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Africa Has Been Socialized to Take Outbreaks Seriously

The Canadian newspaper, The National Post, has released an interesting new article from Reuters speculating why Africa’s coronavirus response was much better than expected by other nations. The article, “Africa has unusually low fatality rates from COVID-19, and scientists are baffled”, features medical professionals from all areas of the region and highlights possible reasons for the lower-than-expected deaths from the novel coronavirus in Africa. The author writes, “The continent’s case fatality count stands at 2.4 per cent, with roughly 35,000 deaths among the more than 1.4 million people reported infected with COVID-19, according to Reuters data as at late Monday. In North America, it is 2.9 per cent and in Europe 4.5 per cent” (Winning, 2020, para. 4).
Africa’s surprising performance has sparked curiosity among scientists and leaders, particularly because of the largely poor population and already overwhelmed medical systems, causing speculation as to why the continent seems to be responding to the global pandemic better than the US, the UK and Europe. The theories discussed include the average age of most of Africa’s population- a predominately young populous, a low testing rate for a continent with 1.3 billion people, possible immunity from recent tuberculosis vaccinations, and previous experience in dealing with infectious disease epidemics.
Winning’s article points out that there is no one particular reason why Africa has had less difficulties with their response, and it can be argued that all these reasons- as well as other unknown factors- have had a hand in the current outcome. The most intriguing notion in Winning’s article is in regard the last theory noted above; a large part of Africa’s successful response is due to having long been socialized to take new, infectious illnesses seriously.
The September 11, 2020 issue of Frontiers in Pharmacology article, “Response to the Novel Corona Virus (COVID-19) Pandemic Across Africa: Successes, Challenges, and Implications for the Future", discusses the current performance of Africa’s COVID-19 response, how the novel coronavirus is impacting responses to current and ongoing epidemics like malaria and TB, and the challenges they are facing going forward. The article specifically points out previous experiences with infectious diseases as a factor for the current numbers:
[Other potential factors for currently lower prevalence rates and deaths in Africa compared with other continents could be a comparatively younger population as well as rapid instigation of lockdown and other measures. which build on experiences with other infectious diseases aided by the African Union, WHO Africa and the African Centre for Disease Control (CDC). … The African CDC has been actively coordinating a strong multilateral response amongst African governments … Activities across Africa include developing laboratory expertise, training a volunteer health workforce, and risk communication. As mentioned, these built on Africa´s experience in dealing with other infectious diseases including Ebola, HIV, malaria and TB (Ogunleye, O. O., et al., 2020, p. 7).]
It is clear by looking at both articles that there cannot be one definite reason for Africa’s current COVID-19 death tolls, and that it is likely a combination of factors. However, there is little doubt the long history of Africa’s battles with epidemics of deadly infectious diseases has informed generations of people on how to mitigate risks, the importance of social distancing, and the pain of losing loved ones to preventable illnesses. This ultimately ties into the social construction of reality as noted in You May Ask Yourself:
“What’s in a name? That which we call a rose by any other name would smell as sweet.” The implication is that something is what it is, apart from what we call it or who made it. But do we agree? This question speaks less to the essential nature of things and more to the social construction of reality. Something is real, meaningful, or valuable when society tells us it is (Conley, 2019, p. 143).
It is interesting to view the different responses of Africa and the US and UK to the current COVID-19 pandemic. Africa has treated the pandemic for what it is at face value; a crisis to be addressed. They shut down early and instituted protocols they had already in place from handling other epidemics and outbreaks, despite their overwhelmed institutions and lack of medical personnel and supplies. This is in stark contrast to the citizens of western nations, like the United States and the UK, who have not had such experiences and struggle with handling, or even accepting, the danger of the virus by refusing to take even minor precautions like wearing a mask in public and avoiding large gatherings. It could be inferred by this comparison that had western nations suffered more frequent and recent outbreaks of deadly disease, the population would have been more willing to take the necessary precautions earlier and more seriously.
References
Conley, D. (2019). You may ask yourself: an introduction to thinking like a sociologist (6th ed.). WW Norton.
