Oh Earth, What Changes Hast Thou Seen

M B

M B
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We're a blue state now............, North Carolina, USA
Birthday
August 21
Bio
Mother of boys; favorite magnet says "coffee is my only friend"; closet bodybuilder; once in a professional class, the teacher asked if anyone in the room was a geek and I was the only one who raised my hand; my liberal arts education has led me to know just enough about everything to consistently get the daily trivia at Caribou correct; always welcoming opportunities to build more character on my journey to self-actualization.....

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Editor’s Pick
APRIL 27, 2009 12:28PM

No need for alarm? (WE ARE F#%*#@)

Rate: 36 Flag

white house


THE WHITE HOUSE
 
Office of the Press Secretary
_________________________________________________________________
For Immediate Release                              April 26, 2009
 
 
PRESS BRIEFING ON SWINE INFLUENZA BY
SECRETARY NAPOLITANO, DEPARTMENT OF HOMELAND SECURITY,
JOHN BRENNAN, ASSISTANT TO THE PRESIDENT
FOR HOMELAND SECURITY AND COUNTERTERRORISM,
DR. RICHARD BESSER, ACTING DIRECTOR,
CENTERS FOR DISEASE CONTROL AND PREVENTION, AND
ROBERT GIBBS, PRESS SECRETARY
SECRETARY OF HEALTH AND HUMAN SERVICES??????????????
James S. Brady Press Briefing Room
(abridged)

 12:34 P.M. EDT

MR. GIBBS:   Good afternoon, guys. I am so incredibly sick of all you people.   Thank you for taking some time out of your Sunday afternoon.  Can't I EVER TAKE A DAY OFF!  We wanted to bring together many of the people that have the primary governmental responsibility in dealing with the situation and to discuss the government’s capacity and capability to discuss the steps the government is taking to address this.  Of course you might notice that the Secretary of Health and Human Services is not here, because WE DON"T HAVE ONE!!!!

So with that I’ll turn it over to Mr. Brennan.

MR. BRENNAN (Assistant to the President for Homeland Security and Counterterrorism):  Thank you, Robert. And thank you, everyone, for coming here today.

Obviously, President Obama is very concerned about the recent cases of swine flu that have been identified in the United States, as well as the outbreak in Mexico. The President actually cannot believe that he is not only facng the worst economic crisis since the Great Depression but now a possible PANDEMIC.   This is like a bad B novel!  The President’s thoughts are with those who have been affected by this illness. He is wishing more Republicans had accompanied him on his recent trip to Mexico.   He is monitoring the situation very closely and has supported a very active, progressive and coordinated response by his administration. Unfortunately, we do not have a Secretary of Health and Human Services who would be the logical person to coordinate this. 

The President wants Americans to be fully informed of the situation, which is why we have convened this press briefing today.  Actually, he knows all you a-holes from 24 hour news will be disseminating mis-information and wreaking havoc, so we are here today to brief you.  The vast majority of these cases have occurred in Mexico.  At least, this is what we are telling you.  Building on the close bilateral cooperation that President Obama advanced during his recent visit to Mexico, I am SO GLAD I did not go on that trip!  he has asked me to publicly convey his full support to President Calderón, the Mexican government and the Mexican people in their efforts to contain the outbreak. The possible  damage caused by the delay in their recognition of this virus has not even begun to be realized.

Both the U.S. and Mexican governments are taking steps to reduce the potential for further transmission.  Finally! Helloooo Mexico.  Our goal is simple: to communicate information quickly and clearly for our citizens, to rapidly address any new cases that emerge, and to have the capacity to effectively limit the spread. MUST NOT PANIC 

At this point a top priority is to ensure that communication is robust and that medical surveillance efforts are fully activated.  That is because this virus is robust and fully activated.  This will enable both the rapid identification and broad notification of any new cases that may occur in the U.S., as well as in Mexico. That is because Mexico's lack of communiciation has enabled  the rapid spreading of the virus across a broad segment of the population.

