Coronavirus Update

             

     SUMMARY OF LOCAL REPORTED CASES (August 12, 2020)


  Portal:0  Rodeo:1  Animas:8  Douglas:838 (182 Active)
  Lordsburg:82

ARIZONA - August 12, 2020


The Arizona Poison & Drug Information Center Is Available To Take Calls From Arizona Providers & The General Public: 1-844-542-8201


Cochise County:1732 (287 Active)

Zip Code 85632: 17 (0 Active)


Deaths By County Due To Covid-19


NEW MEXICO - August 12, 2020

Coronavirus Hot Line: 1-855-600-3453 

The state is offering help to New Mexico seniors. The Aging and Long Term Services Department says if you’re a senior or a disabled adult who cannot access groceries to call the number 1-800-432-2080 due to the coronavirus.

Leave a message with your name, telephone number, and the city/town you reside in. Aging and Long Term Services will be in contact with you within 2 hours of your call if not sooner. 


Ninety In Hidalgo County

__________________________________________-

August 11, 2020

Countries With The Most Covid-19 Cases

August 12, 2020

________________________

Daily Summary Of The Status Of The Pandemic, Submitted By 

Dr. Eskild Petersen


Update 8/12/20 9:00 am

 

Data tables and graphs are updated daily. Vaccine section updated to include the new Russian Vaccine. Cochise and Hidalgo County section now include data on active infections.


With Covid-19 in both Cochise and Hidalgo Counties with hotspots in Douglas and Lordsburg, the threat of Covid-19 spreading in our communities is real. You can make it less likely by following common sense when interacting with other people:  outside is better than inside, crowd is better than large crowd, observe social distancing and use a mask when that is not possible. 


 Vaccines: Sputnik-V

“This is all beyond stupid”: Experts are worried about Russia’s rushed vaccine.  A decision on mass vaccination has been carried out after combined first- and second-phase tests on 76 people, and that it is impossible to confirm the efficacy of a drug on this basis.



Russia approves ‘reckless’ vaccine: Sputnik-V

Russian president Vladimir Putin announced 8/11/20 that the country’s health regulator had become the world’s first to approve a coronavirus vaccine for widespread use. Scientists worldwide have condemned the decision as dangerously rushed. Russia hasn’t completed large trials to test its safety and efficacy, and rolling out an inadequately vetted vaccine could put at risk people who receive it, researchers say. “If they get it wrong it could undermine the entire global enterprise,” says vaccine scientist Peter Hotez.

“This is a reckless and foolish decision. Mass vaccination with an improperly tested vaccine is unethical. Any problem with the Russian vaccination campaign would be disastrous both through its negative effects on health, but also because it would further set back the acceptance of vaccines in the population,” Francois Balloux, a geneticist at University College London, said in a statement distributed by the UK Science Media Centre.

https://www.nature.com/articles/d41586-020-02386-2?utm_source=Nature+Briefing&utm_campaign=400aa96402-briefing-dy-20200811&utm_medium=email&utm_term=0_c9dfd39373-400aa96402-45640170




Next  super-spreading event?

Thousands of people have rolled into Sturgis for the 80th edition of the famous biker convention, and it's expected to draw 250,000 over the next 9 days. Over the next 90 days we shall see how many new COVID-19 cases develop in bikers 

Waiting for it to happen



State of the epidemic in US:

America's crummy COVID Response has made us reach another milestone with 5 million cases and more than 160,000 deaths from the coronavirus pandemic, nearly a quarter of the global total.

We have the highest caseload and number of deaths in the world by far, caused in part by lingering problems in making rapid testing widely available and resistance in some quarters to masks and social distancing measures.

The global picture is also grim with a total confirmed cases reaching 20 million

Nearly every country has struggled and made mistakes, but the U.S. is the only affluent nation to have suffered a severe, sustained outbreak for so long.


