Friday, March 27, 2020

Alaska COVID-19 Case Counts For Thursday March 27


Yesterday's State report showed us UP 10 new cases (less than the day before) to a total of 69.



CONFIRMED COVID-19 CASES ALASKA MARCH 2020
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
new/total


12th  = 0/013th = 1/114th = 0/115th = 0/1
16th = 0/117th = 2/318th = 3/619th = 3/920th = 3/1221st= 2/1422nd= 8/22
23rd=14/3624th =6/42
1 hos 1 dead
25th = 17/59
3 hos 1 dead
26th = 10/69
3 hos 1 dead












Here are the charts the State put up.


They've added to the description "cases are assigned by date of onset, diagnosis, or report - whichever is earliest..."   Previously these charts were 'date of onset.'  So, again, it seems to me, there is no consistent way to figure out the rate of increase of cases  from this chart, even though it is on a timeline, because the numbers might mean different things and we aren't told why any given box is assigned the date it has.  Or, if a given box on the chart today might be moved to a different date tomorrow.  Maybe I'm wrong, but that's how I understand what that says.  This chart does give a visual sense of the dominance of Anchorage cases.  And the graphs below give us another chronological look of tests, but not of confirmed cases.




Is Ketchikan the second highest community (11) because the person who brought it into the community saw so many people?  Because it was easier to track who he saw?  Or because a larger proportion of people were tested?


1388 people have been tested according to the top chart.  While they attach numbers to the cumulative chart, I don't know why they don't attach numbers to the daily chart.  It would be much easier to figure out the numbers.  As it is, we have to subtract yesterday's cumulative from today's to figure out a more precise number of those tested.  But then we don't know if these numbers represent actual tests on a given day, or whether these are when the tests are reported to the State.


MY CHART:  I've reformatted the chart because I was tracking data the State no longer provided.  I hope this works better.





One Person In A Leaky Boat Can Jeopardize Everyone - Same In A Pandemic

When Jim Jones' cult members drank the Kool Aid, it was a terrible tragedy.  An example of mass delusion resulting in many deaths.  But the people drinking the Kool Aid were only endangering themselves.

But when people don't self-isolate now, they endanger everyone.  Including themselves, not only through getting the virus, but through overburdening health facilities.

Then people with normal, treatable problems, may not have access to the health care they would normally get.  Car crashes, falls, fire victims, shooting victims, overdose victims, and on and on.

AND IT HAS ALREADY BEGUN

When you call the Medical Practice I go to here in Anchorage, Alaska, you get this message on the phone:
"Due to COVID-19 our visits are solely focused on the sick who need urgent care.  People scheduled for wellness visits are asked to postpone their visits."

So since I'm overall improved - three steps forward, two back - I'm not bothering them.  My coughing  is less frequent, my temperature lower (though it varies greatly and was 99˚F two nights ago, 98.4 last night), and today I don't feel as weak as I did a couple of days ago.

I also got the lab test report back.  They tested me for a lot more things that I realized and a quick glance shows that everything was negative.  The only thing I really wanted to be tested for was COVID-19, but that they didn't test for.






RESPIRATORY PATHOGEN PANEL,NAAT - Final result (03/11/2020 4:45 PM AKDT)
RESPIRATORY PATHOGEN PANEL,NAAT - Final result (03/11/2020 4:45 PM AKDT)
ComponentValueRef RangePerformed AtPathologist Signature
Respiratory Pathogens PanelNegative
Comment: 
A negative result does not rule out the presence of viral nucleic acid below the limit of detection of this assay or the presence of PCR inhibitors and does not rule out infection with these viruses.

