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Take a look at the engineering Challenge Cards designed to use in the classroom or at home.

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Mini Immune Bootcamp protocol.COVID 2020

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Internal Emails Show How Chaos at the CDC Slowed the Early Response to Coronavirus - ProPublica

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Internal Emails Show How Chaos at the CDC Slowed the Early Response to Coronavirus - ProPublica

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On Feb. 13, the U.S. Centers for Disease Control and Prevention sent out an email with what the author described as an "URGENT" call for help.

The agency was struggling with one of its most important duties: keeping track of Americans suspected of having the novel coronavirus. It had "an ongoing issue" with organizing - and sometimes flat-out losing - forms sent by local agencies about people thought to be infected. The email listed job postings for people who could track or retrieve this paperwork.

"Help needed urgently," the CDC wrote.

Obtained by ProPublica, highlighting added.

This email is among hundreds of pages of correspondence between federal and state public health officials obtained by ProPublica through a records request in Nevada.

During the period in which the correspondence was written, from January to early March, health officials were trying to stay ahead of the coronavirus outbreak underway in China. By mid-February, when the CDC job postings email went out, the virus had a toehold in the United States, where there were already 15 confirmed cases. In another two weeks, the first case of community transmission would be reported in California, followed shortly by cases in Washington.

The documents - mostly emails - provide a behind-the-scenes peek into the messy early stages of the U.S. response to the coronavirus, revealing an antiquated public health system trying to adapt on the fly. What comes through clearly is confusion, as the CDC underestimated the threat from the virus and stumbled in communicating to local public health officials what should be done.

The same week the CDC sent out the email about the job openings, the agency sent Nevada officials alerts about 80 potential coronavirus patients to monitor, documents show. Four were not Nevada residents.

A state epidemiologist, in each instance, corrected the agency, informing the CDC that the person was from New York, not Nevada. (The CDC then redirected each report to New York, the documents show.)

The confusion sometimes went both ways. On March 4, a program manager in the Nevada Health Department reached out to the CDC to ask about congressional funding for COVID-19, the disease caused by the novel coronavirus.

"There seems to be a communications blackout on this end," the program manager wrote, wondering if funds would be distributed based on the number of cases in each state or by population.

"Unfortunately, there is no clear answer to your questions," responded a CDC staffer, apologizing for the lack of information. "We are hearing all of the rumor mills as well."

"Thank you," the Nevada program manager replied. "It's good to be confused together."

Obtained by ProPublica, identifying information redacted.

Chaotic Coordination

For much of February, the CDC kept a tight grip on who should be tested for the coronavirus, a strategy that has been criticized by epidemiologists for limiting the ability to track the spread of the disease.

In a Feb. 19 presentation to state health officials, the CDC described the definition of a person who ought to be tested: You had to have had close contact with someone confirmed to have COVID-19, or to have traveled from China and then had respiratory symptoms and a fever at the same time.

However, the CDC's own guidance from a month prior, distributed to the states on Jan. 17, had a footnote that said that "fever may not be present in some patients," such as people who had taken fever-lowering medications, according to one of the documents obtained by ProPublica. That caveat was not on the slides presented to the states in mid-February.

In a statement to ProPublica, the CDC said clinicians could always use their judgment to decide who received a test. "CDC never declined a request for testing that came from a state or local health department," the agency said.

Read More

The CDC designed a flawed test for COVID-19, then took weeks to figure out a fix so state and local labs could use it. New York still doesn't trust the test's accuracy.

In mid to late February, the CDC was trying to move responsibility for coronavirus testing from itself to state health departments - a critical step, since the CDC does not have the capacity to be the nation's testing lab. Slides from the Feb. 19 presentation describe the process for transitioning from "Phase 1," in which the CDC determined who was a potential COVID-19 patient and conducted all the testing, to "Phase 2," in which local health departments would do that work and report data back to the CDC.

Because of delays with test kits, Phase 2 had to be "redesigned," the presentation said, so the CDC would continue to test specimens and return results. The CDC told ProPublica that all states have now transitioned to the original Phase 2 plan, where they can run their own tests.

The CDC presentation also directed the states to use a web platform called DCIPHER, which the agency was already using for food-related outbreaks, to report potential COVID-19 patients and confirmed cases.

But it wasn't until the week of Feb. 24 - the same week that the U.S. would discover its first case of community-acquired COVID-19 - that the CDC scheduled a training for states on how to use the platform, according to the documents.

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On March 1, the CDC emailed Nevada's Health Department, requesting that it send a list of users and email addresses to connect to the DCIPHER system, to "ensure that we can onboard your jurisdiction."

"We sent a spread sheet a couple weeks ago which I thought covered this," a state epidemiologist responded.

Four days later, Nevada announced its first confirmed case of the coronavirus. It's unclear when the state managed to successfully get on the DCIPHER system. Officials from Nevada declined to comment.

"Maybe Just Kidding"

A key part of the CDC's strategy during the early days of the outbreak was identifying infected travelers returning from China. The process for screening passengers arriving at Los Angeles International Airport did not go smoothly, the correspondence obtained by ProPublica indicates.

On Feb. 16, a CDC staff member sent a message to colleagues about a buggy electronic traveler screening questionnaire that wouldn't save correctly, among other issues. Also, the tool's drop down field auto-populated with "United Kingdom" instead of "United States," forcing users to type "United States of America."

The CDC staffer also said the agency was struggling to interview non-English speakers in a timely manner and needed additional interpreters.

"Hello Team," another CDC staff member responded, offering a solution: "The Google translate App has a real-time voice translation option."

The screening protocol also wasn't always clear. On Feb. 29, a CDC officer at LAX sent an email to her colleagues, saying: "In case this comes up again, we are not screening private flights. These would be flights that land at LAX but don't arrive into the regular terminal ... mainly for rich people."

Just over two hours later, the officer emailed again. "And, maybe just kidding," she wrote. Information from headquarters seemed to contradict what she had said about private flights, she said.

The CDC told ProPublica that it scaled up the screening almost overnight, so it focused on vetting the largest segment possible of high-risk passengers coming from places like Wuhan, China. The agency trained staff and dealt as best it could with limited staffing and translation services, it said.

"Protecting Americans Is What We Do"

The CDC's initial response to COVID-19, particularly its failure to initiate swift, widespread testing, has drawn intense criticism.

Nonetheless, the correspondence ProPublica obtained shows that the CDC director, Dr. Robert Redfield, exuded confidence in communications with others at the agency.

On Jan. 28, when the CDC had confirmed five cases of the coronavirus, all in travelers who arrived from outside the country, he emailed colleagues to acknowledge it posed "a very serious public health threat," but he assured them "the virus is not spreading in the U.S. at this time."

Obtained by ProPublica, highlighting added.

That actually may not have been the case. The CDC confirmed the first case of COVID-19 in Washington on Jan 20. Trevor Bedford, a computational epidemiologist at the Fred Hutchinson Cancer Research Center in Seattle, has said he believes that the virus could have begun circulating in the state immediately after the traveler arrived in mid-January, based on his analysis of genetic data from the initial Washington cases.

The CDC said in its statement that Redfield's comments were based on the data available at the time. "At no time, did he underestimate the potential for COVID-19 becoming a global pandemic," the agency's statement said. "He stated consistently that more cases, including person to person spread, were likely."

On March 3, Redfield wrote to his staff again, stressing the agency's readiness, despite the growing evidence that it wasn't. "We anticipated and prepared for the possible spread of COVID-19 in communities across the United States," he said in an email.

The CDC said in its statement that Redfield was telling staffers that the agency would continue to be engaged in a sustained response to COVID-19. Redfield's email was not characterizing the state of the outbreak, the CDC said.

By that point, it was clear that the coronavirus was gaining ground within the country, even if the inability to test for it was obscuring the true numbers. Physicians and public health experts begged for more tests while warning that thousands of cases would soon emerge.

Still, Redfield's March 3 email struck a reassuring note.

"Confronting global outbreaks and protecting Americans is what we do," Redfield wrote in the message. "More and more, people are turning to us for guidance, and we respond consistently with evidence-based information and professionalism."

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ProPublica is a nonprofit newsroom that produces nonpartisan, evidence-based journalism to expose injustice, corruption and wrongdoing. We were founded ten years ago to fill a growing hole in journalism: newsrooms were (and still are) shrinking, and legacy funding models failing. Deep-dive reporting like ours is slow and expensive, and investigative journalism is a luxury in many newsrooms today - but it remains as critical as ever to democracy and our civic life. A decade (and five Pulitzer Prizes) later, ProPublica has built the largest investigative newsroom in the country. Our work has spurred reform through legislation, at the voting booth, and inside our nation's most important institutions.