When it comes to the virus, the United States has come to resemble not the wealthy and powerful countries to which it is often compared but instead to far poorer countries, like Brazil, Peru and South Africa.


In no other high-income country — and in only a few countries, period — have political leaders departed from expert advice as frequently and significantly as this administration. 


Together, the national skepticism toward collective action and the administration’s scattered response to the virus have contributed to several specific failures and missed opportunities, including:

  • a lack of effective travel restrictions;
  • repeated breakdowns in testing;
  • confusing advice about masks;
  • a misunderstanding of the relationship between the virus and the economy;
  • inconsistent messages from public officials;


“It is what it is”:  A politics-first, science-second attitude is responsible for at least 80,000 deaths in the US.


“This isn’t actually rocket science,” said Dr. Thomas R. Frieden, who ran the New York City health department and the C.D.C. for a combined 15 years. “We know what to do, and we’re not doing it.”

https://www.nytimes.com/2020/08/06/us/united-states-failure-coronavirus.html?action=click&module=Top%20Stories&pgtype=Homepage


https://www.bbc.co.uk/news/world-51235105?intlink_from_url=https://www.bbc.co.uk/news/coronavirus&link_location=live-reporting-story

 There is some good news. In just over two months, the Northeast has gone from the country’s worst coronavirus hot spot to its most controlled. “It’s acting like Europe,” one expert said. It shows that using public health expertise you can control the infection. 

We will not succeed before we have both effective antiviral treatments and good vaccines. The virus will still be with us for years to come and we must learn to live with it. You cannot bully a virus into making it disappear.










  1. Data for Arizona and New Mexico with emphasis on Cochise and Hidalgo Counties




 Arizona lost control of the epidemic when it re-opened too early. Latest data suggest that the worst is over. Cases, hospitalizations and deaths are trending down. 


Yuma and Show Low are among the top 4 places hardest hit in the US since the beginning of the epidemic.

 









Hospitalizations:

The most accurate metric for severity of the epidemic is the hospitalization numbers. Hospitals especially their ICUs are full but better off than a week ago.





https://covidactnow



Cochise County, AZ 

The hotspot in Cochise County is without any doubt Douglas as it on 8/10 had 182 of the 229 active cases in the county. In addition, it had another 103 new cases reported on 8/11/20.  In contrast Sierra Vista had very few. There were no active cases as of 8/10 in San Simon/Portal. 

Below find the Zip code data for active infections - up to date as of 8/10





https://www.nytimes.com/interactive/2020/us/arizona-coronavirus-cases.html


New Mexico Data: 






Hidalgo County, NM has had a total of 90 cases of Covid-19 with 1 in Rodeo, 8 in Animas. Active cases 55 with hotspot being Lordsburg



Metrics for comparing AZ to NM






  1. US Data


Another day with close to 50,000 new cases. Hospitalizations and deaths are very high. The epidemic has now shifted to the Midwest and rural areas.




 



https://www.theguardian.com/world/ng-interactive/2020/jul/15/covid-19-coronavirus-us-map-latest-cases-state-by-state


The true number of infected is estimated to be about 10 times higher at more than 51 million. It is clear we still have many months with widespread infection and deaths. 


There is a marked racial/ethnic difference in both cases and death

The toll of the virus in the United States has fallen disproportionately on poorer people and groups that have long suffered discrimination. Black and Latino residents of the United States have contracted the virus at much higher rates than white residents.



s  

https://covidtracking.com/data/charts/us-all-key-metrics



Coronavirus hospitalizations and deaths are very high. 








How do we compare to other countries?

Comparisons of US versus Germany, UK and Canada



https://www.washingtonpost.com/graphics/2020/world/mapping-spread-new-coronavirus/






  1. What can we do to prevent Covid-19 from spreading?

Masks

At the heart of dismal U.S. coronavirus response, a fraught relationship with masks

If it’s not blatantly obvious, masks are the linchpin in both preventing you from spreading coronavirus and preventing you from getting COVID-19



Face masks are not political statements but sound public health measures.