Ogunleye, O. O., Basu, D., Mueller, D., Sneddon, J., Seaton, R. A., Yinka-Ogunleye, A. F., . . . Godman, B. (2020). Response to the novel corona virus (COVID-19) pandemic across africa: Successes, challenges, and implications for the future. Frontiers in Pharmacology, 11 doi:10.3389/fphar.2020.01205
Winner, A. (2020, September 29). Africa has unusually low fatality rates from COVID-19, and scientists are baffled. Retrieved September 30, 2020, from https://nationalpost.com/news/world/brought-the-hammer-down-africas-unusually-low-fatality-rates-from-covid-19-leave-scientists-confused
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Notes and Highlights of Kentucky Governor Andy Beshear’s Live Update September 9, 2020

Notes and Highlights of Kentucky Governor Andy Beshear’s Live Update September 9, 2020
Notes by mr_tyler_durden and Daily Update Team
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Headlines
  • 53,977 Cases (+667), 1,013 Deaths (+16)
  • New cases by county: 110x Jefferson, 43x Fayette, 37x Warren, 32x Christian, 26x Laurel, 23x Madison, 18x Henderson, 16x Scott, 14x Hardin, 13x Boone, 13x Kenton, 12x Hopkins, 10x Crittenden, 10x Shelby, 10x Trigg, 10x Union, 9x Jessamine, 8x Barren, 8x Daviess, 8x Franklin, 8x Jackson, 8x Logan, 8x McCracken, 8x Whitley, 7x Campbell, 7x Clay, 7x Henry, 7x Nelson, 7x Ohio, 7x Oldham, 7x Pulaski, 6x Boyd, 6x Harlan, 6x Hart, 6x Pike, 6x Rockcastle, 5x McCreary, 5x Pendleton, 4x Adair, 4x Bullitt, 4x Carter, 4x Graves, 4x Grayson, 4x Harrison, 4x Mercer, 4x Muhlenberg, 3x Bourbon, 3x Boyle, 3x Grant, 3x Livingston, 3x Martin, 3x Mason, 3x Metcalfe, 3x Russell, 3x Todd, 2x Breckinridge, 2x Butler, 2x Calloway, 2x Clark, 2x Clinton, 2x Floyd, 2x Green, 2x Greenup, 2x Knox, 2x Lincoln, 2x Magoffin, 2x Marshall, 2x Meade, 2x Monroe, 2x Perry, 2x Rowan, 2x Spencer, 2x Taylor, 1x Anderson, 1x Bath, 1x Bell, 1x Caldwell, 1x Casey, 1x Edmonson, 1x Estill, 1x Fleming, 1x Fulton, 1x Garrard, 1x Hancock, 1x Hickman, 1x Larue, 1x Letcher, 1x Lyon, 1x Marion, 1x Owen, 1x Robertson, 1x Simpson, 1x Washington, 1x Webster
  • New deaths by county: 71 M Lincoln, 86 M Jefferson, 62 M Bell, 61 M Bullitt, 79 M Jefferson, 84 F Rowan, 77 M Bullitt, 76 M Garrard, 50 M Jefferson, 90 M Owen, 66 M Jefferson, 87 M Scott, 81 M Scott, 92 F Calloway, 70 F Jefferson, 94 F Fayette
  • Instead of the normal press conference tomorrow, I'm gonna be holding a direct address to the people of Kentucky, beginning at 5:30pm. We'll spend about 15 minutes, or a little less, talking over this loss, our fight to date, and how we must do, at least a little bit better, to make sure we come out of this crisis with as many of our family members with us.
  • This is for Dr. Stack: the vaccine today, one of the manufacturers, maybe has seen some failures in their vaccines. Everyone is taking a definite stance on this, can you explain that this is kinda normal? -- So one of the vaccine manufacturers announced a pause on their phase 3 trial. This is one of the challenges when so much attention is given to what is normal science. So I don't know why they did the pause, I don't know what the event was that triggered it. We'll find out over time. But this is why we have to methodically go through these steps. It’s because we're doing complicated science and we're using that science to help bolster someone's immune system so that it can fight an infection which has crippled the world. And it's very important that we get that right. Vaccines are one of modern science’s true marvels. They have prevented 10s if not hundreds of millions of deaths, over the years, from preventable communicable diseases. And so for this, whatever the reason was, some person in the study must have had an unexpected development, or someone thought someone had an unexpected development, and because of that there are safety mechanisms in place and so they will stop administering the vaccine to new people, until they figure that out. They have processes in place and safety review boards who will look at this independently and make a determination. So right now I would not overly read into this. This does not mean the vaccine’s not safe, it doesn't mean it's not effective, it just means that the normal safety mechanisms in place are doing what they're supposed to. As the researchers find out what was the cause I'm sure they'll update us and we'll know. But I think here in Kentucky we'll make sure we tell you, when we have confidence that any vaccine approved and that we participate in distributing it, is one we have confidence in is safe for people in Kentucky.