This story you've just finished was funded by our readers and we hope it inspires you to make a gift to ProPublica so that we can publish more investigations like this one that holds people in power to account and produces real change.

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Marshall Allen
Marshall Allen is a reporter at ProPublica investigating the cost and quality of our health care.

Lexi Churchill
Lexi Churchill is a Scripps Howard research reporting fellow at ProPublica.

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Internal Emails Show How Chaos at the CDC Slowed the Early Response to Coronavirus - ProPublica

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On Feb. 13, the U.S. Centers for Disease Control and Prevention sent out an email with what the author described as an "URGENT" call for help. The agency was struggling with one of its most important duties: keeping track of Americans suspected of having the novel coronavirus.

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**Respiratory Viral infection Prevention and Tx3-26, HoW

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Coloring book pages from Ricardo Levins Morales (free!)

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Coloring book pages from Ricardo Levins Morales (free!)

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Poster Art for Social Justice - Ricardo Levins Morales

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These coloring pages come from RLM's "What to Do in a Pandemic... Our Cousins Know" series ( Poster, poster pack available for sale, full color free download). We are the medicine. Original illustrations by Ricardo Levins Morales - with messages for the difficult times of COVID-19. Adapted for coloring pages by Cory Teshera-Levye.

These files are free for noncommercial use. You are welcome to share anywhere - kindly include a link back to this site. For commercial reprint information see here. If you would like to support the artist with a donation, make a purchase from this site, or send via paypal to [email protected]

PDF Files, to print on 8.5×11″ or A4 paper: All 10 Animals | Stay Aware Fox | Support Loon | Limit Exposure Beavers | Wash Frequently Butterfly | Calm Turtle | Check In Cubs | Offer Support Elephant | Resting Leopard | Accept Feelings Dog | Organizer Bee

Image Descriptions:
1. Little fox in green and brown burrow: "Stay Aware"
2. Loon with chicks riding on its back, in a canal with reeds on the bank: "Support those most vulnerable"
3. Two beavers inside a dam: "Limit Exposure"
4. A monarch butterfly on rocks by water, with foliage behind, dipping legs into the water: "Wash Frequently"
5. A turtle with a pile of greens in front to slowly eat: "Spread Calm"
6. Two bear cubs peering at each other from opposite sides of a tree trunk: "Check in on each other"
7. Two elephants standing next to a third who is laid on the ground, ready to help up if needed: "Offer healing support"
8. A leopard asleep up a tree, draped over the limbs "Rest"
9. A yellow lab dog with paws over face: "Accept your feelings"
10. A bee flying over purple thistle flowers "Organize for a better future"

Product Details

Year Created

2020

SKU

Color1

Categories

Coloring Pages, Recent Work, What To Do In A Pandemic

Tags

aware, bear, beaver, bee, butterfly, calm, cheetah, coloring, coloring pages, coronavirus, covid, dog, elephant, feelings, fox, health, illness, loon, monarch, pandemic, support, turtle

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It's a difficult time for rock climbing. The gyms are closed, climbing outside is discouraged, and at Climbing's home base in Boulder, Colorado, it's also snowing. But, us climbers are a resourceful people. You can climb anything if you put your mind to it (and have the requisite finger and core strength). And many climbers have been doing just that-climbing anything they can. The above photo was submitted by reader John Nguyen. He writes:

"It's been two days since @sportrock has closed. I'm fine on supplies but in order to keep morale high during these isolated times, I decided to go for the first ascent of my kitchen (5.9)(5.13c in your house). ⁣⁣⁣Conditions were near perfect but the Oreos in the pantry were a huge distraction and prevented me from the free solo onsight 😔. The route is bolted but I recommend placing a .5 and #1 cam at the oven and a #.75 at the dishwasher. DM me if you want the coordinates to this gorgeous granite line (serious inquiries only)"

Have you been sending your own cabinetry, furniture, or other household structures? We want to see how you're dealing with the quarantine. Send your photos, along with a description, to letters@climbing.com. We'll feature our favorite images in a photo gallery on the website, and one lucky winner as chosen by the editors will receive a copy of Vantage Point, an anthology of the greatest stories from the last 50 years of Climbing Magazine. It'll give you something to read while you rest in between burns on the cabinet traverse.

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It's a difficult time for rock climbing. The gyms are closed, climbing outside is discouraged, and at Climbing's home base in Boulder, Colorado, it's also snowing. But, us climbers are a resourceful people. You can climb anything if you put your mind to it (and have the requisite finger and core strength).

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March 20th - check out this important announcement re: the AHG annual Symposium and COVID-19.

This page will serve as a collection of articles, links, resources, recommendations, and more centering around COVID-19. Please share these with your local and global community.

This information is not endorsed by the American Herbalists Guild, but simply a gathering of resources available online at this time. The ideas or views in any of the content linked here do not represent those of the American Herbalists Guild and are wholly unaffiliated with the organization. These resources are meant to aggregate the growing body of educational and herbal literature surrounding COVID-19 and the reader is encouraged to draw their own conclusions.

During this time of uncertainty, much information is untested and experimental and proceeding with caution and common sense is critical. Most importantly, it is imperative to adhere to CDC and WHO guidelines regarding social distancing, testing, monitoring, and quarantine when appropriate.

We would like to thank Herbalists Without Borders for their help initiating this list of resources. If you would like to add a link to this growing list please us.

TABLE OF CONTENTS
TCM Herbs/Alternatives Sanitizers and Sanitizer Recipes Vitamin D and immunity video Decolonizing Community Care in Response to COVID-19 by Jade Begay Coronavirus: Why You Must Act Now by Tomas Pueyo What To Do Right Now by Garden Party What You Can Do About COVID-19 Right Now by Enkhbayar Munkh-Erdene, Iman Mohamed
A Movement to Stop the COVID-19 Pandemic by StayTheF***Home (Trigger Warning: Language)
Demands from Grassroots Organizers Concerning COVID-19 by Kelly Hayes What's your risk of dying of COVID-19 - or inadvertently allowing the death of someone in your community? by Scott Leibrand How to Keep the Greater Good in Mind During the Coronavirus Outbreak by Jill Suttie Wash Your Hands by Dori Midnight 'Stay Home as Much as Possible': The New CDC Advice for Those at High Risk of Coronavirus Complications by Lauren Gelman Worried about coronavirus? If your loved one is over 60, read this by Scottie Andrew Coronavirus is most contagious before and during the first week of symptoms by Tina Hesman Saey Anti-inflammatories may aggravate Covid-19, France advises by the Guardian Why hand washing really could slow down an epidemic by Maria Cohut, PhD Self-isolation: Guide for caregivers, household members and close contacts Getting your workplace ready for COVID-19 Key considerations for repatriation and quarantine of travellers in relation to the outbreak of novel coronavirus 2019-nCoV Risk Assessment for Events Key considerations for repatriation and quarantine of travellers in relation to the outbreak of novel coronavirus 2019-nCoV by the WHO Coronavirus - COVID-19 by Hesperian Health Guides COVID-19 Internet Book of Critical Care (IBCC) AAFP Creates COVID-19 Member Community, Preparation Checklist Implementation of Mitigation Strategies for Communities with Local COVID-19 Transmission What every American and community can do now to decrease the spread of the coronavirus Information for Healthcare Professionals Resources for Community- and Faith-Based Leaders Coronavirus disease (COVID-19) outbreak Coronavirus disease (COVID-19) advice for the public: Myth busters One Herbalist's Thoughts On The Coronapocalypse by Thomas Easley An Herbalist's Notes on the COVID-19 Virus by 7Song Coronavirus and COVID-19 by Green Wisdom School of Natural and Botanical Medicine Herbal Treatment for Coronavirus Infections by Stephen Harrod Buhner What's the deal with elderberry and cytokine storm? by Larken Bunce COVID-19 e Implementaciones Tropicales por Olatokunboh Obasi MSc. RH (AHG) Coronavirus: Protocols & notes from various herbalists shared by Paul Bergner North American Institute oif Medical Herbalism COVID-19 Wuhan Coronavirus Resources COVID-19: An Integrative MDs Commonsense Approach by Aviva Romm, MD COVID-19, Pregnancy and Breastfeeding: What We Know is Reassuring by Aviva Romm, MD COVID-19 Prevention: From Commonsense to Natural Remedies (& Avoiding Nonsense!) by Aviva Romm, MD Herbs for Immunity by Herbs by Rosalee Coronavirus, Herbalism, and Pandemic Preparedness by indieherbalist Coronavirus Resources by Matthew Wood Institute of Herbalism Targets of Herbal Viral Interventions by Naturally Simple Living Herbs for Coronavirus Preparedness Podcast by CommonWealth Center for Holistic Herbalism Coronavirus: Herbal Prevention and Treatment by Leslie Tierra Coronavirus Covid-19 - Analysis of symptoms from confirmed cases with an assessment of possible homeopathic remedies for treatment and prophylaxis by Dr. Manish Bhatia
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Herbs for Coronavirus Preparedness ( with transcript or ) by Katja Swift and Ryn Milt, Commonwealth Center for Holistic Herbalism

