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Tuesday, March 17, 2020




CORONAVIRUS AND THE USA
COMPILATION AND COMMENTARY
BY LUCY WARNER
MARCH 17, 2020 

I HAVE INCLUDED IN TODAY’S BLOG THIS ARTICLE SEGMENT FROM WIKIPEDIA BECAUSE MOST OF US KNOW THAT A VIRUS ISN’T A BACTERIA OR A PROTOZOAN, BUT NOT MUCH MORE THAN THAT. WHEN I WAS YOUNG, IT WASN’T POSSIBLE TO SEE AND PHOTOGRAPH THINGS AS SMALL AS VIRUSES AND ATOMS, BUT THE DEVELOPMENT OF THE ELECTRON MICROSCOPE CHANGED THAT, AT LEAST IN SOME CASES. THE CORONA VIRUSES ARE SO NAMED BECAUSE THEY HAVE A “CORONA” OF SORTS AROUND THEM. SEE THE WEBSITE FOR A PHOTOGRAPH OF SEVERAL CORONAVIRUSES AND LOTS MORE INFORMATION ABOUT THEM.

WHAT WE HAVE GOING AROUND AND CAUSING A PANIC AMONG THE POPULATION THIS TIME IS COVID-19, BUT IT’S CLOSELY RELATED TO SARS, MERS AND OTHERS THAT HAVE HIT THE NEWS IN THE LAST 20 YEARS OR SO FOR THEIR SEVERITY. AS USUAL, IN THIS CASE THE VULNERABLE GROUPS SUCH AS IMMUNODEFICIENT INDIVIDUALS AND THE ELDERLY ARE IN THE MOST DANGER OF BECOMING MORE ILL THAN WE WOULD BE NORMALLY WITH AN ORDINARY COLD OR FLU.

WHAT IS A BIT MORE FRIGHTENING THAN USUAL TO ME IS THE RAPIDITY OF THE SPREAD OF THIS NEW COVID-19 AND THE NUMBER OF DEATHS. WE CAN ONLY DO WHAT THE AUTHORITIES TELL US TO AND WAIT FOR THE EPIDEMIC TO LEVEL OFF TO A LESS DANGEROUS POINT. THE SCIENTISTS ARE PREDICTING IT'S PEAK IN THE RANGE OF 45 DAYS. ASSUMING THAT IT WON'T DIE DOWN AGAIN IN A SIMILAR TIME PERIOD, THAT IS A SERIOUS PROBLEM, ESPECIALLY SINCE THIS INCLUDES LACK OF INCOME AND RESTRICTED ACTIVITIES, INCLUDING GOING TO WORK. WE WILL ALSO MISS OUR FAVORITE ENTERTAINMENT FORMS SUCH AS MOVIE THEATERS, WHICH ARE BEING CLOSED IN SOME PLACES.

THERE IS ALSO THE MATTER OF PANIC BUYING THAT HAS ALREADY STARTED. THAT TOOK ME BY SURPRISE, SO NOW I HAVE TO GO OUT AND DO SOME PANIC BUYING OF MY OWN. IF THAT GOES ON FOR A TIME PERIOD LIKE 45 DAYS, AS DR. FAUCI SAID, WE NEED A NATIONAL RATIONING PLAN LIKE WE HAD IN WWII, AND IMPLEMENTED IMMEDIATELY, THAT OPERATES AT THE LOCAL LEVEL SO THAT STORE HOURS ARE RESTRICTED AND NO BUYER IS ALLOWED TO GET MORE THAN A WEEK’S SUPPLY OF HOUSEHOLD TISSUE PAPER OF ALL KINDS, CLEANING PRODUCTS, BREAD, EGGS, DAIRY PRODUCTS, PLUS GASOLINE FOR THE FAMILY CARS. THE WAY IT WAS DONE, IF I REMEMBER WHAT MY PARENTS SAID CORRECTLY, WAS THAT COUPONS FOR THE SPECIFIC ITEMS WERE ISSUED TO BE USED AT LOCAL BUSINESSES. I HAVE NO DOUBT THAT PRICE GOUGING WILL ALSO BE RAMPANT IF NO MEASURE IS PUT IN PLACE TO PENALIZE BUSINESSES WHICH DO THAT. HAVING A SERIOUS DISEASE AMONG US IS UNNERVING, BUT THE WAY PEOPLE REACT TO IT MEANS A GREAT DEAL.

