Distributing COVID-19 vaccine will be biggest health operation in L.A. history and county officials are expressing concerns – KTLA Los Angeles

Distributing COVID-19 vaccine will be biggest health operation in L.A. history and county officials are expressing concerns – KTLA Los Angeles

An intubated Covid-19 patient played the violin in the ICU to thank health care workers – CNN

An intubated Covid-19 patient played the violin in the ICU to thank health care workers – CNN

November 19, 2020

Even while being intubated and unable to speak, Grover Wilhelmsen wanted to show his gratitude to the health care workers at McKay-Dee Hospital in Ogden.

The 70-year-old patient used pen and paper to communicate with a nurse and had one request.

While the request took some planning and approval by doctors, Sase was ultimately able to grant him his wish. She stayed in his room and monitored him as he played church hymns and the "Tennessee Waltz," according to the news release.

"It brought tears to my eyes. For all the staff to see a patient doing this while intubated was unbelievable," Sase said. "Even though he was so sick, he was still able to push through. You could see how much it meant to him. Playing kind of helped to soothe his nerves and brought him back to the moment."

Staff in the ICU gathered around the closed glass doors of Wilhelmsen's room to listen and watched as the retired teacher played.

"It was honestly shocking to be there when he picked up the violin," Matt Harper, a RN at the hospital, said in the news release. "It felt like I was in a dream."

"I'm used to patients being miserable or sedated while being intubated, but Grover made an unfortunate situation into something positive. This was by far one of my favorite memories in the ICU that I've had. It was a small light in the darkness of COVID."

The hospital said he was able to play a few times before he became too sick and required sedation.

Diana, Wilhelmsen's wife of 47 years, told CNN on Wednesday that it didn't surprise her at all that he had requested his musical instruments.

"That's just Grover," she said. "He wanted to play it to thank them."

The couple from Harrisville both contracted the virus at the same time in early October. Diana said she was able to manage her symptoms at home, but the virus impacted Wilhelmsen's lungs.

"It is real," she said, when asked what she wanted people to know about battling the virus. "It affects so many people differently."

Wilhelmsen spent a month in the hospital on a ventilator before being transferred to a long-term acute care facility last week, Diana Wilhelmsen said. While is he doing well, she said, he is still on the ventilator. They are working on weening him off of it.

Diana Wilhelmsen wasn't able to see her husband at the hospital due to the visitor restrictions, but now they are able to see each other through the glass window of the care facility.

"We can stand outside the window and call him on the phone," she said. "He can't speak but he will write on a piece of paper."

She said she hopes he will be able to be home for Christmas.


See the original post here: An intubated Covid-19 patient played the violin in the ICU to thank health care workers - CNN
HPD officer in hospital with COVID-19, part of cluster at Wahiawa station – KHON2

HPD officer in hospital with COVID-19, part of cluster at Wahiawa station – KHON2

November 19, 2020

HONOLULU (KHON2) A Honolulu police officer is in the hospital fighting COVID-19. This comes as HPD confirms an outbreak at the Wahiawa Police Station with 11 police officers testing positive this month.

Officer B.J. Miralles is assigned to the Wahiawa police station. Friends and family say hes taken a turn for the worse and is now in the hospital.

He is sedated and intubated. Its a preventative measure to kind of give his body some relief and some rest. The family is in good spirits, but obviously down. This has taken a major toll, especially with other members of BJs family who have tested positive for COVID as well, said Jason Mike, a family friend.

He and his wife Kortney are still in disbelief and are doing what they can to support the Miralles family. Jason and B.J. graduated from the police academy together six years ago. The couples became friends soon after and BJs family welcomed them as part of their own.

We didnt have any family in Hawaii and his family became our hanai family. As far as Christmas, Thanksgiving, New Years, we were part of the family, our kids were part of the family. So for us hes definitely a brother to me, said Mike.

Mike and his family have been trying to do everything they can to support B.J.s wife, Rochelle, who still has to take care of their three young daughters.

Just wondering how hes doing because right now he cant have visitors. So the unknown to them has been the hardest part, at least thats what Rochelle has expressed to me. Of course, just not having her best friend with her has also been one of the hard parts for her, said Kortney Mike.

They say B.J., a Mililani High School graduate, is in his 30s and was in good health leading up to his battle with coronavirus. The family says this is a sobering reminder to take the virus seriously. It also emphasizes the additional risks now for frontline workers.

Now were having to deal with almost an invisible enemy sort of speak, that theyre possibly gonna contract and take back home to their family. So its scary for a lot of law enforcement right now, said Mike.

HPD says that of the 11 officers infected in Wahiawa, nine have returned to work. The source of exposure remains unknown. Friends have set up a fundraiser for the Miralles family to help pay his hospital bills.


See the original post here: HPD officer in hospital with COVID-19, part of cluster at Wahiawa station - KHON2
Covid-19 mink variants discovered in humans in seven countries – The Guardian

Covid-19 mink variants discovered in humans in seven countries – The Guardian

November 19, 2020

Seven countries are now reporting mink-related Sars-CoV-2 mutations in humans, according to new scientific analysis.

The mutations are identified as Covid-19 mink variants as they have repeatedly been found in mink and now in humans as well.

Uncertainty around the implications of the discovery of a Covid-19 mink variant in humans led Denmark, the worlds largest mink fur producer, to launch a nationwide cull earlier this month.

The cull was sparked by research from Denmarks public health body, the Statens Serum Institut (SSI), which showed that a mink variant called C5 was harder for antibodies to neutralise and posed a potential threat to vaccine efficacy.

Denmark, the Netherlands, South Africa, Switzerland, the Faroe Islands, Russia and the US have all reported cases of mink-related mutations.

Despite a political backlash the cull has continued, and farmers have until midnight on Thursday to cull all mink in the country. However, the row over the cull has forced the resignation of the Danish agriculture minister, Mogens Jensen.

SSI director Kre Mlbak has also said he would resign. It was the SSIs findings on reduced antibody efficacy that led to the cull order. Mlbak told local media he is retiring because he is 65 and denied it was related to the mink cull.

Until now there had been no widespread reports of mink variants in humans outside Denmark. But scientists uploading virus sequencing and variant information to Gisaid, a global database initiative, said there have been signs of the mink variants around the world.

We knew there were these mink variants in seven countries, but we only had about 20 genomes of each, which is very few. Then last week the Danes uploaded 6,000 genome sequences and with those we were able to identify 300 or more of the mink variant Y453F in viruses having infected humans in Denmark, said University College London (UCL) Genetics Institute director Francois Balloux.

Asked about the implications of the findings, Balloux said it was an indication of the need to cull farmed mink. A bigger host reservoir means more infections in humans. The main point here, I think, is that although the mutation might not be scary, there is still very good reason to get rid of the mink reservoir. We just dont need it. In Denmark, he added, they have a lot of mink, over three times more than humans.