  • I have a question about people contacting news stations wanting to know when they're going to start receiving the extra $400. -- We ought to have an announcement on that late this week or early next week, I think at the latest. We want to make sure that we have the entire system up and running, that we don't run into additional complications trying to have learned lessons from the past, but remember you're going to be able to apply all the way going back, until when the last supplement ran out.
  • Gov: There's a question of what is the status of reopening unemployment offices across the state, and what processes need to be completed before this can be done? -- Two things: number one, we’ve got to get caught up, most important thing. If we deploy folks to various offices before we get caught up with all further behind. And number two, we've got to be able to do it in a way that we believe is reasonably safe and protects those employees from COVID-19. I want to make sure that when we move people out we don't hurt the efficiency, overall, we're going to get there.
  • Slides from Update
Full Notes
  • Good evening, tonight and tomorrow, are gonna look a little different. They're gonna look a little different because we've hit a tough and unfortunate milestone today in Kentucky. So tonight, I'm not going to provide some positive news on investments we're making, even though we're making them. And I'm not going to show positive social media people doing the right things, even though we need to encourage it. That's because tonight, we have the painful news that we have now lost over 1,000 Kentuckians: Our mothers and fathers, grandfathers and grandmothers, sisters, brothers, neighbors to COVID-19. Over 1000 Kentuckians are no longer with us, because of a virus that had its first case in Kentucky, just six months ago. Compared to most other states, that number of casualties is fairly low. And that's a testament to the people of Kentucky and the actions that they've taken. New York has lost over 33,000 of its residents; Florida, nearly 12,000; Ohio, over 4000. Indiana's nearing 3,400 and Mississippi, nearly 2600. But it's hard to be proud we're excited about the news that we've lost over 1000 of our citizens, all special people. Anything over the last six months we've had over 1000 families, going through something that's far far too hard, and not being able to do it in that normal way for funerals of families being able to get together to grieve. To honor these individuals and their grieving families, we're going to have another wreath hanging ceremony by the Kentucky State Police Honor Guard tomorrow morning at 10am here in the rotunda. We will be live streaming it, the media will be invited to film it from upstairs. It'll be an opportunity for those families, for all Kentuckians, to express the pain and the grief that we feel, but also to honor those here in one of our most sacred buildings and in this rotunda those that have been lost. We will ring bells at that time. I will pray my personal prayer at that time, while watching. And I hope, as many of you as possible will either watch or recognize this very difficult milestone in a way that you believe is appropriate.
  • Starting tomorrow morning I'm also ordering all flags on state buildings in the Commonwealth to fly at half-staff for the next week to recognize again those more than thousand Kentuckians we have lost.
  • Finally, instead of the normal press conference tomorrow, I'm gonna be holding a direct address to the people of Kentucky, beginning at 5:30pm. We'll spend about 15 minutes, or a little less, talking over this loss, our fight to date, and how we must do, at least a little bit better, to make sure we come out of this crisis with as many of our family members with us. That we come out in a way where we can be proud of what we have done and how we have faced this very difficult disease. Again, compared to most states, we've done well, but lives are on the line and too many have been lost. We absolutely have to do better. So tonight, I'm going to go directly into our COVID presentation, give you a little news from the most recent White House report. Give our report, and then Dr Stack will speak and we'll answer questions. And tomorrow our flags will be at half staff, we’ll be having this wreath laying ceremony, and have the direct address at 5:30.
