Bloomburg – Virus Fight Behind North America’s Lowest Death Rate: A Doctor Who Fought Ebola

Posted on May 16, 2020 by Donald Wilson

By Natalie Obiko PearsonMay 16, 2020, 4:00 AM PDT

The outbreak came early to British Columbia, in January, and public health officials braced for the worst. Now the Canadian province has one of the lowest death rates in North America.

“I thought we were going to be dealing with something unprecedented in that region specifically, but then it didn’t happen,” said Jason Kindrachuk, a virologist at the University of Manitoba.

British Columbia’s success story shows how tried-and-true methods — when paired with strong public health agencies — can have sweeping impact, according to Kindrachuk and other scientists. Many governments embraced technology, with the U.K. using drones to help police enforce lockdowns and South Korea tapping location data from mobile carriers and credit-card transactions to track infections.

B.C. stuck to old-fashioned basics, alerting primary care doctors by fax about how to be on the lookout for the novel pathogen and tracing potential transmissions through interviews. Data compiled on May 13 show the province’s Covid-19 death rate was 3 per 100,000 residents, better than almost anywhere in North America and much of Europe.

It’s Doing Something Right

British Columbia’s Covid-19 death rate is among the lowest.

Sources: John Hopkins Coronavirus Research Center, Public Health Agency of Canada, U.S. Census Bureau, Eurostat, Statistics Canada

*Covid-19 deaths as of May 13. Population estimates for 2019. Select regions with more than 5 million people.

Local officials would be the first to say that luck surely played a role. But British Columbia also had stockpiles of equipment along with the benefit of a public-health system making communication and coordination smoother than in U.S. states. And it had a provincial health officer, Dr. Bonnie Henry, with the power to order doctors and hospitals to take certain steps, such as canceling elective surgeries, which she did early on to free up beds.More FromPrognosis U.S. Cases Up 1.8%; Italy Speeds End of Lockdown: Virus Update Italy’s Conte Says Taking Calculated Risk in Easing Lockdown Experts Doubt Mexican Government’s Claims on Falling Curve Cuomo Reports Sixth Day of Deaths Below 200; Racetracks Opening READ MORE FROM PROGNOSIS

Henry’s soft-spoken authority — she’s on TV every day, often repeating her mantra, “Be kind, be calm, be safe” — won over British Columbians. When her favorite local shoe designer offered a limited edition Dr. Bonnie Henry Mary Jane heel ($240 a pair with all profits going to food banks), the website crashed.

“She was able to galvanize the public across British Columbia to understand that this was something new and very different,” Kindrachuk said.

Bonnie Henry GETTY sub — Bonnie HenryPhotographer: Don Mackinnon/AFP via Getty Images

Like other countries, Canada has an uneven history with infectious diseases. In 2003, the country’s first SARS cases appeared at hospitals in Vancouver and Toronto on the same day. Vancouver quickly contained transmission, while Toronto would suffer the worst outbreak outside Asia.

An independent commission later noted that Vancouver’s public health system had swiftly put emergency rooms and physicians on the lookout for unexplained fevers and immediately scaled up protective gear for health workers.

In Toronto, Henry, then that city’s associate medical officer of health, tried to issue warning of the emerging SARS epidemic in Hong Kong, but her office’s email-distribution list wasn’t extensive enough and many doctors missed the alerts.

In British Columbia, she became the top health official in 2018 and has been in charge of the province’s rapid mobilization to contain the virus. Within days of Chinese researchers releasing the genetic sequence of the virus on on Jan. 10, the province became one of the first in the world to develop a test. A week later, before Case One in B.C. emerged on Jan. 26, it had the chemical reagents necessary to carry tests out, said Reka Gustafson, deputy provincial health officer.