We believe that our increased surveillance efforts have resulted in the identification of new cases over the last 24 hours.  You really do not want to know how many more we will be telling you about.  Early identification is vitally important to the overall effort.  

ABRIDGED

DR. BESSER:  Deep breath.  Thank you, Mr. Brennan. First, I want to say that our hearts go out to the people in Mexico and the people in the United States who’ve been impacted by this outbreak.   People around the country and around the globe are concerned with this situation we’re seeing, and we’re concerned as well. We are not concerned, we are FREAKING OUT!  As we look for cases of swine flu, we are seeing more cases of swine flu.  Oh, are we ever seeing more cases.  We expect to see more cases of swine flu.   You do not even want to know.  We’re responding and we’re responding aggressively to try and learn about this outbreak and to implement measures to control this outbreak.

Let me provide for you an update in terms of where we are today and what kinds of public health actions are being taken here as well as abroad. Today we can confirm that there are 20 cases of swine flu in the United States.   We have five affected states: There are eight cases confirmed in New York City, there’s one case confirmed in Ohio, two in Kansas, two in Texas, and seven in California. We fully expect this to increase exponentially.

And again, as we continue to look for cases, I expect that we’re going to find them.  We’ve ramped up our surveillance around the country to try and understand better what is the scope, what is the magnitude of this outbreak. 

The good news --spin, spin,spin, spin  all of the individuals in this country who have been identified as cases have recovered.  Only one individual had to be hospitalized. But I expect as we continue to look for cases, we are going to see a broader spectrum of disease. What we know about this virus is it looks to be the same virus as is causing the situation in Mexico. This is one bad mother.  And given the reports out of Mexico, I would expect that over time we’re going to see more severe disease in this country. 

There are some things that it’s important people understand:  Flu viruses are extremely unpredictable and variable; flu viruses can mutate extremely rapidly and become much more dangerous very quickly, literally within a matter of weeks;   outbreaks of infectious disease are extremely unpredictable and variable. And so over time what we say about this and what we learn will change.  We really do not know what we are doing.  Expect changes in terms of the number of cases. by the minute We’re going to try and give you consistent information and have it on our web site once a day, so that we don’t get into the situation where you’re hearing different numbers of cases throughout the day -- we’re going to report that daily. This will very soon spiral out of control and we will not be able to keep up with it.

We expect that we’re going to be changing our recommendations over time based on what we learn.  We are working hard with teams of psychologists to determine the best way to tell people how serious this is without causing mass panic And that’s an important thing.  You’ll start to see different activities taking place in different parts of the country, depending on the local outbreak picture -- and that’s good.  We just hope these are not vigilante type activities  You want people to respond based on what the situation is in their community, based on what situations are in particular countries.

Because of this speed in which things are progressing, MUTATING  you will at find -- at times find inconsistent information, and we’re going to work really hard to make sure that that doesn’t stay up for long. But as we’re updating recommendations and they’re going out through various sources, you may find some inconsistency and we will work to minimize that.  Again, we really do not know what the fuck we are doing.

This is moving fast, but I want you to understand that we view this more as a marathon.  Yes, a marathon being run at a 4 minute mile pace.   We do think that this will continue to spread, but we are taking aggressive actions to minimize the impact on people’s health.  the number of people who die.

ABRIDGED

We issued two days ago an outbreak notice on our web site regarding travel to Mexico.  Only a complete idiot would travel to Mexico, but we are not closing borders yet because we are afraid that will create mass panic.  It indicated that if you are traveling to Mexico, that you look at that to see what precautions could you take as an individual to reduce the likelihood that you became ill. We’re going to continue to evaluate the situation in Mexico, and if need be we will increase the warnings based on what the situation warrants.  We will be closing the borders as soon as we have security measures in place.

ABRIDGED

And I think almost done, almost done  that the last thing I want to mention is that whenever we see a novel strain of influenza, we begin our work in the event that a vaccine needs to be manufactured. So we’ve created that seed stock, we’ve identified that virus, and discussions are underway so that should we decide to work on manufacturing a vaccine, we can work towards that goal very quickly. We are actually working around the clock to manufacture this right now but are not telling you because it takes months to produce at a mass level, and most of you will never get the vaccine.