  • So moving into our COVID presentation I want to start with the White House's weekly report. It came out a little later this week because of the long weekend. But I want to make sure we start with the very first page because we have a Supreme Court argument coming up where the Attorney General and some others want to eliminate all the rules and and regulations that are helping to keep us safe, that have us in that better place than New York or Florida or others, and would undo, would undo, not just those rules and regulations that keep us safe but the ability for our schools to have dollars flowing to them for when they did NTI at the end of last year, or when they have to right now. It would undo the worker's comp that our first responders get when they develop COVID or have to quarantine. And I just want to point out one thing to start in this White House report because one of the things that's directly being challenged in that case is our mask mandate. But this is the report that comes directly from the Trump administration. And this is a direct sentence of their advice to us: “Keep mask requirement in place statewide”. There is no room between what the experts at the federal level or at the state level know we need to do. That there needs to be a mask requirement, and it needs to be statewide. If you don't like that I've put it out there that's directly from the President's administration. And that has been in every report that we have received. If you look on the next couple pages of it, and it is up on our website, it shows you their view of counties that are in the red , or in the yellow we're going to keep showing these to you, this is us being transparent. Again a significant number of counties in the red starting with Warren, including Madison, Pulaski, Calloway, Green, Nelson, Jackson, Todd, Henderson. Lewis, Rowan, Logan, Bell, Grayson, Simpson, Union, Harlan, Monroe, McCreary, Russell, Mason, Crittenden, Trigg, and Estill. This is the highest concern level of the W hite House. Again, you may want to argue with us about different designations that we have. This is coming directly from the Trump administration. Next one is the yellow counties, those that should be concerned, aren't in the red, but again taking mitigation steps. Now next week we're going to unveil a tool that gives some county by county information specifically designed for our school systems. Dr Stack is going to walk us through that on Monday, as well as various reporting systems where parents can get online and see at least daily about what's going on in their area at their school with the idea that they can make their decision, if necessary, day by day about the safety of their children. But our goal is to provide as much information as often as we can. And that comes directly from the White House, something to notice from those last two is they still have over 50% of our counties in either the red or the yellow. That's one of the reasons that they believe that statewide steps are still necessary.
  • So today's COVID report.
  • Positive cases today: 667
  • Probable cases: 5,378
  • Total confirmed cases: 53,977 - So tomorrow we will expect to go over 54,000 in a positive piece of news.
  • New cases by county: 110x Jefferson, 43x Fayette, 37x Warren, 32x Christian, 26x Laurel, 23x Madison, 18x Henderson, 16x Scott, 14x Hardin, 13x Boone, 13x Kenton, 12x Hopkins, 10x Crittenden, 10x Shelby, 10x Trigg, 10x Union, 9x Jessamine, 8x Barren, 8x Daviess, 8x Franklin, 8x Jackson, 8x Logan, 8x McCracken, 8x Whitley, 7x Campbell, 7x Clay, 7x Henry, 7x Nelson, 7x Ohio, 7x Oldham, 7x Pulaski, 6x Boyd, 6x Harlan, 6x Hart, 6x Pike, 6x Rockcastle, 5x McCreary, 5x Pendleton, 4x Adair, 4x Bullitt, 4x Carter, 4x Graves, 4x Grayson, 4x Harrison, 4x Mercer, 4x Muhlenberg, 3x Bourbon, 3x Boyle, 3x Grant, 3x Livingston, 3x Martin, 3x Mason, 3x Metcalfe, 3x Russell, 3x Todd, 2x Breckinridge, 2x Butler, 2x Calloway, 2x Clark, 2x Clinton, 2x Floyd, 2x Green, 2x Greenup, 2x Knox, 2x Lincoln, 2x Magoffin, 2x Marshall, 2x Meade, 2x Monroe, 2x Perry, 2x Rowan, 2x Spencer, 2x Taylor, 1x Anderson, 1x Bath, 1x Bell, 1x Caldwell, 1x Casey, 1x Edmonson, 1x Estill, 1x Fleming, 1x Fulton, 1x Garrard, 1x Hancock, 1x Hickman, 1x Larue, 1x Letcher, 1x Lyon, 1x Marion, 1x Owen, 1x Robertson, 1x Simpson, 1x Washington, 1x Webster
  • No county is immune. The White House report if you look at that first page it also says, COVID in Kentucky is rural and urban. So let's not ever think that it's not here, it's just somewhere else. We have 1000 families who would tell you that they probably thought it would be somewhere else. And it ended up being right there with them and their loved one, are losses today.
