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Medicine

Why Taiwan's Coronavirus Response Is Among The Best Globally (cnn.com) 157

Why does Taiwan have less than 400 confirmed cases of Covid-19? Taiwan's experience with the 2003 SARS outbreak "helped many parts of the region react faster to the current coronavirus outbreak and take the danger more seriously than in other parts of the world," reports CNN, "both at a governmental and societal level, with border controls and the wearing of face masks quickly becoming routine as early as January in many areas."

Their article also notes that Taiwan "has a world-class health care system, with universal coverage," which drew praise in new report published in the Journal of the American Medical Association: "Taiwan rapidly produced and implemented a list of at least 124 action items in the past five weeks to protect public health," report co-author Jason Wang, a Taiwanese doctor and associate professor of pediatrics at Stanford Medicine, said in a statement. "The policies and actions go beyond border control because they recognized that that wasn't enough." This was while other countries were still debating whether to take action. In a study conducted in January, Johns Hopkins University said Taiwan was one of the most at-risk areas outside of mainland China -- owing to its close proximity, ties and transport links.

Among those early decisive measures was the decision to ban travel from many parts of China, stop cruise ships docking at the island's ports, and introduce strict punishments for anyone found breaching home quarantine orders. In addition, Taiwanese officials also moved to ramp up domestic face-mask production to ensure the local supply, rolled out island-wide testing for coronavirus -- including re-testing people who had previously unexplained pneumonia -- and announced new punishments for spreading disinformation about the virus.

"Given the continual spread of Covid-19 around the world, understanding the action items that were implemented quickly in Taiwan, and the effectiveness of these actions in preventing a large-scale epidemic, may be instructive for other countries," Wang and his co-authors wrote.... Taiwan is in such a strong position now that, after weeks of banning the export of face masks in order to ensure the domestic supply, the government said Wednesday that it would donate 10 million masks to the United States, Italy, Spain and nine other European countries, as well as smaller nations who have diplomatic ties with the island.

IBM

IBM is Deploying Its Watson AI to Help Governments Answer People's Covid-19 Questions (digitaltrends.com) 25

Digital Trends reports: IBM's question-answering Watson A.I. is most famous for whooping the butt of human champions on quiz show Jeopardy. Now, IBM has repurposed its famous creation to help government agencies, health care organizations, and academic institutions around the world cope with the massive overload of questions that citizens have about the COVID-19 pandemic.

This is the first time that Watson has been used to help in a pandemic scenario.

A coronavirus-focused version of the Watson A.I. has been called into service as a virtual agent in places including Arkansas, California, Georgia, New York, and Texas in the United States, as well as the Czech Republic, Greece, Poland, Spain and U.K. It is capable of answering locally relevant questions, ranging from those about coronavirus symptoms and testing specifics to queries on things like social distancing. These consistent and accurate responses can be provided to citizens via voice calls or text chat...

Watson Assistant for Citizens pulls data from a range of external sources — local, national, and international.

Digital Trends got an interesting response from one consultant at IBM Watson Health who's an expert on digital health for the World Health Organization. "Our team is currently adding responses to psychological questions, by which a virtual nurse can help people to deal with their fears and emotional problems and provide comfort to them in these times."
United States

The Story of The Doctor Who Ordered America's First Covid-19 Lockdown (mercurynews.com) 164

Long-time Slashdot reader bsharma shared the story of doctor/public health officer who "went first," ordering America's very first coronavirus lockdown in six counties on March 16th after the identification of only the 7th known case of Covid-19 in the United States.

The Bay Area Newsgroup reports that on January 31st, Cody's cellphone rang at 6:49 a.m. "You've got your first positive," the voice said. Right then, Cody — Santa Clara County's Public Health Officer since 2013 — was positive that even by Silicon Valley standards, life as we know it here was about to change....

Back in the early 2000s, with the country on edge after 9/11, Cody, Karen Smith and Marty Fenstersheib led the health department's effort to build Santa Clara County's model for a massive, coordinated emergency response to a bioterrorism attack or pandemic that included social distancing, shutting schools and the most extreme, mandating that people stay home. It's the one they would turn to this month to slow the untraceable path of this new disease known as COVID-19. "None of us really believed we would do it," Smith, 63, said in a recent interview. "I was slightly terrified to think we were putting in place stay-at-home orders, tools that we think work but don't really know...."