Early testing helped the province pounce on transmissions before they spiraled, crucially at long-term care facilities. Canada has the highest share of Covid-19 deaths in care homes, according to an international study of 13 countries published on May 3, a disturbing distinction fueled by facilities in Ontario and Quebec that have been ravaged by the virus.Michael Schwandt@MichaelSchwandt

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British Columbia commandeered nursing homes at the first sign of infection, barring visitors. Employees were forbidden from working at more than one facility, a move other Ontario and Quebec didn’t make until later in the crisis.

The ability to manage nursing-home outbreaks played a key role in limiting deaths in B.C., said Patricia Daly, chief medical health officer for Vancouver Coast Health, one of the regional public-health authorities. “We could get in and get in front of it.”

Some steps defied the prevailing wisdom at the time. The province didn’t attempt the mass testing South Korea did and, unlike the government in Wuhan, China, didn’t aggressively hospitalize those confirmed positive, sending 80% of cases home to recover.

Henry has become the public face of the crisis. A former military doctor who helped track down Ebola infections in Uganda earlier in her career, she also personally handled the contact tracing of Patient Zero’s family in Toronto’s SARS outbreak.

“She’s really been trained for this,” says Perry Kendall, her predecessor. “She’s not scared of giving orders.”

British Columbia’s top politician, Premier John Horgan, has taken a back seat in the public eye; it’s Henry who presides over daily briefings.

That has been key, said Peter Berman, a public-health expert at the University of British Columbia. “The same scientist who was empowered to lead this effort also has the authority to issue instructions.”

Henry is the first to caution against complacency. “We don’t know what is going to happen with this virus,” she said at a recent briefing, where she underscored how the province could quickly lose all the gains it’d made by easing restrictions too far. “We need to hold the line.”

Isolation

Posted on March 30, 2020 by Donald Wilson

We’re all in this boat together. Like it or not!

During this coronavirus I have been pretty much contributing very little or better said, nothing, to the blogosphere about the pandemic, and how it is affecting my life, or for that matter, how it affecting anybody or anything.

It’s not that I don’t have anything to contribute to the conversation. It is that this thing is a really, really big deal, and I don’t want to diminish its importance to anyone by failing to reflect just how important it really is, to me, and to the world around me.

To those out there who believe that the government is overstating the dangers of Covid 19, and they can cheerfully go on about their business without changing anything, well, thanks for less than nothing, since your ignorance may already be having a serious effect on the lives and well being of thousands of people, some right in your own neighbourhoods, some physically a long ways away. Like maybe even in other countries or even continents.

Like it or not, failing to self isolate yourself is reckless endangerment, and potentially, mass suicide/murder.

You see, normally I’m a skeptic when it comes to government health warnings, and generally dismiss most as merely propaganda to serve the interests of an overbearing nanny state.. Not this time, not now and not ever. This virus kills people, lots of people, including people like me, with immune deficits that mean infection will mean a ferocious battle for my very life.

If I’m really lucky, most people in my own area, Vancouver, British Columbia and Metro Vancouver will have been helping the Provincial and Federal governments by isolating themselves at home as much as is humanly possible, and help slow the disease so that by the time I get it, there will still be hospital resources available, and I’ll get whatever it is I need from medical treatment whether it includes Intensive Care, Respirators or other devices. Hopefully there won’t be so many of us sick at one time that the system simply collapses after being overwhelming by the demand created by our citizens being unwilling to do what it takes to flatten the curves, or plank it.

Because isolating ourselves doesn’t necessarily mean that people like me who are vulnerable in the extreme won’t get it. It might, if I get incredibly lucky, and it passes me by. But most scientists believe that eventually this virus will infect somewhere between 50 and 70% of people in the world. The only real question is whether or not society can slow down the spread to give medical professionals and researchers the time to effect solutions that will reduce the numbers of us that are going to die as a direct result of the Covid 19 pandemic.