  • Total tests conducted: 937,153 (PCR: 872,912, Serology: 47,912) - we're going to see that here pretty soon. Many days we have 8000 plus in a day. Go over a million that's hard to believe when we look back at the journey that we have been.
  • Positivity Rate: 3.84% - For the second day in a row. Our positivity rate is below four at 3.84%. This is exactly why we were asking for more time before taking steps like in person classes in school. Remember we were at almost 6%, to push it down, and to try to keep it down. Now I believe later in the week with a number of cases that are likely to come in with the labs coming off of the long weekend that we may see that creep back up over four, but every day there's in the low fours, or down in the threes is a good sign for Kentuckians. But even with that we know with a virus that has a mortality rate of around 2%- 600 cases is still going to cause a lot of pain, and a lot of loss. And we want to do better.
  • Total hospitalized: 4,777
  • Currently hospitalized: 558
  • Total in ICU: 1,427
  • Currently in ICU: 153
  • On a ventilator: 76
  • Total recovered: 10,725
  • New deaths today: 16 - 16 new deaths put us over that thousand loss number. In fact, it puts us up to 1,004. And when we started this journey the initial models had lost that at a- when I looked at it, what I thought was a devastating level, but I can tell you, losing 1,000 Kentuckians to something like this, that's more than we lost in either Vietnam or the Korean War, feels pretty devastating. That doesn't mean that given the opponent that we're facing, that we have not done a good job. It just means we have to recognize how much this hurts, those around us and we've got one story today that, I think, shows that.
  • Total Deaths: 1,013
  • New deaths by county: 71 M Lincoln, 86 M Jefferson, 62 M Bell, 61 M Bullitt, 79 M Jefferson, 84 F Rowan, 77 M Bullitt, 76 M Garrard, 50 M Jefferson, 90 M Owen, 66 M Jefferson, 87 M Scott, 81 M Scott, 92 F Calloway, 70 F Jefferson, 94 F Fayette
  • All losses are a loss for Kentucky. Let’s light those houses up green and let’s ring those bells at 10am. This is a reminder that we are thinking of the Kentuckians we’ve lost, their families, and their communities. It’s the color of compassion and renewal as their souls move from their bodies to a better place.
  • Racial breakdown of all cases: 79.98% Caucasian, 12.01% Black or African-American, 1.72% Asian, 5.76% Multiracial
  • Ethnicity breakdown of all cases: 88.04% non-Hispanic and 11.96% Hispanic
  • Racial breakdown of all deaths: 83.62% Caucasian, 12.93% Black or African-American, 1.19% Asian, 2.26% Multiracial
  • Ethnicity breakdown of all deaths: 96.30% non-Hispanic and 3.70% Hispanic
  • K-12 Update (PDF): Not covered in the update but the PDF was updated
  • University Update (PDF): Not covered in the update but the PDF was updated
  • I want you to think about that list. We got a 50 year old on it. We have multiple 60 year olds on it. A number of people like my parents in their 70s, I'm not going to consider that old because I want a lot more time with them, and with them and my kids. Each one of these people is so much more than just what we read off. I mean they're one of us, or one of us. And no matter how old they were, they deserve time. And no matter what other complicating health factors that they had, this played a part in it. And we owe it to them to work hard to make sure that we limit the future casualties that we have. I'll tell you about one of those today. And it happened just yesterday. Just yesterday, we lost E.J. Mike. A 58 year old frontline worker. I didn't realize until the picture that I've met E.J. Mike before. He was a physician's assistant at the Louisville VA Medical Center. But more importantly, he was a loving father to his twin girls, now only 13 years old. E.J. fought hard for six weeks at Norton-Brownsboro, during which time he was on a ventilator. We learned a E.J.’s fight just an hour after his passing yesterday. We spoke to a friend and read online messages from co-workers and loved ones called E.J. an inspiration and an amazing person who always put others before himself. We've talked to other family members throughout today. Our thoughts and prayers are with his two daughters, his family, friends, and the community he built at the Louisville VA. So today, I will wear my mask in honor of E.J. Mike- we must remember every single one of these thousand and four losses, is an E.J.- is somebody whose kids, parents, friends, love them just like his two 13 year old daughters love him.