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Handbook of COVID-19 Prevention and Treatment by The First Affiliated Hospital, Zhejiang University School of Medicine
Herbalism: A New Era (Coronavirus): A bioregional herbalist's look at the Coronavirus by John Slattery Novel Coronavirus (COVID-19)-Fighting Products Handmade Sanitizer Recipe Guide to Local Production: WHO-recommended Handrub Formulations Coping with a Disaster or Traumatic Event Emergency Responders: Tips for taking care of yourself Mental Health and Psychosocial Considerations During COVID-19 Outbreak 19 Ways to Support Your Mental Health During COVID-19 Keep calm and connected: Locals talk importance of mental health amid COVID-19 concerns Managing fear in difficult times: COVID-19
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UPDATED March 23, 2020March 20th - check out this important announcement re: the AHG annual Symposium and COVID-19.This page will serve as a collection of articles, links, resources, recommendations, and more centering around COVID-19. Please share these with your local and global community.This information is not endorsed by the American Herbalists Guild, but simply a gathering of resources available online at this time.

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By downloading the Folding@home software you are supplying us with the computer power we need to find new cures. And by spreading the word you're giving even more people the chance to contribute. In our book, that certainly makes you one in a million.

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By downloading the Folding@home software you are supplying us with the computer power we need to find new cures. And by spreading the word you're giving even more people the chance to contribute. In our book, that certainly makes you one in a million.

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Author Fred Bahnson and filmmaker Jeremy Seifert kick off the first session in our Contributor Conversation series. The two collaborated to create the story The Church Forests of Ethiopia: A Mystical Geography for our recent Trees issue, as well as On The Road with Thomas Merton for last year's Faith issue. Hosted by Emmanuel Vaughan-Lee, Executive Editor of Emergence, Fred will read an excerpt from his essay and Jeremy will share his creative process behind shooting and directing the film. The live conversation will also include a moderated Q&A with the audience.

Wednesday, March 25th, 12:00-1:00pm (PST)

Last August, Emergence staff writer Chelsea Steinauer-Scudder traveled to Rajasthan, India, to learn about a transformative tree planting project in the village of Piplantri. Hosted by Emmanuel Vaughan-Lee, Chelsea will read an excerpt from her essay One Hundred and Eleven Trees and share her experience reporting for this story in India. The conversation will also include a moderated Q&A with the audience.

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The Emergence Magazine Online Book Club will kick off with contributor Robin Wall Kimmerer's acclaimed, best-selling book Braiding Sweetgrass. Throughout the month of April, participants will meet online once a week to discuss a portion of the book with staff writer Chelsea Steinauer-Scudder. For the final session, Robin Wall Kimmerer will join us in a live conversation and Q&A hosted by author Robert Macfarlane.

Thursday, April 2nd, 12:00-1:00pm (PST)
Thursday, April 9th, 12:00-1:00pm (PST)
Thursday, April 16th, 12:00-1:00pm (PST)
Thursday, April 23rd, 12:00-1:00pm (PST)
Thursday, April 30th, 12:00-1:00pm (PST)

This four-part workshop will bring together a supportive community and offer tools and practices that members can carry back into their lives. Participants will be guided through practices for connecting to the natural world, invited to respond to writing prompts, given space for facilitated discussion and group reflection, and offered time for stillness. Together, we will explore the ways in which experiences of being vulnerable can present opportunities for seeking a deeper connection with one another and with the nonhuman world.

Saturday, April 4th, 12:00-2:00pm (PST)
Saturday, April 11th, 12:00-2:00pm (PST)
Saturday, April 18th, 12:00-2:00pm (PST)
Saturday, April 25th, 12:00-2:00pm (PST)

This writing course will be an opportunity to explore and develop creative work-non-fiction, fiction, or poetry-in response to given prompts. Held every other Sunday, each session will begin with a short time for reflection and conversation; everyone will then have the opportunity to share all, or part, of their writing with the group for responses, questions, and feedback, as desired. All levels are welcome.

Sunday, April 5th, 12:00-1:30pm (PST)
Sunday, April 19th, 12:00-1:30pm (PST)
Sunday, May 3rd, 12:00-1:30pm (PST)
Sunday, May 17th, 12:00-1:30pm (PST)
Sunday, May 31st, 12:00-1:30pm (PST)
Sunday, June 14th, 12:00-1:30pm (PST)

Acclaimed author Robert Macfarlane penned the introduction and post-script for our reprint of Roger Deakin's essay, East to Eden, featured in our Trees issue. Hosted by Emmanuel Vaughan-Lee, Robert will read an excerpt from Roger's essay and discuss the life and legacy of his close friend. The conversation will also include a moderated Q&A with the audience.

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Thursday, May 7th, 12:00-1:00pm (PST)
Thursday, May 14th, 12:00-1:00pm (PST)
Thursday, May 21st, 12:00-1:00pm (PST)
Thursday, May 28th, 12:00-1:00pm (PST)

For the month of June, we'll be reading David Haskell's award-winning book The Songs of Trees: Stories from Nature's Great Connectors, winner of the John Burroughs Medal for Outstanding Natural History Writing. Participants will meet online once a week to discuss a portion of the book with Emergence staff writer Chelsea Steinauer-Scudder. For the final session, David Haskell will join us for a live conversation and Q&A, hosted by Emmanuel Vaughan-Lee.

Thursday, June 4th, 12:00-1:00pm (PST)
Thursday, June 11th, 12:00-1:00pm (PST)
Thursday, June 18th, 12:00-1:00pm (PST)
Thursday, June 25th, 12:00-1:00pm (PST)

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Online Community Offerings - Emergence Magazine

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Author Fred Bahnson and filmmaker Jeremy Seifert kick off the first session in our Contributor Conversation series. The two collaborated to create the story The Church Forests of Ethiopia: A Mystical Geography for our recent Trees issue, as well as On The Road with Thomas Merton for last year's Faith issue.

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COVID-19 | Eclectic School of Herbal Medicine

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COVID-19 One Herbalist's Thoughts On The Coronapocalypse This page is a work in progress. It's regularly updated with resources as I find them. The treatment section will change as I see more people with and presentations of Covid-19. There is a virus called SARS-CoV-2. That's a mouthful, so once someone has the virus, the infection ...

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Integrative Considerations during the COVID_rev rc

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*Respiratory Viral infection Prevention and Tx

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Functional Mysophobia: Crazy Ways to Stay Healthy

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Functional Mysophobia: Crazy Ways to Stay Healthy

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Functional Mysophobia: Crazy Ways to Stay Healthy — Uphill Athlete

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UPDATE March 10th, 2020: While sporting contests around the world are being canceled due to the COVID-19 outbreak, training can-and should-continue. Besides the obvious risk to ourselves of contracting Novel Coronavirus 2019, we put others at risk should we become carriers. So we owe it to those around us, especially the sick and elderly, to take every precaution. So let's review how to stay healthy whilst training and continue to improve our hygiene habits so we all can enjoy greater health.

For endurance athletes, staying healthy while training represents more money in the fitness bank. Imagine that for every day you were sick, you had to dig into your savings and pay your employer two and a half days of income:

Five days off would cost you 13 days' income;

Seven days off would cost you 18 days' income;

Two weeks off would cost you 35 days' income.

If sick days cost you money, would that change how you interact with people? How much more cautious would you be about getting sick?

Mysophobia: "Also known as germophobia, mysophobia is a pathological fear of contamination and germs." - Wikipedia

Suddenly, what is normally an irrational fear becomes very, very rational. This is the harsh reality for endurance athletes.

"Whenever the athlete stops training, a 'detraining' process sets in, inducing a relatively rapid loss of the acquired adaptation. For example, half the increase in mitochondria from 5 weeks of training may be lost in 1 week of detraining. Since the number of mitochondria substantially determines the endurance capacity of the [athlete], it is obvious that the loss of one week of training will have a marked effect on the endurance."

- Jan Olbrecht, The Science of Winning , p. 8 (emphasis is mine)

So for every unplanned rest day, you lose two and a half days of mitochondria. That sucks.

The Best Defense

I spent the first four years of my skimo training in an up-and-down battle with illness. I'd build up two or three months of training and start feeling really fit. Then I'd get sick and spend two or three weeks on the couch, losing up to two months of training. Once recovered, I'd have to start the slow, tedious climb back up.

