Upd: 03-Jun-2020
11:00AM EDT
Coronavirus Info
Updates happen throughout the day. I suggest reading the updates for both today and yesterday to insure that you do not miss any late-in-the-day updates.

QOTD:
In all science, error precedes the truth, and it is better it should go first than last. Horace Walpole
Read more at https://www.brainyquote.com/topics/science-quotes

If I have see further it is by standing on the shoulders of giants.
-Isaac Newton

Breaking News:


Wednesday:

- The fatal 'second phase' of COVID infections
- Contrition: Sweden admits too many died ... we'd do it differently
- NIH pulled funding for largest bat-virus study ever ... now published
- Diagnosing how CDC went so wrong
- Army: tear gas substanially increases long-term risk of acute respiratory illness
- How China delayed & deceived WHO
- POTUS ordered West Point grads to return for his commencement address:
-- 15+ of 1,100 now positive
-- USNA cancels graduation

Tuesday:

- Remdesivir is not helping severe & critical patients
- Overestimating the power of vaccines
- Retraction: Study that masks don't work
- Cloth masks do offer protection Video
- Track various therapies (drugs, antibodies, etc)
- Track vaccines
- Choices that reduce the risk of transmission
- Upd: CDC hospitalizations per-capita, week of May 23rd
- Qty of positive tests decreasing

The graph below is ...


- Logarithmic - Notice the units on the vertical axis? If the line straight, the rate is accelerating
- Interactive: Roll your cursor over the graph
- Animated: Press the [>] button to begin playback
5/04 More data like the chart above: Our World in Data

3/26

USA & Canada:
by state/province, by county w/county-level maps

4/09

Your computer's idle time can fight COVID by doing (protein) Folding@Home, Video
4/11
Excellent data visualization dashboards:

- for data nerds
- for everyone else: Here, Here &
Here (county maps)
5/10
You Are Being Trolled: Major disinformation campaigns
- China 1, 2 & 3
- Iran
- Russia
- Deep fake tech, you cannot even trust your own eyes and ears

- Rise & impact of Qanon & conspiracy theories
- Debunking "Plandemic": Judy Mikovits; PhD, Discredited researcher, Thief

Introduction:
- COVID Alert system ('beta), by-state
- for Everybody Video
3/26 - Ted Talk w/Bill Gates: Could'a, Would'a, Should'a
3/21 - TED Talk w/Dr. Larry Brilliant; helped eradicate SARS, smallpox, polio
3/21 - Interview w/Dr. Larry Brilliant; how & why we missed SARS-CoV2
3/21 - Pandemics Are NOT Unexpected by Epidemiologists
3/24 - Epidemiology, Pathophysiology & Diagnostics - Nerd Alert!
3/24 - Treatment, Prognosis & Precautions - Nerd Alert!
- Tips re: Anxiety & Worry, Podcast & Podcast

Should I Go Out
? No
3/29 - Is youth sufficient protection? No. ~1/3rd of NYC patients are under 40
3/27 - Why? It transmits before you start to feel unwell
4/12
Worse than Influenza?
Yes. 20 years of flu in NYC, then COVID

---- USA: May 28 ---- ----- Italy: May 28 -----
All 2019 2020 ... All 2019 2020 ...
Influenza COVID19 Influenza COVID19
Infected: 35,500,000 1,699,933 2,700,000 231,139
Deaths: 34,200 100,442 248 33,072
0.10% 5.91% 0.01% 14.31%
59.1x 1,431x
COVID19 deaths are being undercounted

Unlike "just the flu," most severe COVID infections provoke our immune systems to overreact (cytokine storm) and scar the delicate lung tissue (alveolus). Scar'd alveolus and capillaries cannot absorb oxygen and expel CO2. These patients will require supplemental oxygen for the rest of their lives ... very different than ďjust the flu." NYT

If you must go out ... separate yourself in public


- Why? Video
- Indoor: 6' rule and no-touch access does not prevent community transmission
-
Infection plumes for walking, running & biking
- Cough and Airborne Droplet Transmission
- Simulation: Sneeze, Cough, sneeze & speaking/singing plumes, Video
-- Talking for 5 minutes = 1 cough
-
Which is better: Hand? Elbow? Hankey?
- Micro-droplets (aerosols, mist) can persist & circulate for hours Video
- It worked for South Korea
- How many Americans are at increased risk?

Soap Kills COVID:
: It is a virus. Anti-bacterial soaps do not work better; rather, they are ... just soap
.