I AM A RETIREE LIVING ON SOCIAL SECURITY WITH DEPENDABLE HOUSING, BUT FOR THOSE WHO DO STILL WORK FOR THEIR LIVING, THERE WILL BE A MUCH MORE COMPLICATED SITUATION. IF THEY CAN’T GO TO THEIR WORKPLACES DUE TO THE SPREAD OF THIS ILLNESS, FAMILY FINANCIAL ISSUES MAY QUICKLY BECOME DIRE. THERE HAS ALREADY BEEN TALK OF AN ECONOMIC RECESSION AS A RESULT, AND ONE OF WORLDWIDE SCOPE. THINK “DEPRESSION,” RATHER THAN “RECESSION.” HOPEFULLY, THAT WON’T HAPPEN, AND OUR CONGRESS AND EXECUTIVE BRANCHES WILL ACT TO RESTORE ECONOMIC ORDER.

CONCENTRATING NOW ON VIRUSES AND HOW TO DEAL WITH THEM, SEE THE FOLLOWING ARTICLES.

Coronavirus
From Wikipedia, the free encyclopedia

This article is about the group of viruses. For the specific coronavirus causing the 2019–20 coronavirus pandemic, see Severe acute respiratory syndrome coronavirus 2. For the disease caused by this strain, see Coronavirus disease 2019.

Coronaviruses are a group of related viruses that cause diseases in mammals and birds. In humans, coronaviruses cause respiratory tract infections that can be mild, such as some cases of the common cold (among other possible causes, predominantly rhinoviruses), and others that can be lethal, such as SARS, MERS, and COVID-19. Symptoms in other species vary: in chickens, they cause an upper respiratory tract disease, while in cows and pigs they cause diarrhea. There are yet to be vaccines or antiviral drugs to prevent or treat human coronavirus infections.

Coronaviruses constitute the subfamily Orthocoronavirinae, in the family Coronaviridae, order Nidovirales, and realm Riboviria.[5][6] . . . . The genome size of coronaviruses ranges from approximately 27 to 34 kilobases, the largest among known RNA viruses.[7] The name coronavirus is derived from the Latin corona, meaning "crown" or "halo", which refers to the characteristic appearance reminiscent of a crown or a solar corona around the virions (virus particles) when viewed under two-dimensional transmission electron microscopy, due to the surface covering in club-shaped protein spikes. 


HAND WASHING AND CLEANING

Good Hygiene Practices - Reducing the Spread of Infections and Viruses

What are good practices to slow the spread of infections?
Ways you can reduce or slow the spread of infections include:

Get the appropriate vaccine.
Wash your hands frequently.
Stay home if you are sick (so you do not spread the illness to other people).
Use a tissue, or cough and sneeze into your arm, not your hand. Turn away from other people.
Use single-use tissues. Dispose of the tissue immediately.
Wash your hands after coughing, sneezing or using tissues.
If working with children, have them play with hard surface toys that can be easily cleaned.
Do not touch your eyes, nose or mouth (viruses can transfer from your hands and into the body).
Do not share cups, glasses, dishes or cutlery.

Note that the Centers for Disease Control and Prevention state that adults can shed influenza virus 1 day before symptoms appear and up to approximately 5 to 7 days after onset of illness.  It is for this reason, wearing masks selectively, such as when face-to-face with individuals who are showing symptoms, may not help limit the spread of the virus in the community.

If cleaning is necessary, how should it be done?
Additional measures may be required to minimize the virus from transmitting by hard surfaces (sinks, door and cupboard handles, railings, objects, counters, etc.). The length of time a virus survives on hard surfaces depends on the type of virus. The Centers for Disease Control and Prevention in the United States indicates that "Most studies have shown that the flu virus can live and potentially infect a person for up to 48 hours after being deposited on a surface."