The prevalence of Danish mink-related mutations is evident in the Gisaid database. Denmark has 329 F-variant sequences, which roughly maps to as many individuals, although there may be some duplicates, said Prof Seshadri Vasan from the University of York, who analysed the database for the mink variants. The Netherlands has six. South Africa and Switzerland have two each, while the Faroe Islands, Russia and Utah [US] have one each.

Asked how the spread might have happened, Vasan said that given some of the human and mink F-variants were from samples collected in Denmark in June, it might be that movement of people, animals or goods could have spread the F-variant to other countries.

But, because the Gisaid database includes only patchy patient information and no travel history and as some of the samples lack collection dates he said it is impossible to say exactly how and when the spread took place, although local scientists might be better placed to understand.

Last month, Vasan and his team published a global template aimed at improving the collection and sharing of de-identified patient information in a bid to improve data quality.

Viruses are known to mutate, but variants alone are not necessarily a problem. Most importantly, said Prof Joanne Santini, a microbiologist at UCL, we still dont know whether this mutation happened in mink or humans first.

In a joint email this week to the Guardian, Santini and UCL colleague Prof Sarah Edwards, a bioethicist, said the Sars-CoV-2 Y453F variant in the spike protein is unlikely to pose any serious risk to the expected efficacy of current candidate vaccines, or itself pose a new public health threat on its own.

If, however, the variant originated in mink and spread to humans, then we would have to doubt our ability to manage outbreaks in otherwise seemingly contained farm animals once detected.

Constant mutations could be a source of concern too. The email added that multiple additional variants in the spike protein could indeed have concerning implications for how infectious the virus is to humans and also to animals, potentially posing new threats to the expected efficacy of our candidate vaccines.

The early observations by CSIRO [Commonwealth Scientific and Industrial Research Organisation] scientists demonstrate the possible implications for the wider spread of Sars-CoV-2 variants between humans and animals, she said.

Although Denmark is the only country to order a nationwide mink cull, others, including the Netherlands, Spain and, most recently, Greece, are killing mink with Covid-19. On Tuesday, Reuters reported mandatory mink testing had started in Poland, despite industry fears that tests could lead to a nationwide cull.

On the business side, the Danish cull has had immediate effects. Last week, Denmarks breeder association and worlds largest fur auction house, Kopenhagen Fur, announced a controlled shutdown over the next three years, while Danish thinktank estimates put the cost of mink farm closures at about DKK3bn (360m).

Sign up for the Animals farmed monthly update to get a roundup of the best farming and food stories across the world and keep up with our investigations. You can send us your stories and thoughts at animalsfarmed@theguardian.com.


Excerpt from:
Covid-19 mink variants discovered in humans in seven countries - The Guardian
Halloween Parties Caused at Least 3 COVID-19 Outbreaks – Loudoun Now

Halloween Parties Caused at Least 3 COVID-19 Outbreaks – Loudoun Now

November 19, 2020

The Loudoun County Health Department is tracking at least three outbreaks of COVID-19 resulting from Halloween parties put on by kids, said Health Department Director Dr. David Goodfriend.

Goodfriend told county supervisors on Nov. 17 that those were among a number of outbreaks in Loudoun over the past several weeks that were preventable.

COVID-19 cases in Loudoun continue to climb, with the Health Department reporting the latest seven-day rolling average of new cases as 65.7 new cases a day as of Nov. 18. While cases are climbing, they have not reached the peak of new infections Loudoun saw at the end of May, when there were more than 100 new cases a day.

That puts Loudoun in a better place than the state at large, which has already far exceeded the first surge of COVID-19 cases and is setting new records for the viruss spread, with an average of 1,761 new cases a day across Virginia.

Loudoun so far is also more fortunate than some other areas of the country; in some areas, some hospitals are already nearing capacity. That has meant hospitals in the DC region are absorbing patients from other areas; HCA StoneSprings Hospital Chief Nursing Officer Amy Paratore said that hospital has been getting patients transferred in from southwest Virginia, Spotsylvania, and West Virginia.

So far Loudouns healthcare systems are not yet stressed, Goodfriend said, but he warned winter weatherand its accompanying surge in respiratory diseases of all typesis not yet here.

Right now, were a relief valve for some of the other areas that dont have capacity, Goodfriend said. As opposed to what was going on earlier in the year, this is a national problem right now, so as we get over overwhelmed, there really arent many places to offload cases to out of the National Capital Region.

He said the best thing to do now is try to keep COVID cases as low as possible, away from people who are most likely to be hospitalized with it.

As opposed to April, May and June, there is a light at the end of the tunnel, Goodfriend said. Thats vaccination. But theres going to be unfortunately, significant darkness before we get to that light, and we really need everyone to participate in these next couple months.

But one bright spot, Goodfriend said: Currently health officials are not aware of anyone who contracted COVID-19 by voting in November. He commended Loudouns elections officers, who worked together with his office to make the election as safe and smooth as possible.

This is the time when folks really need to take those steps, as was mentioned by the hospitals, of keeping your distance, wearing your mask, and if youre at all feeling sick, stay home and get a test, Goodfriend said. []Lets learn from Halloween. If we dont have to travel at Thanksgiving, lets not, and lets not put on parties.

Related


View original post here:
Halloween Parties Caused at Least 3 COVID-19 Outbreaks - Loudoun Now
Everything you need to know about COVID-19 now that cases are soaring and the ‘freeze’ is here – OPB News

Everything you need to know about COVID-19 now that cases are soaring and the ‘freeze’ is here – OPB News

November 19, 2020

Your browser does not support the audio element.

Lockdown is back. Or, at least, a version of one. Effective Wednesday, Oregon and Washington are enacting their strongest COVID-19 restrictions since April. This time, more businesses and parks are open, and while non-essential, in-state travel is being discouraged, its not being restricted. But theres also a lot more of the coronavirus going around and a spike in COVID-19 cases.

OHSU nurse practitioner Shelby Freed tests a patient for COVID-19 at a drive-up testing station in Portland, Ore., in this file photo. Bradley W. Parks

Bradley W. Parks / OPB

Its pretty bad. Yes, plenty of states have higher daily case counts than Oregon, and higher per-capita case counts. Its more important to look at how fast the number of new cases is rising. Just two weeks ago, on average, 400 new people in Oregon were diagnosed with COVID-19 each day. Last week, Oregons daily average topped 1,000 new cases.

Thats exponential growth thats everyones biggest fear. If it keeps doubling at that speed, by the end of next week Oregon could be seeing 2,000 cases per day.

Of course, that might not happen. But it depends on us. The coronavirus that causes COVID-19 is more prevalent and widespread in Oregon than it has been at any point during this pandemic. If people dont follow new COVID-19 restrictions and even if they do cases could continue to rise. And it will take a few weeks to figure out how well new restrictions work, once they go into effect.

