City officials scramble to prepare as a resurgence of mass protests COVID-19 drones

State and local public health officials are in a difficult situation. After months of restrictions imposed by its inhabitants highly infectious coronavirus-high costs for families of livelihood and the economy in general it-now balance these efforts with another, no less important mandatory requirements: the protection of the Americans to protect right to gather en mass protest police brutality and systemic racism. This balance is complicated by the timing. New daily cases of COVID 19 world-record levels, on June 7, according to the World Health Organization, which indicate that the pandemic could deteriorate. And after months of orders of stay-at-home, the spread of the disease to slow down, many states and counties are currently open only now their new economies, although sufficient evidence many of them not yet satisfied containment benchmark, increasing likelihood of increased national uptick in new infections. In response to this confluence of factors that run public health officials a bit ‘of a high wire act. In most countries and regions, political leaders, stop protests refused, and go instead to local hospitals, testing and tracing contact forces prepare for what many expect throughout the country a resurgence of COVID-19 be . But just as the threat of the virus has not changed, they have no financial or organizational barriers that conditions in early behind crawl pandemic. Now that the two crises that have an American blacks disproportionately impact collide-one, the police brutality officials being in a pandemic and others predict that the patchwork response could mean the country on a rock, and on the road, possibly fatal come on. Weigh the risks in the days and weeks after the killing of George Floyd Minneapolis police mass protests, most of the governors, mayors, doctors, epidemiologists and local health commissioners decided not to condemn meetings and encourage participants to return home . Instead, the mayor of Atlanta to Oklahoma City to Washington connected demonstrators, while employees of the city of Minneapolis, New York, St. Louis and Baltimore masks distributed to the protesters. Nearly 1,300 public health workers have signed an open letter to protest calls for “vital to the national public health and health threat especially of the blacks in the United States.” But these acts of solidarity has been taken lightly, they say public health experts TIME, has not decreased during the threat of COVID-19, the circumstances have shifted, requiring protesters trying to do and officials informed about these risks calculations health and public safety. “The impact of systemic racism for centuries, far exceeding the impact of COVID,” says Julia Marcus, an infectious disease epidemiologist at Harvard Medical School. “And if we make progress towards reducing structural racism in a time of collective action, which in reality could have a positive impact on public health.” But Marcus adds, state and local officials must work together to encourage and protesters so to gather safely as possible. “What we need to do now is clearly the risks and possibilities of communication that people reduce any damage,” he says. For example, on June 6, the New York City Department of Health and Mental Hygiene released recommendations for the protesters, encouraging noisy people instead song to use or to sing, carry hand sanitizer and avoid participating in contact with people at risk of events. Guided tour in many cities should be encouraged to test residents for COVID-19 after taking part in protests. Police interactions while many protesters across the country seem to wear masks, not everyone does. And the actions of the police may make things worse, experts say public health. Have photos and videos across the country indicated policeman wearing masks and other police actions, such as corralling protesters, chemical irritants syringes, tears and coughing and pushing people into vans and prisons can produce exacerbate the spread of the virus. In Chicago, Rossana Rodriguez-Sanchez, a juror for the 33rd station of the city, spent hours in a neighborhood help bail protesters arrested last week and told TIME “does not bear a single officer was a mask.” Taylor Barros, a 16-year-old, who was arrested in a protest in Brooklyn, said the time that the police have acted inconsistently with the use interacted mask about it. “Once we got on the bus, that the scarf from her face, because the police told me that I could drown,” said Barros. Another official successive masks in the custody of the shipment. protocols require the Department of New York and Chicago police officers wear masks during the pandemic. Time NYPD had been planned “as quickly as possible and safer arrests during this unprecedented period of trial.” A spokesman for the Chicago Police Department told TIME that in addition to requiring masks and gloves outside, is “strongly recommended” that officials bring these elements within zones and large vehicles, but they acknowledged that, given “the ‘increased activity that officials were reacted last week, “did not always follow these recommendations. It is updated here with our daily newsletter crown. Preparation for research shows that a wave up to 14 days for newly infected develop symptoms of the disease take coronaviruses. Consequently, epidemiologists expect that linked the protests underway cases begin next week or two to appear. But, they warn, confuse data: already almost half of the states to see an increase in infection rates crown probably linked the lifting of the stay-at-home orders in late April and early May. Until June 9, at least 22 states had increased COVID-19 cases. This dynamic a bump in infections resume with another increase expected combined due to protests funds that were still scrambling to prepare for an increase in hospital admissions. But in early June, some cities and regions more prepared than others. NYC Health + Hospitals, society, the public hospitals in New York City opera, said that if the city, the epicenter of the outbreak, another suggestion sees “prepares the strategies to reactivate in late March / early April implemented for meet the COVID-19. “nearly tripling the ICU capabilities including these steps, the redistribution of doctors to patients corona treatment and the recruitment of additional clinical support, a spokesman said. In Minneapolis, the doctors say they are on track to handle a wave of new cases. Abbott Northwestern Hospital, which is near to concrete steps where Floyd was killed, was not taken in response to the protests, but Dr. Timothy Sielaff, chief consultant of Allina Health, which runs the hospital said that the health care system is ready to climb his answer, if necessary. “Allina Health was for an increase COVID-19 patients in the last few months