More than 100 countries in the world require masks in public because they endorse masks as effective in preventing COVID-19


WHAT'S OLD IS NEW AGAIN: Government-ordered mask mandates are sweeping the country as facial coverings have emerged as a powerful tool to curb the spread of the novel coronavirus. 










COVID-19 is not just a respiratory infection but a systemic infectious disease. It infects lungs, blood, heart, liver, kidney and intestinal tract. People die mainly from respiratory failure, but many deaths are caused from heart involvement. Diabetes, obesity, chronic lung disease, hypertension and cardiovascular disease are risk factors for severe disease. All ages get Covid-19 but the severity and mortality are higher in age 65 and older. 


Transmission: Human to human COVID-19 is primarily spread from person to person. You can become infected from respiratory droplets when an infected person coughs, sneezes, or talks. You may also be able to get it by touching a surface or object that has the virus on it, and then by touching your mouth, nose, or eyes. Fecal-oral route is possible but likely rare. Food is not thought to be a factor. After a person gets infected the virus spreads throughout the body to nearly all organs.


  1. What are the signs and symptoms of Covid-19








  1. What are the treatments available for Covid-19  

What types of drugs might work?

There are three broad approaches being investigated:

  • Antiviral drugs that directly affect the coronavirus's ability to thrive inside the body
  • Drugs that can calm the immune system - patients become seriously ill when their immune system overreacts and starts causing collateral damage to the body
  • Antibodies, either from survivors' blood or made in a lab, that can attack the virus


Coronavirus Treatment 


The New York Times has an excellent site for tracking drug treatments

https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html



Antivirals:

STRONG EVIDENCE EMERGENCY USE AUTHORIZATION
Remdesivir
Remdesivir, made by Gilead Science, was the first drug to get emergency authorization from the F.D.A. for use on Covid-19. It stops viruses from replicating by inserting itself into new viral genes. Preliminary data from trials that began this spring suggested the drug can reduce the hospital stays of people with severe cases of Covid-19 from 15 to 11 days. These early results did not show any effect on mortality, though retrospective data released in July hints that the drug might reduce death rates among those who are very ill.

TENTATIVE OR MIXED EVIDENCE
Favipiravir
Originally designed to beat back influenza, favipiravir blocks a virus’s ability to copy its genetic material. A 
small study in March indicated the drug might help purge the coronavirus from the airway, but results from larger, well-designed clinical trials are still pending.


NOT PROMISING
Hydroxychloroquine and chloroquine
German chemists synthesized chloroquine in the 1930s as a drug against malaria. A less toxic version, called hydroxychloroquine, was invented in 1946, and later was approved for other diseases such as lupus and rheumatoid arthritis. 

The F.D.A. warns that the drug can cause a host of serious side effects to the heart and other organs when used to treat Covid-19.

Despite negative results, a number of hydroxychloroquine trials have continued. A recent analysis by STAT and Applied XL found more than 180 ongoing clinical trials testing hydroxychloroquine or chloroquine, for treating or preventing Covid-19.


Use of antibodies

PROMISING EVIDENCE EMERGENCY USE AUTHORIZATION
Convalescent plasma
A century ago, doctors filtered plasma from the blood of recovered flu patients. So-called convalescent plasma, rich with antibodies, helped people sick with flu fight their illness. Now researchers are trying out this 
strategy on Covid-19. Early trials with convalescent plasma have yielded promising, if preliminary, results, and the F.D.A. has authorized its use on very sick patients infected by the coronavirus.

TENTATIVE OR MIXED EVIDENCE
REGN-COV2 and other monoclonal antibodies
Convalescent plasma contains a mix of different antibodies, some of which can attack the coronavirus, and some of which can’t. Researchers have been sifting through the slurry for the most potent antibodies against Covid-19. Synthetic copies of these molecules, known as 
monoclonal antibodies, can be manufactured in bulk and then injected into patients. Safety trials for this treatment have only just begun, with several more on the way.