Social Distancing:
will reduce the spread:
5/13 - Sixty church choir members: 45 ill, 3 admitted, 2 dead
4/05 - Interactive simulator
3/26 - Interactive social distancing calculators: NYT & Omni
- One person can make a big difference. Video
- Every 1-day delay = 40% increase
3/23 - How many people will you infect? Video
3/22 - How Much longer? Treasury Secretary Mnuchin says: Maybe early June
3/21 - Flatten the curve Video
- Why you MUST ACT ...
3/26 - What is? Social distancing vs. Self-isolation vs. Quarantine

If Social Distancing Fails
; our hospitals will be overwhelmed:
- Infection rates amongst friends: N=2,147
-- Pilgrims: 22.31%
-- Family: 18.01%
-- Shared transportation: 11.91%
-- Dining together: 7.18%
-- Relatives: 4.73%
-- Hospital cross-infection: 1.94%
- How overwhelmed? 10x-20x worse than the the usual flu season
3/28 - How are we (MI) are doing? Poorly, Epic fail, Scoreboard
4/02 - How are other states doing? Not good enough. Social distancing makes a difference.
3/28 - NYC is a Hot Zone
3/27 - Epic fail: Springbreakers travel home from one beach in Florida
3/22 - Is your hospital ready?
4/16 - How many hospital & ICU beds are required?
-- This forecast is exceptionally optimistic. The pink areas are CYA.
--- The graphs assume:
---- Lock-downs on the same level as Wuhan
---- We sustain Wuhan-levels of lock-down for weeks
---- That our infection counts are correct
---- Ignore the possibility of a second wave of infections
---- If their curve-fitting methodolgy is even valid

---- USA testing: A dumpster fire: Vox, NYT, CTP/Politico
- Inside a Wuhan hospital Video (NSFW)
3/27 - Southfield, MI; ER Nurse @ Beaumont Hospital: Video (NSFW)
4/09 - New York City; Brooklyn Hospital; Morgue full, Body stacking begins

You Will Infect Others
:
- See germs spread:
3/28 -- Inside: Home, school or work
3/28 -- Outside
5/19 - Who is most likely to be infected?
5/02 - Nature: Aerodynamic analysis of hospital transmission
3/24 - One person (you) can make a significant difference Video
- 99.2% of Italian deaths have pre-existing illnesses
3/22 - How COVID Infections compare: Flu, SARS, Measles, etc: Pic, Video

If You Are Infected;
expect:
4/16 - Nature: 44% of people are infected by someone who is pre-symptomatic
3/30 - Severity by Age
3/30 - Death rate by Age
3/24 - Co-infections
4/06 - How & how long will I suffer? Video
5/08 - Study: Length of hospital stays and equipment requirements

Can I Be Reinfected? The data is inconclusive & complicated
3/28 - 5%-10% of recovered patients, are later testing positive ... and are asymptomatic and able to infect others. But testing positive is not always bad news, because science ...
3/26 - For the four other endemic Coronaviruses (NL63, 229E, OC43 and HKU1), immunity lasts only 8-12 months. MERS? 5-6 months. SARS? 2-3 years.

How It Spreads:
- Most transmission is indoor on surfaces & airborne
- Normal speech causes airborne transmission in confined environments
- Outdoor infection plumes: Walking, running & biking
---- Yes ---- ----- No ----- -- Unknown --
- Cough - Sweat - Vomit
- Sneeze - Tears - Breast Milk
- Saliva - Semen
- Urine
- Feces
- Blood

How Long Can It Survive
?
The available information is conflicting
3/26 - Journal of Hospital Infections: 9 Days, Data & Conclusions
- CDC: 17+ Days
3/29 - NIH & Others
-- Airborne: 3 Hours -- Paper & cardboard: 24 Hours
-- Copper: 4 Hours -- Plastic & steel: 2-3 Days
-- Cloth: 9 Hours -- USA currency: 9 Days

05/05

- How many Americans are at risk?