ABRIDGED

SECRETARY NAPOLITANO:  

ABRIDGED

The first thing I want to announce today is that the Department of Health and Human Services will declare today a public health emergency in the United States. Notice I did not say, The Secretary of the Dept. because WE DON'T HAVE ONE.  That sounds more severe than really it is.  spin,spin,spin,spin.  This is standard operating procedure and allows us to free up federal, state, and local agencies and their resources for prevention and mitigation; it allows us to use medication and diagnostic tests that we might not otherwise be able to use, particularly on very young children; and it releases funds for the acquisition of additional antivirals. We are doing this because this is really, really, really, SEVERE.

So you’ll see those declarations coming out today. And when I say “standard operating procedure,” that’s exactly what I mean.  We issued similar declarations for the recent floods in Minnesota and North Dakota and for the inauguration. yeah, like a flood is equal to a PANDEMIC

Second, I want to give you some information about where we are with respect to antiviral drugs. These are the kinds of things you would take should you get sick with this strain of flu.  We have 50 million treatment courses of antiviral drugs -- Tamiflu and Relenza -- in the strategic national stockpile.  350 million Americans.  In 1918 approximately 25% of the population was infected, so we really would need 87 million doses to adequately treat our population if the rate of infection is comparable to 1918.  We are releasing 25 percent of those courses, making them available to all of the states, but particularly prioritizing the states where we already have confirmed incidents of the flu. In addition, the Department of Defense has procured and strategically prepositioned 7 million treatment courses of Tamiflu. The bottom line is there really are not enough antivirals for everyone if this becomes a pandemic.

ABRIDGED

And again, the government can’t solve this alone. We need everybody in the United States to take some responsibility here. If you are sick, stay home.  IF YOU ARE SICK, STAY HOME!!! Wash your hands, WASH YOUR FRIGGIN HANDS! take all of those reasonable measures; that will help us mitigate, contain how many people actually get sick in our country.  May God protect and keep us all safe and healthy.

Thank you.

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Comments

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Unfortunately, "wash your hands" is not helpful advice for a flu epidemic. That is something you'd find on Saturday night live but instead it's all our government has to offer. Yep, we're fu****, alright! Reason #46 why we don't want universal healthcare. Having a heart attack? Take an aspirin and call me in the morning. Rated.
This was too funny, and so true! Did you write this, or did you get this in an e-mail...

If you wrote it... I am waaaaaaaaay impressed!!
wonderfully done, and probably not far off either
Very funny post on a subject we have yet to now is disastrous or not. (SARS, anyone?) And yes, this all broke while I was visiting Texas and on my way back to Ohio. Yippiyiyay!
Deborah: I think hand washing is still effective. PLEASE, give me SOMETHING to hang onto!!!!
MAWB: I make it a point to never post anything that is not original. I figure we all get that stuff. I enjoy filling in the blanks :-) Check out my other transcript post: Flight 1549
Hyblaean-julie: Thanks- hope I am wrong!
very funny...and scary...and funny
Handwashing would actually help tremendously- but this is also spread by droplet, so that needs to be taken into account