Its hard to compare case numbers to those during the spring: we had so little testing. So instead of comparing the number of sick people, we should look at the number of people hospitalized.

Morning rush hour emptied of cars in downtown Portland, Oregon during coronavirus pandemic, March 20, 2020.

Stephani Gordon/OPB

In April, COVID-19 hospitalization peaked at just over 300. At that point, the number of cases in Oregon was already declining. Right now, there are over 400 people hospitalized with COVID-19 in Oregon. But the number of cases is still rising. So its going to get worse.

Thats very hard to say. The situation in hospitals is going to get worse no matter what because a lot of people newly diagnosed with COVID-19 have yet to get sick. Theyre baked into our total count.

Were also going to be in it for the long haul. As far as we can tell, this virus is acting the way new respiratory viruses usually do: its less prevalent in the summer, and then returns with a vengeance in fall, winter, and spring. We were lucky when COVID-19 first hit, temperatures were getting warmer and people were moving outside. But now its getting colder, and well be spending more time indoors. There will be more opportunities for the virus to spread.

To get an idea of how bad things could be, we can look to the Southern Hemisphere. After an initial lockdown, cases skyrocketed as winter began. Victoria, one of the coldest and hardest-hit Australian states, enacted very strict lockdowns: people could only leave their houses once a day and werent supposed to drive more than a few miles away from their homes. Cases there peaked at about 700 in late July.

Related: Freeze, Oregon: Gov. Kate Brown restricts businesses again as COVID-19 cases surge

The lockdown was hard, but it worked. Since mid-September, Victoria has seen less than 30 cases a day, and on Tuesday it recorded its 18th consecutive day with no COVID-19 diagnoses or deaths. There are only three active cases in the entire state.

Its hard to say. In a press conference Friday, State Epidemiologist Dr. Dean Sidelinger said that the exponential growth of the virus snuck up on them, and that two weeks ago, it didnt look likely. Sidelinger also said that potential economic impacts were weighed when deciding whether or not to impose more restrictions.

Initially, Oregon planned to close down individual counties if cases got dangerously high. It was commonly thought that COVID-19 would spike in some places, but not in others, and statewide restrictions wouldnt be necessary. But it quickly became clear that cases were rising across Oregon, and that every free hospital bed in the state could be needed to take care of people with COVID-19.

We have a lot more freedom during this lockdown. Weve learned a lot since the pandemic started. We know that being outdoors is fairly safe. Weve also learned a lot about how important social interaction can be to staying psychologically healthy during this pandemic.

In this lockdown, you can still see friends. But in Oregon, gatherings need to be limited to two households, and less than six people. You can still go to some businesses, like salons and physical therapy.

Hair stylist Ceanna Jennifer Lee works with a client on the first day of her salon's reopening following COVID-19 closure on June 6, 2020, Beaverton, Oregon.

Arya Surowidjojo/OPB

Washington is in a four-week pause. Some restrictions went into place on Monday. The new restrictions on restaurants will take effect on Wednesday, and theyre a lot like Oregons restrictions. Outdoor dining at restaurants is allowed, but only in groups of less than five people. Outdoor gatherings of five people or less are allowed. Indoor gatherings are allowed if people quarantine for two weeks first. Businesses can stay open, as long as they operate at 25% capacity or less. Churches, too 25% capacity, and no more than 200 people, can attend faith-based gatherings.

Oregon Gov. Kate Brown said during a press conference last Friday that violating the new COVID-19 restrictions is a misdemeanor, punishable by citations and even arrest. As of Monday, Brown had yet to outline exactly how those citations would be issued or what they would be for but said she is working with law enforcement officials on the logistics.

Thats a really tough one. The official freeze is for two weeks. But Brown has said that counties could need to extend their shutdown by a further two weeks. Multnomah County already has.

How long these new restrictions will be in place depends entirely on how well they work and how well people follow them. If everyone stayed home for two weeks, Oregon could theoretically identify every symptomatic case of COVID-19 and re-open. But that isnt possible. Under these rules, people are still going to church, still going to grocery stores, still getting haircuts and massages. And, of course, not everyone follows the rules.

But each individuals decisions can make a big difference in COVID-19 spread.

Yes! Theres a lot you can do. Unfortunately, it all comes down to the same thing: avoid close contact indoors with other people as much as possible. So even though its not required, try to limit your trips to the grocery store like you did in the spring.

Limit your interactions with other friends, and before you hang out with them, have an honest conversation about your potential COVID-19 exposure. And consider quarantining after any potential exposure.

Remember: every time you have contact with someone, you are also essentially in contact with everyone they have met or will meet. Your germs, or theirs, can spread far beyond that one interaction. Also keep in mind that cases are climbing rapidly, and already-overworked contact tracers have a lot on their plates. Before and after I meet with anyone, I ask myself: if I got sick, how many people would contact tracers need to call? Keep that number as low as possible.

Julie Epling, RN, works a shift at OHSU's Mission Control, in May, 2018. (Photo courtesy OHSU)

Kristyna Wentz-Graff / (Photo courtesy OHSU)

You just ask. Or, personally, I like to set the stage by offering my own exposure. For example, in October I helped a coworker move. When I offered to help, I told her that I had met with two friends on separate days outdoors, and one had a recent negative COVID-19 test. I had gone grocery shopping once in the last two weeks. Unprompted, she told me shed been essentially isolated for two weeks, but had met with her new property managers.

I could have been infected. There was no guarantee I wasnt. So could my friend. But that gave both of us the information we needed to make an informed choice before meeting face-to-face.

They might not be. Data shows that while some Oregonians go above and beyond complying with COVID-19 restrictions, others dont.

But peer pressure is a hell of a drug. The more people wear their masks, the more people avoid social gatherings, the more likely other people are to comply. Lead by example: you want it to be normal for friends to show up with masks to spare and a list of past contacts. The fact that you take things seriously could be enough to convince some friends who might be on the edge.

No. Or, at least, you cant do them like you used to.

Oregons current rules forbid gatherings of more than six, or gatherings of more than two households. So a three-person household could meet with a two-person household for Thanskgiving, and still comply with Oregons rules. In Washington, groups of five or fewer can meet together outside or meet together inside if all members have quarantined for two weeks. And thats a true quarantine no trips to the grocery store, no coffee runs. But that doesnt mean its safe. Just because you can have a few members of your friends or family over for Thanksgiving doesnt mean you should. Every close interaction is a risk. Remember: assume everyone you have met with is infected.

Me too, my friends. Me too.

So Ill say it here: If, and thats a big if, youre following guidelines, it can be OK to have a Thanksgiving dinner or meet up with friends. Thats not an endorsement of gatherings (theyre never completely safe!) but some of us need to take a little bit of risk in order to stay sane.