Symptoms
:
4/12 - If you have mild symptoms: What (not?) to do
3/22 - Demographics - Harvard
3/28
COVID19 Influenza Cold Allergies
Mild or no
Pneumonia:
Common
81%
? ? ?
Cough: Common
75%
Common
(Dry)
Common Common
Fever/Chills: Common
76%
Common Some
Cases
Uncommon
Shortness
of Breath:
Common
70%
Uncommon Uncommon Uncommon
Fatigue: Common
38%
Common Some
Cases
Uncommon
Cough Up
Phlegm:
Some Cases
33%
Uncommon Common Common
(Runny)
Muscle Aches
& Pains:
Some Cases
31%
Common Some
Cases
Uncommon
Diarrhea: Some Cases
28%
Some
Cases
Uncommon Uncommon
Nausea or
Vomiting:
Some Cases
24%
Some
Cases
Uncommon Uncommon
Headache: Some Cases
18%
Common Some
Cases
Uncommon
Congested or Runny Nose: Some Cases
16%
Common Common Common
Sore
Throat:
Some Cases
14%
Common Common Uncommon
Severe
Pneumonia:
Some Cases
14%
? ? ?
Chest Pain: Some Cases
14%
? ? ?
Altered mental status or confusion: Some Cases
11%
? ? ?
Abdominal Pain: Some Cases
10%
? ? ?
Wheezing: Uncommon
6%
? ? ?
Loss of smell: Uncommon
3.6%
? ? ?
Loss of taste: Uncommon
3.3%
? ? ?
Cough Up
Blood:
Uncommon
2%
Uncommon Uncommon Uncommon
Itchy or Wattery Eyes: Uncommon
< 1%
Uncommon Common Common
Sneezing: Uncommon
< 1%
Common Common Common
Stomach
Pain:
Uncommon Some
Cases
Uncommon Uncommon
Rash: Uncommon
0.6
%
? ? ?
Seizure: Uncommon
0.5%
? ? ?
Conjunctivitis: Uncommon
0.5%
? ? ?
Complications: Pneumonia, ARDS, Liver, Kidneys, Cardiac, Sepsis
& Rhabdomylosis
Sinus
Congestion
& Earache
Bronchitis
&
Pneumonia
Asthma, Ear Infection,
Sinusitus,
Bronchitis &
Nasal Polyps
Ref: CDC, WHO, WebMD & Others

Fever:
The immune system works better when body temps are higher
5/16 - Controversy re: safety of these OTC pain and fever meds. FDA & WHO says okay to use.
- More efficiently kills viruses and bacteria
- Defn of fever: Body temperature >= 100.4F
- Fevers >= 104F are dangerous for everyone - call your doctor
- Fevers >= 103F are unsafe for:
-- Babies
-- Pregnant women
-- Anyone with cardiovascular disease
-- Call your doctor
- Real-time clusters of people experiencing fever
- Best for Pain and Fever: Acetaminophin, aka: Paracetamol
-- Tylenol, but avoid alcohol
-- Many Rx & OTC meds also include acetaminophin. Read the label. Do not overdose.

Testing & Resources:
5/10 So many tests & so much confusion: Excellent graphic & video
- Tutorial: Sensitivity, specificity, positive & negative predictive values
-- How 90% sensitivity & 95% specificity = positive predictive value of only 47%
-- Online calculator
- Sensitivity: A "population" statistic re: the avoidance of false negatives
-- Not useful for your specific infection
- Specificity: A "population" statistic re: the avoidance of false positives
-- Not useful for your specific infection

-

Currently infected?
Seek one of these tests ...
-- CT scan of the lungs; or ...
-- Ultrasound ultrasound of the lungs; or ...
5/18 -- Molecular tests ...
--- CDC: RT-PCR test sensitivity barely 50% & slow & expensive
--- MIT/Broad Institute: STOP (CRISPR), 1-Hour, More
--- Mammoth/GSK: DETECTR?
--- Abbott: ID Now, 13 mins, 15-49% false negatives. Press Release
5/18 -- Antigen tests:
5/13 --- Quidel: Sofia-2 five minutes, 20% false negatives. Not good enough
--- Bioeasy: 70% false negatives. Junk science.
--- Orasure?
--- MIT/E25Bio?

5/10

-

Previously infected?
Seek ... an antibody test
4/25 - NYT: Only 3:14 tests are consistently reliable
Company Test for
IgG
Antibodies
Days
Since
Symptoms
Sensitivity
(PPV)
Specificity(NPV)
Minutes
-- Euroimmun: Anti-SARS2 7-17 86.4% 96.2% 90+
-- Epitope: EDI 7-17 100.0% 88.7% 80+
-- Microgen: recomWell 7-17 86.4% 100.0%
-- Viramed: Virachip 7-17 77.3% 100.0%
-- Abbott: Architect 11-14 99.9%+ 99.9%+ 29
-- Roche: Elecsys 14 100.0% 99.8%+ 18
-- DiaSorin: Simplexa 97.4% 95.2% 60-90
Note: Some people do not generate detectable levels of IgG antibodies after infection
5/03 - NPV & PPV for 90%, 95% & 99% sensitivity and @ 5% prevalence
4/16 - Testing in the USA is a dumpster fire: Vox, NYT, CTP/Politico
4/16 - CIDRAP: Reality of testing & re-opening Podcast
4/16 - Scripps: This is gonna take awhile; detect, prevent & cure, Presentation
4/03 - Testing: USA vs. the World, by State, States: Top-10, Bottom-10
3/26 - Testing Near Me (uses Google Search) & an incomplete list
4/16 - GoodRx; another way to find drive-thru testing
3/28 - Apple & CDC collaborate on a COVID screening app and website
4/10 - Google & Apple to collaborate on contact tracing tech for smartphones