"III.B.2. Droplet Precautions Droplet Precautions are intended to prevent transmission of pathogens spread through close respiratory or mucous membrane contact with respiratory secretions as described in I.B.3.b. Because these pathogens do not remain infectious over long distances in a healthcare facility, special air handling and ventilation are not required to prevent droplet transmission. Infectious agents for which Droplet Precautions are indicated are found in Appendix A of the HICPAC/CDC Isolation guideline and include B. pertussis, influenza virus, adenovirus, rhinovirus, N. meningitides, and group A streptococcus (for the first 24 hours of antimicrobial therapy). A single patient room is preferred for patients who require Droplet Precautions. When a single-patient room is not available, consultation with infection control personnel is recommended to assess the various risks associated with other patient placement options (e.g., cohorting, keeping the patient with an existing roommate). Spatial separation of patients by > 3 feet and drawing the curtain between patient beds is especially important for patients in multi-bed rooms with infections transmitted by the droplet route. Healthcare personnel wear a mask (a respirator is not necessary) for close contact with infectious patient; the mask is generally donned upon room entry. Patients on Droplet Precautions who must be transported outside of the room should wear a mask if tolerated and follow Respiratory Hygiene/Cough Etiquette."
http://www.cdc.gov/ncidod/dhqp/gl_isolation_droplet.html
Voicegal: It does not appear to have the same fatality rate as SARS, so that is a good thing.
Mistercomedy: There is that fine line between comedy and tragedy. Humor is one of my coping skills for when I am a little freaked.
Hyblaean: That is good stuff! Going to get my mask! (not really, not yet anyway:-)
Very funny - but scary too and I wish we got information straight without filters and spin.
I am not a Millenialist (or even a Christian for the matter), but if I were, I might be hunkering in my bunker by this point in time.
A not-implausible case might be made that: Swine flu pandemic + deep global recession + gay-marriage caused weather disturbances + potential collapse of nuclear Pakistan to religious extremist + [who the hell knows what's next] = End Times.
This is marvelous - frighteningly funny. Also love your tags. I'm anticipating a new wave of fanatical right wing e-mails detailing a conspiracy theory involving Obama sneaking vials of swine flu into Mexico on his most recent visit.
The point is we already wash our hands for heavens sake. Don't give us redundant advice gov't, how about something helpful? Anyhow, a bit of trivia: When Obama was just in Mexico, he shook hands with a man who had swine flu and died the next day. How's that?
Leonde: I think they are afraid of spreading panic, but then people like me fill in the blanks in the very worst way...
ChicagoLawyer: That is so true- now an earthquake in Mexico. Creepy!
DustbowlDiva: I bet you are right!
Trig: thanks for stopping by.
Deborah: I read that, although the article I read said the guy had an ongoing immune disorder and this was pneumonia, not related to the swine flu. He was the director of the anthropology museum.
And now a spam bot-blogger has hit OS (as of 1:20, check out the main page)! Things are getting really bad ...
Deborah, in Japan some people wear face masks
http://boingboing.net/2009/02/13/japanese-surgical-ma.html
maybe it's time for us to catch this fashion (for a few months at least)
You'd be suprised how many people (and especially kids) DON'T wash their hands several times per day. I'm meeting the kids at the door of my classroom with hand sanitizer and had a mini incident with a difficult student who copped an attitude about using it. (He did, in the end.) Those are the ones we have to worry about...
Chicago: At least she isn't posting movie reviews of apocalyptic and end of world movies! Although, she just did blog I am Legend.
Hyblaean-Julie: My son is studying abroad in Japan. I started to freak a little, but Japan is so protectionistic, it is probably safer there.
Sierrasong: I think that is so cool that you are doing that. I was speaking to my son's school counselor this morning about something unrelated and asked what they were doing at the school to insure that kids were washing their hands. She said they were not doing anything out of the ordinary. I suggested they pass hand sanitizer around at the beginning of each class so the kids will have to use it.
MB, it would be downright creepy to have to get used to seeing that in public. The upside is that almost everyone has pretty and expressive eyes :)
Funny and scary. I'll be doing that Three Stooges handshake where when someone comes up to shake your hand you move your hand back quick and over your shoulder with the thumb pointing back.

And did I miss the news or what? : One commentor just said it already got Obama ?!?!?! She said " When Obama was just in Mexico, he shook hands with a man who had swine flu and died the next day."

You'd think that would make the headlines this morning.
Funny. And we shall see. My recent simulation had the Russians releasing cholera to collapse the United States, so ... curious.
Funny. Yet ... I'm completely petrified. Because I live in freaking Southern California.

