Harrison County COVID-19 Update – 9 April 2020

[Marshall, Texas, April 9, 2020]

[Marshall, Texas] As our positive coronavirus (COVID-19) case numbers increase, the Emergency Management Team of Harrison County and the City of Marshall agree that the release of more detailed information will not risk violating the resident’s privacy.

The following data represents Harrison County COVID-19 Testing reported to Marshall Harrison County Health District as of 4/9/2020 at 4:00 p.m.

Total Positive COVID-19 Cases in Harrison County              12*

City of Marshall Positive Cases                                                   6

Harrison County Positive Cases                                                  6

*The Overall Count includes one fatality

Harrison County Total Demographics with Age Range

Male – 7

Female – 5         

00-19 – 0

21-39 – 4

40-59 – 5

60+ – 3

The Marshall – Harrison County Health District confirmed that case #9 was a resident of another county. This discrepancy verifies the challenge for our Health District to report testing and cases. Therefore, Harrison County’s positive test result remains at twelve as there have been no new cases reported on April 9, 2020.

In order to safeguard our community from new cases, citizens are urged to follow all orders by the Centers for Disease Control’s (CDC), Executive Orders by Governor Greg Abbott and the City of Marshall First Amended Declaration of Local Disaster and Public Health Emergency Related to Communicable Disease.

1.            Restrict physical contact and publicly used areas.

2.            Maintain Social Distancing with a safe distance of six (6’) feet between individuals.

3.            Every person in Texas shall avoid social gatherings in groups of 10 or more per Executive Order of Governor Abbott.

4.            Residents should not visit nursing homes, retirement, or long-term care facilities unless to provide critical assistance.

5.            In accordance with the CDC, people shall avoid eating or drinking at bars, restaurants, and food courts, or visiting gyms or massage parlors. Residents may still utilize drive-thru, pickup, or delivery options through the Executive Order.

6.            Regularly wash hands with warm soap and water for at least 20 seconds.

7.            Avoid touching eyes, nose, or mouth.

8.            If soap is not available, use at least a 60% alcohol-based hand sanitizer.

9.            Avoid close contact with people who are sick. All persons should remain in the home if one person in the home exhibits symptoms.

10.          An essential errand should be conducted by only one adult from the household. All other family members should remain sheltered at home.

11.          CDC recommends wearing a cloth face mask in public. The mask will fit snugly, be secured with ear loops, and be able to be laundered and machine dried often. A mask should not be placed on children under age 2, anyone who has trouble breathing, or unable to remove the mask without assistance. A mask with multiple layers of fabric should allow for breathing without restriction. The cloth face coverings recommended are not surgical masks or N-95 respirators as those critical supplies that must continue to be reserved for healthcare workers and first responders.


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Open letter to supporters of President Donald Trump

By George Smith

This is not a lecture missive, not an attempt to change your mind about supporting the president.


This is an honest attempt at starting a dialogue about why you support this president. I cannot understand how any thinking individual with an IQ in the double digits can legitimately claim that President 45 is the best president for the times, unless…you are a one-issue voter (anti-abortion, immigration, or are monied gentry with a political connection to the administration).


I want to learn, to understand what it is about Trump that deserves such unvarnished loyalty from his followers.
Here are some facts, based on research, reading, analysis and prayerful thought. I invite anyone to comment on these statements and give sources as to any erroneous material.

1. The president said, “No one could have predicted this (pandemic). In 2014 President Obama, in a future-looking speech during the Ebola scare, said another pandemic would be coming and said this in a speech to the United Nations: “And even as we meet the urgent threat of Ebola, it’s clear that our nations must do more to prevent, detect and respond to future biological threats – before they erupt into full-blown crises.” The next day he hosted  44 nations to advance “our global health security. And we will work with any country that shares that commitment.”

Additionally, in 2017, as the power of the presidency was being transferred, Trump’s team was given a briefing on pandemic responses created following the Ebola crisis.

Why does the president almost daily say a pandemic could not be expected? And, why does he say repeatedly that he accepts no responsibility for the government’s slow response to the pandemic. 

2. Why is President Trump pushing for an anti-malaria drug to be used on the coronavirus? He is not a doctor and has no medical training. Does it not concern you that the Trump Organization and key advisor Rudy Guiliani have stock in one of the biggest companies manufacturing this specific drug?

3. It is a fact this president lies with regularity, almost 17,000 lies told in tweets and speeches in less than 40 months. Any reasonable explanation from a supporter would appreciated.

And, finally:

4. The national debt will have increased by more than $5 trillion by the end of Trump’s first term, an increase of about 20 percent. This is  due to the tax cuts, which greatly benefited big corporations and the ultra-rich, the touted “military buildup” and the response to the pandemic.  What is fiscally “conservative” about this administration, a main plank in the a Republican Party platform?

Seriously, I encourage an open dialogue in these (and any other) points. I want to understand but have heard no hard “facts” from supporters other that “he does what he says and says what he means” and “he is a businessman, not a politician.” 