  • I've asked Dr Stack to come up to talk a little bit to us, and then we'll open it up for questions. And that again, today's a little different, and tomorrow's gonna be a little different too.
  • Dr. Stack: Thank you Governor, and good afternoon everyone. I have an extended chance on Monday to talk at length and show pictures and stuff today, I'll just use words. So when we cross over 1,000 people who have died from COVID-19 in Kentucky- I think getting our head around these numbers is sometimes challenging so I'm going to try to do this in a few different ways.
  • In the United States of America, in roughly the last six months more than 190,000 Americans have died from COVID-19. And to put that in context, the city of Louisville is about 620,000 or so persons- and so it's like 30% of the city of Louisville has died in the last six months across the country. If we want to go and look in a different way, in the state- in the state of New York 33,000 people nearly have died in the last six months, the city of Bowling Green, Kentucky is about 70,000 persons per the 2019 census data- so about, if Bowling Green City and here in Kentucky were New York State, half of that city would have died in the last six months just to put that in context. Now, people talk about the numbers and, you know, where they're inconsistent or their accuracy- deaths are pretty clear. And so using the most concrete demonstration we can to the impact of the illness, the implications in the United States of America are substantial and profound. Now in Kentucky today, we crossed over a big milestone with over 1000 Kentuckians who have lost their lives from the coronavirus. And that's a tragedy and it's a tragedy for their families. It's a smaller tragedy than we might have otherwise had, had we not taken the steps over the last six months, we would have had much larger totals like they've had in other states and in other areas. So I'm very grateful that we've had the opportunity to blunt the harm- but the harm that's happened is substantial nonetheless, in terms of the loss of human life, the others who are still recovering from the illness, and then of course all the other consequences that have unfolded from the coronavirus. It's been a while since I've been able to sort of make the governor laugh maybe with some of my historical references so in English poet named John Donne has a poem, “For Whom the Bell Tolls” and he talks in it about “no man is an island/no person is an island/we're all interconnected with each other.” And the last line is “Ask not For Whom the Bell Tolls/the bell tolls for thee.” I'm gonna just use another example, I try to use props- when I have them handy, to kind of make these points so I, my mask here today is from Holy Cross College- that's where I went to school, and I've mentioned that before, we're all pretty connected to each other. So another physician in this country that most people know Dr. Fauci, and I are both alums from Holy Cross College. We are probably separated by about 30 years. Dr. Fauci, of course, is a senior physician leader, helping to advise during the coronavirus epidemic and here I have the privilege to do the same here in Kentucky. Dr. Fauci also has the incredible distinction of also having been a classics major, like I was and so you have two people separated by multiple generations who have never met in person, and who share so much in common. And when you think about the over 1,000 people who have died from coronavirus in the state, I've asked you just to contemplate and put in perspective, you're probably closer to them than you realize. And so these steps that we take- these difficult steps- that have been hard to decide upon at times, difficult to execute, and I know we've asked a lot of team Kentucky, these difficult steps are important people's lives, people's families, really rely upon them. So, thank you, as we've gone through this journey I know it's not been easy, it's not been easy on any of you at home, it's not been easy on those of us trying to do the best we can to navigate through these uncertain times but thank you for being part of Team Kentucky. Thanks for working with us and thanks for continuing to work with us. I know we're all tired, we all want to break, and we all want to get back to normal. But, but the struggle is not yet over, we can look to next year and hope for better times. But until then, we are all in this together. And if we love each other and take care of each other and look out for each other we have a much better chance of getting through this and emerging stronger on the other end, still remains a privilege to serve and Thank you Governor for the opportunity.
  • Governor: Alright, we'll move into Questions
QUESTIONS
  • So as we cross this somber milestone, we have also learned- what the President knew, and when he knew it, about the virus. The Bob Woodward tapes were revealed today, in it, the President can be heard as early as February, acknowledging the deadly disease. He knew it was airborne, and he knew it didn't affect just old people, it was more serious. A month later in March, he told Bob Woodward that he was deliberately downplaying it. As to not incite a panic. Meanwhile he was also holding rallies. Do you as a governor who worked closely with the White House, feel misled by the President? Do you think the president misled Kentuckians and Americans? -- The question appears to be based on information that came out today from Bob Woodward- I haven't read any of it. And so at this point I don't believe I can comment on it. I believe that we have had a good working relationship with the White House. It doesn't mean I've always agreed with every decision they've made, but I do believe that we have had a positive working relationship. We've done some things differently here in Kentucky. That's because, ultimately, I'm not going to pass the buck, the responsibility does fall with me. But having not seen any of that information I'm not in a place to comment on it.