In most workplaces and homes, cleaning floors, walls, doorknobs, etc. with regular disinfectants or soap and water is very adequate. Follow the directions on the cleaning or disinfecting products. Wear personal protective clothing, such as gloves or eye protection, where required. Know the appropriate procedures for general sanitation and infection control, and how to work safely with hazardous products, including bleach. Only in some workplaces, such as a hospital or health care facility, are specific cleaning and disinfection steps required.


What is meant by social distancing?
Social distancing is a strategy where you try to avoid crowded places, large gatherings of people or close contact with a group of people. In these situations, viruses can easily spread from person to person. In general, a distance of one to two metres (3 to 6 feet) will slow the spread of a disease, but more distance is more effective.

Should social distancing be recommended, steps to follow include:

Use telephone, video conferencing, or the internet to conduct as much business as possible (including within the same building).
Allow employees to work from home, or to work flexible hours to avoid crowding the workplace.
Cancel or postpone any travel, meetings, workshops, etc. that are not absolutely necessary.
Drive, walk, or cycle to work, but try to avoid public transit. Alternatively, workplaces can consider allowing staff to arrive early/late so they can use public transit when it is less crowded.
Allow staff to eat at their desks or have staggered lunch hours to avoid crowded lunch rooms.
Spend as little time as possible in tearooms or photocopy centres.
When meetings are necessary, have the meeting in a larger room where people can sit with more space between them (at least about one to two metres apart).
Avoid shaking hands or hugging.
. . . .



THINGS HAVE IMPROVED, THOUGH. TAKE A LOOK AT THE PAST.

The evolution of hand-washing, explained by a historian
A brief social history of hand-washing.
By Constance Grady@constancegrady 
Mar 17, 2020, 10:40am EDT

PHOTOGRAPH -- BSIP/Universal Images Group via Getty Images

Are we all washing our hands several times a day? As the Covid-19 coronavirus pandemic spreads, we should all be washing our hands several times a day. Take a moment right now, go give your hands a scrub with some warm soapy water for 20 seconds, and then come back. Maybe spritz around some hand sanitizer if you don’t have access to a sink. Put on a little hand lotion so your skin doesn’t get too chapped.

Ready? Great.

Right now, all of us either are or should be very vigilant about washing our hands, but for much of human history, that wasn’t the case. Hand-washing as a social responsibility is a fairly new concept.

To learn about how that concept developed and when and why it emerged, I called up Peter Ward, a professor of history at the University of British Columbia and the author of The Clean Body: A Modern History. Over the phone, we discussed the history of hygiene, when people started washing their hands, and why we usually wash our hands — and it has a lot less to do with medicine, and a lot more to do with social acceptance, than you might think. Highlights from our conversation, which has been lightly edited for length and clarity, follow.

INTERVIEW

Constance Grady
To start off, tell me a little bit about your book, The Clean Body. What’s the central argument?

Peter Ward
The book is a history of personal hygiene in the West from the 17th century to the recent past. It’s about how people have thought about their bodies and treated their bodies.

In the 17th century, people didn’t have baths regularly. They thought that to be clean, it was enough to change their underwear and wash their underwear frequently.

The first person I mention in the book is Louis XIV of France, who had two baths in his adult lifetime. They were both for medicinal reasons. He had headaches and his doctors recommended baths. It didn’t work to cure the headaches, so he lived another half century and never bathed again.

But he washed his hands once a day in scented water and his face every second day. And he changed his underclothes. That was it. That was the habit of middle and upper-class people in the Western world until the middle of the 19th century.

Constance Grady
So what changed in the middle of the 19th century?

Peter Ward
A lot changed then! It began in the upper reaches of Western society. People began to think about their bodies as something to be cared for, and that treatment as something to distinguish themselves from the lower classes, who didn’t wash in the same way. By washing you were making a statement about what class you belonged to.

Then there’s the technological side, like the development of new bathing equipment. And the architectural side, the beginning of the appearance of the bathroom first in the homes of the extremely wealthy, and then over the course of about a century, down to mass housing.