Last January, I resolved to be smarter about avoiding illness. If my friends and family thought I was crazy, so be it. I was sick and tired of watching months of hard work go down the drain. I decided that I would approach illness like a crazy person.

The solution was what I call "functional mysophobia ": an intentional avoidance of illness that is on par with someone irrationally afraid of germs. I would become a mysophobe.

And it worked. I didn't have an unplanned rest day for 425 days. It was working so well that I was getting superstitious. I didn't want to write or talk about it in case I jinxed it. But now that I have a runny nose and a cough, I can tell you about it.

Managing Risk: Strategies for Staying Healthy while Training

There are four keys to managing risk : probability, consequence, exposure, and vulnerability.

When thinking about risk, most people never get past probability, and they make a lot of bad decisions because of it. When you look at all four factors, it becomes a powerful defensive tool:

Probability: What's the chance that I'll get sick (given my life and lifestyle)?

Consequence: What happens if I get sick? What will I lose?

Exposure: How can I decrease the presence of the threat?

Vulnerability: How can I increase my resistance to the threat?

Your own probability of infection and its consequences are individual and easy to figure out. With school-age kids and intermittent life stress, I was dealing with a probability of "near certainty" and a consequence of "big-time suckage."

Here are the tools that I used to manage exposure (the things outside of me) and vulnerability (the things inside me).

Decreasing Your Exposure to Germs

You want to avoid any controllable circumstances where there may be an increase in the number of germs in your immediate environment.

Decreasing exposure comes down to two key areas:

Being wary of airflow; and

Avoiding communal control surfaces.

Being Wary of Airflow

They say a single cough can expel 3,000 infected droplets at 50 miles per hour (mph). A sneeze? 40,000 droplets at 200 mph.

"...smaller and lighter particles are less affected by gravity and can stay airborne almost indefinitely as they are caught up in and dispersed by the room's airflow."

- Live Science, "T he Gross Science of a Cough and a Sneeze"

So think of air as water, and position yourself accordingly.

Stay upwind from people.

Staying upwind will carry your germs to them, but not the reverse.

Mind the wake.

When passing someone in a hallway or on a hiking trail, if they show any sign of illness, inhale just before you pass them, and exhale as late as possible.

Avoid unhealthy people (and their plumes of illness).

The less you're around sick people, the lower the chance of inhaling their illness. In general, that means obvious sick people, kids (especially in groups), childcare workers, the elderly, and sedentary people. Probably the safest place to be is training outside; unhealthy people don't exercise and obsessive exercisers usually prefer booty classes.

Avoid enclosures.

Enclosures can be a double whammy because you could end up in someone else's germ cloud and sitting right beside them. Things like cars and gondolas are especially dicey. On a gondola, in particular, try and get your own car, and open the windows to air it out from the previous party.

Being Wary of Communal Control Surfaces

A communal control surface is anything that multiple people use to control something else. This includes things like light switches, remote controls (especially in hotels), door handles, steering wheels, grocery carts, gas pumps, etc.

(Once you're a functional mysophobe, you'll be amazed to see how everyone uses these things without any thought as to who used them before...)

In general, try not to use these surfaces. But if you must, wipe them down or use some type of barrier to manipulate them.

Use your elbows as much as possible.

Try this: Wipe your eye with your elbow. Can't do it, right? Whenever possible, use your elbow to flick things like light switches. It's impossible for your elbow to get near your eyes and nose, so it's a great biomechanical barrier.

When elbows won't work, use a knuckle.

Knuckles are especially useful for PIN pads. Can you imagine how many fingers use those things every day?

When an elbow or knuckle won't work, use a barrier.

A barrier could be a tissue, the end of your sleeve on your dominant hand, or the hem of your shirt.

Even with elbows, knuckles, and barriers, always contact the surface using the most unergonomic area.

Good news: 99.9 percent of people are going to touch a control surface without even thinking about it. That means that they'll all grab the same convenient spot. That's a win because you and the other crazies can use the most uncomfortable part and reduce your exposure even more.

For door handles, reach lower or wider than most, or if possible, don't use the handle at all.

If no door handle, use your lower arm or hip to push the door.

At a magazine rack, pick a copy from deep in the stack, never the top copy.

Take the stairs. Unhealthy people prefer elevators.

Travel with your own pen.

You never leave home without your keys, phone, and wallet, right? Add a pen to your list of key tools.

Always carry hand sanitizer.

Ditto for hand sanitizer. Keys, wallet, phone, pen, hand sanitizer. An added bonus is that you can offer it to people, protecting them and you at the same time.

If sanitizer is provided, use it.

This is especially helpful at grocery stores. Grab the wipes and wipe down the cart handle.

Never ever touch your eyes or nose directly.

Runny nose? Sniff until you can find a tissue. Goopy eye? Use the inside of your collar. Never use your bare hand. Another possible-but dicey-option is the sleeve of your nondominant hand. (Remember, your dominant sleeve is for control surfaces.)
Be left handed.
Most people are right-handed and will grab the right-favored control surface. When there's a left-hand option, use it.

Most importantly, wash your hands obsessively.

Build a new habit of incessant handwashing after anything that may have contaminated them: door handles, tissue, sneezes, etc.

Reducing Your Vulnerability

The only time you should give it your all is on race day. Otherwise, hedge your bets. Never bet your whole roll . Always have some energy in reserve that your body can use to fight off illness.

There are two parts to reducing vulnerability: staying healthy and playing defense.

Staying Healthy

Sleep as much as possible.

The less you sleep, the more likely you are to catch a cold . This year I made sleep a big priority, and I think it's one of the biggest contributors to my improvement. I try to sleep at least 8 hours per night, and 20 minutes per afternoon. I prioritize sleep above everything else.

If you have a crappy sleep, change your training plan.

One crappy night usually doesn't make a difference. But if I have consecutive bad nights of sleep, I back off on my training and have easy days until my sleep is restored.

Eat a healthy diet.

Make sure your diet is giving you the nutrients you need to support your training load and defend you against illness. If necessary, take legitimate supplements. (I'm not a nutritionist, but I've read that probiotics, vitamin D, and zinc all support the immune system.)

Make sure that your calorie intake is sufficient to support your training load. It's important to watch your weight, especially for uphill athletes, but combining heavy training loads with calorie restriction is a recipe for disaster.

Train less than you're capable of.

It took my thick skull a long time to clue into this: Your training will never go according to plan. You're going to get curveballs. You need some slack in the system to deal with the unforeseen. Save the "see God" moments for when you need them: in races or pushing for the summit. You rarely need them in training.

Avoid stress.

Stress is nasty. Just as you never want to train to the limit, you never want to think or feel to it either. Always have something in reserve to deal with the unexpected.

Avoid alcohol.

Alcohol can weaken the immune system for hours and days after ingestion. And it negatively impacts sleep. The relatively brief gratification of drinking doesn't outweigh the increase in risk.

Playing Defense

No matter how diligent you are, you may still catch something. At the first sign of symptoms, either in yourself or those you live with, you need to change your game. You need to switch from building fitness to protecting fitness.

Sleep, eat, repeat.

If you have any symptoms, you can be sure that your body is fighting something. Sleeping and eating will support your defenses.

Train less.

Adjust your training plan. Back off and go into maintenance mode until the threat has passed. Keep that money in the bank. It's much easier to make up for lost training from an unplanned taper than it is from an unplanned illness.

Avoid intensity.

Postpone any intensity sessions until you're fully recovered. Adding intensity onto a struggling immune system will only make things worse.

Avoid fasted sessions.

Glycogen depletion is an important tool in aerobic development, but it also compromises immunity. Avoid depleted training alongside any symptoms that you or a family member develop.

Mind the trend.

As you sleep more, eat more, and train less, do your symptoms improve? If so, continue cautiously. If not, back off even more.

Welcome to La-La Land

Yep, now you cray-cray.

I started this crazy exercise last January. After 425 days of uninterrupted training, I'm fitter and faster than I've ever been. I've trained at record volumes and intensities. My race results this year are my best ever.

And acting like a crazy person for a year was a key component. I highly recommend it.

Your friends and family are sure to notice your craziness. If they voice any concerns about your newfound mysophobia, just ask them:

"If you had to pay me $300 for every day that I got sick, would you still think I'm crazy?"
-by Uphill Athlete Coach Scott Semple
Scott Semple is an ex-alpinist and skimo racer. This season, at the age of 45, he was able to increase his training load by over 50 percent and qualify for the ISMF World Championships. He thinks that acting crazy for a year was a key part of his improvement. For more tips from Scott, check out his posts in the Uphill Athlete forum
Photos: Ben Firth approaching Surprise Pass near Lake Louise, Alberta. By Scott Semple

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Functional Mysophobia: Crazy Ways to Stay Healthy - Uphill Athlete

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UPDATE March 10th, 2020: While sporting contests around the world are being canceled due to the COVID-19 outbreak, training can-and should-continue. Besides the obvious risk to ourselves of contracting Novel Coronavirus 2019, we put others at risk should we become carriers. So we owe it to those around us, especially the sick and elderly, to take every precaution.