TENTATIVE OR MIXED EVIDENCE 
Interferons
Interferons are molecules our cells naturally produce in response to viruses, rousing the immune system to attack. Injecting synthetic interferons is now a standard treatment for a number of immune disorders. Rebif, for example, is prescribed for multiple sclerosis. Early studies, including experiments in mice and cells, hint that injecting interferons may help against Covid-19. An open-label study in China suggested that the molecules could  help prevent healthy people from getting infected. On July 20, the British pharmaceutical company Synairgen announced that an inhaled form of interferon called SNG001 lowered the risk of severe Covid-19 in infected patients in a small clinical trial. The full data have not yet been released to the public or published in a scientific journal.



Immune modulators

The most severe symptoms of Covid-19 are the result of the immune system’s overreaction to the virus. Scientists are testing drugs that can rein in its attack.

STRONG EVIDENCE
Dexamethasone
This cheap and widely available steroid blunts many types of immune responses. Doctors have long used it to treat allergies, asthma and inflammation. In June, it became the first drug shown to 
reduce Covid-19 deaths. That study found that dexamethasone reduced deaths by one-third in patients on ventilators, and by one-fifth in patients on oxygen. 

 

PROMISING EVIDENCE EMERGENCY USE AUTHORIZATION
Cytosorb
Cytosorb is a cartridge that 
filters immune-signaling molecules called cytokines from the blood. Although cytokines are essential for fighting off diseases, they can sometimes trigger a runaway response. The body produces so much inflammation that it damages itself. By removing excess cytokines, Cytosorb may be able to cool this so-called cytokine storm. The machine can purify a patient’s entire blood supply about 70 times in a 24-hour period. It was granted emergency use authorization by the F.D.A. for Covid-19 after reports in March suggested that it had helped dozens of severely ill Covid-19 patients in Europe and China. 


Pseudoscience and Fraud

False claims about Covid-19 cures abound. The F.D.A. maintains a list of more than 80 fraudulent Covid-19 products, and the W.H.O. debunks many myths about the disease.

WARNING: DO NOT DO THIS
Drinking or injecting bleach and disinfectants
In April, President Trump 
suggested that disinfectants such as alcohol or bleach might be effective against the coronavirus if directly injected into the body. His comments were immediately refuted by health professionals and researchers around the world — as well as the makers of Lysol and Clorox. Ingesting disinfectant would not only be ineffective against the virus, but also hazardous — possibly even deadly. In July, Federal prosecutors charged four Florida men with marketing bleach as a cure for COVID-19.

WARNING: NO EVIDENCE
UV light
President Trump also speculated about hitting the body with “ultraviolet or just very powerful light.” Researchers have used UV light to sterilize surfaces, including killing viruses, in carefully managed laboratories. But UV light would not be able to purge the virus from within a sick persons’ body. This kind of radiation can also damage the skin. Most skin cancers are a result of exposure to the UV rays naturally present in sunlight.

WARNING: NO EVIDENCE
Silver
The F.D.A. has threatened legal action against a host of people claiming silver-based products are safe and effective against Covid-19 — including televangelist 
Jim Bakker and InfoWars host Alex Jones. Several metals do have natural antimicrobial properties. But products made from them have not been shown to prevent or treat the coronavirus.


Prevention


Vaccine: 


The New York Times has an excellent site for tracking vaccine development

https://www.nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.html

 

I have selected what I consider the most promising candidates below



  1. Other information relevant to Covid-19

Useful Websites & Phone Numbers

Arizona Department of Health website ihttps://www.azdhs.gov/preparedness/epidemiology-disease-control/infectious-disease-epidemiology/index.php#novel-coronavirus-home 

New Mexico Department of Health Website

 https://cv.nmhealth.org/

Cochise County Website

 https://covid-cochisehealth.hub.arcgis.com/


Information about how, where and criteria for getting tested for COVID-19:

Arizona: 1-844-542-8201 The Arizona Poison Control System at the University of AZ in Tucson is available for the general public for information relating to testing, isolation, and quarantine guidance. Anyone in Arizona can now be tested.  