The important thing is to take as little risk as possible and to prioritize where you take that risk. You want to have a Thanksgiving dinner? Okay. But its a tradeoff. In exchange, maybe you cancel other plans with friends or decide to stay home for Christmas. Avoid having close contact with anyone leading up to the holiday. Your safest bet is to quarantine yourself for two weeks before Thanksgiving and ask guests to do the same.

Thanksgiving is a risk. To do it responsibly, you need to at the very least, cut down risks you take in other areas.

If the weather is nice enough to gather outside (lets be honest, were in Oregon, its unlikely) you should gather outside. You should ask everyone attending about their potential COVID-19 exposure, and let them know that if they arent meeting your own safety standards, they will be uninvited. I quarantined for two weeks so I could visit my mother for her birthday in June. I wont be seeing my parents for Thanksgiving, but if I were, I would quarantine for two weeks first.

Eating indoors is always risky, but there are steps you can take to make it safer. Do anything you can to increase the flow of clean air. Open windows. If you have central air, check and change your air filter and keep the air running on high. If you have air purifiers with true HEPA filters, run them in the rooms where people are gathering.

Everyone should be masked at all times unless they are eating or drinking. This can be a good opportunity to get clever: maybe you socialize indoors and scarf down your dinner outside or in a different room.

The Umbrella Man statue wears a mask in Pioneer Courthouse Square in Portland, Ore., Saturday, April 18, 2020. Public health officials have encouraged people to wear masks to slow the spread of COVID-19.

Bradley W. Parks / OPB

Invest in some reusable straws. They can help you drink without taking off your mask.

Assume everyone that you have had contact with is infected with COVID-19, and after Thanksgiving, assume you are infected. You want to avoid getting sick in the first place, but if you do get sick, you want to make sure that you are a virus-transmitting dead-end. Consider quarantining after Thanksgiving, not just before.

Conceptually, yes: as long as you also wear masks and practice social distancing. Scientifically, the jury is still out: there havent been any experiments yet. Its best to think of them like masks: it wont protect you totally, but its one more thing that can reduce your risk of exposure. And when used in conjunction with other social distancing measures, like masks, the amount of protection you have increases.

Sheila Mulrooney Eldred wrote about air filters for NPR. She interviewed medical experts and virologists, and they all said the same thing: theres no reason air purifiers shouldnt reduce the number of virus particles circulating in a room if they are the right type and used properly.

A true HEPA filter will catch at least 99.7% of particles that are .3 micrometers. It will also catch larger particles and smaller particles, but thats the baseline it needs to meet to qualify as true HEPA.

SARS-CoV-2, the virus that causes COVID-19, is smaller than .3 micrometers. But it doesnt float around in the air on its own, its carried in tiny droplets of water and mucus called aerosols. Those droplets are large enough to be caught by filters.

Eldred writes that any HEPA filter youre purchasing to catch viruses should meet certain specifications. Look on the air cleaners box to see if it has a CADR of 300 CFM or more. Ugh, jargon, but thats how they get labeled. A CADR is the clean-air delivery rate of a filter. CFM is a measure: cubic feet per minute. So: an air filter with a CADR of 300 CFM can circulate all the air in a normal-sized bathroom once a minute, and a 130 square foot living room roughly four times a minute.

And keep in mind: they are not a 100% guarantee. Its when you couple an air purifier with social distancing, masks, increased airflow, and handwashing that youll have the best results.

The vast majority of evidence gathered from states and countries around the world suggests that school is safe, particularly for students age 10 and younger, if good social distancing measures are practiced. You can read more about some of the research here.

Related: Oregon governor renews talk of reopening schools as COVID cases dip

There are a lot of reasons to keep schools open. Many students learn best by in-person education, and distance learning has opened up a new world of problems for parents who are trying to work from home and educate their students. Schools also provide a ton of benefits to students outside of an education. Closing schools is, therefore, being treated as a last resort.

We are seeing more cases in kids under 18. But heres the weird thing: were seeing more cases in kids who are distance-learning, too. So kids are getting sick, but so far it doesnt seem like theyre catching the virus at school.

Teacher Austyn McNew's second-grade class at Fort Vannoy Elementary School in Grants Pass.

Austyn McNew

There are a lot of reasons to get excited about the progress different countries and companies have made in developing a COVID-19 vaccine. Most of these are DNA vaccines, a type of vaccine that had never before been tested but was first envisioned to battle cancer. DNA vaccines take much less time to produce than traditional vaccines, which use all or part of sick or dead viruses to trigger an immune response.

Several vaccines are currently in phase 3 trials. Phases 1 and 2 check for safety in small groups. Phase 3 trials involve vaccinating a large number of people, and looking to see if it works. This is also when the less-common side effects of a vaccine will be found.

Some of those trials were paused while illnesses were investigated. That is completely normal and means the system is working. Most drug trials have a pause like this: when you test a new drug on thousands of people, some will inevitably get sick for entirely unrelated reasons. Manufacturers need to be sure that the illness is unrelated, so they pause the trial. In some cases, the illnesses were found to not be related to the vaccine, and the trial resumed. Others were ended permanently: that is also a good thing that means the system is working.

Dr. Anthony Fauci, the nations top COVID-19 expert, said that vaccines could begin to roll out early next year, or even in late December. But it could be much longer before theyre available to the general public. Theres going to be a lot of demand and limited supply. Were in this for the long haul.

In September, public health watchdogs were very concerned that a new COVID-19 vaccine would not be properly vetted by the U.S. Food and Drug Administration. President Donald Trump was pushing for weaker regulations. Ultimately, the FDA chose to continue with their usual, strict vaccine-vetting plan.

Still, SARS-CoV-2 vaccines have become politicized. A recent poll found that only 6 out of 10 Americans said they will get a COVID-19 vaccine, and only if it cuts their chances of getting infected by 50% or more.

Thankfully, the data coming out of the current vaccine trials is promising: both Moderna and Pfizer say their vaccines are over 90% effective. For what its worth, Fauci says he trusts the system currently in place to vet the vaccines and will take a COVID-19 vaccine when they become available.