Immunity:
- Immunology is a complex topic. Tutorial
5/14 - What we (don't? yet?) know about COVID immunity
4/26 - WHO: No evidence (yet) that antibodies provide durable immunity
- 3X more immunity if you sleep >8 hours/night vs. <7 hours/night.
-- Podcast
4/22 - Medcram on sleep: #16, #17 & #45
4/04 - RT-PCR (Active Infection) vs. Antibody (possible? immunity) Video
5/18 - Cell: Innate (T-cell) & acquired (antibody) immune response & cross reactivity
4/07 - Enhancing innate immunity response? MedCram: #46, #47, #50
4/17 - What-If COVID is here to stay?
-- ArsTechnia: None, partial, cross, long-term or herd immunity
-- CIDRAP: ... another 18-24 months

Herd Immunity:
In One Slide
5/10 - Sweden: Surprised by high death toll & nursing home deaths
- Herd immunity is a function() of R0 (spreading - how many others, a contagious person infects) Interactive Simulator
- R0 is a function() of: (things we can do to alter the outcome)
-- Social distancing (to reduce spreading - R0)
-- Sanitation
-- Widespread monitoring (to find the infected)
-- Quarantine the infected while they are contagious
-- Contact tracing (to determine who else they may have exposed)
-- EARLY intervention
-- BOLD intervention
-- Intervention WITHOUT REGRET
-- Lather. Rinse. Repeat
- Germany is doing much better than the rest of Europe.
Why? Early-ish and thorough intervention
- If R0 = 2.2, herd immunity occurs when > 55% become immune.
If R0 = 5.6, herd immunity occurs when > 82% become immune.
4/10 - CDC just revised our R0 from 2.2 to 5.7
4/10 - Presently our herd immunity is <5% and our goal is ~85%
4/16
Face Masks ... are good for business
4/04 - CDC: Recommends everyone wear non-medical face masks
4/08 - Wear it properly, or not at all
4/05 - How-to spot fake N95 masks
4/05 - Tips for buying masks on-line
4/28 - How-to decontaminate a mask
4/27 - Why workplaces need masks, 94:216 workers positive, Floorplan
- Nature: Efficacy of face masks & virus shedding in exhaled breath
- Debunking: Masks have no benefits
4/15 - Everything you should know ... and more
4/04 - DiY: 3D print a face mask
4/07 - DiY: Sew, 3D print, filter materials, Hint: cotton is not very effective
- Effectiveness

3/27

Infection -> Hospitalization -> ICU -> Death, by Age
5/10 - What is your risk?
3/30 - NEJM: Heathcare Rationing Guidelines
3/29 - Dashboard for data nerds
3/29 - Dashboards for everyone else: Here, Here & Here (county maps)
- Map: fusion of comorbidities, poverty & elderly
- CDC COVID at a glance Upd @ Noon EDT, M-F, May be ~50% low
- Pre-existing illness (Comorbidities)
3/29 - Hospitalizations, ICU & Deaths, by Age
3/29 - Deaths, by Age, Page 5
3/27 - NYC Cases, Hospitalizations, ILI & Hot Zones
04/03 - Rapid Intervention Matters: S. Korea vs. Louisiana vs. Italy
04/03 - USA: Infections & Deaths per-Capita
- Infection trajectories - Financial Times compilation

Is a Vaccine Almost Ready
?
No. Nope. Non. Nein. Nada. Nahi. Nyet.
5/01 - Nature: Different types of vaccines & how they work
4/16 - Vaccine prospects? Maybe 2H2021
4/16 - Harvard on transmission in the post-pandemic period
4/16 - Does Baylor have a vaccine in their freezer?
4/09 - SARS is a Coronavirus that is close to COVID - 17 years and no vaccine yet. There are 40 vaccines under development now. Article, Video & Video
4/04 - Bill & Melinda go Full Manhattan Project and fund 7 factories for (possible) vaccine production.
4/10 - The quantified risks of vaccine research

Drug Therapies:
5/08 - Nature: Good news re: human monoclonal antibody
5/10 - NEJM: HCQ, AZT, Intubation & Death
5/05 - JAMA: HCQ does more harm than good
4/25 - ACP on HCQ: What every clinician should know
4/13 - HCQ study revised because of side effects
4/15 - HCQ: Yet another inconclusive study
4/07 - Updated HCQ & AZT study:
-- Yea, Nay, Problems, Problems &
Problems
-- CDC drops anecdotal dosage guidance
-- Side effects? Risk of:
--- Permanent eye damage
--- Highly irregular heartbeat
--- Heart attack
5/16 - Restrospective study: Zinc + (HCQ & AZT)
4/08 - Upcoming PrEP Trial: HCQ & AZT
- Several other drugs such Arbidol, Remdesivir and Favipiravir are currently being tested for efficacy and safety.
3/24 - Drugs & Vaccines in Development for COVID & CDC Trials
- Treatment, Prognosis & Precautions
3/28