I keep wondering ... should I just go out and get the Kid and I infected asap?!? That way, we get the non-mutated strain, the best chance at receiving anti-viral medications and the best medical care before the system is strained. OR, do we wait it out, venturing from home infrequently?

I have no idea.
And uh, can I take a moment to say that, I'm sorry, Deborah, but this is not part of an argument for NOT having universal health care. It is completely false that those with universal health care can't get into to see a doctor. Jesus. Could we let that myth go please?!?
Funny and horrifying.

One correction: I'm not sure where the stat that 90% of Americans suffered from the 1918 flu came from, but I'm seeing 28% in one reference and "possibly as high as 50%" in another. Pretty sure 90% is incorrect. Even so, the knowledge that 50 million people died of it is sobering.
Odette, it is scarry the level to which you have thought the relative risks of this swine virus threat through ("I keep wondering ... should I just go out and get the Kid and I infected asap?!? That way, we get the non-mutated strain, the best chance at receiving anti-viral medications and the best medical care before the system is strained. OR, do we wait it out, venturing from home infrequently?") I think avoiding infection at all costs is probably best, but you can tell me that right as I'm diagnosed after you've recovered from the non-mutated strain after receiving one of the few (relatively, overall) doses of anti-viral meds ...
Don't touch your face!!!

Hilarious in a dark sort of way.
Alsoknownas: I like that handshake!
Don: Cholera is next. Then smallpox.
Odette: Do not infect the kid and yourself! We need to all go to JK Brady's land in Canada and erect a secure perimeter. :-) We could have an "OS Ark" kind of thing going on... Ha!
Allie: Thanks for pointing out my error! CORRECTION MADE: I was quoting some province in Samoa. See how paranoia can just take over my researching skills!!!! I have changed to a more moderate 25%, although some estimates are as high as 50%. According to Wikipedia, the death count for 1918 was estimated between 20 million and 100 million. That is a pretty wide margin of error!
That's what you get from Wikipedia. It doesn't distinguish between victims of Spanish flu and victims of hysteria. ;)
ChicagoLawyer--I'm one of THOSE people. You know, I walk into a place and look for all possible escape scenarios available. I know. I'm nuts. But it did occur to me that catching it sooner would be better if it turns out to be a serious pandemic situation. Sadly, no one will actually know this until it's too late.

MB--ha! I'm there. I'll bring the Doritos and a bunch of chocolate. Except ... I'll have to fly to get there. urgh. Do we know a celebrity who would be willing to loan his or her private jet for a sick person free flight?
It is curious that there was the cholera episode in Zimbabwe not too long ago, but not the surrounding countries. A landlocked country in which it is not endemic gets a waterborne pathogen based out of the Ganges. Now granted, Zimbabwe is not the most together place, which is the usual supposition, but... as the alternative, a bioweapons attack does not have to be super dangerous to achieve a goal, if it strikes fear in people, if that proposition is correct.
Nice job! I suspect that as soon as word got out about anyone came down with the flu that touched Obama, Obama was put on Tamiflu. At this time, it is effective.
Odette, as I understand it, strains typically mutate to become LESS lethal, not more so, although they mutate to be easier to catch. It's to the virus's advantage not to kill you so it can spread to more people. Seems like almost 10% of people are dying at this point. So waiting is a better plan.
I think it would be so fun if we all had to wear masks! Like a costume party or China at rush hour! And if you wear gloves (forever) you really don't need to wash your hands.