Through the years, Cody has learned that public health officers never have all the information they need and are always operating with uncertainty. But the stakes are so much higher now. The second confirmed case of coronavirus in the county came 48 hours after the first; both were travelers from China. But the criteria for sending swabs for testing to the U.S. Centers for Disease Control and Prevention in Atlanta was so stringent and the bottleneck for test results so long, that the county was left hamstrung trying to figure out how big of a problem it really had. Not until nearly a month later, on Feb. 28, two days after the county was finally given authorization to use its own lab and judgment for testing, was the third "positive" confirmed.

It would be a "sentinel case" — a turning point for the virus' spread across the Bay Area — a woman in her 60s with other health conditions. Unlike the first two, this was a clear case of "community transmission," meaning the woman had become infected somewhere in our community, with no clear connection to a traveler. "In very short order," Cody said, "it became apparent we needed to start scaling up fast...." By March 9, the sick woman in her 60s — the sentinel case — had died, and 43 cases had been confirmed, the highest of any county in California. Santa Clara County would now be branded across the country as a coronavirus "hot zone...."

"It was clear to me already how quickly it was moving, and that's what gave me a sense of urgency," Cody said. "We just needed to embrace the risk and do it."

"I recognize that this is unprecedented," Cody said in announcing the lockdown. "But we must come together to do this and we know we need a regional response... We must all do our part to slow the spread of COVID-19."

A professor of epidemiology at the University of California San Francisco has told the same newspaper "That's going to turn out to be — if all goes well and I'm reading the tea leaves right — one of the major public health triumphs of modern times." That article reports that while California had roughly the same number of cases as New York in the first week of March, "by the end of the month, New York had 75,795 cases while California had a tenth of that — 7,482."

An infectious disease doctor (and associate executive director with Permanente Medical Group) also told Politico Tuesday that at Kaiser Permanente hospitals across Northern California, they're "seeing a leveling off of Covid-19 cases in our hospitals." And one writer even quoted an emergency room doctor at the UCSF hospital who said last weekend they'd seen less than half the normal number of emergency room patients, and "My colleagues at Stanford, as well as at other facilities in San Francisco report much of the same conditions in their hospitals...

"It seems very likely, that the 'shelter in place' policy has had a significant, positive effect on containing the spread of COVID-19 in the Bay Area."
Medicine

Snopes Disputes 'Shakiness' of COVID-19 Origin Story Claimed By Washington Post OpEd (snopes.com) 238

Thursday an Opinion piece in the Washington Post touted what the paper's own health policy reporter has described as "a conspiracy theory that has been repeatedly debunked by experts." That conspiracy theory argues that instead of originating in the wild, the COVID-19 virus somehow escaped from a research lab.

Now the fact-checking web site Snopes has also weighed in this week, pointing out that the lab nearest the Wuhan market hadn't even published any coronavirus-related research prior to the outbreak. Instead the nearest coronavirus-researching lab was about 7 miles away, a maximum security "biosafety level 4 (BSL-4) laboratory certified to handle the world's most deadly pathogens." A February 2020 document erroneously described by several media outlets as a "scientific study" provides the supposedly science-based evidence of a virus escaping from a lab. This paper, such as it is, merely highlights the close distance between the seafood market and the labs and falsely claimed to have identified instances in which viral agents had escaped from Wuhan biological laboratories in the past... While SARS viruses have escaped from a Beijing lab on at least four occasions, no such event has been documented in Wuhan.

The purported instances of pathogens leaking from Wuhan laboratories, according to this "study," came from a Chinese news report (that we believe, based on the similarity of the research described and people involved, to be reproduced here) that profiled a Wuhan Center for Disease Control and Prevention researcher named Tian Junhua. In 2012 and 2013, he captured and sampled nearly 10,000 bats in an effort to decode the evolutionary history of the hantavirus. In two instances, this researcher properly self-quarantined either after being bitten or urinated on by a potentially infected bat, he told reporters. These events, according to the 2013 study his research produced, occurred in the field and have nothing to do with either lab's ability to contain infective agents...