Read the original:
Everything you need to know about COVID-19 now that cases are soaring and the 'freeze' is here - OPB News
Oregon and Washington both have new COVID-19 restrictions. Here’s how they compare – OPB News

Oregon and Washington both have new COVID-19 restrictions. Here’s how they compare – OPB News

November 19, 2020

Oregon and Washington both have new COVID-19 restrictions. Heres how they compare - OPB

"),r.close()),!r)throw Error("base not supported");var a=r.createElement("base");a.href=n,r.getElementsByTagName("head")[0].appendChild(a);var i=r.createElement("a");return i.href=t,i.href}finally{e&&e.parentNode.removeChild(e)}}());var l=i(t||""),f=function(){if(!("defineProperties"in Object))return!1;try{var e={};return Object.defineProperties(e,{prop:{get:function(){return!0}}}),e.prop}catch(t){return!1}}(),h=f?this:document.createElement("a"),m=new o(l.search?l.search.substring(1):null);return m._url_object=h,Object.defineProperties(h,{href:{get:function(){return l.href},set:function(e){l.href=e,r(),u()},enumerable:!0,configurable:!0},origin:{get:function(){return"origin"in l?l.origin:this.protocol+"//"+this.host},enumerable:!0,configurable:!0},protocol:{get:function(){return l.protocol},set:function(e){l.protocol=e},enumerable:!0,configurable:!0},username:{get:function(){return l.username},set:function(e){l.username=e},enumerable:!0,configurable:!0},password:{get:function(){return l.password},set:function(e){l.password=e},enumerable:!0,configurable:!0},host:{get:function(){var e={"http:":/:80$/,"https:":/:443$/,"ftp:":/:21$/}[l.protocol];return e?l.host.replace(e,""):l.host},set:function(e){l.host=e},enumerable:!0,configurable:!0},hostname:{get:function(){return l.hostname},set:function(e){l.hostname=e},enumerable:!0,configurable:!0},port:{get:function(){return l.port},set:function(e){l.port=e},enumerable:!0,configurable:!0},pathname:{get:function(){return"/"!==l.pathname.charAt(0)?"/"+l.pathname:l.pathname},set:function(e){l.pathname=e},enumerable:!0,configurable:!0},search:{get:function(){return l.search},set:function(e){l.search!==e&&(l.search=e,r(),u())},enumerable:!0,configurable:!0},searchParams:{get:function(){return m},enumerable:!0,configurable:!0},hash:{get:function(){return l.hash},set:function(e){l.hash=e,r()},enumerable:!0,configurable:!0},toString:{value:function(){return l.toString()},enumerable:!1,configurable:!0},valueOf:{value:function(){return l.valueOf()},enumerable:!1,configurable:!0}}),h}var c,s=e.URL;try{if(s){if("searchParams"in(c=new e.URL("http://example.com"))){var f=new l("http://example.com");if(f.search="a=1&b=2","http://example.com/?a=1&b=2"===f.href&&(f.search="","http://example.com/"===f.href))return}"href"in c||(c=undefined),c=undefined}}catch(m){}if(Object.defineProperties(o.prototype,{append:{value:function(e,t){this._list.push({name:e,value:t}),this._update_steps()},writable:!0,enumerable:!0,configurable:!0},"delete":{value:function(e){for(var t=0;t1?arguments[1]:undefined;this._list.forEach(function(n){e.call(t,n.value,n.name)})},writable:!0,enumerable:!0,configurable:!0},toString:{value:function(){return r(this._list)},writable:!0,enumerable:!1,configurable:!0}}),"Symbol"in e&&"iterator"in e.Symbol&&(Object.defineProperty(o.prototype,e.Symbol.iterator,{value:o.prototype.entries,writable:!0,enumerable:!0,configurable:!0}),Object.defineProperty(u.prototype,e.Symbol.iterator,{value:function(){return this},writable:!0,enumerable:!0,configurable:!0})),s)for(var h in s)s.hasOwnProperty(h)&&"function"==typeof s[h]&&(l[h]=s[h]);e.URL=l,e.URLSearchParams=o}(),function(){if("1"!==new e.URLSearchParams([["a",1]]).get("a")||"1"!==new e.URLSearchParams({a:1}).get("a")){var r=e.URLSearchParams;e.URLSearchParams=function(e){if(e&&"object"==typeof e&&t(e)){var a=new r;return n(e).forEach(function(e){if(!t(e))throw TypeError();var r=n(e);if(2!==r.length)throw TypeError();a.append(r[0],r[1])}),a}return e&&"object"==typeof e?(a=new r,Object.keys(e).forEach(function(t){a.set(t,e[t])}),a):new r(e)}}}()}(self);}).call('object' === typeof window && window || 'object' === typeof self && self || 'object' === typeof global && global || {}); document.createElement("picture");

Washington Gov. Jay Inslee and his wife, Trudi, wear masks in the governor's office before making a statewide televised address on COVID-19, which health officials have warned is accelerating rapidly throughout the state, Thursday, Nov. 12, 2020, at the Capitol in Olympia, Wash.

Ted S. Warren / AP

Much like the rest of the country, Pacific Northwest states are experiencing a dramatic rise in new cases of COVID-19. Oregon and Washington have both repeatedly broken their own records in recent weeks for posting the highest daily counts of new confirmed and presumptive coronavirus cases statewide since the beginning of the pandemic. As the holiday season, in normal years, is a time for family gatherings and travel. But in 2020, amid a raging pandemic, governors in both states have enacted new rules to help mitigate the already rapid spread of the virus.

The restrictions are slightly different in each state. Northwest News Network Olympia correspondent Austin Jenkins joined OPBs All Things Considered this week to compare and contrast them. You can listen to the entire conversation using the audio player at the top of this story. Here are some highlights:

On what Washingtons newly enacted COVID-19 restrictions look like:

So its quite a long list, but here are the basics: Indoor social gatherings are prohibited unless people quarantine for 14 days beforehand, or, quarantine for seven days beforehand and get a negative COVID test no more than 48 hours before the gathering. Outdoor social gatherings are limited to five people from outside your household. Restaurants and bars are closed for dine-in service. Gyms, bowling alleys, theaters, museums are all having to close down again. Wedding and funeral receptions are not being allowed. No open houses for real estate, and theres also a limit on capacity in retail settings.

On some key differences between Oregons and Washingtons new rules:

"In Washington, restaurants can still serve people outside: outside dining, with up to five people at the table. In Oregon, both indoor and outdoor dining is paused. Another key difference is that Oregon is allowing grocery and retail stores to operate with up to 75% capacity, while Washington is at this 25% capacity percentage. I asked health officials here in Washington to justify this. Secretary of Health John Wiesman responded by saying that masks are not 100% effective.

"'Paying attention to what the science tells us, it says that we limit our time somewhere, limit the number of people who are there at the same time, keep your distance, cover your face. All of those things together can help us be successful, Wiesman said.

"I did not get an answer as to why 25% is the magic number in Washington. But I do want to note that before this latest guidance, Washington retailers were actually limited to 30% of capacity. I dont think most people knew that. But what we did hear is that most grocers said that they actually did not need to regulate the front door at that level, because shoppers tend to spread themselves out anyway throughout the day.

On a collective action taken by Oregon, Washington and California to limit travel:

[The West Coast travel advisory] encourages non-essential travel to not happen. It also says, if you leave the state and come back, they want you to self-quarantine. And anybody coming into one of our West Coast states from elsewhere is asked to self-quarantine. It doesnt look like theyre planning to enforce this, but they are asking for people to comply with it, and it sort of sets a tone and an expectation.