This test is FDA approved and is intended for in vitro diagnostic use.
NegativePAMC MICRO LAB
AdenovirusNot DetectedNot DetectedPAMC MICRO LAB
Coronavirus 229ENot DetectedComment: This test does NOT detect the novel Coronavirus that causes COVID-19. Follow your local Public Health Authority's guidelines for COVID-19 testing.Not DetectedPAMC MICRO LAB
Coronavirus HKU1Not DetectedComment: This test does NOT detect the novel Coronavirus that causes COVID-19. Follow your local Public Health Authority's guidelines for COVID-19 testing.Not DetectedPAMC MICRO LAB
Coronavirus NL63Not DetectedComment: This test does NOT detect the novel Coronavirus that causes COVID-19. Follow your local Public Health Authority's guidelines for COVID-19 testing.Not DetectedPAMC MICRO LAB
Coronavirus OC43Not DetectedComment: This test does NOT detect the novel Coronavirus that causes COVID-19. Follow your local Public Health Authority's guidelines for COVID-19 testing.Not DetectedPAMC MICRO LAB
Human MetapneumovirusNot DetectedNot DetectedPAMC MICRO LAB
Rhinovirus/EnterovirusNot DetectedNot DetectedPAMC MICRO LAB
Influenza A PCRNot DetectedNot DetectedPAMC MICRO LAB
Influenza A 2009 H1Not DetectedNot DetectedPAMC MICRO LAB
Influenza A H1Not DetectedNot DetectedPAMC MICRO LAB
Influenza A H3Not DetectedNot DetectedPAMC MICRO LAB
Influenza B PCRNot DetectedNot DetectedPAMC MICRO LAB
Parainfluenza 1Not DetectedNot DetectedPAMC MICRO LAB
Parainfluenza 2Not DetectedNot DetectedPAMC MICRO LAB
Parainfluenza 3Not DetectedNot DetectedPAMC MICRO LAB
Parainfluenza 4Not DetectedNot DetectedPAMC MICRO LAB
RSVNot DetectedNot DetectedPAMC MICRO LAB
Bordetella Pertussis PCRNot DetectedNot DetectedPAMC MICRO LAB
Chlamydia pneumoniaeNot DetectedNot DetectedPAMC MICRO LAB
Mycoplasma pneumoniaeNot Detected









Not DetectedPAMC MICRO LAB

Stay healthy everyone.


Thursday, March 26, 2020

Peace Corps Volunteers Fired, Brought Back Home Without Insurance [Updated]

As an RPCV (Returned Peace Corps Volunteer) I feel compelled to note here that some 7300 active Peace Corps volunteers were brought back home to the US because of the Corona Virus. So far, so good.  But they were also fired and cut off from their health insurance.  Some were at the end of their two year assignments, others at various stages.

Peace Corps Volunteers don't get paid much anyway so keeping on salary for a few months wouldn't have been a big deal.

Glassdoor says the average monthly pay is $314 for Peace Corps Volunteers.  Their total pay is higher because an amount is set aside as a cash payment when they return to the United States.  There also may be other variables such as pay for housing, but that depends on each country's situation.

These are folks who have been representing the United States as teachers, sanitation engineers, forestry experts, and a wide variety of similar jobs.  They range in age from early 20s to 60s and 70s. Bringing them back and just cutting them off like that in the middle of a pandemic just seems mean spirited.

Here's more from Talking Points Memo - with a detailed report of evacuation from Peru.

[I got this update today that there's money in the emergency stimulus bill for Peace Corps evacuees.

"Late Wednesday (March 25), the U.S. Senate passed an emergency stimulus bill that includes $88 million for Peace Corps. The legislation now heads to the House of Representative for a vote expected Friday (March 27). That’s just the first step in a long-term effort to keep Peace Corps funding strong and support evacuees. That is why we are issuing a challenge to our community to send 100,000 messages to Congress. Learn more
Peace Corps volunteers come into country after learning the local language and training to improve their skills to do serious work in country.  The 'victories' of volunteers are the people they help to improve their lives or the health of their communities or the economic strength of a community.  The statistics are in the hearts of the people whose lives they touched, only occasionally being articulated."]

At the 45th Anniversary celebration of Peace Corp Thailand the Foreign Minister of Thailand told the group that his life as a poor Northeaster village kid was transformed by a Peace Corps volunteer who taught him English in school and got him into the AFS program which had him live with a US family for a year. I had a former student come to me - someone whose life I thought I'd messed up by getting him into a Bangkok school where I figured later, he'd just be a misfit - to say it had transformed his life and enabled him to live a much richer life than he ever could have had I not been there.  The director of Peace Corps in Thailand at that time (45th Anniversary) and the  US Ambassador to Thailand (both former Thai Peace Corps volunteers) each told stories of returning to their villages and finding out that they were still remembered fondly because of projects that had greatly improved the villages.