In sum, this paper -- which was first posted on and later deleted from the academic social networking website ResearchGate -- adds nothing but misinformation to the debate regarding the origins of the novel coronavirus and is not a real scientific study.

In February the Washington Post had quoted Vipin Narang, an associate professor at the Massachusetts Institute of Technology, as saying that it's "highly unlikely" the general population was exposed to a virus through an accident at a lab. "We don't have any evidence for that," said Narang, a political science professor with a background in chemical engineering.

UPDATE: On Twitter Snopes' reporter has identified what he sees as major errors in the Post's recently-published op-ed.
Transportation

Y Combinator Company 'Flexport' Is Shipping PPE To Frontline Responders (gofundme.com) 37

The Y Combinator company Flexport is a San Francisco-based freight-forwarding and customs brokerage company. (Its investors include Google Ventures and Peter Thiel's Founders Fund.) But on March 23rd Flexport announced they were now re-focusing all their resources to get critical supplies to frontline responders combating COVID-19.

They've joined a team that announced on Friday announced "we're shipping full cargo planes filled with PPE to protect frontline responders," citing a partnership with Atlas Air and United Airlines. Atlas Air delivered a dedicated charter plane for this mission on Thursday, April 2nd. Originating in Shanghai, the plane contained over 143,000 pounds of PPE for medical systems in California, including approximately:

- 4,500,000 medical masks
- 116,000 disposable medical protection coveralls
- 121,300 surgical gowns

For this volume of goods, significant capacity is needed on a plane. However, global travel has plunged because of the outbreak, meaning that passenger planes which used to carry cargo are grounded, and the air market capacity is extremely limited. And hospitals, who in normal situations aren't importing their own goods, can't arrange cargo on a plane on their own...

Crews from United Airlines volunteered to help, arriving at SFO [San Francisco International Airport] at 6AM to unload and unpack the plane. The cargo was then put on a truck and delivered directly to hospitals that will distribute the PPE across the state based on need...

Up next, we're moving cargo to New York and will share updates next week. Please continue to help us spread the word to support the response efforts.

They're raising money on GoFundMe, and this "Frontline Responders Fund" has so far raised over $6 million from 15,800 donors. Their page notes that on Thursday former California governor Arnold Schwarzenegger "personally helped us deliver a trucking shipment from MedShare with 49,000 donated masks to a hospital in Los Angeles, California."

Their page also notes donations have funded the trucking of goods across America from nonprofits, including:
  • All Hands and All Hearts Smart Response, who delivered over 43,000 units of gloves, gowns, face masks, goggles, and hand sanitizer to emergency rooms and hospitals in New York City and Southern California.
  • Donate PPE, who delivered over 3,750 N95 respirator masks to hospitals in Brooklyn, NY yesterday

One of their supporters is actor Clark Gregg, who plays agent Coulson in five Marvel movies and the TV series Agents of S.H.I.E.L.D. He records personalized video greetings for fans through a web site called Cameo, and through Wednesday he donated 100% of the money earned to the Frontline Responders Fund.


The Internet

Vint Cerf 'No Longer Contagious' With Covid-19 (twitter.com) 37

DevNull127 writes: Good news — VA Public Health has certified my wife and me as no longer contagious with COVID19," tweeted 76-year-old Vint Cerf, one of the creators of the modern internet.

He added one word. "Recovering!"

It seemed especially appropriate that Cerf shared his news online — and that it drew positive responses from grateful people around the world, including several who use the internet in their daily lives. Cerf's tweet immediately drew positive responses from the Internet Society, as well as the chief operating officer of the Cloud Native Computing Foundation, YouTube's director of public policy, and a senior director of communications and public affairs at Google. There were also congratulatory posts from a Georgetown professor of technology and law, from Associated Press reporter Frank Bajak, and the executive director of the Global Privacy and Security by Design Centre.

Cerf followed up his news with a re-tweet of Google's "Community Mobility Reports" charting our aggregate movement trends over time, and a tweet of a University of Pittsburgh press release about progress on a COVID-19 vaccine candidate.

Earlier in the week Cerf also re-tweeted a humorous compilation of clips from the TV show M*A*S*H that illustrated safe practices while social distancing.