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These are extraordinary and difficult times, but we are in it together. And we will continue to walk through it each day, drawing strength from each other. Here's what is helping me right now with grounding, quieting fear, and accepting change.

1. Practice extreme physical distancing. Our family has been at home for a week now. With today's brave and wise order from our mayor, we will be home for the next three weeks. If your town/city is not there yet, please take it upon yourself to save lives now by staying home, if it is at all possible for you. If you have any questions about the why of this, please read yesterday's post on Social/Physical Distancing. This is your gorgeous opportunity to save a life, maybe thousands of lives, by simply staying at home - pretty amazing when you think about it. One way to navigate your fear is to know you are doing all you can on behalf of others.

2. Make a clear plan for news and social media consumption - and follow it (even if imperfectly). I like to do this when I wake up in the morning - simply asking myself, "Okay, when will I be looking at news/social media today?" The answer for me has generally been 1 or 2 short periods during the day, not more. We all absolutely need to stay informed, and there is a lot of good information spreading in a grassroots way that is not yet coming in a centralized, succinct way. In this sense reading online is very useful. And, we also need to be discerning about what level of news consumption will best allow us to keep our connection to our center and to give our nervous system much needed breaks.

3. Make your daily plan to be of service. Service is an antidote to fear. We have got to get away from thinking about ourselves (and away from thinking period) and into loving action - multiple times a day. So every day - and especially when you are getting caught up in fear and worry - ask yourself what you can do to be of service. For example, you can call those in your community who might be feeling particularly afraid or lonely. You can find a way to support a small business that is being hard hit. You can do a video call with someone who could use a pick-me-up and put your adorable dog in the camera frame for them to see, giving them something to smile about for a few moments. And you can think about - or pray on - how your knowledge, skills, personal strengths or other resources can be of service during this crisis, and then act on your ideas.

4. Do your self-care top three. Identify three practices that are your foundation for staying well-sourced during this time. Maybe that's keeping to a calming bedtime routine. Maybe it's singing or listening to music or having a living room dance party. For me right now, the core three are exercise (via online videos or playing tag with my kids in the house!), meditation, and connecting with others (via video) each day. Identify and do your self-care top three, schedule them in your calendar each day, and shift what they are when needed.

5. Ground in crone energy. This one is the hardest to explain, but let me try. The crone is the wise, elder woman. The one who knows what she knows from the heart and from lived experience. The one who has been shaped by the lessons of a lifetime of community tending and caregiving. The crones who came before us put up with a lot. Crones of our own time were already putting up with a lot - violence, war, injustice, pain turned into pain turned into harm.

The crone sees the folly of the world for what it is: deep unknowing, deep "I have not learned that yet," coming from young, still immature souls. The crone knows how pain and unhealed wounds turn into more pain, which turns into harm done - through greed, deceit, heart-hardening, and denial. She grieves that, but she also looks at it with total clarity and compassion. When confronted with that folly, she does not feel like a little girl being attacked by something bigger than her. She knows she is bigger than it, that she can call in parts of that folly for healing, for a teaching, for an embrace, like a grandmother would with an unruly adolescent. She stands in this place even if that folly takes her out, in her physical incarnation, this time around. She is present to heal what needs to be healed and can ache in her heart, with tenderness, with wisdom, for what is not yet healed. This is the time to ground in crone energy, to stand in that place, as we encounter what is now unfolding.

I'm sending love to all of you, and I'll keep sending writings too.

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Navigating fear & change during the pandemic - TARA MOHR

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These are extraordinary and difficult times, but we are in it together. And we will continue to walk through it each day, drawing strength from each other. Here's what is helping me right now with grounding, quieting fear, and accepting change.

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"I have never let my schooling interfere with my education." Mark Twain may or may not have actually said that, but either way the sentiment resonates - and with a new strength now, since schools have closed all over the world in an attempt to halt the spread of the pandemic coronavirus. For many, this period of isolation (self-imposed or otherwise) represents an opportunity to rediscover the value of education: not the kind directed by an institution, but the much more valuable kind that runs on one's own steam. If you count among that select group of self-educators (or educators of children whom you can no longer send to school), we here at Open Culture have spent nearly the past decade and a half amassing just the resources you need.

At our selection of more than 1,500 free online courses, you can take deep dives into subjects from archaeology and architecture to law and literature to physics and psychology. (We've even got courses specifically designed to help you understand the coronavirus itself.) If you've been meaning to catch up on the work of the aforementioned Twain - or that of Dostoevsky, Wittgenstein, Kafka, and Proust, among others - he appears in our roundup of more than 800 free eBooks.

Should you prefer reading through earphones while exercising or cleaning - especially important activities these days - we can also offer you more than a thousand free audiobooks, whether you prefer Isaac Asimov or Jane Austen, Adrienne Rich or Charles Bukowski. (You can also get audiobooks from Audible if you sign up for a free 30-day trial there.)

While quarantine puts a temporary stop to many of our usual activities, it shouldn't get in the way of movie night. Our collection of 1,1500 free movies will cover all your movie nights through the time of the coronavirus and then some, including as it does classic films noirs, thriller and horror pictures (including some by no less a suspense master than Alfred Hitchcock), documentaries, and even the fruits of the film industries of countries like Russia and South Korea. And though we can't get enough cinema here at Open Culture, it's hardly the only visual art form we feature: you might spend some time, for instance, with this collection of two million images from 30 world-class museums. This range of art also appears in free museum-produced coloring books geared to all ages.

If you'd like to use your time of "social distance" to develop skills other than coloring, we can point you toward resources for learning to cook, to draw (like an architect, like a Japanese mangaka, like Lynda Barry), to play the guitar, and to practice yoga. Bear in mind also the online-education offerings from Masterclass we've featured here on Open Culture, from "Margaret Atwood Teaches Creative Writing" to "David Sedaris Teaches Storytelling and Humor" to "Werner Herzog Teaches Filmmaking." Those aren't free, but everything else in this post is, including our collection of online language-learning resources. Having spread through world travel, the coronavirus will keep many wary of going abroad in the foreseeable future. But when the pandemic ends, you'll want to be prepared to enjoy foreign lands again. Italy, a country especially hard-hit by the virus, will surely welcome all the visitors it can get. Until then, why not get a grasp on its language - and its cuisine - with a course like MIT's "Learn Italian with Your Mouth Full"?
Related Content: Free Courses on the Coronavirus: What You Need to Know About the Emerging Pandemic Coursera Providing Free Access to Its Course Catalog to Universities Impacted by COVID-19 Why You Should Read The Plague, the Albert Camus Novel the Coronavirus Has Made a Bestseller Again Quarantined Italians Send a Message to Themselves 10 Days Ago: What They Wish They Knew Then
Based in Seoul, Colin Marshall writes and broadcasts on cities, language, and culture. His projects include the book The Stateless City: a Walk through 21st-Century Los Angeles and the video series The City in Cinema. Follow him on Twitter at @colinmarshall or on Facebook.

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Use Your Time in Isolation to Learn Everything You've Always Wanted To: Free Online Courses, Audio Books, eBooks, Movies, Coloring Books & More

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'I have never let my schooling interfere with my education.' Mark Twain may or may not have actually said that, but either way the sentiment resonates - and with a new strength now, since schools have closed all over the world in an attempt to halt the spread of the pandemic coronavirus.

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Have you always thought that you could get really into opera if it were more easily accessible? Well, thanks to the coronavirus, now is your chance. OperaWire has reported that the Metropolitan Opera will host "Nightly Met Opera Streams" on its official website in an attempt to continue providing opera to its audience members. "We'd like to provide some grand opera solace to opera lovers in these extraordinarily difficult times," said Met general manager Peter Gelb in a press release. "Every night, we'll be offering a different complete operatic gem from our collection of HD presentations from the past 14 years."

The stream will be free and will present encores of The Met's acclaimed Live in HD series. The performances will begin at 7:30 p.m. EST and will be available to stream for 20 hours. The first week's schedule, outlined below, will be featuring timeless classics as Carmen, La Bohème, and La Traviata. If your only familiarity with Carmen is the film Carmen: A Hip Hopera starring a young Beyoncé, and the closest you've come to watching La Bohème is watching , this is a great way to expand your horizons.