So gloves and masks people! Let's make the entire Western hemisphere look like a great big episode of "E/R"!!
As of today there is NO diagnosis code to attach to the swine flu. I'm a medical coder. So that means that there are many more cases out there than are being reported because they still have no dx. code to report them with so the data is skewed from the beginning. The news this morning said Hawaii has no cases while we know at least one person here was hospitalized this morning with the swine flu - but no way to code it for data collection purposes. Total lack of planning.
And pneumonia is how you die from this.
Highlonesome: So true. I never used to use that as a resource, but now I do...
jane: Hopefully we haven't crashed, yet.
Ablonde: I am going to add that to "wash your hands".
Odetteroulette: What about Joan? :-) ha ha ha
bluesurly: It is good that Tamiflu is working.
Dcvdickens: A real entrepreneur could run with that idea!!!
Deborah: that is an interesting point.
It normally attacks pigs first. Who will replace Limbaugh when he's gone, that's the question? I hope the "internets" gets opened up in rural West Virginia and other parts of the country where swine love is practiced. Oh, and who will replace Hannity? And Coulter? And O'Reilly? Ut oh, I just sneezed.
So, the Republicans were right all along about Obama & Co. overusing inferior Chinese-made teleprompters! Look at all those stray lines! No wonder the Chief Justice screwed up Obama's oath of office.

Egad, does this mean the Repubs are also right about this Cosmic Pandemic being gawd's wrath for Michelle's bare arms, which led to deficit spending on frivolities like health care and stem cells being sent to same-sex medical-marijuana-smoking anarchists locked in permanent handshakes in the hold of one of Hugo Chavez's fleet of Cuba-registered state-owned oil tankers?

How embarrassing to have to concede....

(Very well done, M B. Rated.)
HA! Good job. Funny how, uhm, funny this sort of thing becomes when it may be all too real.

I think I'll go wash my hands and hide in my bunker.
Globalization -- And now the chickens come home to roost and and the hogs com home to root, cursed be the name of Unfettered Jungle Ethic Capitalism
When life hands you swine flu, turn black humor into an art form. I had a feeling reading this that the White House correspondent's thoughts, if written out, would look a lot like this.

Even if you don't think it will help against Swine Flu, Wash your hands anyway. We could all do with cleaner hands.

But jeez, I'm glad I haven't been to Mexico, lately....
When you see the White House Press Secretary sweat and then take off running from the podium, then, you know, it's time to panic.

BTW, it's time to panic! :)

Good stuff.

Rated.
WE'RE ALL GONNA DIE!!!!!!!!
Very nicely done. Now I'm off to wash my hands again for the fifth time in the last hour. Thanks!
Rated & Cheers!
MB - Great job and very funny!!!

I am buying a gun, and ten cases of Spam and heading for the hills. Spam can kill anything.

I am a former CIA “bomb thrower” and I can tell you that this virus was developed in Langley, VA and spread on some enchiladas at Karla Taqueria in Mexico City. This is all a diversion to throw the news media off the water boarding aka torture scent.

And about the comment that said this is evidence that we don’t want universal health care and that hand washing is ineffective – what’s next? Outlawing older parents from having children?

Rated for pandemic humor.
We have universal healthcare and I've never had to wait more than an hour to see a GP. There are long waiting times at some hospitals, but there is a policy that anyone short of breath or with chest pain is seen immediately. It HAS to be within 10 mins of arrival. People travelling by ambulance are seen straight away. There have been some stories where the system has failed patients, but it's rare.

Re the handwashing, it's amazing how many people don't wash their hands, or don't wash them correctly. That's why we have so many hospital borne infections.

I'm with Odette on this one. I'm scared for my daughter. Her immune system isn't always the best, and I'm worried.
Kind of Blue: If only that were the case!
Extragent: Michelle and I have similar biceps...
Richard: Do not tell anyone where your bunker is!
Tom: Thanks for your comment.
Shiral: Humor is one of my coping mechanisms when I am terrified...
Tink: Good point! Or when only 1/3 of the press corps is there....
Nanatehay: OK. Now you are freaking ME out!
Texasbubba: Thanks for commenting. I just bought hand sanitizer to keep in my car today.
Grif: You are a nut! And I kind of like Spam when it is fried with tater tots. Did I just write that? Is my name Jocelyn?
Natalie B: I am scared for my son too- he is 21 but had a very serious illness a few years ago and while he has recovered, he still has low platelets. He is studying abroad now, so I am really having to practice letting go. Thanks for stopping by.
Thanks ZBITCH!
Ah, this has been so true and so sadly funny. Wish I had seen this sooner. Rated.