Friends

The spike in homeless population with COVID-19 is actually not only in this city, many cities outside Canada have this spike. I was watching the numbers out of New York and Los Angeles all the same. And we are following these numbers for there was a fear that if the virus goes into them they are going to die massively, in fact in Toronto even hotel rooms were reserved to dump them in. But do you know why they don't die? Homeless people are actually a health population. Go back into all these major cities, and watch their budgets, homeless people are high on the first line to be funded. Now it might be different program from Democrats and Conservative governments, but all in all homeless people have a guaranteed budget in every city budget. Churches make sure they are fade well, breakfast centers are ran continuously, as lunches and dinner in church basements. But that also means that old black folks in cities like New York, put very less on their tables than the entire homeless population. When we burry more old folks in mass graves due to the virus, than the homeless population, we need to start questioning our priorities.

Enjoy the day, some of us have got to go and work.

EM -> { Trump for 2020 }

On the 49^th Parallel

Thé Mulindwas Communication Group
"With Yoweri Museveni, Ssabassajja and Dr. Kiiza Besigye, Uganda is in anarchy"
Kuungana Mulindwa Mawasiliano Kikundi
"Pamoja na Yoweri Museveni, Ssabassajja na Dk. Kiiza Besigye, Uganda ni katika machafuko"

From: ugandans-at-heart@googlegroups.com <ugandans-at-heart@googlegroups.com> On Behalf Of Herrn Mulindwa Edward
Sent: Monday, April 27, 2020 3:41 AM
To: ugandans-at-heart@googlegroups.com
Cc: camnetwork@yahoogroups.com
Subject: {UAH} THIS IS WHY SOCIAL DISTANCING IS STUPID, THE VIRUS COMES IN AND GOES AWAY EXACTLY AS THE FLU VIRUS DOES

Friends

I am going back to this social distancing that has remained a huge Elephant in the room. One of the worries we got in this city when social distancing started, was how do we social distance home less people? They live together on streets, they live together in hostels, they move as they decide, we have tent cities in this city. But most of the homeless people have public health workers that knows them personally. So a health worker will tell you their names and where they live. They take them food, blankets if it is too cold, they remind them about doctor's appointments, they take them medications. The debate started with how can we social distance them? To get that answer public health officers started with why don't we start with testing them? They started to test them at random, every homeless person was tested. We found out that they actually have a spike. A very high number of our homeless people have a such high percentage of COVID-19, but do you know what we found out as well? They are all asymptomatic. Up to this posting I do not think that we have lost a single homeless person due to COVID-19, yet when you test them they are positive. When you look at the history of that class, it also gets high numbers of flu but to use Dr Birx's word "It wanes off".

Social distancing is stupid.

EM -> { Trump for 2020 }

On the 49^th Parallel

From: ugandans-at-heart@googlegroups.com <ugandans-at-heart@googlegroups.com> On Behalf Of Herrn Mulindwa Edward
Sent: Monday, April 27, 2020 3:24 AM
To: ugandans-at-heart@googlegroups.com
Cc: camnetwork@yahoogroups.com
Subject: {UAH} THIS IS WHY SOCIAL DISTANCING IS STUPID, THE VIRUS COMES IN AND GOES AWAY EXACTLY AS THE FLU VIRUS DOES

Most Americans Who Carry the Coronavirus Don't Know It

To suppress Covid-19, we need to test those with no symptoms.

By Shan Soe-Lin and Robert Hecht

Ms. Soe-Lin is managing director of Pharos Global Health Advisors and a lecturer at the Jackson Institute for Global Affairs at Yale University. Mr. Hecht is a professor of clinical epidemiology at Yale University and the president of Pharos Global Health Advisors.

· April 26, 2020

A person being tested for Covid-19 at a drive-through site in Syracuse, NY.Credit...Damon Winter/The New York Times

Almost the only people who are being tested for the coronavirus are those who have symptoms of Covid-19, an approach endorsed by the Centers for Disease Control and Prevention, which provides guidance for states.

That has probably revealed just a fraction of the people infected, putting thousands of American in danger, because most of those who carry the virus do not know it.

What's needed is widespread testing of people with no known symptoms.