On what the Western States Pact' to fight COVID-19 really means in practice:

When this pact was formed in April and by the way, Colorado and Nevada also later joined [with Oregon, Washington and California] it was billed by the governors as a shared vision for reopening their economies and controlling COVID-19. But, they also said at the time that each state would build its own state-specific plan, and that this was more a pact on principles. A spokesperson for Gov. Inslee told me that this Western States Pact was not about making decisions in lockstep. It was about sharing information and supporting one another when theres need. So, there may have been kind of an expectation, when you hear the term pact, that wed be doing things in unison. But what Im hearing from the governors office here at least, is that that wasnt the expectation going into it, and its certainly not going to be the reality day-to-day, week-to-week or month-to-month.

Sign up to get important news and culture from around the Northwest, delivered to your inbox six days a week.

Oregon was largely spared by the global pandemic, but no longer. Cases mount as Oregon and Washington enact the strictest social-distancing measures since April. With holidays rapidly approaching, we have answers to all of your questions: just how bad is it? How is this lockdown different from the last? Can I have Thanksgiving?

With new restrictions starting on Wednesday and doctors blaming social gatherings for the COVID-19 spike, the basic rule state leaders seem to want the public to adopt is common sense.

New restrictions for restaurants, gatherings, grocery stores and more take effect starting Tuesday, Nov. 17 and last through Dec. 14.

Tags:COVID-19, Health, Oregon, Washington


Read the original: Oregon and Washington both have new COVID-19 restrictions. Here's how they compare - OPB News
This Democratic governor thinks his own Covid-19 rules don’t apply to him – CNN

This Democratic governor thinks his own Covid-19 rules don’t apply to him – CNN

November 19, 2020

The details are these: On November 6, Newsom and his wife, Jennifer, attended a 50th birthday party for political consultant and lobbyist Jason Kinney, at the uber-exclusive French Laundry restaurant in the heart of the state's Napa Valley. They were two of a dozen people at the event, which was held at an outdoor table in the courtyard of the restaurant. Photos obtained by Fox 11 in Los Angeles show Newsom sitting closely packed with other guests -- and none wearing a mask. (There is also some debate as to whether they were fully outside, as the woman who took the photos at the restaurant told Fox 11 that the group was loud and sliding doors were closed to keep the room quieter.)

"I made a bad mistake," Newsom said by way of apology on Monday. "I should have stood up and ... drove back to my house. The spirit of what I'm preaching all the time was contradicted. I need to preach and practice, not just preach."

Yes. To all of that.

Newsom was the first governor in the country to issue a stay-at-home order (on March 19) and was generally quite proactive in his response to the evolving virus. But this episode has so many things wrong with it: Skirting his own rules to dine at a restaurant that costs more for dinner than many Californians make in a week to fete a lobbyist. Bad, very bad and really, really bad.

"The governor, who has been among the state's most vocal advocates of playing by the pandemic rules that he himself has created, blew it. He did not, in his own tired phrase, meet the moment. I mean, they do say the food at the French Laundry is to die for. But is it?

"Newsom understood right away how bad that dinner looked. He had just foolishly handed his opponents ammunition on a silver platter."

Now, to his credit, Newsom's apology was fulsome -- and without the sort of "sorry if anyone was offended" caveats that politicians love to lean on. And California is one of the most Democratic states in the country, so it's unlikely that this error in judgment will seriously jeopardize Newsom's chances at a second term in 2022 or his future national political aspirations. (And trust me, he has future national political aspirations.)

But for someone who had been leading the charge on what effective government response to this pandemic looked like, Newsom's knuckle-headed decision to defy his own best practices is a bad look. A very bad look.


View post:
This Democratic governor thinks his own Covid-19 rules don't apply to him - CNN
Orange County frustrated with move to purple COVID-19 tier – Los Angeles Times

Orange County frustrated with move to purple COVID-19 tier – Los Angeles Times

November 19, 2020

In a sign of the continued political polarization surrounding COVID-19, officials in Orange County are expressing frustration following Gov. Gavin Newsoms decision to move the region into the most restrictive reopening tier amid a dangerous new surge in coronavirus infections statewide.

Conservative county leaders have long been at odds with the Democratic governor over the restrictions imposed on businesses, public spaces and activities, but it now appears that clash will stretch into the holiday season as California enters what could be its most challenging chapter of the pandemic.

The state has rolled back reopenings in much of California as cases have climbed. Some areas are considering even more local restrictions including hard-hit Los Angeles County, where officials imposed new restrictions Tuesday and warned of a curfew and new stay-at-home order if conditions continue to deteriorate while others, including Bay Area counties like San Francisco, have voluntarily added restrictions that go beyond the state requirements as a protective measure.

But Orange County leaders on Tuesday argued the state has gone too far.

A server wears a protective mask at Watsons Original Soda Fountain in downtown Orange. Orange County has dropped back into the COVID-19 Purple Tier - the states most restrictive.

(Luis Sinco/Los Angeles Times)

Though they reiterated the importance of residents taking steps to protect themselves and their loved ones from the virus, some county supervisors took Newsom and his administration to task for the reclassification.

Board Chairwoman Michelle Steel, a Republican who was recently elected to Congress, called the decision a unilateral move that she thinks is troubling and harmful to Orange County families who need to put food on the table, to small businesses struggling to stay open and to the mental health of our community.

Instead of combatting COVID-19 in a thoughtful manner, this one-size fits-all approach threatens the livelihoods of our residents, she said in a statement.

Mondays dramatic announcement saw Orange County, along with 27 other counties in the state, regress to the purple tier the most stringent of the four color-coded categories in the states coronavirus reopening system.

As a result, many businesses and other public facilities will have to suspend or severely limit indoor operations.

The widespread reassignment, which Newsom likened to pulling an emergency brake, comes as California grapples with its most significant coronavirus surge to date.

Weekly infections across the state are now almost 150% worse than a month ago, rising from about 22,600 to 56,000 for the seven-day period that ended Sunday, according to a Times analysis. California reported 13,412 new coronavirus cases Monday, a single-day record. Health experts have largely backed the states approach, saying restrictions are needed to help slow the skyrocketing infection rate.

Given the explosion in the number of cases, this weeks tier reassignments were accelerated. The system is based on new coronavirus cases and testing positivity rates, and previously, a countys metrics had to fall within the threshold of a more restrictive tier for two consecutive weeks before it fell back. The state now says only one weeks worth of data is needed.

Orange County had for weeks been in the second-most severe or red category. However, its latest adjusted daily case rate per 100,000 residents was 10.8, high enough to land in the purple range, indicating widespread transmission of the disease.

Even with the backsliding, that adjusted rate is the third-lowest in Southern California, trailing only Santa Barbara County and, narrowly, San Diego County, according to state data.

To some in Orange County, though, the abrupt shift aside from causing undue confusion and consternation for residents and businesses is the latest example of a state pandemic response that too often has been top-down, uneven and overbroad.