And this doesn't count all the RPCV's who return to the US speaking languages from all over the world, with a close understanding of the countries where they volunteered.  They bring this knowledge back and it transform how they do their jobs when they get back home and how they inform public debates on local as well as international issues.

Just had to make sure this was noted.

March 25 Alaska COVID-19 Update - 17 More Cases Up to 59


First, my daily summary of new cases/cumulative cases.  Wednesday we had 17 new/59 cumulative cases.  That's the highest daily jump after Tuesday's dip down to only 6 new cases.

CONFIRMED COVID-19 CASES ALASKA MARCH 2020
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
new/total


12th  = 0/013th = 1/114th = 0/115th = 0/1
16th = 0/117th = 2/318th = 3/619th = 3/920th = 3/1221st= 2/1422nd= 8/22
23rd=14/3624th =6/42
1 hos 1 dead
25th = 17/59
1 hos 1 dead














From the State's update page. (Note, what's up today will be replaced by the new charts.  I haven't found any other place where you can find all the older charts, except on this blog.  I'm using the tag "Alaska COVID-19 Count" for these posts.  You can click on the tag under these posts.)


I'm still trying to find a definition of 'date of onset' and how they determine that.  So the chart above DOESN'T tell us the day new cases were confirmed.  My understanding is that "date of onset" might be useful to predict new cases, but I'm not sure if that's true or how it works.  

And if anyone from the state is reading this, I'd suggest that when you have two or more of one color, instead of one big block, you separate each individual case with the same lines you use between colors.  It would be easier for people to count that way.

"Close-contact" and "Pending" have been added to the chart.  Dr. Zink explained this a little bit in last night's press conference, but the difference between non-travel and close-contact still isn't clear to me.  I'm thinking, if someone touched a surface - a door handle or an ATM keypad and then touched their face - how can you track that down?  I don't think you can, at least not for sure.

The chart above is getting longer on the screen (as the state adds individual towns and cities) and harder for me to capture in a single screen shot.  Maybe tomorrow I'll just copy the whole page, even though it has more info than I'm trying to get here.  I'll experiment.

After a steep rise on March 23 the number of new tests dropped sharply on March 24.  




It's another beautiful day in Anchorage I hope people can get out and enjoy it.  It seems for walkers there's plenty of space to practice healthy physical distancing.



Wednesday, March 25, 2020

PLUS 17 TO 59 - But Forget The Virus - Listen To Dan Bern Sing Estelle

I first heard Dan Bern sing at Loussac Library - the ticket stub in the CD case says May 25, but there's no year listed.  I'm guessing it was 1997 or 1998.  My son had let us know that we had to go to the concert.  It was one of those magical, intimate  concerts.  I was quickly pulled into the music and at the end when he sang EstelleI was in the music with him.

Figuring out the hardware to connect and play all the different genres of audio I have is on my todo list for this year.  But it looks like the virus is going to push that back a while.  So today I pulled some of the CDs from downstairs and put Dan Bern into the Bose.

I've been feeling really tired all day and my temp is back up to 99 tonight.  So I don't really feel like updating my COVID-19Alaska count tonight.  As it says in the title, we've added 17 confirmed cases and we're now at 59.

Instead, I invite you to let Dan take you somewhere else altogether. Just let it build up.



Tuesday, March 24, 2020

Alaska COVID-19 Case Count - State Reports First Hospitalization And First Death - Will UPDATE


CONFIRMED COVID-19 CASES ALASKA MARCH 2020
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
new/total


12th  = 0/013th = 1/114th = 0/115th = 0/1
16th = 0/117th = 2/318th = 3/619th = 3/920th = 3/1221st= 2/1422nd= 8/22
23rd=14/3624th =6/42
1 hos 
1 death








I'm trying to find other confirmation of a death.  But here's what's on the State's newest update:

Note the last line in the chart above - 01 deaths.

I did hear on the radio about the first hospitalization, but not about a death.  Governor's COVID-19 press conference is at 6pm - here.  This link is easier - it's FB Live.  [UPDATE:  Confirmed in Press Conference now.  The person got the virus Outside of Alaska and passed away outside of Alaska.  More on this at ADN.  It said Federal Rules require Alaskans to be counted in Alaska even if they aren't there at the time.]