Monday, March 16 - Bizet's Carmen

Conducted by Yannick Nézet-Séguin, starring Elīna Garanča and Roberto Alagna. Transmitted live on January 16, 2010.

Tuesday, March 17 - Puccini's La Bohème

Conducted by Nicola Luisotti, starring Angela Gheorghiu and Ramón Vargas. Transmitted live on April 5, 2008.

Wednesday, March 18 - Verdi's Il Trovatore

Conducted by Marco Armiliato, starring Anna Netrebko, Dolora Zajick, Yonghoon Lee, and Dmitri Hvorostovsky. Transmitted live on October 3, 2015.

Thursday, March 19 - Verdi's La Traviata

Conducted by Yannick Nézet-Séguin, starring Diana Damrau, Juan Diego Flórez, and Quinn Kelsey. Transmitted live on December 15, 2018.

Friday, March 20 - Donizetti's La Fille du Régiment

Conducted by Marco Armiliato, starring Natalie Dessay and Juan Diego Flórez. Transmitted live on April 26, 2008.

Saturday, March 21 - Donizetti's Lucia di Lammermoor

Conducted by Marco Armiliato, starring Anna Netrebko, Piotr Beczała, and Mariusz Kwiecien. Transmitted live on February 7, 2009.

Sunday, March 22 - Tchaikovsky's Eugene Onegin

Conducted by Valery Gergiev, starring Renée Fleming, Ramón Vargas, and Dmitri Hvorostovsky. Transmitted live on February 24, 2007.

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The Metropolitan Opera Will Stream Operas for Free in Wake of Coronavirus

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Have you always thought that you could get really into opera if it were more easily accessible? Well, thanks to the coronavirus, now is your chance. OperaWire has reported that the Metropolitan Opera will host "Nightly Met Opera Streams" on its official website in an attempt to continue providing opera to its audience members.

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A site that celebrates the work of artists who have had shows or presentations cancelled due to the need for social distancing caused by Coronavirus (COVID-19)

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You're in charge of one million people. What will you do?

Did you know that a infected person with COVID-19 will spread it on average to 2.35 other people?

The only way to get control of coronavirus is to lower this number - and the only way to lower this number is for everyone to reduce physical contact with other people by making fewer trips to work, school, houses of worship, public spaces, venues, restaurants, bars, and stores.

That's called 'social distancing.'

And it's the game we're all playing, right now.

How many people can you save?

Game population: people
Run time: 90 days, through

Try to slow the spread by enforcing social contact reduction across your society!

Design two scenarios with two variables:

1. How much will you reduce social contact across our entire population of 1,000,000?

2. How many days will you wait before you start enforcing those rules?

Want to help save lives in real life? Here's how:

We all need to work together to make social distancing happen. Just a few of us won't slow things down. And we must act fast. Most urgently, we need to demand that our governments to pass legislation to slow the spread, keep people safe, and increase vital healthcare resources for people who become very ill.

Action Items - Americans:

1. Call the US Senate switchboard at 202-224-3121 to reach your senators and ask them to urgently pass the Families First Coronavirus Response Act.

2. Contact your governor to ask them to declare an emergency and order non-essential businesses, workplaces, and schools closed, if they haven't.

3. Use Resistbot if you're phone-shy or can't get through.

Ways to create social distance

"Social distance" means limiting the time you spend in the same physical space as other people. No one can do this completely - it's impossible! - that's why even our game doesn't let you set Social Distancing to 100%. But if we all cut down together, we can change the game.

You can spread COVID-19 even when you feel fine. Just because you are young and feel perfectly healthy doesn't mean you're not infected. Please note: many people spread the virus without ANY symptoms. Your own risk may be very low, but people around you are at risk.

Here are some basic rules:

Avoid large gatherings - including religious services

Cancel kids' parties, sleepovers, sports, playdates, etc.

Don't shake hands, hug, or kiss anyone who doesn't live with you (and if they're not social distancing... cut back!)

Don't attend parties, concerts, film showings, or other public events

Skip the gym, dining out, bar scene, sitting at a café, club

Limit visits to stores - buy more than you typically would to reduce trips, go on off-hours

Get curb-side pickup, carry-out, or local delivery if possible

Don't go to other people's homes - including your close friends and family

Don't have guests over to your home - including your close friends and family

Cancel or reschedule any non-urgent outside appointments such as physicals, hair appointments, physical trainers, etc.

Cancel or reschedule any in-home appointments you can, such as home maintenance and cleaning

As much as possible, get longer refills on your prescriptions, and use drive-through pick-up or delivery

As much as possible, work from home, keep your kids home, encourage your housemates to stay home

Encourage your elderly and at-risk loved ones to stay home; arrange deliveries etc. for them if possible

Text, call, video chat, host a virtual watch party, play online games together, form a digital supper club!

Keep in contact with your loved ones as much as possible... just don't share air space.

Resources to share & learn more...

Flatten the curve! Learn how you, your family, and friends can help Flatten The Curve, reducing the number of sick people at any given time so that everyone can get the life-saving healthcare they need without overwhelming the system.

Convince your 60+ parents, grandparents, and friends. They are at a highly increased risk of dying (up to 18% fatality rate) from an infection. If they don't fully understand the risk, these talking points may help.

Social distancing is not a snow day. Learn how to avoid making critical social distancing mistakes

Check out WaPo's social distance simulator. Learn more about the math of viral spread.

References:
1. [1] "Median duration of viral shedding was 20.0 days."Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study.

2. [2] Estimate of percentage of US population currently infected, ⟨10,000-40,000⟩=25,000. We extrapolated with R₀=2.35 to March 15, 2020.Tweet by Dr. Trevor Bradford

3. [3]Working paper - model-based estimates of COVID-19 burden in King and Snohomish counties through April 7, 2020

4. [4] R₀ estimated at 2.35.Early dynamics of transmission and control of COVID-19: a mathematical modelling study

5. [5] 3.4% CFR (Case Fatality Rate).Tweet by the World Health Organization WHO

6. [6] The US needs a lot more hospital beds to prepare for a spike in coronavirus cases; Vox

7. [7] Infected people without symptoms might be driving the spread of coronavirus more than we realized; CNN

8. [8] "The median time from illness onset to hospital release was 22 days, and the average time from onset to death was 18.5 days."Old age, sepsis tied to poor COVID-19 outcomes, death; University of Minnesota Center for Infectious Disease Research and Policy

9. [9]Adjusted age-specific case fatality ratio during the COVID-19 epidemic in Hubei, China, January and February 2020

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Did you know that a infected person with COVID-19 will spread it on average to 2.35 other people? The only way to get control of coronavirus is to lower this number - and the only way to lower this number is for everyone to reduce physical contact with other people by making fewer trips to work, school, houses of worship, public spaces, venues, restaurants, bars, and stores.

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You come from survivors
and like your ancestors,
you have it in you to survive change.

You have it in you to survive chaos
You have it in you to survive cultural transformation

Whether it be a virus,
economic collapse,
wildfires,
a broken healthcare system;
we survive when we work together.

We all come from ancestors who
navigated upheaval, and
built new cultures from
the ruins of old.

We come from ancestors who
changed their daily lives,
changed their societies,
and transformed the world
for their decedents…

For YOU…

And WE,

In this time on Earth,
are being called to change
once again.

We are being called to change
our economy,
our safety nets,
and our community behaviors.

We are being asked:

What do you hold dear in life?
What do you hold sacred?

We are being tested.
It's a test of the human spirit.

One where millions of lives are on the line,
lives affected by virus,
lives affected by collapsing economies,
lives that can’t take the isolation.

What do you do?
Who are you?

Deep inside your DNA,
inside the fabric of culture,
inside our histories and herstories,
are the remnants of survivors:

The imagination of innovators,
the brilliance of visionaries,
the courage of action takers.

We are these people.
They are us.

I call to the survivor inside of you.
Bring forth your skills.
Bring forth your big heart.
Hold the vision of what can be born together
and make it happen.

Healthy food, clean water, sanitation,
shelter, warmth, love, purpose…

Everyone needs these as much as they need money.

Share what you can,
share with those nearest you,
your neighbors,
your town,
the folks living in the street.

Let the over-abundance of material wealth
take some of the burden
for those hit hardest.

Transform the landscapes of your community
and grow food,
grow medicine,
breath in life.

Share real, human, earthly love.
You don’t have to touch to do this.

I stand in solidarity with you, and

I sit in grief with those that are grieving;

Together we can build a bridge
to a thriving world.

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And how to spot disinformation online

Originally I was taking this week off from the newsletter, but a bunch of you have emailed me this week asking me how to spot and debunk Corona-related disinformation, or where to find reputable information about the virus. What put me over the edge however was a phone conversation with a nurse in preparation for an upcoming medical appointment. She asked what I did for a living and when I told her she immediately asked where to find good information and how to spot disinformation. Apparently she's not getting any guidance at work beyond being told to check the CDC website.

