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The COVID 19 Pandemic Case Presentation

 

Treatment Plan

The COVID 19  Pandemic citizen-oriented treatment plan provides a , multi-stakeholder and multiphase road map for citizen involvement in their political ecosystem. Our goal is to provide a framework, a platform of sorts, to tackle a pandemic that has claimed many lives, emotional and financial toll and has assaulted our civil liberties.

 

The challenge of The COVID 19 Pandemic requires a well-formulated, coordinated effort that addresses the complexity of the  ecosystem* as well as to leverage our understanding of the institutional challenges that must be identified  and overcome. We are  motivated by and are testing the belief that given the right tools and framework, citizens, patients, consumers, healthcare professionals, public servants and politicians, working together can achieve great results addressing the COVID 19 pandemic and related challenges facing our nation. The treatment plan offers a modular approach that can be easily used to address particular aspects of The COVID 19 Pandemic. The  activist agenda that addresses the identified challenges  and powerful barriers that have stymied prior efforts at addressing the medical and social challenges of pain and addiction. The particular items are linked to an action plan for citizen engagement.

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Coronavirus features

  • RO

  • Number of droplets

  • Lethality

  • Course days 

  • Length to symptoms

  • Length to all clear 

Host features

  • Age

  • Medical condition

  • Immune function

  • Smoking

  • Economic status

  • Social Status

  • Racial Backround 

Medical System Features 

  • Beds

  • ICU

  • PPE

  • Ventilators

  • Trained staff

  • Guidelines 

Environmental features

  • Density of Household

  • Density of area

  • Demographics

 

Public Health

Flatten the Curve 

 

Strategies for addressing the Pandemic 

 

Treatment Approach 

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Moving Past the Pandemic 

  • Human Live and health

  • Mental Health 

  • Economic 

  • Civic HEalth

 

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The Coronavirus Up Close 

 

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Goal: To provide an up-to date overview of the Coronavirus and how it causes COVID 19.

 

The understanding of the virus is increasing rapidly. We hope to update the section as more scientific data becomes available.  

Coronavirus is the name for a large family of viruses that cause illness ranging from the common cold to more severe diseases such as SARS.

The new disease that emerged in China in December has never been seen in humans before the current outbreak.

It's been called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by the World Health Organization and causes an illness that's been named COVID-19.

Features of coronavirus 2

  • R0 or “R-naught”—the average number of new infections generated by one infected individual. . The number has since settled around 2.2 (the R0 for the seasonal flu, for comparison, is typically about 1.3). 

  • Number of droplets

  • Lethality

  • Course days 

  • Length to symptoms

  • Length to all clear 

  • Mutations

  • Seasonality   

 

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Audio Interview: The transmission of SARS-CoV-2, the causative agent of COVID-19, looking at new evidence from Iceland and from the Diamond Princess cruise ship.   

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Host Features

How the virus affects the human host 

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Goal:

To provide an overview of the role of individual factors that contribute to infection, the outcome for the person, and the infection of others.

Host features

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Host -Coronavirus Features  

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Understanding the interaction between the virus and the host in order to create interventions that stop the spread of the virus leading to the disease. To best understand the mechanisms of the interaction in order to limit the severity of the illness.  

 

Background: 

While it is spreading exponentially without public health informed measures to slow down the spread, the number of people who are exposed, become infected, become symptomatic and experience the severe manifestation of the COVID 19 and require enhanced limited health care resources can overwhelm the system’s capacity. By understanding the interaction between viruses and host we can have a greater likelihood for success. 

Goal:

Flatten the Curve as used to describe the challenge facing the global environment was informed by an understanding that the Coronavirus virulence and infectivity will eventually impact a significant percentage of the global population.