Medicine

Potential Vaccine Generates Enough Antibodies To Fight Off Virus (independent.co.uk) 120

Slashdot readers schwit1 and Futurepower(R) are sharing news about a potential coronavirus vaccine that has been found to produce antibodies capable of fighting off Covid-19. The Independent reports: The vaccine, which was tested on mice by researchers at the University of Pittsburgh School of Medicine, generated the antibodies in quantities thought to be enough to "neutralize" the virus within two weeks of injection. The study's authors are now set to apply to the U.S. Food and Drug Administration for investigational new drug approval ahead of phase one human clinical trials planned to start in the next few months. [T]he Pittsburgh research is the first study on a Covid-19 vaccine candidate to be published after review from fellow scientists at outside institutions. The scientists were able to act quickly because they had already laid the groundwork during earlier epidemics of coronaviruses: Sars in 2003 and Mers in 2014. What's also neat about this potential vaccine is that it can sit at room temperature until it is needed and be scaled up to produce the protein on an industrial scale.

The fingertip-sized patch of 400 tiny microneedles "inject the spike protein pieces into the skin, where the immune reaction is strongest," the report says. "The patch is stuck on like a plaster and the needles -- which are made entirely of sugar and the protein pieces -- simply dissolve into the skin." While long-term testing is still required, "the mice who were given the Pittsburgh researchers' Mers vaccine candidate developed enough antibodies to neutralize the virus for at least a year," reports The Independent. "The antibody levels of the rodents vaccinated against Covid-19 'seem to be following the same trend,' according to the researchers."
Medicine

Trump: CDC Recommends Cloth Face Covering To Protect Against Coronavirus 145

President Trump says the CDC now recommends using a cloth face covering to protect against coronavirus, but said he does not plan to do so himself. CNBC reports: Trump stressed that the recommendations were merely voluntary, not required. "I don't think I'm going to be doing it" he said as he announced the new guidance. The CDC's website explained that the recommendations were updated following new studies that some infected people can transmit the coronavirus even without displaying symptoms of the disease.
"In light of this new evidence, CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain," such as in grocery stores or pharmacies, "especially in areas of significant community-based transmission," the CDC says.
Developing...
Medicine

Hospital Autoclaves May Allow Safe Reuse of N95 Masks (www.cbc.ca) 71

Freshly Exhumed shares a report from CBC.ca: "[Autoclaving] is like a pressure cooker -- basically you enclose items into a chamber, you lock down the chamber, you heat it up and actually increase the pressure inside the chamber," Dr. Anand Kumar, a professor of medicine at the University of Manitoba, said. The machines heat up to about 121 C for 15 minutes, killing bacteria and viruses. "It'll sterilize anything." The assumption has been that if you tried this on an N95 mask they would degrade rapidly. We thought we'd give it a try anyway," Kumar said. "And actually what we found is while it does degrade some [types of] masks, there's a certain group of masks that are made of kind of a fabric-type material, rather than being moulded closely to the face they're called pleated [masks]," he said. Kumar said the pleated fabric masks can be cycled through an autoclaving machine 10 times and come out as good as before.

"The reason this is really important is that autoclaves are available at literally every established hospital in the world. There is probably no hospital in the world that doesn't have an autoclave machine," Kumar said. "So everybody can use this for these particular types of masks and these particular types of masks are probably the most common type of N95 mask, so we're really pleased." Kumar said the technique could be put into use at any hospital at any time. "It's a technology that's available and ready to go right now."

Medicine

The World Just Hit 1 Million Coronavirus Infections (bloomberg.com) 305

The new coronavirus has now infected 1 million people across the world, a milestone reached just four months after it first surfaced in the Chinese city of Wuhan. More than 51,000 have died and 208,000 recovered in what has become the biggest global public health crisis of our time. Bloomberg reports: When the virus was first discovered, doctors likened it to Severe Acute Respiratory Syndrome, or SARS, the illness that sickened 8,000 people mostly in Asia in 2003. Highly contagious, and appearing with little or no symptoms in some cases, Covid-19 has rapidly eclipsed all recent outbreaks in scale and size. Fewer than 20 countries in the world remain free of infection. With some virus carriers presenting few outward signs of illness, and many countries unable or unwilling to conduct wider testing, the true number of global infections is likely higher -- some say far higher -- than 1 million.