Were hearing a bit of hopelessness that is out there in the community as we move back into purple, and that hopelessness, I think, is not there just because, Oh, gosh, were doing more clampdowns, but because were seeing no end in sight, Supervisor Don Wagner said during Tuesdays board meeting.

And by that I mean every time this governor has come up with some sort of a plan for dealing with coronavirus, it ends up changing changing for the worse.

Others took issue with the tiered system itself, saying that the state should take other metrics such as hospitalization numbers into consideration.

Our healthcare system is very prepared, Supervisor Lisa Bartlett said. So while we want to balance that with health and safety, I think reopening our economy to the greatest extent possible, and weve proven that we can safely do that, is really the proper way to go.

Orange County has tussled with the governor over coronavirus-related restrictions before, including when the state briefly closed local beaches. Some cities have also drawn headlines for their residents reluctance to wear masks in public settings, even though local leaders have urged them to do so.

However, officials pointed out that the countys case rates and hospitalization numbers remain in better shape than some of its Southern California neighbors.

What weve been doing and what this board has been doing and what Dr. [Clayton] Chau and, more importantly, the people of Orange County have been doing to direct the resources where they need to go and to protect themselves is working, Wagner said. Thats the model not the hopelessness, the despair, the shut everything down and hope for the best that the governor is foisting on us. We tried that before. This is proof it doesnt work.

The county isnt alone in expressing concerns about, or antipathy toward, state restrictions. More than 100 elected officials, business owners and residents rallied near San Diegos waterfront Monday, demanding the county also in the purple tier let restaurants, churches and other small businesses reopen.

This is not a choice between opening up businesses or saving lives, San Diego County Supervisor Jim Desmond said. We can do both.

Overall, Orange County has reported roughly 66,000 cumulative coronavirus cases, and more than 1,500 residents have died of COVID-19.

County officials still stressed that its up to residents and businesses to do their part to help stem the spread of the virus.

Thats especially true when just around the corner are the holidays a time when residents might be tempted to gather with family and friends without taking precautions.

California has generally banned large gatherings, though brief, small ones of no more than three households may be held, provided they take place outdoors and attendees physically distance and wear face coverings.

Chau, director of the OC Health Care Agency and the countys health officer, said he hopes residents take the guidance to heart.

I know this is hard. Were all in this together, he said. And I would strongly recommend [to] our residents that we can get through this very quickly if we follow those.


Link:
Orange County frustrated with move to purple COVID-19 tier - Los Angeles Times
Indianas Red for Ed: A year later, COVID-19 has largely erased the sense of momentum – IndyStar

Indianas Red for Ed: A year later, COVID-19 has largely erased the sense of momentum – IndyStar

November 19, 2020

Thousands attend the Red for Ed rally at the Indiana State House Indianapolis Star

A year ago Thursday, Indiana saw one of the largest Statehouse rallies in recent memory.

That morning, the buses arrived early and often, depositing throngs of red-clad educators and supportersto the lawn of the states capitol building. By 9 a.m., the block around the building had turned into a crimson sea.

Teachers had shown up and shown out for the closest thing to a walkout Indiana had seen since the Red for Ed movement picked up steam elsewhere around the country in the preceding years. Half of the states roughly one million schoolchildren were out of class for the day as more than 130 school districts closed some in solidarity and some because they didnt have enough teachers left to cover classrooms.

Thousands of teachers gathered outside the Indiana Statehouse for Red for Ed Action Day on Tuesday, Nov. 19, 2019.(Photo: Jenna Watson/IndyStar)

It attracted national figures and national attention.

And it was largely successful.

Two of the three biggest requests teachers had that day were granted later in the legislative session. The third an investment in teacher pay has been a taller order and, at the time, lawmakers said it would have to wait until the state crafted its next biennial budget during the 2021 legislative session.

Three months later, the world changed when the coronavirus pandemic swept across the globe. And now the ongoing public health crisis has largely erased the sense of momentum built during last years historic march and any gains earned then may not be enough to keep teachers in the classroom now.

There was buzz around the event for days leading up to it as schools began to close as more teachers requested the day off. By 9 a.m. that morning, nearly the entire south lawn of the Statehouse was packed and a sea of red started wrapping around the building. Human tunnels greeted lawmakers at every entrance. A marching band took up residence on the south steps and whipped the crowd into a frenzy.

Randi Weingarten, the president of the American Federation of Teachers, received a rock star's welcome as teachers lined up to take selfies with her. When she took the stage later in the day, the crowd erupted in chants of "Randi, Randi, Randi."

Taylor Malayer, a Crawfordsville High School teacher dressed as "Clifford the Big Red Dog," rallies amongst thousands on the south lawn of the Indiana Statehouse on Red for Ed Action Day in Indianapolis on Tuesday, Nov. 19, 2019.(Photo: Jenna Watson/IndyStar)

More than 15,000 people registered to attend the event, although no official crowd estimate was available. The Indiana State Police said 5,000 people made it into the capitol building for the days events, but there were thousands more outside all decked out in red coats, hats and, in at least one case, a "Clifford the Big Red Dog" costume.

Inside that costume was Taylor Malayer, an English teacher at Crawfordsville High School.

It was this huge build up, Malayer said. Locally, we did pass some major changes for teacher salaries. But then COVID changed the communitys view on teachers again.

Malayer said she felt a lot of support in the wake of the Red for Ed Action Day last November. Her school district raised salaries for most teachers, though she didnt have enough years with the district to be one of them.

Shell get the salary bump in two more years. But thats if she stays, and thats looking a lot less certain than it used to.

Do I look for jobs more often jobs than I should?" she said."Probably."

Malayer said it would take a serious salary increase to keep her in the profession. When she started teaching seven years ago, she made $40,000 a year. Now, the 30-year-old says she makes just $42,000 and the 30-year-old said she needs a boost to help pay off her student loans.

And the challenges of teaching during the pandemic are compounding all of the issues that existed before, she said. Teaching both online and in-person is exhausting, she said, as is trying to find some way to bring joy to a school year dominated by face masks, plexiglass and assigned seats at lunch.

Especially after COVID, I can see plenty of teachers retiring,"she said, "or young teachers wanting to leave."

The Indiana State Teachers Association put out a dire warning this week that the states existing teacher shortage could get much worse before it gets better if the state doesnt do something to address teacher pay and the increasing demands the pandemic has placed on educators.

A recent survey found current workloads and working conditions are leading to burnout.

Nearly all responding teachers 95% of 2,290 responses said theyve seen an increase in workloads due to COVID-19 and 71% said theyve considered retiring early or leaving the profession due to workload increases. Nearly 40,000 educators are members of ISTA.

Autoplay

Show Thumbnails

Show Captions

We simply dont have the personnel going into the field and weve got to turn that around, Gambill said. The number one way that is going to happen will be through pay.