Environmental Features

How the social and geographic environment impact the virus and the Pandemic 

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Environmental features

  • Density

  • Pollution

  • Public Transportation 

  • Mass Events 

  • Demographics

  • Senior Residence 

  • Temperature and UV 

  • Jonathan Kay in Quillete COVID-19 Superspreader Events in 28 Countries: Critical Patterns and Lessons

 

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Public Health  System 

Flatten the Curve 

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The Federal  System Response

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The State System Response

 

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The Local System Response  

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Medical System Features 

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The Medical System Response

  • Leadership

  • Beds

  • ICU

  • PPE

  • Ventilators

  • Trained staff

Medical System Features 

"Our analysis therefore suggests that healthcare demand can only be kept within manageable levels through the rapid adoption of public health measures (including testing and isolation of cases and wider social distancing measures) to suppress transmission, similar to those being adopted in many countries at the current time. If a suppression strategy is implemented early (at 0.2 deaths per 100,000 population per week) and sustained, then 38.7 million lives could be saved whilst if it is initiated when death numbers are higher (1.6 deaths per 100,000 population per week) then 30.7 million lives could be saved. Delays in implementing strategies to suppress transmission will lead to worse outcomes and fewer lives saved" . 

 The Global Impact of COVID-19 and Strategies for Mitigation and Suppression 26 March 2020 

Avoid Harm 

Minimize  the harm from COVID 19 and its "treatment " 

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Vision

By September  2020 every individual who experiences symptoms of the Coronavirus infection has access to and is able to receive evidence-based, best practice informed treatment that improves their well-being in outcomes that matter for them.

By November 2020 there are no reported deaths of COVID-19 infection reported in the US.

By September 30, 2020, public health-driven considerations are driving the response to the Coronavirus viral infection related then political consideration.

By April 2021 a treatment, as well as prevention for the virus, is available to all individuals who have access to affordable, evidence-based treatment.

 

Goal: The right strategy for the individual and the system. The appropriate treatment for the right patient at the right time, for the right length of time, the right prevention strategy amount, and the right monitoring.


 

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Moving Past the Pandemic 

Vision:

 

By September 2020 the major impact of the COVID 19 Pandemic will decrease in the US leaving behind social, economic, educational, health care challenges, unlike Americans, have faced in a century. How shall we respond to the disparities that have disproportionally caused deaths and morbidity in communities of color.

 

Goal:

1. The health of the Nation

2. Economic Well being

3. Prepare for upcoming destructive events 

 

Background:

It is well known that work plays an important role in the lives of individuals' families, communities, and the nation. Moving past the pandemic will require diligence to address the economic, social, and psychological trauma. It can provide an opportunity to explore different social experiments. Address social determinants such as poor housing conditions are often accompanied by neighborhood-level conditions that limit access to health care, risk-reduction information, and treatment alternatives, which are protective resources and can disrupt behaviors that ultimately lead to despair and its pathology.

Take Action 

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Vision:

The Pandemic serves as an opportunity to enhance the role of citizens in our democracy. 

Invite 

As a fellow citizen, I invite you to participate in a  citizen commission to explore the COVID 19 pandemic and the response of the various global, national, state, local, non-governmental, and private sector stakeholders. Most importantly, the commission will consider the role of the citizen within their political ecosystem. The citizen’s commission utilizes the framework of the morbidity and mortality (M & M) conference used in the medical setting, to provide an objective, nonpartisan opportunity to examine and improve complex challenges.   I believe and hope that in addition to making an impact on the COVID-19 pandemic, the citizen commission process offers a much-needed change to the current political dialogue and reframes the challenges we face as a nation.

 

Over the next few months, the digitally based crowdsourcing citizen commission will examine publicly available information and documents related to the origin, response, and communication of events occurring since the Coronavirus (SARS-CoV-2) was identified December 2019, in Wuhan, China. When appropriate we will invite relevant stakeholders to participate. The goal of the citizen commission is to test the proposition that with the proper framework and easy to use citizen-oriented tools, we the people can more effectively collaborate to address complex problems. 

 

I invite fellow citizens to take part in this, grassroots,  crowdsourced endeavor to address one of our current “national (and global)  emergencies” the COVID 19 pandemic and explore the possibility of enhanced democracy through meaningful citizens engaged within their political ecosystem. Additionally, we hope to create a framework for dialogue within the public sphere to sustain a conversation for this and other current and future challenges in our body politic and more generally the global community. 

 

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