The U.S. now has the most cases officially recorded globally with more than 234,000, according to Johns Hopkins University, which draws on a combination of data sources -- from governments to the World Health Organization and local media -- to feed its tallies. Next is Italy, with 115,000, the JHU data show. Italy has the highest death toll with almost 14,000 virus fatalities, followed by Spain. With world travel paralyzed and millions of people under some form of lockdown as a result of government efforts to contain the spread, the health crisis has also become an economic one: The global economy is expected to shrink 2% in the first half of 2020. Business activity has ground to a halt in many sectors, with predictions the U.S. jobless rate could reach 30% in the second quarter.

Government

Trump Issues Order Under Defense Production Act To Secure More Ventilators (wsj.com) 180

President Trump moved to use the Defense Production Act, a Korean War-era national security mobilization law, to secure supplies companies need to make ventilators. From a report: "My order to the Secretary of Health and Human Services and the Secretary of Homeland Security will help domestic manufacturers like General Electric, Hill-Rom, Medtronic, ResMed, Royal Philips, and Vyaire Medical secure the supplies they need to build ventilators needed to defeat the virus," Mr. Trump said in statement that accompanied his order. He praised the companies and other domestic manufacturers for ramping up production of the machines and said the order "will save lives by removing obstacles in the supply chain that threaten the rapid production of ventilators."
Businesses

Amazon Blocks Sale of N95 Masks To the Public, Begins Offering Supplies To Hospitals (cnbc.com) 108

Amazon is no longer offering N95 masks to the general public, as it prioritizes the delivery of essential supplies to hospitals, government agencies and other groups amid the coronavirus outbreak. From a report: Earlier this week, the company rolled out a new section of its website dedicated to COVID-19 related supplies. There, any U.S.-accredited hospital or state or federal agency can fill out a form to access necessary items like N95 masks, surgical masks, facial shields, surgical gowns, surgical gloves and large-volume sanitizers. The site states it is not accepting requests from the general public, noting: "We are not accepting requests from individuals or non-qualified organizations at this time." Amazon also noted it will not make a profit from the orders.
Medicine

Doctors Turn To Twitter and TikTok To Share Coronavirus News (cnn.com) 20

In a sign of the times, doctors are effectively waging a two-pronged fight against coronavirus: one part takes place in overcrowded hospitals and the other takes place on noisy social media platforms as they work to combat what the World Health Organization has declared an infodemic with accurate, authoritative voices. From a report: All of that means doctors, some of whom were once reluctant to embrace social media, are wading deeper into platforms that are rife with fake news, unproven medical advice and mass panic. "Social media is the disease and the cure. It is responsible for the dissemination of misinformation as much as it needs to be a tool for repairing that," said Rick Pescatore, an emergency room physician and public health expert in the Philadelphia area, who is active on Twitter and Facebook and has treated Covid-19 patients. "It's incumbent upon physicians, who want to get real information out there, to meet these patients where they are -- and that's social media."

Perhaps nowhere is this shift more striking than on TikTok, a short-form video platform beloved by teens that is best known for lip syncing, dance routines and comedy skits. In one TikTok video viewed more than 416,000 times, a registered nurse named Miki Rai does a choreographed dance involving a lot of hand motions as facts about Covid-19 flash on the screen, such as how long the virus stays on different surfaces. In another TikTok video, set to soothing elevator music, Dr. Rose Marie Leslie demonstrates proper handwashing: Wet hands. Lather up. Start washing for 20 seconds. Scrub under your nails and between fingers. Rinse. Leslie, a resident physician specializing in family medicine at the University of Minnesota Medical School, created a TikTok account about a year ago, with the aim of reaching a younger demographic with health education information. Soon after coronavirus cases started emerging, she began creating TikToks about the issue. Now, she works to debunk myths about the virus for her more than 500,000 followers.

