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Posts posted by sokolow

  1. I posted about the Navajo nation upthread; on the northern Plains two of the Sioux tribes in SD have thrown up screening checkpoints for at their borders.  SD governor wants them removed, a friend tells me the Sioux council’s response boiled down to “see you in court”

    << (CNN)The governor of South Dakota has given an ultimatum to two Sioux tribes: Remove checkpoints on state and US highways within 48 hours or risk legal action.

    Gov. Kristi Noem sent letters Friday to the leaders of the Oglala Sioux Tribe and the Cheyenne River Sioux Tribe demanding that checkpoints designed to prevent the spread of coronavirus on tribal land be removed, the governor's office said in a statement.

    "We are strongest when we work together; this includes our battle against Covid-19," Noem said. "I request that the tribes immediately cease interfering with or regulating traffic on US and State Highways and remove all travel checkpoints."

    CNN has reached out to both tribes for comment.

    According to Cheyenne River Sioux Tribe checkpoint policies posted on its social media, its reservation residents may travel within South Dakota to areas the state has not deemed a Covid-19 "hotspot" if it's for an essential activity such as medical appointments or to get supplies unavailable on the reservation. But they must complete a health questionnaire when they leave and when they return every time they go through a checkpoint.

    South Dakota residents who don't live on the reservation are only allowed there if they're not coming from a hotspot and it is for an essential activity. But they must also complete a health questionnaire.>>

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  2. About half returning PCR+ results were pre/asymptomatic, or subclinally symptomatic. The community screening team was confident in their medical history taking being pretty thorough.

    Here are some broader demographics for the tract; positive PCR results were concentrated in the 40%ile income tranche and lower



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  3. “The results so far suggest that those who are at highest risk for infection are those who cannot easily shelter in place due to job loss, furloughs, or because they are providing the essential services. Among those who tested positive, 90 percent reported being unable to work from home. In contrast, among those who tested negative, 53 percent reported no impact on their work or financial stability. Nearly 89 percent of those who tested positive earn less than $50,000 a year and most live in households of 3 to 5 people (59.6 percent) or larger (28.8 percent). Notably, people who lived outside the census tract but who go there for work were much more likely to test positive (6.1 percent) than residents (1.4 percent).” (UCSF)


    ”“The people who tested positive were overwhelmingly going to work,” said District 9 Supervisor Hillary Ronen, adding that many might have been undocumented, without any option but to go to work. She said that “basic needs need to be met” when people are in quarantine” (Mission Local)

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  4. First look PCR results from study that aimed to survey one entire census tract in the SF mission district (022901, about Folsom / 25th), with an add-on during the last day for persons who commuted to the study tract for work.  First-look serology results to follow.

    Of those tested, 1.4% of residents were PCR+, while 6.1% of commuting & working residents were PCR+



    Of those working residents who were PCR+, 90% had no option to work from home.  As a sample, those who were PCR+ were predominantly in lower income brackets


    Given that, it is unsurprising that the majority of those who returned PCR+ test were Hispanic Americans; it is however surprising that the number of Anglos returning a PCR+ test was zero. Zero.



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  5. We’ve been talking about population risk, age structure, SES and prevalence of preexisting conditions, and so on.  All that is in play here.  But what really stood out to me in this article was how in terms of transmission risk it doesn’t matter how densely populated a region is — if the community itself and the families that make up the community are closely connected. Navajo nation had a superspreader event at a tent revival back in early March and the attendees took it home.  NYT article from early last April:

    Checkpoints, Curfews, Airlifts: Virus Rips Through Navajo Nation

    More recent article notes that there’s now been 75 deaths.

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  6. The whole point of the last six weeks of shelter-in-place and the disruptions that ensued was so that the places that didn’t have it bad, wouldn’t have to get it bad. So that Charleston wouldn’t be Chicago which wouldn’t be New York, which wouldn’t like Italy. It was to buy time so other regions and cities could design, develop, and implement the public health infrastructure and individual & collective & organizational practices so that people in every state could go about their lives.  Public health is a paradox because even partial success looks like not much is happening.  “Nothing happens” is the desired outcome.

  7. 8 hours ago, nwohweather said:


    Again though it is an entirely different culture here. Believe me when I say it is obvious why these people seceded from the Union first in the Civil War.

    Because their leadership class belonged to an aristocracy that passionately believed in rights of states, to enslave and own other human beings as chattel, and to enforce the slave system within their own states through mutilations and manhunts. Because they wanted the right to kidnap liberated Blacks from other states, and the right to extend their system of oppression to new territories.  You should be proud to come from the state that raised the company of outnumbered Ohioans which met Longstreet’s men below Cemetery Hill, broke them, and drove them back in disorder to their lines.

    Tearing down the slave power root and branch, with fire and sword is one of the best things this country ever did. Allowing the secessionist states to preserve the race system, with the century of segregation, disenfranchisement, terror, de facto serfdom, and organized campaigns of extrajudicial murder that followed was one of the worst.  The lingering effects of that failure as a nation are plainly visible in the maps posted above.

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  8. You can basically overlay the diabetes belt map, the obesity map, the map of states where unemployed persons were not able to claim UI, the old cotton belt, a map of food deserts, and a map of poverty in the USA. probably also preexisting conditions.



  9. 3 hours ago, Jonger said:

    I'd throw out political parties and just break it down by ethnicity and underlying health.

    Where is type 2 diabetes prevalent, versus where it's not as prevalent. 