Even if everybody does everything right, and socially isolate themselves, a lot of people are going to die from this disease. No matter what we do this is true. All ordinary people can do is take whatever precautions are available to allow treatment by skilled professionals to those of us who catch this damn thing, under circumstances that increase the odds of finding an effective treatment and a vaccine that stops it dead in its tracks.

Neither of these is guaranteed, but we have a hell of a lot better chance if we all follow the best advice. Stay at home and socially isolate yourselves. Help our front line defensive workers, like nurses, doctors, researchers survive and get their work done for all of us.

Don’t be stupid. Wake up. Sometimes you just have to listen, and do whatever the hell somebody who knows a lot more than do you, tell you. Now.

Certainties

Posted on March 16, 2020 by Donald Wilson

There are only two certainties in life. Death. And, Oh Ya, that other thing, whatever it is. I think maybe it’s called extreme anxiety.

For a lot of us right now, one of the biggest anxieties is about whether or not you or someone you love is going to get the coronavirus and die a horrible painful death. Can you imagine if you carried that level of anxiety about your health with you every day of your life?

This is precisely how I and many other people with serious chronic illness or pain live every day.

Waking up to a good day, when I’m not in so much pain, or simply in less pain, would be a good reason to celebrate. Or so you would think, but it isn’t necessarily so. If I’m not in serious pain right now, I’m probably super anxious about when it will start up again, since it’s seldom very long until the next session. Can you imagine being so fearful of your next bout of pain that you can’t ever be rid of the sense of dread that hangs over you.

And people who come in contact with me try to cheer me up by saying something like, “Don’t worry it, it can’t last forever, can it?” “Just get over it, you’re too obsessed with it.” As if I, someone with serious chronic pain wouldn’t part with anything I have to make it go away. And, well, yes, it can bloody well last forever, well, at least until I die from it, or some other condition that doesn’t happen to hurt, right now.

If I seem focused on feeling sorry for myself, just leave me alone. If you just can’t provide some comfort to me, exactly as I need it right now, then please get out of my face. I hardly need you to tell me to cheer up. And if you can’t handle it to see me suffering in pain, then just don’t. Leave. Piss off.

For me, and a lot of people with chronic pain, the coronavirus is just more thing to worry about, and make me more anxious about everything I have to do, everybody I have to see, and also more fearful about being able to obtain the bare necessities of life.

As if there isn’t enough to stress out about already, without the Damned Tsunami Pandemic, sweeping over the whole world.

To someone with a serious disease and chronic pain, death isn’t the scariest thing, it’s just the most certain.

Eat right. Live better.

Posted on January 27, 2020 by Donald Wilson

How should we be assessing the risk for someone who has just developed diabetes? What causes beta cell failure?

There is no going back. Damage to your nerves by neuropathy is a one way street. Start treating your diabetes while you still can prevent the worst of it.

Check out Professor Shaheen.s Tutorials in Medicine for a better understand about the science of diabetes.

The journey into becoming a diabetic is one that most of us join without knowing the consequences of what we’re doing. There are a lot opinions out there, even among doctors, as to what actually “causes” diabetes, but pretty much everyone I read knows that diabetes is highly related to obesity and carbohydrate overconsumption. And when I was diagnosed, more than twenty years ago, the information I was given was faulty and at the very least incomplete.

Professor Shaheen’s Tutorials in Medicine https://internalmedicine.blog/

What no one ever said was that if I continued to eat what I thought of as a “normal” amount of carbohydrates and sugar every day, by the time I retired my life would be severely circumscribed, with many symptoms of diabetes and other metabolic syndrome related diseases causing continuing pain, physical exhaustion and emotional distress. I also suffer from chronic fatigue and despite having lost some weight, am still fighting the good fight doing intermittent fasting three days a week for 36 hours.

So what should I have been taught as a younger person, that might have protected me from getting full blown diabetes and other metabolic syndrome diseases.