  • So can you put it in context? When this started six months ago, you were talking about maybe thousands of deaths -- Putting 1000 deaths in context… And I'll talk about what we thought might happen in COVID, but I mean losing 1000 people to something that didn't previously exist in a six month period is hard, and as something most of us have never experienced before. When you look at anything else that kills that many people in that amount of time. Now hopefully we have, we all agree that it is a crisis and must be addressed. Now there's a likelihood that our deaths from COVID will exceed our overdose deaths this year, and I hope we all recognize that there's an addiction crisis out there that we, we can and must address. There was a period of time, early on, where experts judging on the Spanish flu and again, having never dealt with this virus, entirely new, thought we'd be looking at 10s of thousands of deaths. And I'll tell you that was a time when my job was to call for calm. I’d walk back into my office and look at projections that made it even tough to talk to people, to pick up a phone, knowing what was possible, and could have been possible. But there was also a time where we thought our outcome might even be under what we have passed now, based on the time in late March, and early April, primarily early April. What this says is the amount of loss that we're going to experience depends on us. Nobody else, it depends on us. And it depends on each and every one of us. One individual not making the right decision can cause our casualties to rise. I don't remember another time where we've all been tested where if one member of the state potentially doesn't step up and do their part, others are harmed, how well we're going to do and how we're going to come out of this depends on on us.
  • With these numbers of cases, are you concerned that people aren’t doing what they should be? -- Question is depending on the number of cases, am I concerned that people aren't doing what they need to be doing. Well first, I am deeply grateful, that's what Dr Stack always says, but I'm deeply grateful to the people of Kentucky for their work this thus far. You look at almost any other state, and you look at what happened in Florida, Texas, Alabama, South Carolina, and Arizona and us having appeared to have stopped it. You look at the first surge, and what we are able to do being Healthy at Home. You know the people of Kentucky, more so than just about anywhere else, have stepped up and have done what it takes. My worry is that people get tired and that we miss so many things and we now realize how much we miss them. I remember thinking kids, and sometimes even my kids, were always on electronics, and they weren't connecting enough and now we're seeing how connected we truly are, and how much we miss personal connections. My fear is that, like, the start of summer, up to the fifth of July, that we may be seeing a period starting in late August, where we let our guard down, where we have fatigue. And what happens is a rise in cases and when cases rise so do deaths. Now I think that's natural, and it's happened in a lot of places, but my job is to do everything I can to encourage the people of Kentucky and try to put the right type of rules and restrictions in place that enough people will follow to lessen that damage. Because it's hard for people to conceptualize, it's hard for me too, that if I get up on this day and I say I'm just I'm just not doing this anymore, and I miss having a block party where we get everybody in the neighborhood together because it was so fun, and the bouncy with the kids, that that somebody probably I don't know and that I will never meet could pay the ultimate price for that. That it could shut down the school system that might otherwise be open in another county. It's really hard to view something so small as “stand six feet away from somebody” or “putting on a mask” when you could be asymptomatic as causing such significant potential harms. Knowing that, while the possibility may be small, there's so many of us out there that could be asymptomatic that it's happening every day at such frequencies. And I just think that it's important to have a reminder, but also losing 1,000 people ought to kick us all up in the butt. Or maybe in the gut. And we ought to recognize that we don't, we don't want to lose 1000 more and do what it takes.
  • Is the state still looking for more people to engage in the Contact Tracing? -- We’ll have an update next week, we'll bring it in on contact tracing. I think we are. I know we're over 600, I think we were approaching 1,000 contact tracers. We've reached significant capacity and our local health departments are working so hard, especially with us moving towards reopening schools and it's never going to be more important to do it quickly than then then. I believe our contact tracers are working as hard as they can. But if we can't keep our overall numbers to a reasonable level, there's just too much volume to do all the contact tracing. And at that point, we're gonna have to make decisions about what comes first. A lot of that's gonna have to be school-based, and long term care facility based, but our job in keeping the cases down helps the context tracers do their jobs.