04/03
- Blood plasma/antibody
-- JAMA reports that initial trial is promising
-- FDA approves Cellex' antibody test to very mixed enthusiasm
4/24 - Anti-viral & antibody therapies work better if sooner, not later
3/23 - Avigan (Favipiravir): Only for asymptomatic and mild infections
4/23 - Remdesivir: Here, Here, Here & Here
3/23 - Arbidol

Are Hypertension Meds Safe
?
- It is controversial. Talk to your doctor about ACE & ARB Inhibitors.
5/05 - MedCram: Considerations if you use hypertension meds
4/26 - Hypertension meds (ACE inhibitors) do not make COVID infections worse

Soap Kills COVID
:
- Anti-bacterial soaps do not work "better" against viruses; it's just ... soap
- Dry hands using disposable paper towels
- Paper towels vs. hand/air dryers
- Kill COVID on towels by putting them in the dryer (HIGH heat) for 30 mins
- How soap kills (video)
- Sanitizers require clean, dry hands
3/22 - Do not flush sanitizer wipes; they clog plumbing & sewage treatment plants

Close the Toilet Lid Before Flushing
:
- Lower the toilet seat lid ... Virus lives in feces ... Literature review
Ergo: Public restrooms increase the risk of transmission.

Common Sources of Infection
:
Dirtier than toilet seats
- Cash - Shopping carts
- Buttons - Touch screens
- PIN pads - Menus
- Phones - Subway/bus/stripper poles
- Cellphones - Handles
- Levers - Handrails
- Knobs - Keyboards
- Doors - Mail & Packages
- Money - Restrooms

How-To Clean & Disinfect:
3/20 - Clothes, towels, bedding: Place in a dryer for 30+ minutes on HIGH heat, 103F+
4/01 - House cleaning
3/26 - Journal of Hospital Infections; Here & Here
- Insure that the EPA Registration Nbr is on this list
4/01 - Coins: Wash in soapy water w/brushing. Rinse with clean water.
4/01 - USA currency: Dunno. Maybe try a clothes dryer on HIGH heat for 30+ minutes.
4/01 - UV light? Only UV-C is suitable for sterilization. Not UV-A. Not UV-B. UV-C is considerably more dangerous and may damage the item. UV-C is not naturally occurring (at the surface of the earth).

How Does It Evade Immune Response?
Mutation
- RNA viruses mutate ~1 million times faster than human DNA
5/13 - Evolution of viruses & whether they strengthen or weaken
5/10 - Mutations seldom alter:
-- Transmissibility: How easily it spreads
-- Virulence: The ability to cause disease
-- Antigenicity: Recognition by our immune system
-- Resistance: ... to medication

Health Insurance:
does not cover int'l travel
:
- If you seek medical care abroad, be prepared to pay in full before you are discharged.

Health Insurance
does not cover medivac flights to get you home.
- It may cover a portion of the ($25,000 - $50,000) helicopter flight to the nearest ER
- Air ambulance; typical charter costs to return to the USA from:
-- Elsewhere in USA (CONUS): $15,000
-- Mexico: $20,000
-- South America: $100,000
-- Western Europe: $100,000
-- Russia: $150,000
-- Asia, Middle East & Australia: $220,000
-- Consider: MedJet Assist insurance. Ask about group discounts.)

Using Supplements:
to improve immunity is a controversial topic
4/22 - How one doctor uses supplements
4/09 - Are immune boosting supplements bullshit?
3/22 - Check that they will NOT interact with Rx, OTC and recreational drugs
- They are unregulated
4/22 - The formulations & consistency are not FDA verified. 3rd-party testing?
- Speak with your doctor honestly about everything you use
3/22 - What is a antioxidant, aka: free-radical scavenger?
- Vitamin C: A water-soluble scavenger of free radicals
3/24 - Vitamin D3: A hormone, not a vitamin. Former CDC Director, More
- Vitamin E: A fat-soluble scavenger of free radicals
3/24 - Zinc Gluconate: Boosts? the immune system/response. Podcast
4/23 - Hinoki cypress oil may boost innate immunity
- Mega-doses are seriously unwise. Some of the above are toxic in large doses. RDA's for each vitamin and mineral.