Eat less carbohydrates. A lot less. On my current low carb high fat diet I keep my carbs below 150 grams a day. Eat even less added sugar. I try not to eat anything with added sugars, and when I do offend I eat very small portions of any sweet at all. Mind you, my appetite for sweet things has pretty much disappeared since I started avoiding them. Stay away from booze. Period. Lots of doctors and dieticians say that a one or two drinks a day is okay. I don’t believe them. Alcohol does similar things to the liver as carbohydrates, without the redeeming quality of providing me with any energy.

Always seek to reduce the amount of starch and sugar, and fill up on natural food if you are going to eat carbs. Eat fruit in season, in your area, and don’t overindulge even in fruit and vegetables.

Try not to get depressed because you can’t have any “real” food. Try to redefine what constitutes a meal, and understand that the meat and vegetables are really enough.

Struggling with Type 2 Diabetes

Posted on January 20, 2020 by Donald Wilson

I have been afflicted with Type 2 Diabetes for more than twenty-five years. Perhaps even longer, since my partner reports that she saw symptoms of it even in my late twenties and early thirties. But despite diagnosis in the 1990’s by my doctors, and a referral to an endocrinologist who worked out of St. Paul’s hospital at the same time, the seriousness of the disease and its potential consequences were not really taken into account until relatively recently, when some of the symptoms started to become more pronounced.

Truthfully, until the summer of last year, I didn’t really feel like it was even possible to have any real impact on my diabetes. After being put on insulin, nearly fifteen years ago, with steady weight gain and gradually increasing problems related to my diabetes, I think I didn’t really believe there was anything I could do about the decline in my health, and probable premature death from diabetes related conditions and disease.

On my birthday last year, my middle son gave me a copy of a book by Dr. Jason Fung, on which I have written a lot in this blog in the past. Reading his book, The Diabetic Code, taught me that I need not be doomed to continual decline as a result of diabetes, but in fact could take control of my lifestyle, and thereby forestal future declines in my health, and even, perhaps, recaptures some of the vigor of my earlier years.

From July until the present I have been working towards a better life. I’ve lost a bit of weight, about 30 pounds down from my weight last summer, although I’m back up 10 pounds more or less since November, as a result of failing to maintain my lifestyle changes over the Christmas break.

Starting last night I am back to doing my intermittent fasting for three days a week, thirty-six hours for each day. During November I went from strictly obeying the fasting hours, and not eating anything, to eating Keto foods which are not supposed to break the fast. Whatever I thought I was doing, what was really happening was that my fasts became shorter and far less effective.

Fasting now until I reach my net goal of reaching 15 BMI during the current calendar years is my objective, for now, until I get my weight down from 222 pounds down to 167 pounds for a total weight loss of 55 pounds over the next 12 months. It doesn’t sound too daunting, having to lose between four and five pounds a month to reach my goal. But of course my goal isn’t really so much about losing weight as it is about gaining control over my blood glucose levels, and wrestling my metabolic syndrome to a point where my health doesn’t continue to decline, or lead to ever more serious consequences of my diabetes.

It is discouraging losing weight by changing your lifestyle, in many different ways, but intermittent fasting and eating a low carb diet is probably the least difficult method. All it requires of me is to pay attention to what I eat when I’m not fasting, and to fast long enough and for enough days, to ensure that my liver gets a reboot, during this process. Even when I reach my targeted goal it will not be the end of managing my carbohydrate and sugar intake. A healthy lifestyle for a diabetic (or former diabetic, which is what I’m trying to achieve) should be one that avoids carbohydrate and sugar in one’s diet, on a day to day basis.

Of course, all people need some carbohydrate and sugar in their diets, but it should always be extremely limited since it has proved to be so problematic to long term health. I’m recommitting to changing my lifestyle to a healthier and strong future. This recommitment includes reasserting my plan to get out and walk an average of 4,000 or more steps, at least four or five days out of the week. With serious neuropathy in my feet this isn’t always easy, but it is nonetheless critically important, to build and maintain a healthy cardiovascular system.