  • I have a question about people contacting news stations wanting to know when they're going to start receiving the extra $400. -- We ought to have an announcement on that late this week or early next week, I think at the latest. We want to make sure that we have the entire system up and running, that we don't run into additional complications trying to have learned lessons from the past, but remember you're going to be able to apply all the way going back, until when the last supplement ran out. So I know nobody is missing out, ultimately, on those dollars but I know people need them quickly. And tomorrow, I think we'll talk about, I believe, overall the state doing a good job in some areas needing to do better, of trying to help people and that's everything from unemployment, to Medicaid, to SNAP, to the Team Kentucky Fund, to the new eviction fund, to some others that we hope will be coming out, trying to be there for each other during this period and I hope that encourages everybody else to be there for each other too
  • Yesterday you mentioned that the fatalities were being reviewed, does that include the 16 today? -- The number being reviewed by our committee yesterday, that included at least 18, not all of them are on today, some of them are more complicated. They also wait for records to come in, but it ought to tell people about the work that we put into this data. It's not always going to be perfect because of volume and because of numbers of directions things are coming in. But our department for public health and our local health departments put in a ton of work to try to make it as accurate as possible. And the fact that we know that there are likely COVID related deaths out there that haven't been reported means that we are going through the process to be as accurate as we can. Remember, obviously want to argue that these deaths aren't real, they're all real people. And they're being reported in the way the federal government tells us to, but in fact we're going that extra mile to make sure that COVID was a contributing factor.
  • How did yesterday’s meeting with the Black Caucus go? Where's the progress, or where is the situation at, with the possibility of a special session being called?-- So yesterday I met with Kentucky’s Legislative Caucus, it was a very productive meeting, to be able to hear their ideas on what would make a special session worth it. It's pretty clear to me that it has to be a chance for real progress in the various areas, and not simply window dressing, and I agree with that. If we're gonna call people in to a special session at $60,000 a day we better get something real done. And I think people want to see real progress. I got to listen to specific ideas and got to ask questions. I think it was a very productive meeting and I hope that the caucus believes so too.
  • Some experts have recommended that colleges keep students on campus even with an outbreak? Has the state in the event of a shutdown? -- So the question is on college campuses and it works in with a question I have from Murray as well and so I'll answer, it’s a two part question. 1. Am I concerned about the rising number of cases on college campuses in the state and 2. How do I feel about some experts suggesting that colleges keep kids, young adults, on campus as opposed to sending them home. -- Yes, I am concerned about the rising number of cases on college campuses. I'm concerned because at some point we're gonna have to prove whether we can or can't do this. That's separate from the question of what to do with an outbreak right now versus at this moment, without a vaccine, can we reasonably do this without knowing that there's going to be outbreaks. Is it possible and are we being reasonable as decision makers to believe that this many college kids can come together and not do things that will spread the virus. We’ve got to really think through that I know people are trying really hard but we also have to think about what's reasonable. On whether or not students should be sent home, it's complicated and there are difficulties on both sides. First, if they are not going to be sent home you've got to remove them from a large dorm complex, a place that has people that are potentially negative, and so that adds a little bit of stress. You're moving a college kid out of a place that they feel safe and were excited to go to possibly to a hotel and saying, you got to be in here for X number of days, let's realize that that's that's not easy. What that does, on the positive side, is keep that student from going back to a community, and potentially spreading the virus from there. What it doesn't do, is to provide the oversight the parents would have if they went home, about not going out, breaking whatever rule, because it would be hard when I was 19 to 22 to sit in a hotel room and not see anybody for 10 straight days. And so I think you have positives and negatives on both sides. I just think that we've got to be really thoughtful as we go and we've got to figure out what the threshold is of when those major decisions have to be made. I know that our universities are thinking through those, but for a university I don't think it can be based on deaths, it certainly shouldn't, we don't want to lose any students or faculty. It shouldn't be based on how many people we have in an ICU or a ventilator, we don't want any students or faculty on that. So it's got to be based on something else where we say that we have just hit the level where it's not working, and we don't want to continue to to see increased caseloads. But I do think we really ought to continue to think as we watch what happens, whether or not our expectations that we set for students are reasonable.
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