If an experienced nurse working in a top-notch hospital is struggling to parse out true information from disinformation and propaganda, the rest of us are clearly going to need help as well. Here are a few resources to get you started.

Center for Disease Control This one is obvious but it remains the best place to find reputable information about the virus, what you should be doing, and the U.S. Federal Government's response to the pandemic.

World Health Organization The WHO offers daily updates on the pandemic, guidance, and data on the spread. I find their dashboard that shows confirmed cases on a world map to be especially helpful for contextualizing the scale of this.

Flatten the Curve A hub for information and a call to action, Flatten the Curve, curated by Julie McMurray, MPH is a fantastic mix of data and practical precautions. It also does the best job of explaining the collective action required to curb the spread of Coronavirus that I've seen yet.

Twitter List of Experts Want to follow relevant experts on social media? There are several Twitter lists floating around but I like this one from Jeff Jarvis in particular. Honorable mention to Julie McMurray of Flatten the Curve's Twitter list.

Pinterest? Yes, really. Per Buzzfeed's Craig Silverman "What you see when you search for coronavirus or COVID-19 on Pinterest: "we've limited search results to Pins from internationally-recognized health organizations."" If you're going to search social media for information (proceed with extreme caution if so!), Pinterest is your most curated option.

Sifting Through the Pandemic Mike Caufield's simple and effective method for how to gut check information you see online is the easiest method I've seen to learn, and has never been more relevant. Mike has updated this post specifically for Coronavirus.

FirstDraft Resources for Reporters A ton of resources, compiled with journalists in mind, but of use to anyone. Includes a searchable archive of Coronavirus debunks and a primer of helpful articles about Coronavirus. For non-reporters, FirstDraft has a blog post of 5 quick ways we can all double-check coronavirus information online.

Media Matters Media Matters is tracking disinformation from several angles but it's hands down the best research for debunking what your right-wing uncle consumes on Fox News and other pro-MAGA news sources.

Jane Lytvynenko A reporter for Buzzfeed, Jane tracks disinformation about world events in real-time both on her Twitter account and in articles she files. I confess that my first step in verifying if information is false is often just going to Jane's Twitter feed to see if she's on top of it. 99.9% of the time, she is.

How Millennials Are Talking To Their Boomer Relatives About The Coronavirus If you have a relative or someone in your life who still isn't taking the pandemic seriously, conversations trying to persuade them to do so can be tough. This article from Buzzfeed's Anne Helen Peterson is the most helpful piece I've seen for those struggling with this.

Fight Against Coronavirus Misinformation Shows What Big Tech Can Do When It Really Tries I'm quoted in this article but it's helpful for putting Tech's response to Coronavirus disinformation into context. Moving forward, we have a good idea of what Tech can actually do when it's motivated to take down false content, and what gaps we still need solutions to.

****

One more thing, if you're not sure if something is accurate information please don't share it. We're all prone to doing this, and I'll cop up to sharing a feel-good story about Tom Hanks in quarantine before learning that it was intended as satire just yesterday. But the Internet is awash with Coronavirus related disinformation and propaganda, much of which potentially puts vulnerable populations and people at risk. One of the best ways you can help #FlattenTheCurve is to do extra diligence before sharing or opt not to share anything at all.

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A Handy List of Reputable Coronavirus Information

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And how to spot disinformation online Originally I was taking this week off from the newsletter, but a bunch of you have emailed me this week asking me how to spot and debunk Corona-related disinformation, or where to find reputable information about the virus.

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Use this self-assessment tool to help determine whether you should be tested for COVID-19.

You can complete this assessment for yourself or on behalf of someone else, if they are not able.

Please note: You do not need to be tested for COVID-19 if in the past 14 days you have not traveled outside Canada or had contact with someone diagnosed as having COVID-19.

AHS strongly urges anyone who has symptoms, including a cough, runny nose, fever or sore throat, to self-isolate for 14 days.

To protect yourself while out in public, wash your hands frequently, and maintain a distance of about 2 metres from others.
Launch self-assessment
If you have no symptoms or exposure concerns, but have questions about COVID-19 or novel coronavirus, please visit the following resources:

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Use this self-assessment tool to help determine whether you should be tested for COVID-19. You can complete this assessment for yourself or on behalf of someone else, if they are not able. Please note: You do not need to be tested for COVID-19 if in the past 14 days you have not traveled outside Canada or had contact with someone diagnosed as having COVID-19.

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Staying healthy during viral season - March 15 Update

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Droplet or aerosol infection spread? Surgical mask or respirator? Asymptomatic transmission or symptomatic only?

These are the defining questions surrounding the person-to-person transmission of the novel coronavirus disease COVID-19 that have yet to be answered-or answered sufficiently-for US experts monitoring the disease. And the answers hold the key to infection control policies that will become necessary as the disease continues to infect tens of thousands in China and hundreds more across the globe.

Yesterday the media reported that a Japanese doctor who was monitoring cruise ship passengers quarantined aboard the Diamond Princess in the port of Yokohama contracted the virus despite wearing gloves and a surgical mask. He joins the more than 500 healthcare workers in Wuhan, China, who have also reportedly contracted the disease-just by the middle of January.

These infections put into question how effective infection control policies are at preventing transmission.

Masks vs respirators-key differences

In its newly published infection prevention and control recommendations for COVID-19, the US Centers for Disease Control and Prevention (CDC) recommends the use of N95 respirators in a healthcare setting with the suspected novel coronavirus, but the World Health Organization (WHO) has recommended surgical masks for general patient care and respirators for aerosol-generating procedures only.

Face masks have become ubiquitous in China, sold on the street, and worn by almost everyone in public. A new survey, the Premise Coronavirus Awareness Survey, showed that in Taiwan 79.9% of people questioned said they were wearing masks in an effort to protect themselves from COVID-19. A similar percentage was noted in the Philippines.

Bruce Ribner, MD, medical director of the Serious Communicable Diseases Unit at Emory University Hospital, said the two masks serve very different functions. A surgical mask, or procedural mask, is meant to protect the environment from the wearer.

"It's meant to keep the surgeon's respiratory issues away from a patient," Ribner explained. A surgical mask does a good job of trapping large droplets, and some aerosol transmission, he said. Many of the masks being worn in China, though, are not designed for medical use or to any standards and so their effectiveness in trapping droplets is unknown.

A respirator, such as an N95, fits tighter to the face and is meant to help protect the wearer from inhaling infectious droplets in the environment.

"We don't really know how the coronavirus is being transmitted from person to person, because no one has done the NIOSH studies that simulate the cough big droplets that land 3 to 6 feet away from a person or the little droplets that can travel long distances and in air handling system," Ribner said. "So we have to use what we know about other coronaviruses and influenza when it comes to this disease."

What we know, Ribner said, is that multiple modes of transmission are likely at play, including large droplets, small droplets (or aerosols), and contaminated hands.

At Emory, Ribner is responsible for the care of patients treated for Ebola, Lassa fever, and other serious pathogen diseases.

Michael Osterholm, PhD, MPH, director of the University of Minnesota's Center for Infectious Disease Research and Policy, which publishes CIDRAP News, says, "The very unsettling data regarding the number of infected healthcare workers in the Wuhan area and the infection of a Japanese doctor working with those quarantined on the cruise ship and who used standard PPE [personal protective equipment]-except for a surgical mask instead of an N95 respirator-should be a real wake-up call to all of us about how do we really protect against this critical occupational risk."

How the virus travels in the air

Donald Milton, MD, a professor of environmental health at the University of Maryland, helped prove via the use of his Gesundheit machine that influenza could be spread via aerosol transmission. He said he is in contact with colleagues in Singapore who are attempting to study the transmission of the COVID-19 viruses, which are often called nCoV, for novel coronavirus.

Though Chinese officials said earlier this week that they believe the coronavirus is transmitted only via droplets, implying they do not believe airborne or contact transmission plays a role, Milton said that statement is likely rooted in fear, not science.

"To me this sounds like someone trying to deal with panic, because people panic when they hear airborne transmission and long-distance transmission," he said. He said there has been scientific evidence of aerosol transmission of MERS-CoV (Middle East respiratory syndrome coronavirus), so it is likely possible for this novel coronavirus, as well.

Milton cautions that the difference between aerosol and droplet transmission is largely in name only. Respiratory droplets, emitted with a sneeze or a cough, are commonly thought to land within 6 feet of patients and are too large to be buoyant on air currents. Respiratory aerosols are droplets too, Milton said, but smaller and light enough to travel farther.