It’s currently two o’clock in the afternoon, and I haven’t eaten anything since about eight o’clock last night. My next meal will be tomorrow morning about eight o’clock, when I’ll have breakfast. My next fast will start tomorrow after dinner, at about eight o’clock tomorrow night, and will continue until 8:00 am on Thursday morning.

Hang in there with me, folks. I may not be changing the world, but I’m certainly changing my world.

2000 Followers

Posted on January 15, 2020 by Donald Wilson

Sometime today I had my 2000th reader Follow me on WordPress and 750th Follower on social media outside of WordPress. Wow! Thank you to everyone who has followed this blog, as well as to the many people who have responded to my blog with numerous “Likes” and even more views. 2750 Followers as of today’s date.

Blog Statistics January 1st, 2019 to January 15, 2020

TOTAL POSTS 60
TOTAL COMMENTS 472
AVG COMMENTS PER POST 8
TOTAL LIKES 4,194
AVG LIKES PER POST 70
TOTAL WORDS 44,081
AVG WORDS PER POST 734.68

When I first started writing this blog in 2011 I expect to have only a very few followers, likes and views, and didn’t really take blogging all that seriously until spring of last year, when I started to blog about the health challenges I am currently facing, as well as about various strategies related to a lot of different issues. Still, it is currently focussed around health issues, with a subtext running through about the story of my family and my romantic relationships.

So my blog is being read by a lot of you, and I really appreciate your genuine responses and comments over the past year. You’ve given me a lot to digest, and have made me feel both heartbroken, from time to time, and inspired, from other letters and comments. Your courage at facing real physical and emotional health problems inspires me to continue with this blog. If the information the blog conveyed gives anyone comfort knowing that they are not alone, or inspiration to take action to improve their situation, or simply education that allows them to understand someone with these problems, then I have done a service.

I am a true believer in the concept, “Tu Um Est”, which roughly means, It is Up to You! which is the motto of my undergraduate university, The University of British Columbia. I’m also a strong believer in lifelong learning, and acknowledge that while knowledge and information are purely temporary, changing moment by moment in ways we can’t even begin to anticipate, learning is an abiding, persistent process resulting in our constant evolution as human beings.

2750 Followers of Rain Coast Review. Thank you for reading me, and responding with so many messages and Likes.

This blog celebrates these processes, and are in themselves evidence of constant change in my understanding of life today. Diseases thought to be incurable are now cured on an everyday basis. Things we thought were immutable truths have been proved false, or, if not totally false, incomplete. As I write into the future I will continue to seek out new ways to improve the quality of my life, through sharing the wisdom of others, passing on the things I’m learning as I go, and hopefully continue to illuminate and educate my followers, casual viewers, and fellow readers.

Once again. Thank You. It is humbling to realize that people appreciate what I’m writing, and are kind enough to say so.

Pain Mastery Institute is shut down

Posted on January 10, 2020 by Donald Wilson

The Pain Mastery Institute, which I’ve been blogging about for a couple of months, is shutting down due to financial considerations. Their courses have been useful to me but not nearly as useful as if they had survived long enough for me to get through the whole program.

The main thing I learned from the courses is that much of what is available for mastering chronic pain is drawn by observed people as they take actions or make decisions which assist them in managing their pain, or ameliorating the amount and intensity of pain.

While the course is gone, and the Institute website shut down, this doesn’t mean that I’m abandoning my pursuit of effective pain management strategies. So keep watch for my blog because I will coming back with a new approach soon.

Update on Intermittent Fasting

Starting on Monday this week I began a five day fast, which so far has been a bit frustrating and challenging. The second day and the third day I found myself absolutely starving, which is odd because up until now, fasting for three days a week, 36 hours, I have never been really hungry.

It takes a bit of a different strategy for longer fasts, like a five days on, four days off, but I’m learning and will be putting together a new primer based on somewhat longer fasts.