    Most prevalent in communities that have concentrated poverty, high levels of instability and stress in housing and employment, lack of control over schedule and other life circumstances. Difficulty of access to regular contact with endo trained PCP or PCRN. in rural areas access = drive time. Income is best predictor for Type II.  Notice how easy it is to pick out American Indian nations.


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  10. 18 minutes ago, RobertSul said:

    Absolutely. Fiscal responsibility on a personal level needs to be taught in schools. The thing is, people get very touchy on the subject of their spending habits.

    Perhaps the curriculum could be designed by the MBA programs which educated our business and financial leadership who in turn created the strong national enterprises that have had no need to seek emergency loans or grants either now or in 2007-9, because they wisely saved several months to a year of operating costs in order to weather financial crises, natural disasters, and pandemics

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  11. Even accepting that stance, when you’re unemployed your full time job is 1. finding work and 2. strategizing how to stretch your financial resources.  It should not be to struggle with the UI system and starting packing your household cuz you fear you’ll be unable to make rent in the near to medium term.

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  12. Pew Research had a good article on how many unemployed persons were actually able to claim and receive UI benefits, back in March before it really got spicy.

    “Largely because state rules vary so much, the share of people the government counts as unemployed who actually receive unemployment benefits varies too. In March, just before the pandemic really began wreaking havoc on the economy, 65.9% of unemployed Massachusetts residents received benefit payments but only 7.6% of jobless Floridians did, according to Pew Research Center’s analysis of data”

    The neutral way of putting this I suppose, is to say that UI systems are generally speaking, stringently designed to ensure that claimants meet and can demonstrate eligibility criteria such as no-fault discharge and availability for, willingness to take, and active search for employment. Its intended as an emergency supplement to savings, not a replacement for lost wages. The level of stringency can be seen state by state in the Pew graphic below.  This stance has not synergized well with the current situation of many, and has affected access to the Federal supplement.


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  13. 7 hours ago, Stebo said:

    Well in that case then we are truly ****ed. These are the same states and companies crying for money too. There needs to be a complete change in the way business is done after this because that is just gross negligence

    A friend of mine in CA hasn’t seen the federal UI supplement yet, theoretical max benefit is 450/wk (if you make 100k, he didnt, so his is less). Spouse discovered her UI is strangled at 100/wk because she is being incorrectly penalized for a reporting error from a year ago that was supposedly favorably resolved, but, good luck getting ahold of anyone to get that fixed. That in turn seems to be affecting her federal UI supplement, and ...

    Another friend in CA is furloughed / on reduced hours, not unemployed.  Which is good, but also bad.  Because that means the state has to process the employer derived notice that hours have been reduced but they want to retain the employee, and,

    Another friend in Canada is stuck in a phone tree living nightmare, and can’t discern what is going on with his claim, what crack it fell through, or what is happening.

    At any rate one can imagine how this stacks up against the rent on their (modest, financially responsible) residences in the greater Bay or Toronto areas.

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  14. Many years ago I got into a claim denial related to an H&S issue with an employer and it basically resolved via standoff of: you can report it as decline to accept work and I’ll report it to OSHA, and we can have it adjudicated. that was a large pain in the butt and i wasn’t worried about making rent

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  15. Stebo remember how last month people realized Florida had basically designed its UI system, to deny people access to UI. Pretty much the whole country is like that, only less blatant.  Like Ohio just rolled out a website so your employer can conveniently report you as ineligible on account of having “refused work” 

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  16. Anyway we had the first couple of people at work so far as known confirmed with C19 and one is pretty sick.  Different department to mine. Unknown what the org’s response is going to look like

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  17. 2 hours ago, madwx said:

    This will be inherently more deadly than the flu because no one has any prior immunity from previous exposure or a vaccine like millions upon millions do every flu season, this is a fact that cannot be denied or argued.

    Well. There’s limited preprint data from German research that shows a low level of limited background immune cross-reactivity in ~1/3 of the population, possibly due to previous exposure to other human coronavirus. But I don’t think they know how much of that is artifact let alone whether those findings are in turn associated with meaningful immune protection

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  18. I think healthcare professionals in Italy would be ‘surprised’ by the suggestion that 150 physician deaths in three months from a novel infectious disease is comparable to the flu.

    I don’t know, maybe given the much higher all-cause mortality and significantly lower lifespans for police and firefighters as an occupation generally, perhaps it is normal for thirty new york cops to die from flu in eight weeks.

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  19. 11 hours ago, RogueWaves said:

    He may be an idiot but on this his stance is shared by many who understand how the human immune system functions. Those compromised, or too scared should remain in their bubbles. Everyone else that can should be back to business. Strengthening one's immune defense against disease is another side of the coin getting very little air time. Just like the rest of western medicine..we wait for a pill from big pharma. 

    We could do like Konstantin Chumakov suggests and see if we can induce broad spectrum, nonspecific partial immune protection by exposing the entire population to live attenuated poliovirus through the good old Sabin vaccine. It worked in the USSR, apparently. I’d be for it but I reckon that a fair whack of the aforementioned immunology cognoscenti that are advocates of strengthening one’s immune system would sh!t bricks

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  20. On the other hand, the first group of people to begin public discussion of the emerging C-19 epidemic in English is probably the community of beautiful nerds at who heard about it from Weibo and WeChat, and I think got onto it before ProMed-Mail, on 30 December.


    I’m reading their original thread now, its incredible, like reading the Hurricane Sandy thread in the archives