Medicine

Ted Chiang Explains the Disaster Novel We All Suddenly Live In (electricliterature.com) 117

The esteemed science fiction author, best known for movie "Arrival" that is based on his novel, on how we may never go "back to normal" -- and why that might be a good thing. From an interview on Electric Literature: EL: Do you see aspects of science fiction (your own work or others) in the coronavirus pandemic? In how it is being handled, or how it has spread?
TC: While there has been plenty of fiction written about pandemics, I think the biggest difference between those scenarios and our reality is how poorly our government has handled it. If your goal is to dramatize the threat posed by an unknown virus, there's no advantage in depicting the officials responding as incompetent, because that minimizes the threat; it leads the reader to conclude that the virus wouldn't be dangerous if competent people were on the job. A pandemic story like that would be similar to what's known as an "idiot plot," a plot that would be resolved very quickly if your protagonist weren't an idiot. What we're living through is only partly a disaster novel; it's also -- and perhaps mostly -- a grotesque political satire.

EL: This pandemic isn't science fiction, but it does feel like a dystopia. How can we understand the coronavirus as a cautionary tale? How can we combat our own personal inclinations toward the good/evil narrative, and the subsequent expectation that everything will return to normal?
TC: We need to be specific about what we mean when we talk about things returning to normal. We all want not to be quarantined, to be able to go to work and socialize and travel. But we don't want everything to go back to business as usual, because business as usual is what led us to this crisis. COVID-19 has demonstrated how much we need federally mandated paid sick leave and universal health care, so we don't want to return to a status quo that lacks those things. The current administration's response ought to serve as a cautionary tale about the dangers of electing demagogues instead of real leaders, although there's no guarantee that voters will heed it. We're at a point where things could go in some very different ways, depending on what we learn from this experience.

China

China Concealed Extent of Virus Outbreak, U.S. Intelligence Says (bloomberg.com) 374

China has concealed the extent of the coronavirus outbreak in its country, under-reporting both total cases and deaths it's suffered from the disease, the U.S. intelligence community concluded in a classified report to the White House, according to three U.S. officials. From a report: The officials asked not to be identified because the report is secret and declined to detail its contents. But the thrust, they said, is that China's public reporting on cases and deaths is intentionally incomplete. Two of the officials said the report concludes that China's numbers are fake. The report was received by the White House last week, one of the officials said. The outbreak began in China's Hubei province in late 2019, but the country has publicly reported only about 82,000 cases and 3,300 deaths, according to data compiled by Johns Hopkins University. That compares to more than 189,000 cases and more than 4,000 deaths in the U.S., which has the largest publicly reported outbreak in the world.
Businesses

Amazon's Covid Hiring Boom Has Applicants Packed Into Job Fairs With No Special Precautions (bloomberg.com) 63

An anonymous reader shares a report: In March, a laid-off customer-service representative for one of the airline companies attended an Amazon.com employee orientation in Dallas. He found himself packed into a room with about 70 other applicants, sitting shoulder-to-shoulder to watch a PowerPoint presentation about what it's like to work for the online retailer. The man, who provided a smartphone photo to document his experience, said the event was exactly like one he attended last year for a seasonal holiday job with Amazon. In other words, there were no special precautions to keep attendees safe from the coronavirus. When the man raised concerns about the crowded conditions, he said an Amazon manager mocked him and a fellow recruit sneered.

"They made jokes and told me to leave if I was unhappy," he said, adding that one manager said Amazon's operations were exempt from the rules because the company is considered an essential service. "They didn't care one tiny bit." The former customer rep took the job but still worries about getting sick. Amazon also ignored official social-distancing guidelines at hiring events near Portland, Oregon, and in Kenosha, Wisconsin, according to two applicants. A fourth person who attended an Amazon job fair in West Jefferson, Ohio, said she was sent home and asked to return another day because the gathering was too crowded, suggesting precautionary measures are in place at least at some events or Amazon is changing its practices.

Medicine

What Happens After the Lockdown? (medium.com) 278

BeerFartMoron writes: Recently there has been a proliferation of modeling work which has been used to make the point that if we can stay inside, practice extreme social distancing, and generally lock down nonessential parts of society for several months, then many deaths from COVID-19 can be prevented. But what happens after the lockdown? In an article studying the possible effects of heterogeneous measures, academics presented examples of epidemic trajectories for COVID-19 assuming no mitigations at all, or assuming extreme mitigations which are gradually lifted at 6 months, to resume normal levels at 1 year.