Boing 737 crashed after being shot down near Tehran

This has been a really sad and horrific week for me, and for many Canadians. 147 Canadian residents and citizens were killed this week by an airline shot out of the sky by Iran, either by mistake or by design. Either way, we have all lost so much and I can’t really even begin to make any sense of it. I am just sick over it, and I didn’t know anyone personally on the plane, although I do know some family members.

The Prime Minister of Canada has been highly visible in his demands for accountability for this disaster, both from Iran and the United States governments, who put into play the violent altercation that led to these deaths, whether by misadventure or by malice.

I don’t know whether to rage or to cry, or both. I’m not expecting any closure any time soon. Iran is virtually certain to lie through their teeth on this, and Trump will do no better. This is a terrible tragedy for everyone involved in the flight, and all of their country mourns their loss.

Deviant Life #33 — Discerning Deviant

Posted on November 29, 2019 by Donald Wilson

FIRST / PREVIOUS / NEXT For as long as I can remember, the Polyamory community has had a strangely sex negative segment that was largely born of the desire to distance themselves as much as possible from the widespread assumptions by people outside of the community that polyamory was all about fucking around indiscriminately. It’s […]
Deviant Life #33 — Discerning Deviant

“Polyamory” – Freya’s Chambers – Sexual Orientation — The Grey Wayfarer

Posted on October 27, 2019 by Donald Wilson

Happy Frigg and Freya’s Day Disclaimer: The topics covered in Freya’s Chambers include serious discussions of sex, sexuality and related issues. If it isn’t your thing; you can move along, otherwise enjoy and feel free to discuss. Given the nature of some subjects be prepared for nude images as there may be some. I avoid […]
“Polyamory” – Freya’s Chambers – Sexual Orientation — The Grey Wayfarer

Dailiness

Posted on September 20, 2019 by Donald Wilson

“…I can’t abide what the world has become, the frozen-ness of our product this evil thing that we kiss the ass of every hour. I want a dailiness that is free and beautiful.”

Definition of dailiness

: daily or routine quality : ORDINARINESSthe dailiness of family life

As I have often said before, “I love words and language.” Discovering a new word is, for me, like finding a twenty dollar bill on the street. It is being rewarded for the simple act of curiosity about the ordinary things of life, in the dailiness of every day.

The ordinariness of evil is its most pervasive aspect. Horrible is insufficient to express our feelings for people who routinely destroy people.

In some uncomfortable way, the word brings to mind the ordinariness of both good and evil in our lives. Great deeds are seldom made out of massively heroic and exceptional circumstances. Rather, great deeds are the result of the very dailiness of an individual’s existence. Routinely going about doing good, as done by Mother Teresa, to her fellow humans in the slums of India, came to her as a very ordinary thing to do by a very ordinary person. The extraordinary thing about Mother Teresa is that her virtue was lived every boring day, and every exciting day as well. Her humility was a revelation that great good could be the result of just that… a pretty ordinary person committing to extraordinary acts, even as daily habits.

Mother Teresa was faithful in a dailiness of her ordinary life, lived with extraordinary outcomes.

Evil is likewise ordinary, an accumulation of the tiny acts over a period of time which ultimately result in great evil, despite the banality of the individual steps that gets someone there. Hitler’s Nazi Germany was not evil because the railroads ran on time, it was because in the midst of one of the most efficient industrial states of the twentieth century, human beings were destroyed equally efficiently and with banal malice by other humans as a daily matter. This was so much so that the destruction of millions of lives was just another aspect of the dailiness of life in the Third Reich.

Words have the potential to stimulate great changes in us. Words matter.

As human beings we are responsible for our actions, and the necessary consequences of those actions. Accepting, and remembering the harm we cause others is the foundation of permanent change and growth – a vow to do better is nothing if it is not followed up by the small actions involved in turning virtuous behaviour into daily routine.