are preparing actively,” he said in a statement. “We have business plans in place and bring the plans in accordance with patient volumes.” The data suggest that other parts of the country, in cases increases are less willing. Thirty-two states had limited availability of intensive care on Tuesday, according to the Covid exit strategy. Hospitals in Montgomery, Alabama got so crowded that they had patients in other parts of the state, send and cities such as Phoenix and Memphis are projected to run in a three-week intensive care beds after Burden Index COVID-19, operated by the company intelligence healthcare Leavitt Partners. In Arizona, the medical director of the State urged hospitals, on June 6 “fully activate” their emergency plans and to reduce or suspend elective surgery. This directive came a day after the Banner Health, the state’s largest health system, told reporters his intensive care unit “very busy” and that if trends continue, the system would soon need its flagship plan at the station. By June 8, reaches capacity Banner Health also extracorporeal membrane oxygenation (ECMO) machine recently acting for patients with severe lung damage as an external lung, a possible complication of COVID 19-racial differences, since local governments to make preparations, say public health officials, hospital care, experimentation and research efforts contacts must be reached with care, are designed for American blacks, higher than a lot of COVID-19 rate die like She was white, and expressed a lower incidence of trust in public institutions. “Black and brown people are particularly aware of the unethical treatment, and the way in which even the public health policy have been complicit happens worsening health inequalities,” says Lorraine Dean, an assistant professor of epidemiology at Johns Hopkins University, the Health races studied the differences. Dean notes that actions to slow the government of President Trump defense of white nationalists in Charlottesville Management His response to the current pandemic brand is difficult for people to trust their local governments and health authorities. “If there is a distrust of the United States as a whole, and the US system as a whole, the health care system, a part of it,” he says. Some states have taken proactive measures to this trust to close gap. The Department of Minnesota of Health, for example, works voluntarily COVID-19 to configure the test sites for all those who took part in mass events such as demonstrations, purges and vigils and New York Governor Andrew Cuomo said on June 7 that his condition was the addition of 15 laboratories for lead protesters and New York 35,000 tests per day, in order to better protect themselves and their families protesters. Atlanta added free trial sites for the protesters, on June 6, the public health officials in other big cities have, they can often remind residents now 19-COVID also be tested without symptoms. Even before the protests began Baltimore three mobile testing sites, piloting, which do not require appointments or medical referrals in addition to its other community testing. The pressure cities used to make flyers and radio ads parts of the community that can not be on social media, and this still options for people who want to test after attending the protests. Lack of confidence The next step is to search for contacts, workers to identify someone brings up that came in contact with an infected person, and then the information on the quarantine, medical care and other services. This monitoring is good to slow down as indispensable for the dissemination of COVID-19 US Center for Disease Control and Prevention Director Robert Redfield told Congress June 4, COVID-19 to control the next wave of US Army requires 30000-100000 Contact Tracer. While many cities rafts new tracers contract have begun hiring, which are still in great part to play. A few weeks ago, Los Angeles, only 400 of the 6,000 tracers contact had estimated it would need California’s recovery, while New York its contact program launched on 1st with 1,700 workers in June draw after Bill de Blasio Mayor, said in early May, he took aim at the beginning in 2500 to have June and finally tracers hire between 5,000 and 10,000 contacts. Philadelphia Department of Public Health, who created a new contact lookup department currently has only about a dozen of contact tracing for personnel, said the weather department. In Columbus, Ohio, the health department staff have been assigned as contact tracing and increased their workload, as we have seen in recent weeks. John Henry Jr., a consultant for HIV at the time of the contact tracing is doing, he told reporters at a press conference on 4 June that a couple of weeks ago, it was about to reach a dozen hits a day, and now has many cite as 30 hits a day. When the police continue to arrest and in some cases of abuse protesters, officials say public health treaty tracer a tough fight. The protesters, many of whom may already distrustful of the police and authorities are willing to provide government officials with the names and contact information of friends or colleagues with available protesting. “I fear that there is still less intake, especially in communities that really need more research contacts,” says Dean, the expert at Johns Hopkins. “I am absolutely convinced that distrust of the health care system that already existed and war-there is no good reason why it should not continue to play when it comes to COVID.” Baltimore Health Commissioner Dr. Letitia Dzirasa told TIME that their city is working to bridge the gap confidence. “Even we are leading up to this point we tried something deliberate about our messaging around looking for contacts and tries to prove that we would never ask for some personal information such as social security number or credit card or immigration status” says Dzirasa. announced on June 4, Baltimore, would be about 300 additional contact tracers employ about 100 full-time and 28 part-time employees, it is already set up to support the transaction. The city is also with the local population of confidence as the leaders of the partnership church, community organizers and peer recovery specialists to tell residents about the importance of everything from contact tracing wear masks. This last part is perhaps the most important: “We realize that we can not get the right answer every time,” says Dzirasa. “But I think it’s important that we continue the efforts and builds trust within the community to do and say, ‘Let us know who is in contact with’.” Tracking Contract Effective, after all, you can be the way to promote only mass public protests and at the same time contain the spread of a deadly disease. – By Andrew R. Chow / reporting from New York Please send your suggestions, cables and stories [email protected]
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