"Unfortunately, extreme mitigation efforts which end (even gradually) reduce the number of deaths only by 1% or so; as the mitigation efforts let up, we still see a full-scale epidemic, since almost none of the population has developed immunity to the virus," writes Wesley Pegden, Associate Professor, Department of Mathematical Sciences at Carnegie Mellon University. "There is a simple truth behind the problems with these modeling conclusions. The duration of containment efforts does not matter, if transmission rates return to normal when they end, and mortality rates have not improved. This is simply because as long as a large majority of the population remains uninfected, lifting containment measures will lead to an epidemic almost as large as would happen without having mitigations in place at all."
"This is not to say that there are not good reasons to use mitigations as a delay tactic," Pegden adds. "For example, we may hope to use the months we buy with containment measures to improve hospital capacity, in the hopes of achieving a reduction in the mortality rate. We might even wish to use these months just to consider our options as a society and formulate a strategy."

"But mitigations themselves are not saving lives in these scenarios; instead, it is what we do with the time that gives us an opportunity to improve the outcome of the epidemic."
Medicine

C.D.C. Weighs Advising Everyone To Wear a Mask (nytimes.com) 240

Widespread use of nonmedical masks could reduce community transmission. But recommending their broad use could also cause a run on the kind of masks that health care workers desperately need. From a report: Should healthy people be wearing masks when they're outside to protect themselves and others? Both the World Health Organization and the Centers for Disease Control and Prevention have repeatedly said that ordinary citizens do not need to wear masks unless they are sick and coughing. And as health care workers around the world face shortages of N95 masks and protective gear, public health officials have warned people not to hoard masks. But those official guidelines may be shifting.

On Monday during the coronavirus task force briefing, President Trump was asked whether Americans should wear nonmedical masks. "That's certainly something we could discuss," he said. "It could be something like that for a limited period of time." Dr. Robert Redfield, the director of the C.D.C., confirmed in an interview with National Public Radio on Monday that the agency was reviewing its guidelines on who should wear masks. Citing new data that shows high rates of transmission from people who are infected but show no symptoms, he said the guidance on mask wearing was "being critically re-reviewed, to see if there's potential additional value for individuals that are infected or individuals that may be asymptomatically infected." The coronavirus is probably three times as infectious as the flu, Dr. Redfield said.

Medicine

Ford, GE To Produce 50,000 Ventilators In 100 Days (cnbc.com) 151

Ford Motor and GE Healthcare plan to produce 50,000 ventilators within the next 100 days at a facility in Michigan to assist with the coronavirus pandemic. CNBC reports: Production of the critical care devices is expected to begin with 500 United Auto Workers union members the week of April 20, according to executives at both companies. Ford's Rawsonville Components Plant in Ypsilanti, Michigan will be able to produce 30,000 ventilators a month after early-July, officials said. The companies expect to produce 1,500 by the end of April, 12,000 by the end of May and 50,000 by July 4, officials said.

The design of the ventilator is being licensed by GE Healthcare from Florida-based Airon Corp., a small, privately held company specializing in high-tech pneumatic life support products. The devices are simpler, less complex than GE ventilators Ford previously said it would assist the company in producing at other facilities .

The Internet

Internet Pioneer Vint Cerf Tests Positive For Covid-19 (gizmodo.com) 32

New submitter NoMoreACs shares a report from Gizmodo: Tech pioneer Vint Cerf, one of the co-creators of the modern internet, has tested positive for covid-19, according to a tweet Cerf sent out Monday morning. The 76-year-old tweeted out a clip from HBO's Last Week Tonight with John Oliver about the U.S. response to the global pandemic. "I tested positive for COVID-19 and am recovering," Cerf tweeted. "Listen to what John Oliver has to say about our national response so far."

Cerf helped create the modern internet in the 1970s while working at UCLA with other pioneers like Bob Kahn and Leonard Kleinrock. Cerf worked on packet switching for the APRANET under Kleinrock and TCP/IP protocols with ARPA (now DARPA), the plumbing that makes the internet function. DARPA tweeted its support of Cerf, telling him to get well soon.

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