Officials Discuss Cost and Timeline of Reopening Businesses

Officials Discuss Cost and Timeline of Reopening Businesses title=
Officials Discuss Cost and Timeline of Reopening Businesses
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Governor Gavin Newsom leading a press conference (Photo: Office of the Governor)

By Lauren Bray, edhat staff

Santa Barbara County Supervisor Gregg Hart discussed the financial constraints of reopening businesses on Governor Newsom's framework.

Earlier this week Gov. Newsom announced six indicators that are needed to modify the stay-at-home order. The first one being the ability to monitor and protect communities through testing, contact tracing, isolating, and supporting those who are positive or exposed.

During Thursday afternoon's local press conference, Hart explained this is beyond our current testing capabilities. Local governments and healthcare providers will need more financial assistance from state and federal governments to take on the new responsibilities required to make the transition work, he said. 

Hart stated the county will take a $37-40 million dollar economic hit due to the coronavirus (COVID-19). He estimated the county has already incurred $7-10 million for its COVID-19 response, most of which include the cost of opening and staffing the Emergency Operations Center. 

Approximately $30 million is related to revenue declines in sales and transient occupancy taxes ($3.7 million), local public safety sales tax ($4.8 million), state public safety realignment funds ($7.9 million), and health and human services realignment funds ($13.3 million).

On March 27, the third supplemental response package to the COVID-19 pandemic called “The CARES Act” was signed into law. The act directs $150 billion to be divided among the 50 states, the District of Columbia, the territories, and tribal governments. Within a state, only “units of local governments” with populations that exceed 500,000 are eligible to receive direct funding from the federal government as a portion of the State’s allocation. Santa Barbara County falls below the 500,000 population threshold, and therefore will not receive such funding.

"Now more than ever we will need even more assistance to help us get the financial resources necessary to implement the Governor's COVID-19 transition framework and get our community back to work, This is the critical first step to making that happen," said Hart. 

Newsom has made it clear there is not a precise timeline for modifying the stay-at-home order, but the six indicators will serve as the framework for making that decision. 

During a national press conference on Thursday evening, President Trump announced guidelines for opening states and left the decision up to governors. State leaders were provided with a phased list of criteria to lift social distancing restrictions.

The guidelines suggest states should see a decrease in confirmed COVID-19 cases over a 14-day period. This falls in line with Newsom's statement that California will not reopen until there is a decline in the number of deaths, hospitalizations, and patients requiring care in ICU beds.

The White House guidance also states that hospitals should be able to “treat all patients without crisis care” and have a “robust testing system in place for at-risk health care workers” before proceeding to a phased reopening.

Newsom stated since the pandemic began, the number of patients who have tested positive for COVID-19 in California hospitals declined. He said the number of patients in ICUs statewide increased by 1.4 percent to 1,191, but isn’t drastically different than the 1,175 patients who tested positive in ICUs throughout the state on Monday.

“You have successfully bent and arguably flattened the curve in the state of California,” said Newsom. “We continue to need to maintain our vigilance, guided not by political decision-making, guided by data, guided by facts, guided by science, guided by health professionals all throughout the state of California.”

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a-1587217423 Apr 18, 2020 06:43 AM
Officials Discuss Cost and Timeline of Reopening Businesses

Professor Luc Montagnier, 2008 Nobel Prize winner for Medicine, claims that SARS-CoV-2 is a manipulated virus that was accidentally released from a laboratory in Wuhan, China. Chinese researchers are said to have used coronaviruses in their work to develop an AIDS vaccine. HIV RNA fragments are believed to have been found in the SARS-CoV-2 genome.

a-1587233601 Apr 18, 2020 11:13 AM
Officials Discuss Cost and Timeline of Reopening Businesses

I believe it could have leaked from the Wuhan lab, but this theory is totally debunked. The guy is 87 years old and clearly losing it. https://www.europeanscientist.com/en/big-data/no-sars-cov-2-does-not-contain-hiv-genetic-code/

macpuzl Apr 18, 2020 01:05 PM
Officials Discuss Cost and Timeline of Reopening Businesses

Great. Another fruitcake conspiracy theory. You will find it thoroughly debunked here:
==========================================================================
https://www.europeanscientist.com/en/big-data/no-sars-cov-2-does-not-contain-hiv-genetic-code/

a-1587370914 Apr 20, 2020 01:21 AM
Officials Discuss Cost and Timeline of Reopening Businesses

This is an old non-scientific hypothesis, also known as a conspiracy theory. Can you cite Dr. Montagnier? I hope he too would feel maligned by your association of him with such a theory. Hell, *I* even posted about this news months ago, but it was to question and expose it to the light of day!

a-1587376102 Apr 20, 2020 02:48 AM
Officials Discuss Cost and Timeline of Reopening Businesses

The false negative rate in testing, and the rate of asymptomatic carriers should be terrifying. Yes, it will drop the fatality rate. But the fall-out?! ---------------------------------
I truly don't think I'd make it through this illness, were I to get it. That's okay, I've had a DNR for years. Don't worry, I left the house once in Feb. and once in early March. That's because I can live without working. As I've said, anonymously, I've been intubated in the ER. And that illness was easy, as I only felt sick for about 14 hours -- aside from being hospitalized for a week. Believe me, you don't know how sick you can get. You don't want this. ----------------------------------------------------------------------------
I've nursed bed-ridden family through real influenza. And through various modes of dialysis, including in-home (thank the gods they're not alive now!) And through death at home, twice. (Support Visiting Nurses! https://vna.health/) ---------------------------- The damage from non-deaths is and will be huge, including months-long recuperations and possible lung damage. **I agree that shut-down orders are onerous.** But good gods, people, it's been less than two months! And if you do re-open, how many people are going to come to your business?! Not me. Not my friends. And Look at the polls. People will have to feel secure first. --------------------------------------------------------------- The damage has been done, and this shut-down will NOT be for a year or until we get a frigging vaccine. Please try to moderate your response to the situation.