There’s lots of strands here. Some of them have to do with the history of plumbing, some of them have to do with the history of domestic architecture, the history of clothing, of class understanding. A lot of them have to do with the history of business and the advertising of soap, which became highly industrialized in the late 19th century. That had a huge educational impact on hygiene.

Constance Grady
And when did people start to talk about hand-washing specifically?

Peter Ward
Well, Louis washed his hands every day. The idea was there. Our current concern for hand-washing was a product of the germ theory era more than anything else. The idea that people should habitually wash their hands is not an idea that existed before the latter part of the 19th century.

Before then, people had no particular reason to wash their hands unless they were dirty or sticky or something of that sort. There was no epidemiological reason to wash until the germ theory emerged, which was another gradual process. It really didn’t take root fundamentally until the 1880s, with the discoveries of Pasteur.

Constance Grady
There’s this story I read that I’ve always thought might be apocryphal of surgeons refusing to wash their hands during the beginning of the rise of germ theory, because “a gentleman’s hands are always clean,” so on those grounds hand-washing was unnecessary. Is there any truth to that story?

Peter Ward
I’ve not heard that one, so it’s probably too good to be true. But at that point in time, surgeons and all attending physicians didn’t have any clear reason to wash their hands as they moved from one patient to the next. This was an acute problem for physicians and any medical attendants who dealt with women delivering children. One of the leading causes of maternal mortality was childbed fever, which was circulated in maternity hall settings and passed from physicians to patients during the process.

Some of the earliest people who began to think more clearly about this began to think there might be a connection between hand-washing and the passage of disease. One of the first was an American, Oliver Wendall Holmes. He was a Boston poet and physician who wrote an article in the 1840s positing that there might be a connection between medical practitioners moving from patient to patient and women’s post-birth deaths. But there was no theoretical basis for the idea to gain any broad acceptance. It more or less disappeared from sight until the 1880s.

It wasn’t until Pasteur came along that people began to think about these microbiological elements, the unseen life of germs. Pasteur proved it. But even after Pasteur, it took a decade or even more, a generation, for his ideas to be accepted.

Constance Grady
Why was there so much reluctance?

Peter Ward
There were competing theories. We tend to think of Pasteur as this great genius who came to a universal truth, but he wasn’t working in a vacuum. There were other people in his field working on the same problems and coming to different conclusions. He was one of many competitors, and not all his competitors fell away.

Constance Grady
So what can we take away from that history? This long period where hand-washing wasn’t considered important, and now all of a sudden it’s medically necessary?

Peter Ward
Until very recently, most of our bathing practices had to do with our idea of ourselves as social beings. We want to go through our daily lives in a way that is agreeable to other people, and we assume — probably correctly — that one of the best ways of doing that is to be very, very clean. To look clean, to smell clean, to feel clean, to be clean. And a lot of that has to do with using the products that purport to make us clean. The commercialization of personal hygiene is driven by a different agenda than a medical one. It’s primarily a social one.

Constance Grady
Do you think that’s changing now?

Peter Ward
I think everybody is scared skinny at the moment. We all know that you must wash your hands many times a day right now, for 20 seconds, singing “Happy Birthday” to yourself twice. There’s going to be a degree of care at least in the short run that’s driven by a medical agenda, but I think the underlying issues are going to be the same. From the 20th century on, the hygienic revolution of modern times has to do with the social imperatives of our communal lives more than anything else.

That takes the argument back to the 17th century: People appeared to be clean by wearing clean underwear that showed over their outer clothes through collars and cuffs. If you look at Dutch art, one of those marvelous Franz Hals portraits or really any other Dutch artist in the 17th century, you’ll see these people who are very somberly dressed. But they all have something white coming out over the tops of their outer garments: a collar, a cuff. There are often slashes in the outer garments that reveal white clothes next to the skin.

What these people were doing were displaying their cleanliness. They were differentiating themselves from the poor, who in some cases didn’t wear a second layer of clothing and in other cases couldn’t afford to wash their underclothes. It was a social statement of a different time, one of social differentiation rather than social inclusion. But right now, we clean ourselves to make a statement of social inclusion. We’re making ourselves agreeable to each other.


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