Mythbusters:
- Antibiotics - Chlorine & Alcohol
- Holding Your Breath - Vaccines; Flu & Pneuomia
- Cold Weather - It's like the flu: Video, Here & Here
- Warm Weather - Nasal Rinses
- Hot Bath - Youth vs. Age
- Mosquito Bites - Medicines
- Air/Blow/Hand Dryers - Thermal Scanners
- UV Lights - Air Purifiers & HEPA filters
- Sunlight - Smoking is Protection
- Garlic - Bioweapon: DNI, Scripps, NIH
- Sauna: No, Perhaps - Wash fruits & veggies w/soap
- Microwave oven - Water: tap, distilled, warm, whatever
- Vinegar - Hot air from blow dryer
- Wash meats - Gargling: salt water, vinegar, whatever
- Masks = No benefits - 40% of pop does not have $400 for an emergency expense

4/09

How Does COVID Kill?
Timeline & Video
5/14
How-To Trace Pandemics
- Free: Contact tracing courseware
-
Contact Tracing Playbook
5/14
COVID vs. Flu vs. SARS vs. MERS

- It's Not the Flu
- COVID vs. Flu vs. SARS vs. MERS

Healthcare:
- USA vs. Italy
- USA vs. Everybody

4/02

How the World Failed to Notice & Act
- How Taiwan mostly avoided the pandemic
- Containment success: USA vs. China
- How did the sentries miss COVID? Some noticed ... but were ignored:
-- Wuhan, Dr. Huang Yanling,
--- Disappeared
-- Seattle, Dr. Helen Chu
--- Deserves a medal
-- Wuhan, Dr. Ai Fen
---
Disappeared
-- Stat noticed
-- Wuhan, Dr. Li Wenliang
--- Died
-- BlueDot noticed
-- Boston, Helen Branswell -- Wuhan, Chen Qiushi
--- Disappeared
-- GPHIN & GOARN missed it
5/05
Re-opening & Continued Operations:
- Re-opening trends
- CDC: POTUS Plan to Open America Again
5/15 - Pandemic Response playbook, Coronavirus on p9 (Obama admin)
- CDC: Guidelines for re-opening offices
5/15 - Leaked: CDC Guidance for Implementing the Opening Up America Again
5/16 - CDC decision trees for re-opening:
-- Schools
-- Restaurants
-- Childcare
-- Mass Transit
-- Schools
-- Workplaces
-- Camps
- Kroger: Retail, manufacturing, food safety and distribution
- Ford: Manufacturing & Engineering
5/06 - Hotel/hospitality industry guidelines
- Other considerations; Restroom, break room, lobby & conference room

Resources for Clinicians & Public
4/06 - The most dangerous rooms in the hospital? PPE donning/doffing & restrooms
4/10 - CDC Guidelines: Allow critical infrastructure workers to continue working after COVID exposure
4/16 - n severe cases: Blood clots & liver, heart, brain & intestines
4/16 - NEJM: Neurologic features
4/17 - Quantifying transmission
4/10 - Drink when thirsty but do not force fluids, it can put stress on the lungs. Yet very important to stay hydrated (fever? diarrhea?) and maintain urine output. Urine the color of tea.
4/07 - Enhancing innate immunity respons e? Part 1 Part 2, Part 3
4/06 - Clinical protocols for COVID workers
4/06 - Dr. Kyle-Sidell on vents & treatment alternatives: Part #1 & Part #2
3/23 - Clue to Infection? Loss of Taste or Smell: ENTUK & ENTNET
4/08 - How COVID proteins work
3/30 - One Ventilator: AARC, SCCM, ASA, APSF AACN & CHEST issue joint guidance regarding multiple patients per ventilator risks.
3/22 -- Four Patients?
3/23 -- Nine Patients?
-- The Full McGyver?
3/22 - NY Healthcare: Guidelines to re-use personal protective equipment
3/23 - Using UVGI to Disinfect N95 Masks (Good news & bad news)
3/23 - DiY: UVGI Rig
3/23 - N95 Masks Ranked BEST to OK
-- 3M Model 9210
-- 3M Model 1860
-- GE Model C
-- GE Model KC
- Debunking: Masks have no benefits
3/21 - Chinese Doctors' Advice for the West
- Drugs & Vaccines in Development
- Internet Critical Care Book
3/30 - Setting up Alternative Care Sites
4/03 - Analyzing Vaccine Trials in Epidemics w/Mild & Asymptomatic Infection
4/04 - FDA: Drug Shortages
4/05 - End of Life: POLST vs. DNR vs. Adv Med Directive

Maps, Visuals & Animations w/Frequent Updates:
3/28 - Dashboard for data nerds
- Dashboards for everyone: Here & Here
4/07 - Interactive USA map, per-capita
4/15 - Interactive charts: Our World in Data
- Johns Hopkins Univ: USA w/counties, World; updated hourly
- Worldometer
- USA, State & County w/County Maps
- arsTECHNICA; Excellent reporting by a PhD Microbiologist
- Microsoft
- Google
3/20 - Genomic Epidemiology
- Healthmap Animation
3/20 - Live Stream: COVID Status Worldwide

Data Sources:
Daily - NY Times Data Repository. Updated frequently - better than CDC
- WHO
- ECDC
- NYT
4/09 - Odds of Death?
3/22 - How Much Will All the Testing Cost?
4/28 - Database of 60+ Super Spreader events in 28 countries