A small set of blood tests for antibodies indicated that as many as 2.7 million New Yorkers may have been infected without realizing it, Gov. Andrew Cuomo said on Thursday. That's in line with other findings. A recent study showed that up to one-third of residents in Chelsea, a hot spot in Massachusetts, may have been infected, and only half of them could recall having a single symptom over the past four weeks. Another small study, of pregnant women in New York City, found that 15 percent tested positive for the virus, and 80 percent of them had no symptoms. Of the 840 cases on the aircraft carrier Theodore Roosevelt, 60 percent were asymptomatic.

So Covid-19 seems much more prevalent than our meager amount of testing has indicated, and millions of infected people may be innocently spreading the disease.

We need to aggressively search for asymptomatic carriers, particularly among people who have frequent contact with the public and among vulnerable populations. This includes those who are infectious but will never develop symptoms and those who will develop them days after the test.

Those in high-risk asymptomatic groups who must be urgently targeted include health workers, especially those in long-term care facilities; the homeless and those working in shelters; grocery store employees and delivery drivers, taxi drivers, emergency workers, employees in high density workplaces like delivery warehouses and meat processing plants; and anyone who has had close contact with a known Covid-19 patient. These high-risk groups need to be tested as often as every five days, given what we know about the time it takes to develop symptoms after becoming infected, and those found to be infected should self-isolate immediately while their contacts should be quarantined for 14 days.

Testing will need to be expanded at least fivefold and made as accessible and convenient as possible, without the need for a doctor's referral, and free of charge. Right now about 200,000 people a day are being tested for the virus across the country. We need this to grow to around a million tests or more daily. Testing will be sufficient when fewer than 5 percent of the tests come up positive. In New York, 38 percent of those tested were found to be infected as of Wednesday. The number of new tests is also far too low. Louisiana, another hot spot, reported only 481 new Covid-19 tests last Thursday.

To do this, states must expand mobile testing programs so workers like those in grocery stores and high-density workplaces can be tested repeatedly and on-site. They should also set up neighborhood testing sites to encourage everyone else to get tested without hassle.

Scaling up testing will require a surge in strategic planning and supply chain management. The Food and Drug Administration recently approved new polyester-based swabs that can be swiftly manufactured domestically and don't have to be inserted as far up the nose. It also approved the use of sterile saline solution for transporting samples for testing if the medium that is normally used is unavailable. Newly approved testing platforms can deliver results in 15 minutes.

These recent advances should ease supply chain bottlenecks and increase the availability of tests. But states will still need to build a vast testing infrastructure using community health centers, pharmacies and private providers. The results of this hugely expanded testing will need to be digitally coordinated so infected people can be connected to the larger system of counseling, contact tracing and supportive services. Massachusetts has started an ambitious collaboration between the Department of Public Health, the Commonwealth Health Insurance Connector Authority and Boston-based Partners in Health to contact trace all infected cases.

Expanded testing would let states more aggressively suppress the disease.

Those with active infection could get support for self-isolation and contact tracing to identify others at risk who can be quarantined. To help those who cannot self-isolate safely we need a chain of care, adapted to American conditions, that includes safe places for self-isolation, supported by tens of thousands of community workers who can perform testing and contact tracing and make it easier for people to quarantine. Already, some states have converted empty university dorm rooms and hotels for this purpose, but so far the effort has been patchwork.

If we can't prevent the spread of Covid-19, the economy will not be able to reopen. Rapidly finding and isolating all infected patients, focusing particularly on the large pool of infected asymptomatic people, and quarantining their close contacts before they have had a chance to infect others is the only way that the pandemic can be controlled until an effective Covid-19 vaccine is found.

The Times is committed to publishing a diversity of letters to the editor. We'd like to hear what you think about this or any of our articles. Here are some tips. And here's our email: letters@nytimes.com.

Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram.

EM -> { Trump for 2020 }

On the 49^th Parallel

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{UAH} THIS IS WHY SOCIAL DISTANCING IS STUPID, THE VIRUS COMES IN AND GOES AWAY EXACTLY AS THE FLU VIRUS DOES

Most Americans Who Carry the Coronavirus Don't Know It

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