a-1587378065 Apr 20, 2020 03:21 AM
Officials Discuss Cost and Timeline of Reopening Businesses

I don't want to sound so un-receptive to those whose businesses are f... frigged. I have deep sympathy. This is happening globally. We're all trying to help, it's just so little. It's a horrible time. Plague time always is.

a-1587379194 Apr 20, 2020 03:39 AM
Officials Discuss Cost and Timeline of Reopening Businesses

scary, horrifying: https://wwwnc.cdc.gov/eid/article/26/8/20-1413_article?deliveryName=USCDC_333-DM26140&utm_source=STAT+Newsletters&utm_campaign=87885314da-MR_COPY_01&utm_medium=email&utm_term=0_8cab1d7961-87885314da-150446729

a-1587379543 Apr 20, 2020 03:45 AM
Officials Discuss Cost and Timeline of Reopening Businesses

There's more than this quote. Just saying, it may be rare, but it may be your partner or child or parent. "Simple" pneumococcal pneumonia, the one WE HAVE A VACCINE FOR, almost killed me when I was 33, with no co-morbidites. Yes, we're going to lose lots of people in this pandemic. But reading about those with it helps us abide by and support social limitations.
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"Panton-Valentine leukocidin (PVL) is a cytotoxin produced by some strains of Staphylococcus aureus. These strains are responsible for primary skin infections and necrotizing pneumonia. This rare entity is mainly described in young immunocompetent patients with an influenza-like prodrome and has a high case-fatality rate (1,2). We report a case of necrotizing pneumonia induced by PVL-secreting methicillin-susceptible S. aureus in a patient infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and who had coronavirus disease (COVID-19).

In March 2020, during the SARS-CoV-2 outbreak in France, a man in his thirties who had no underlying conditions came to an emergency department because of fever, cough, and blood-streaked sputum that developed for 3 days. A diagnosis of pleuropneumonia was made, and antimicrobial therapy was initiated with cefotaxime plus metronidazole. Test results for Streptococcus pneumoniae and Legionella pneumophila serotype 1 urinary antigens were negative. A reverse transcription PCR specific for respiratory viruses also showed negative results.

The next day, further respiratory deterioration required transfer of the patient to an intensive care unit (ICU) for intubation, mechanical ventilation, and inotropic support. Spiramycin was added to the previous drug regimen. Chest computed tomography showed a parenchymal consolidation of the left upper lung without ground-glass opacities commonly described for COVID-19 (3).

Thumbnail of Chest computed tomography of a patient in France with Panton-Valentine leukocidin–secreting Staphylococcus aureus pneumonia complicating coronavirus disease, showing worsening of bilateral parenchymal damage with complete consolidation of the left lung, cavitary lesions suggestive of multiple abscesses, and appearance of areas of ground-glass opacities in the right lung
Figure. Chest computed tomography of a patient in France with Panton-Valentine leukocidin–secreting Staphylococcus aureus pneumonia complicating coronavirus disease, showing worsening of bilateral parenchymal damage with complete consolidation of the left lung, cavitary...

Four days after intubation, the condition of the patient had not improved. We performed a reverse transcription PCR specific for SARS-CoV-2 on an endotracheal aspirate by using the method developed by the National Reference Centre for Respiratory Viruses (Institut Pasteur, Paris, France). The PCR result was positive for SARS-CoV-2 (4). Chest computed tomography showed worsening of bilateral parenchymal damage with complete consolidation of the left lung, cavitary lesions suggestive of multiple abscesses, and appearance of areas of ground-glass opacities in the right lung (Figure). The chest radiograph also showed a left pleural effusion.

a-1587379923 Apr 20, 2020 03:52 AM
Officials Discuss Cost and Timeline of Reopening Businesses

Some info re: antibody testing: ----------------------------------------------------------------https://www.statnews.com/2020/04/20/everything-we-know-about-coronavirus-immunity-and-antibodies-and-plenty-we-still-dont/?utm_source=STAT+Newsletters&utm_campaign=87885314da-MR_COPY_01&utm_medium=email&utm_term=0_8cab1d7961-87885314da-150446729

a-1587381586 Apr 20, 2020 04:19 AM
Officials Discuss Cost and Timeline of Reopening Businesses

NY Times Monday 4/20: =========================== Antibody testing is problematic, officials say
Saying that the coronavirus pandemic requires an urgent response, the Food and Drug Administration has allowed about 90 companies, many based in China, to sell antibody tests that are intended to indicate whether people may have built immunity to the coronavirus but that haven’t been vetted by the government.
The agency has since warned that some of those businesses are making false claims about their products, and health officials in the U.S. and abroad have found other tests to be deeply flawed.
Officials fear a repeat of the earlier launch of Covid-19 diagnostic tests that failed to monitor which Americans, and how many, had been infected. ===================================================================================== https://www.nytimes.com/2020/04/19/us/coronavirus-antibody-tests.html?campaign_id=9&emc=edit_NN_p_20200420&instance_id=17786&nl=morning-briefing&regi_id=78822370&section=topNews&segment_id=25550&te=1&user_id=cbfb792000a61325f4177436cfe9e79f

a-1587381825 Apr 20, 2020 04:23 AM
Officials Discuss Cost and Timeline of Reopening Businesses

I worked in admin at a medical clinic & learned a lot about CLIA. False info, bad info is probably more dangerous than no info. Please, citizens, those working on the front lines, clinically and with patients, Need. More. Time.

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