This is starting to show specific cities and towns, not just regions.

This is the first day where commercial tests outnumbered state tests, and it's by a lot!

I'll add more to this a little later.

Three Days Before 1964 Earthquake Anniversary - Jon Mooallem's Book This Is Chance Is Now Available

Looking for things to do while in self-isolation?  Order this book then listen to the podcast.



Genie Chance was a radio broadcaster in Anchorage when the earthquake hit, and her broadcasts got relayed from Fairbanks to the rest of the world.

"Slowly, people switched on their transistor radios and heard a familiar woman’s voice explaining what had just happened and what to do next. Genie Chance was a part-time radio reporter and working mother who would play an unlikely role in the wake of the disaster, helping to put her fractured community back together. Her tireless broadcasts over the next three days would transform her into a legendary figure in Alaska and bring her fame worldwide—but only briefly. That Easter weekend in Anchorage, Genie and a cast of endearingly eccentric characters—from a mountaineering psychologist to the local community theater group staging Our Town—were thrown into a jumbled world they could not recognize. Together, they would make a home in it again."

I 'met' Jon Mooallem first reading the intro to his book Wild Ones, which I wrote about here.

Then two years later I met him in person while on Bainbridge Island.  It turns out his daughter and my granddaughter are friends.  It took a while before I realized he was the guy who'd written Wild Ones.  And he was now writing about the 1964 Alaska Earthquake.  I wrote more about that here.

Well the new book is available as of today.  (I'm on his email list so I got a message about this today from him, and also from my daughter.)  So if you order it now you can probably get it while you're in isolation.

Meanwhile, this is the compelling audio telling of part of the book's story from two years ago, when he was working on the book.  It has lots of audio of Chance broadcasting and other audio from the time of the earthquake.  It's like an old fashioned radio show or a long This American Life story.   A great activity while you're stuck in the house.

The earthquake hit on March 27, 1964.  The 6 [5]6th anniversary will be Friday.

Here's a link where you can order the book from an Independent book store.


Here's a link to podcast interview with Jon from a couple of days ago.  I couldn't find a way to embed it here.




Monday, March 23, 2020

Alaska COVID-19 Confirmed Cases Up To 36

 It's harder to keep track of the numbers I set up based on the state numbers because they don't report things exactly like they did originally.  I'll keep posting those numbers at the bottom of these posts until I figure out a better way.  

Meanwhile I think this chart will help show the exponential growth that is beginning to occur.

CONFIRMED COVID-19 CASES ALASKA MARCH 2020
MondayTuesdayWednesdayThursdayFridaySaturdaySunday  
new/total

12th  = 0/013th = 1/114th = 0/115th = 0/1
16th = 0/117th = 2/318th = 3/619th = 3/920th= 3/1221st= 2/1422nd=8/22
23rd=14/36







Here's what the State posted today:


The State hasn't posted how they've determined the date of onset.  But based on other studies I've seen in other countries, the number of confirmed cases lags behind onset.  My chart above shows that on March 15 there was only one confirmed case in Alaska.  But this shows lots of cases already there, so I'm guessing that this is a preview of the fast increase that's come in the last few days, and, presumably the next couple of weeks.  






There was a sharp drop-off in tests.  Is that because of the weekend?  Or is it because the State has change the time they report cases?   Or?   I don't know. 

MY CHART - Yesterday the state first posted the two graphs from Saturday again on Sunday.  I had trouble working out my numbers in yesterday's post because of that.  They later fixed it and I added the new charts to yesterday's post.  I've adjusted the numbers from yesterday in the table below.  You'll see I'm having trouble in the columns on new negative state lab and new negative commercial lab tests.  The state began reporting those separately from the positive tests.  Now it doesn't say those are negative tests only (see two graphs above).  But it doesn't identify whether the positive tests were done in State or commercial labs.  As I've said in previous posts, I'm not sure why they thought it important to distinguish the two types of labs.  But with the change in how they report, I have to figure out whether and how to change the columns I'm reporting.