New Mexico: 1-855-600-3453 Coronavirus hotline. 

In Hidalgo County the Animas Valley Clinic has test kits 


Seniors in AZ and NM that have problems getting groceries:

AZ Helpline information for seniors is posted above.

For Cochise County 520-432-2528

NM Senior Food Hotline: 1-800-432-2080



During this time of unprecedented health risks, we are extremely fortunate to have Frances Grill and her staff providing care here in Portal and San Simon.



News from Walker Family Medicine Clinic in Portal 7/1/20

Thank you all for following good physical distancing and washing your hands often. We’ll get through this if we keep vigilant.


Lastly, for those Portal/Rodeo residents who are not WFM patients:  If you have symptoms, questions, concerns and are not able to reach your PCP, please feel free to call Jackie, 558-2287, Carolyn, 558-1234, Deborah, 558-0119 or Frances, 558-2345.  Any one of us is willing to do a phone or home assessment as to the severity of your symptoms.  We do this as community-oriented Samaritans and not as representatives of Portal Rescue or WFM.  
Debb, Frances and Dawn



This is our time to be kind, to be calm and to be safe.

Social Distancing is really:  Physical distancing but Social engaging. Keep your distance from each other at 6 feet. Wear a mask if you cannot keep a safe distance.

Our Post Offices are essential to us. Please be extremely careful when you pick up mail- wear a mask. Be nice to our postmasters and follow their instructions. 


Let us support our local businesses like Sky Island Grill and Grocery and Portal Caféé. Please use them as they are vital to our community. Consider buying gift cards for future use. Order from their menus to take out. Buy from their groceries. 

______________________________________

 How To Wash Your Hands

It's generally best to wash your hands with soap and water. Over-the-counter antibacterial soaps are no more effective at killing germs than is regular soap.

Follow these steps:

  • Wet your hands with clean, running water — either warm or cold.
  • Apply soap and lather well.
  • Rub your hands vigorously for at least 20 seconds. Remember to scrub all surfaces, including the backs of your hands, wrists, between your fingers and under your fingernails.
  • Rinse well.
  • Dry your hands with a clean towel or air-dry them.

                           How To Use An Alcohol-Based Hand Sanitizer

Alcohol-based hand sanitizers, which don't require water, are an acceptable alternative when soap and water aren't available. If you use a hand sanitizer, make sure the product contains at least 60% alcohol. Follow these steps:

  • Apply the gel product to the palm of one hand. Check the label to find out the appropriate amount.
  • Rub your hands together.
  • Rub the gel over all the surfaces of your hands and fingers until your hands are dry.

How To Wash Your Hands

It's generally best to wash your hands with soap and water. Over-the-counter antibacterial soaps are no more effective at killing germs than is regular soap.

Follow these steps:

  • Wet your hands with clean, running water — either warm or cold.
  • Apply soap and lather well.
  • Rub your hands vigorously for at least 20 seconds. Remember to scrub all surfaces, including the backs of your hands, wrists, between your fingers and under your fingernails.
  • Rinse well.
  • Dry your hands with a clean towel or air-dry them.

                           How To Use An Alcohol-Based Hand Sanitizer

Alcohol-based hand sanitizers, which don't require water, are an acceptable alternative when soap and water aren't available. If you use a hand sanitizer, make sure the product contains at least 60% alcohol. Follow these steps:

  • Apply the gel product to the palm of one hand. Check the label to find out the appropriate amount.
  • Rub your hands together.
  • Rub the gel over all the surfaces of your hands and fingers until your hands are dry.
© Howard Topoff 2011