How-To:
4/13 - When returning from the grocery. Wash fruits, vegetables & produce using running cold water, not soap. Podcast, Video, Doc & Doc
- Vinegar is not better than soap. Here & Here
3/29 - Optional: Wipe down packaging using soapy water, then rinse thoroughly
3/29 - More Tips: from The Partnership for Food Safety Education
3/22 - Do NOT flush sanitizer wipes - they will clog your plumbing and sewage treatment plants

3/25

Donations & Equipment Requests

Hoarding disinfectants
amplifies and accelerates the spread of the virus. It guarantees that those without, will be unable to ever disinfect ... thus they become the reservoir from which COVID19 will spread even further and faster.

3/29

Who can you trust to tell it like it is?


- Dr. Marc Lipsitch
Harvard
- Dr. Eric Feigl-Ding
Harvard
- Dr. Nicholas Christakis
Yale
- Dr. Carl Bergstrom
Univ of Washington
- Dr. Don Schaffner
Rutgers
- Dr. Scott Gottlieb
Past FDA Commissioner
- Laurie Garrett
SME, Author & Reporter
- John Burn-Murdoch
Data Scientist, Financial Times
- Dr. Kristian Andersen
Scripps Research Institute
- Dr. Craig Smith
NYP/Columbia Hospital
- Dr. Bill Rodriguez
Infectious Disease Physician
- Dr. Roger Seheult
COVID Lecturer
- Dr. Peter Hotez
Baylor
- Dr. Tom Frieden
Past CDC Director
- Dr. Nancy Dean
Univ of Florida
- Dr. Eric Topol
Scripps Research Institute

Apps:
Beware - many (other) COVID apps are malware!
5/14 - Contact tracing apps: The Good, Bad & Ugly
4/03 - Healthlynked COVID-19 Tracker: Android & iOS
4/03 - Folding@Home: Windows, MacOS, Linux, VMware
-- Mar 01st: 30,000 volunteers
-- Mar 31st: 400,000 volunteers
4/09 - Free COVID Smartsheet dashboard templates

4/09

Domestic violence victims: Tele, Guide

MacGyver Momemts:
4/07 - Operation Shields Up!
4/09 - Vancouver
4/09 - Hialeah, FL

History
:
4/03 - Patient Zero(?) The Wuhan lab was studying bat:human transmission
3/26 - History of pandemics
4/09 - How the USA failed to respond Video

Perspective:
3/28 - Make-a-Wish kids have had their dream trips cancelled and may never get another chance; and many of them are at increased risk from a COVID infection.
4/04 - Thank gawd for the Internet!
3/28 - Defn of Irony: Gas is $0.89/gallon and there is no place to go!

Humor:
4/27 - NEJM: Do not consume disinfectants
4/26 - Tell me if you've heard this one before ... A dog breeder, internet troll and college senior walk in to the White House Situation Room ...
4/26 - Life is tough when you are dumber than a pigeon
4/13 - MASH & the Coronavirus
4/11 - NEJM on Interminable Meetings
3/15 - An Honest Ad By The Government
3/21 - Germs, George Carlin
3/21 - First Great Toilet Paper Panic, Johnny Carson, 19-Dec-1973
3/27 - Free Donut!
04/18 - Game of Bones
04/18 - Dog Race
4/21 - Dunning Kruger is the official whiskey of The Trump Organization; Hint
3/21 - Kids born in the 2020's: Coronials. In 2033: They will be Quaranteens
4/16 - 2020 is weird. On April 15th the IRS sent me money without asking!
4/18 - Big Bang Theory: Part 1, Part 2
3/28 - Monday start Diarrhea Awareness Week - runs until Friday.
3/29 - Finland's flag, explained
3/29 - Quarantine Bingo
3/30 - You've been doing it wrong ...
4/02 - Schrodinger's Virus
4/06 - Simpson's: Zika Virus
4/07 - Louisiana has a new parish: Bayou Self
4/12 - Campbell's Soup

QuaranTunes:

- Hands, Washing Hands
Neil Diamond
- What Condition My Condition Is In
RIP: Kenny Rogers
- I Got You Babe
Sonny & Cher
- Rockin' Pneumonia & Boogie Woogie Flu
Johnny Rivers
- Live & Let Die
Paul McCartney
- Right Place, Wrong Time
Dr. John
- Fever
Peggy Lee
- Supercalifragilisticexpialidocious
Parody by Daniel Matarazzo
- I Want a New Drug
Huey Lewis
- Don't Let Me Be Lonely Tonight
James Taylor
- Sounds of Silence
Disturbed
- Relax
Frankie Goes to Hollywood
- Wake Me Up Before You Go
Wham
- I Sit Around
Mike Wagner
- Don't Fear the Reaper
Blue Oyster Cult
- In My Room
The Beach Boys
- Stayin' Alive
The Bee Gee's
- I Get Around
The Beach Boys
- China Girl
David Bowie
- Knock'n on Heavens Door
Bob Dylan
- Stairway to Heaven
Led Zeppelin
- Don't Stand So Close to Me
The Police
- Don't Worry, Be Happy
Bobby McFerrin
- You Can't Touch This
MC Hammer
- Sweet Dreams
Eurythmics
- All By Myself
Celine Dion
- Take Me Home
Phil Collins
- Do You Really Want to Hurt Me
Culture Club
- Every Breath You Take
The Police
- Na Na Na Na Hey Hey Hey Goodbye
Steam
- In the Year 2525
Zager & Evans
- I Will Survive
Gloria Gaynor
- Blowin in the Wind
Bob Dylan
- Sign, Sign, Everywhere a Sign
Five Man Electric Band
- Help
The Beatles
- Blind Me with Science
Thomas Dolby
- Lookin Out My Backdoor
CCR
- Wipe Out (TP)
Surfari
s
- Funeral for a Friend
Elton John
- One is the Lonliest Number
Three Dog Night
- Lean on Me
Bill Withers
- We're Not Gonna Take It
Twisted Sister
- Ain't No Sunshine
Bill Withers
- Lovely Day
Bill Withers
- Alone
Heart
- Nowhere to Run
Martha and the Vandelas
- Dancing By Myself
Billy Idol
- I Walk Alone
Green Day
- So Lonely
The Police
- The Man Comes Around
Johnny Cash
- Livin' On a Prayer
Jon Bon Jovi
- Come Together
The Beatles
- You're No Good
Linda Ronstadt
- Dust in the Wind
Kansas
- Happy Together
The Turtles
- We Didn't Start the Virus
Harris de Sparc
- Stuck With You
Huey Lews
- Here Comes the Sun
The Beatles
- Alone Again
Gilbert & Sullivan
- Dirty Laundry
Don Henley
- Twilight Zone
Golden Earring
- Don't Let it Bring You Down
Neil Young
- You Really Got Me
The Kinks
- Ooh Child Things are Gonna Get Easier
The Five Stairsteps
- Ball of Confusion
The Temptations
- Hello Walls
Willie Nelson
- I Want to Be Sedated
The Ramons
- My Fight Song
Rachel Platten
- Fighter
Annie Bosko
- Girls Night In
Rita Wilson
- Survivor
Destiny's Child
- Locked Up
Akon
- Gotta Get Thru This
Daniel Bedingfield
- Tired of Being Alone
Al Green
- Harder to Breathe
Maroon 5
- Antidote
Travis Scott & Josh Leiv
- Fade to Grey
Visage
- Dead London (War of the Worlds)
Jeff Wayne
- Wish You Were Here
Pink Floyd
- Kung Fu Fighting
Carl Douglas
- Come Out and Play
The Offspring
- Somebody Get Me a Doctor
Van Halen
- You Make Me Sick
Pink
- Safe and Sound
Capital Cities
- Life During Wartime
Talking Heads
- Feel Good Inc
Gorillaz
- Fate or Chaos
GWAR
- Enjoy Yourself
The Specials
- I Drink Alone
Lonesome George
- Take Me Out
Franz Ferdenand
- No Time to Die
Billy English
- The Day the World Went Away
Nine Inch Nails
- Ambulance
Blur
- Nothing Bad Ever Happens to Me
Oingo Boingo
- Infected
Bad Religion
- Down With the Sickness
Disturbed
- Touch Me Iím Sick
Mudhoney
- Sick Black Lung
Ghost Hear
- Empty Sky
Bruce Springsteen
- Get Me Away From Here, Iím Dying
Belle & Sebastian
- Sicko Mode
Travis Scott
- Die Young
Sylvan Esso
- Afraid of Everyone
The National
- Head Home
Midlake
- Zombie
Cranberries
- Lost In the Supermarket
The Clash
- Four Horsemen
Metallica
- Donít Dream Itís Over
Crowded House
- The Final Countdown
Europe
- Sick Sick Sick
Queens of the Stone Age
- A Shot in the Arm
Wilco
- Idioteque
Radiohead
- Virus
Deltron 3030
- The Number of the Beast
Iron Maiden
- The Plague
Mountain Goats
- Hope Thereís Someone
Antony & the Johnsons
- End of the World
The Cure
- Itís the End of the World
REM
- Panic in Detroit
David Bowie
- Heal the World
Michael Jackson
- Here I Go Again
Whitesnake
- Poison
Bell Biv DeVoe
- Dead Milkmen
Bleach Boys

(C) Copyright 2020
Douglas R. Ranz
All Rights Reserved.



Contact: rainsux aht hotmail.com