brazil had 17,422 new cases and 288 new deaths (5,411,550 total cases) and (157,451 total deaths). And this week we add our neighbor to the north Canada, which we often turn to for comparisons as to health care outcomes and delivery systems. Yesterday Canada with a total population of 37,848,178 was 30th in worldwide total cases with 4,109 new cases and 27 new deaths for a total of 220,213 cases and 9,973 deaths.

As we see above, and have seen in the past three issues, Covid-19 cases are spiking across Europe, with the Czech Republic, Belgium, France, and Spain experiencing four-fold or greater increases in the number of new cases. The Associated Press leads with “French doctor warns his country has 'lost control' of virus,” finding that nations that did great over the summer are locking down again and trying to find a tool set to bring the virus under control. The Washington Post looks closely at Italy, that progressed from “the hotspot” to “lock down pioneer” and now in the midst of a spike hoping that “piecemeal measures can slow the infection rate while also preserving jobs and businesses.”

In a pre-Christmas look at which states have been naughty and who have done nice, the curators provide a contrast between the many Midwestern and Great Plains states that did little and now are suffering, and California (in particular San Francisco) which was this nation’s “lock down pioneer.” The Washington Post furthers our understanding of rural outbreaks in “As the coronavirus surges, it is reaching into the nation’s last untouched areas.”As we went to press we found in Vox a critical look at the Dakotas "Why North and South Dakota are suffering the worst Covid-19 epidemics in the US."

Two recent articles from the LA Times offer a look at what worked in San Francisco and LA counties, as well as the failings in the most troubled suburban-sprawl Riverside county who is sliding back into the most restrictive pandemic category.  We very much urge you to read the Vox and the LA Times articles because they offer in detail what was and is needed to control the pandemic, disease and death that will continue in those communities who ignore science and public health experts.

Having read the mostly bad news of the state of the Pandemic in the U.S. and reminding you and us that other countries’ have and continue to have far fewer cases and deaths in comparison to the U.S., the Curators found for you the linked article from Foreign Affairs: “The exceptional American relationship to public health: Why the United States has failed so spectacularly to control Covid-19.” Published at the end of August as the Europe and U.S. surges were about to begin, the authors state that: “The U.S. experience with Covid-19 has been a master class in the importance of leadership from the top during a crisis, demonstrated by its absence.”

Today’s walk across our virtual college campus from our epidemiology lecture to Political Science-Government seminar ends in our science pre-med class taught by StatNews. Posted at the end of June and now for you to view, we link to the video, “It’s not just the lungs: The Covid-19 virus attacks like no other ‘respiratory’ infection.” From still-socially-distant, wearing-masks-yet-out-and-about Culver City and the world, this is Revitalize for Oct. 28, 2020:
Revitalize: The week in health-care news you need
French doctor warns the country has 'lost control' of the virus. “We can avoid national lockdowns,” Maria Van Kerkhove, WHO’s technical lead on COVID-19 said. She said people should take personal responsibility for everyday decisions, like whether or not they should go to crowded places, avoiding closed settings and postponing social gatherings.

Italy, not wanting another lockdown, shows peril of piecemeal restrictions.

Why North and South Dakota are suffering the worst Covid-19 epidemics in the U.S.

As the coronavirus surges, it is reaching into the nation’s last untouched areas.
 
California has escaped the national surge in coronavirus cases. But new dangers lie ahead: Experts warn of pandemic fatigue and complacency with the approaching holidays, which have the potential to be super-spreading events.
How San Francisco became a Covid-19 success story as other cities stumbled: San Francisco shut down early in the pandemic and later limited reopening. Now the city is the first urban center in California where the risk of infection is rated as minimal.

Why the United States has failed so spectacularly to control Covid-19. 

It's not just the lungs: The Covid-19 virus attacks like no other respiratory infection. This coronavirus “has such a diversity of effects on so many different organs, it keeps us up at night,” said one New York physician.
Jerry Seelig, CEO
LA Office: 310-841-2549
Fax: 310-841-2842