"You cannot tell the difference epidemiologically between something aerosol transmitted by weak sources and large droplet spray," said Milton. "They behave so similar, it's very hard to pick up the difference."

He said he suspects the capability of long-distance transmission with COVID-19 will be connected to source strength, or how symptomatic a person is.

Protection may depend on resources

For Ribner, the issue of correct mask use will linger until the exact route of transmission is documented, and it is established if an asymptomatic person (one having no symptoms) can shed the virus before becoming sick.

"If we have a person who is shedding nCoV in the environment, the best way to stop transmission is to stick a surgical procedure mask on them," Ribner said. "In the best of all worlds, anyone coming into the room with an nCoV patient would wear a respirator."

But if a respirator is not available, because of cost or manufacturing, the next best option is a surgical mask, Ribner said. He said that likely contributes to the WHO's surgical mask recommendation.

"The WHO is sensitive to the fact that not every part of the world has the resources of the US and Western Europe," he said.

Keeping health workers from becoming patients

But Osterholm counters, "Frankly, the WHO recommendation that surgical masks provide adequate protection for healthcare workers caring for COVID-19 patients is not consistent with data we have from similar transmission dynamics we see with influenza virus."

In an op-ed today in the Washington Post, Osterholm and coauthor Mark Olshaker stressed, "In a very real sense, what happens to our health-care workers will be the metric of how we respond to this unfolding crisis. If we don't do all we can to protect them, they will quickly transition from providers to patients, further stressing already overburdened facilities."

They add, "Governments must support private-sector manufacturers in providing N95s and other equipment to front-line health-care providers and other essential workers. In terms of minimizing illness and death, this will be more important than any border closing, airport screening, or quarantine."
See also:
Feb 12 New York Times Japanese cruise ship story

Feb 11 Premise Data news release on COVID-19 survey

Feb 12 CDC guidance on respirator use

Feb 13 Washington Post op-ed

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Unmasked: Experts explain necessary respiratory protection for COVID-19

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Droplet or aerosol infection spread? Surgical mask or respirator? Asymptomatic transmission or symptomatic only? These are the defining questions surrounding the person-to-person transmission of the novel coronavirus disease COVID-19 that have yet to be answered-or answered sufficiently-for US experts monitoring the disease.

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3 magnets http://gardenmovement.com

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Datapunk/antivirals

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A database of drugs and natural products with putative activity against nCoV2019 coronavirus

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Supplements:

Vit C- 1000mg 3x/day

Vit D3- 2000-5000 IU/day

Vit A- 25,000 IU/day

Zinc- 50-75mg/day

NAC (N-acetyl cysteine)- 500-1000mg
3x/day

Probiotics- at least 20 billion cfu/day with a blend of Lactobacillus and Bifidobacter strains
Herbs:

Elderberry syrup or tincture

Echinacea tincture

Other respiratory/lung herbs such as osha, elecampagne, yerba santa

Mushrooms from Host Defense:MyCommunity- 2 caps/day Add Turkey Tail if sick

Hydrotherapy- constitutional hydrotherapy treatments or an at home treatment- end your shower with hot/cold rinses- start with hot, then cold, alternate 3 times ending on cold

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Covid-19 Clinical Handout - Emerson Ecologics

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174 weeks down, 33 weeks to the presidential election.
The AoC Checklist features clear, well-researched actions for Americans who value democracy, equality, voting, and respect. To stay engaged through challenging times, we practice gratitude, self-care, and celebration.
I value equality.
Support the dignity of your rainbow of neighbors from every religion, race, ethnicity, culture, gender, sexual orientation, economic status, age, and ability.
Script: Hi. I'm calling from [ZIP], because I'm worried about the added stress that COVID-19 creates for the many people forced to work while contagious because they have no paid sick time. The Healthy Families Act ( / ) would allow seven days' paid sick leave and provide 14 more days during an emergency like the current pandemic. Can I count on [NAME] to support it?

Call or write: Alex Azar, Health and Human Services Secretary, 200 Independence Avenue, S.W., Washington, D.C. 20201; 202-690-7000.

Write: Starbucks CEO Kevin Johnson, 2401 Utah Avenue South, Seattle, WA 98134-1436.

Call: The Laredo Detention Center at (956) 727-4118, and the T. Don Hutto Residential Center at (512) 218-2400, option 3.

Write or Call: Chad F. Wolf, Acting Secretary, U.S. Department of Homeland Security, 200 Independence Avenue, SW, Washington, DC 20201; call via the DHS comment line at 202-282-8495.

Matthew T. Albence, Deputy Director, U.S. Immigration and Customs Enforcement, 500 12th St. SW, Washington, D.C. 20536

Henry Lucero, Executive Associate Director of Enforcement and Removal Operations, U.S. Immigration and Customs Enforcement, 500 12th St. SW, Washington, D.C. 20536.

Write: Nancy Pelosi, Speaker of the House, H-232, The Capitol, Washington, DC 20515; Kevin McCarthy, Republican Leader of the House of Representatives, H-204, The Capitol, Washington, DC 20515.

I value democracy.
With respect and collaboration, we work to create a nation that welcomes all people, expands freedoms, and upholds the Constitution. Each citizen must be able to freely and fairly elect those who represent their values. You will receive a U.S. Census Action 12: Support voting by mail as a public health measure. invitation in the mail between March 12 and March 20.
According to a UCLA School of Law study , 42% of eligible transgender voters in 45 states do not have accurate ID documents . Trans Lifeline's Microgrants program offers financial support to change legal names and update IDs that allow people to vote.
Get out your stamps, postcards, and sparkle markers for some gratitude mail.
Bonus: Remind friends in these states with upcoming primaries to vote!

Acts of Gratitude

Thank Vanita Gupta, at the Leadership Conference on Civil and Human Rights, for working with Facebook to remove inaccurate ads about the 2020 U.S. Census from the social media site. [Share why ensuring fair and full participation in the Census is important to you.]

Address: Leadership Conference on Civil and Human Rights, 1620 L Street NW, Suite 1100, Washington, DC 20036

Address: 1117 Longworth HOB, Washington, DC 20515

Thank Sen. Kamala Harris (D-CA ) for requesting the U.S. Federal Bureau of Prisons and private prison operators provide Congress with a plan to keep incarcerated people safe from COVID-19. [Share why standing up for the health of incarcerated people is important to you.]
Addresses:
Address: 501 I Street, Suite 7-600, Sacramento, CA 95814
RD: 59 Elm Street, New Haven, CT 06510
Thank Sen. Patty Murray (D-WA) and Rep. Rosa DeLauro (D-CT) for introducing emergency paid sick leave legislation to provide paid sick days immediately to workers in light of COVID-19, and in preparation for future public health emergencies. [Share why this is important to you.]
Decent people everywhere are speaking up and working together. Just look. #GoodNews National State Local Corporate/business
PM: 2930 Wetmore Avenue, Ste. 9D, Everett, Washington 98201
Groups and organizations News with heart
Good news

Hundreds of staff at The Guardian the paper's pattern of publishing transphobic content.

Housekeeping

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Americans of Conscience Checklist: Week of March 15, 2020 - Americans of Conscience

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Download PDF | Print this page174 weeks down, 33 weeks to the presidential election. The AoC Checklist features clear, well-researched actions for Americans who value democracy, equality, voting, and respect. To stay engaged through challenging times, we practice gratitude, self-care, and celebration. I value equality. Support the dignity of your rainbow of neighbors from every...

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Figuring by Maria Popova

The School of Life

Why We're Polarized by Ezra Klein

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Ten Percent Happier

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Coronavirus Sanity Guide

In times like these, we need practical, actionable ways of coping with stress, fear, and anxiety. The meditations, podcasts, blog posts, and talks on this page will help you build resilience and find some calm amidst the chaos. We're adding more resources as they're created - so keep checking back.

Please share this page widely. These resources are free for all.

We want to deeply thank and recognize healthcare workers all over the world who are responding to the COVID-19 pandemic. If you are a healthcare worker, we would like to support you by offering free access to the app - please email care@tenpercent.com for instructions.

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Coronavirus Sanity Guide - Ten Percent Happier

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Coronavirus Sanity Guide In times like these, we need practical, actionable ways of coping with stress, fear, and anxiety. The meditations, podcasts, blog posts, and talks on this page will help you build resilience and find some calm amidst the chaos. We're adding more resources as they're created - so keep checking back.

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Okay, I compiled a list of useful links. If you come across more useful information whether it's a link or a graphic please send it my way and I'll add it to the list. Excellent piece from KNKX with...

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These 12 Famous Museums Offer Virtual Tours You Can Take on Your Couch

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Google teamed up with more than 1,200 museums and galleries around the world to bring anyone and everyone virtual tours and online exhibits of some of the most famous museums around the world.