Its the one thing that ISTA asked for last year and received little movement on from the General Assembly. Lawmakerssaid it would have to wait until the next budget writing year, which is 2021.

Gov. Eric Holcomb put together a commission to study the issue and recommendations are due to the legislature next month. But the pandemic has wreaked havoc on state finances and its unclear how much, if any, extra the state will have to give teachers.

House Speaker Todd Huston, R-Fishers, said Tuesday that an upcomingrevenue forecast would give budget writers a better idea of the state's financial position heading into the upcoming session.

Lawmakers say they have increased the states investment in education in the two years and they did. But in most cases, those increases barely kept up with inflation and they were distributed unevenly across districts. The state has also done little to ensure any extra dollars actually make it into teachers pockets.

Most districts did give teachers a raise last year, but again they were awarded unevenly and still didnt get the state close to competitive with neighboring states like Michigan, Illinois and Ohio, which has long been the goal.

ISTA has argued it will take a bigger down payment on teacher pay to boost salaries to where they need to be starting pay of $40,000 and an average salary of $60,000.

We knew that a year ago, Gambill said, before we were in this time. It is the leading indicator as to why folks are leaving the profession.

Its one reason why Jack Graves is leaving the profession.

He grabbed attention during the Red for Ed rally last year with a sign that said, I make more at YATS. During his decade in education working as an autism therapist, he also held down a second job at YATS, a popular local restaurant.

Jack Graves has been a teacher for 10 years and also works at Yats restaurant for seven of those years. Yats is what pays his car payment and gives him spending money, he said.(Photo: MJ Slaby/IndyStar)

This is his last week with Indianapolis Public Schools. Graves said he was promised a raise but never saw one at least not from the district. Graves said YATS gave him one after the school district didnt.

Hes leaving school-based work to continue his work for an in-home service provider. His girlfriend, also a teacher, is leaving the profession at the end of the semester.

I fear theres going to be a mass exodus soon, he said. I know of a lot of people walking out of the classroom.

Graves said teachers need to be shown more respect if theyre going to stick around. During last years Red for Ed event, he said it seemed like a chance to gain a little bit of that back. For him, though, it didnt come to fruition.

I dont feel like anything came of it, he said. I had a great piece of pizza that day. That was about it.

There was no mass gathering at this years Organization Day, held earlier in the week. But ISTA is still outlining a series of legislative priorities for lawmakers to tackle when they begin the session in January.

Top of the list again this year: teacher pay.

Education reporter MJ Slaby contributed to this report.

Call IndyStar education reporter Arika Herron at 317-201-5620 or email her at Arika.Herron@indystar.com. Follow her on Twitter: @ArikaHerron.

Read or Share this story: https://www.indystar.com/story/news/education/2020/11/19/indiana-red-ed-year-later-covid-19-has-largely-erased-momentum/3765471001/


More here: Indianas Red for Ed: A year later, COVID-19 has largely erased the sense of momentum - IndyStar
Double Lung Transplant Patient With COVID-19 Describes Gasping For Air – Here And Now

Double Lung Transplant Patient With COVID-19 Describes Gasping For Air – Here And Now

November 19, 2020

If more of us could see what frontline workers witness in the war against COVID-19 people gasping for air and lungs shutting down maybe more people would understand the seriousness of the disease.

Thomas Steele has been there. The 50-year-old was healthy with no preexisting conditions, and he was working in sales at a New Braunfels, Texas, construction company when he contracted COVID-19. He didnt worry about it too much, but then it got bad.

He was hospitalized in San Antonio and placed on an ECMO machine, a last-ditch treatment that does the job of a patients heart or lungs by moving blood and oxygen. He was tethered to the machine for two months, but still his condition worsened.

His lungs deteriorated so severely that he was transferred to Houston Methodist Hospital, where surgeon Dr. Thomas MacGillivray performed a double lung transplant that saved his life.

In all of this terrible pandemic, which has been a scourge to the whole world, Mr. Steele's story is one that we can all be joyful about, MacGillivray says. It's a real victory over this terrible disease.

Steele had the surgery about a month ago and is now recovering at a rehab facility in Texas. Despite his ordeal, he considers himself one of the lucky ones because he lived to tell his story.

Up until he received his diagnosis, Steele says he and his wife were following safety precautions such as wearing masks, washing their hands and not visiting the restaurants and vineyards they love as often as they used to. But he was still skeptical and didnt think the disease was that serious. Now he wants everyone to know what its truly like.

Take it from somebody who's been in the hospital for over three months, you know, it's nothing you want to do, nothing you want to go through, he says. I can remember fighting for every breath of air for a couple of weeks period there where you're just gasping for every breath. It's not a joke. It's nothing to play with. It's real and it's serious.

Steele was exposed to the coronavirus when there was an outbreak at his office. After testing positive, his daughter, whos studying to be a doctor, suggested he buy a pulse oximeter to measure his blood-oxygen level. Hes now recommending everyone get one.

It tells you a lot really quick, he says. I was getting shortness of breath, almost like somebody was sitting on my chest. And so then I was checking this thing, and I went like from 88s to 84s to 85 and I kept getting worse. So I immediately called back to the ER and asked them and they said, 'Well, if it's that low, you need to come in right now.

By the time he was transferred to Houston Methodist, Dr. MacGillivray says Steeles lungs were totally destroyed.

Viruses are nasty little things, MacGillivray says. The body unleashes the full effect of our immune system in an attempt to neutralize and kill the virus. But what happens in some people is that the immune system, in an effort of trying to destroy the virus, destroys our own lungs or other organs.

Thats exactly what had happened to Steeles lungs. He says the experience was terrifying.

You pretty much are gasping for every breath, and you're thinking about every breath, Steele says. And every breath you take, you feel like a little click in the back of your throat because you're just taking so much oxygen in and stuff and it's just you're always just like gasping. You're sucking for air.

MacGillivray says most people whose lungs are in that condition dont survive. But from the moment he laid eyes on him, he says he knew Steele was a special guy.

Through part miracle, part of just incredible physical and mental and spiritual strength on Mr. Steele's part, he was able to survive it and prevail through it, he says. And then we were fortunate to get a set of lungs offered for him at the right time and got his transplant done very well.

Especially with the holidays coming up, both MacGillivray and Steele are urging people to take the coronavirus seriously and follow safety guidelines to prevent infection.

As a community and as a society, we're all interconnected and things like wearing a mask protects ourselves and helps us protect each other, and it's really a small sacrifice to make to keep everybody as safe as we possibly can, MacGillivray says. It's something that we can do that's positive to help.

Karyn Miller-Medzon produced and edited this interview for broadcast with Tinku Ray and Todd Mundt. Samantha Raphelson adapted it for the web.


Read the original: Double Lung Transplant Patient With COVID-19 Describes Gasping For Air - Here And Now