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 4/9/2020

April 9, 2020

[Marshall News Messenger] Harrison County COVID-19 cases rise to 13

SMITH COUNTY ADDS THREE CONFIRMED CASES OF CORONAVIRUS, COUNTY TOTAL IS NOW 82, FIRST IN BULLARD (Good area summary in this article)

https://tylerpaper.com/covid-19/smith-county-adds-three-confirmed-cases-of-coronavirus-county-total-is-now-82-first-in/article_62b0b0e2-79bc-11ea-932c-e778caa4786f.html

Tidbits from the N Y Times Daily Briefing (a nice, quick way to scan the news)

The New York Times       nytdirect@nytimes.com

*The Centers for Disease Control and Prevention issued new guidelines on when and how essential employees can go back to work even if they have been exposed to infected people.

*“Specially in the U.S., any effect( decreased infections), even in the summer months, may not be highly visible, so our real chance to stop this virus is indeed through taking quarantine measures,” said Qasim Bukhari, a computational scientist at M.I.T.

*Pandemics do not behave the same way seasonal outbreaks do. For the National Academies’ report, researchers looked at the history of flu pandemics as an example. “There have been 10 influenza pandemics in the past 250-plus years — two started in the Northern Hemisphere winter, three in the spring, two in the summer and three in the fall,” the report said. “All had a peak second wave approximately six months after emergence of the virus in the human population, regardless of when the initial introduction occurred.”

 What the coronavirus does to your body that makes it so deadly — The Conversation

https://theconversation.com/what-the-coronavirus-does-to-your-body-that-makes-it-so-deadly-133856

Benjamin Neuman

Professor of Biology, Texas A&M University-TexarkanaThis is a nice virology description of the C-19 virus written by a Virologist from Texarkana. I am not familiar with the journal.

He also describes what happened in S. Korea:

“The Shincheonji Church outbreak in South Korea in February provides a good demonstration of how and how quickly SARS-CoV-2 spreads. It seems one or two people with the virus sat face to face very close to uninfected people for several minutes at a time in a crowded room. Within two weeks, several thousand people in the country were infected, and more than half of the infections at that point were attributable to the church.”

Why so many epidemics originate in Asia and Africa – and why we can expect more” — (same journal—good basic article)

https://theconversation.com/why-so-many-epidemics-originate-in-asia-and-africa-and-why-we-can-expect-more-131657

ANSWERS TO YOUR DIY FACE MASK QUESTIONS, INCLUDING WHAT MATERIAL YOU SHOULD

https://www.washingtonpost.com/health/2020/04/07/answers-your-diy-face-mask-questions-including-what-material-you-should-use/?tid=ss_mail

VERY good facemask article which includes the Surgeon General making a passable mask the a piece of T shirt and 2 rubber bands. Answers lots of questions.

INTERESTING ARTICLE ABOUT QUARANTINE IN USA

Covid-19 — The Law and Limits of Quarantine

List of authors.

Wendy E. Parmet, J.D., and Michael S. Sinha, M.D., J.D., M.P.H.

https://www.nejm.org/doi/full/10.1056/NEJMp2004211?query=TOC

THANK YOU SWEPCO FOR YOUR GOOD WORK AND GENEROSITY

Swepcoaep News

news@swepcoaep.com


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Harrison County COVID-19 Testing Update

[Marshall, Texas, April 8, 2020]


[Marshall, Texas] The Emergency Management Team of Harrison County and the City of Marshall understand the need for information regarding the coronavirus (COVID-19) is vital to all of our residents. The Marshall Harrison County Health District strives to provide the most up-to-date information. However, we urge residents to please understand the reporting of this data is a significant challenge due to the number of facilities, agencies, and departments involved. Information on testing data published to the community is the best determination from the data available at the time of posting.

The following data represents Harrison County COVID-19 Testing reported to Marshall Harrison County Health District as of 4/7/2020 at 5:00 p.m.

Positive                 11

Negative              181

Pending               48

Total                      240

In order to safeguard our community from new cases, citizens are urged to follow all orders by the Centers for Disease Control’s (CDC), Executive Orders by Governor Greg Abbott and the City of Marshall First Amended Declaration of Local Disaster and Public Health Emergency Related to Communicable Disease.

1.            Restrict physical contact and publicly used areas.

2.            Maintain Social Distancing with a safe distance of six (6’) feet between individuals.

3.            Every person in Texas shall avoid social gatherings in groups of 10 or more per Executive Order of Governor Abbott.

4.            Residents should not visit nursing homes, retirement, or long-term care facilities unless to provide critical assistance.

5.            In accordance with the CDC, people shall avoid eating or drinking at bars, restaurants, and food courts, or visiting gyms or massage parlors. Residents may still utilize drive-thru, pickup, or delivery options through the Executive Order.

6.            Regularly wash hands with warm soap and water for at least 20 seconds.

7.            Avoid touching eyes, nose, or mouth.

8.            If soap is not available, use at least a 60% alcohol-based hand sanitizer.

9.            Avoid close contact with people who are sick. All persons should remain in the home if one person in the home exhibits symptoms.

10.          An essential errand should be conducted by only one adult from the household. All other family members should remain sheltered at home.

11.          CDC recommends wearing a cloth face mask in public. The mask will fit snugly, be secured with ear loops, and be able to be laundered and machine dried often. A mask should not be placed on children under age 2, anyone who has trouble breathing, or unable to remove the mask without assistance. A mask with multiple layers of fabric should allow for breathing without restriction. The cloth face coverings recommended are not surgical masks or N-95 respirators as those critical supplies that must continue to be reserved for healthcare workers and first responders.


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 4/8/2020

April 8, 2020

JOHNS HOPKINS EPI UPDATE The WHO COVID-19 Situation Report for April 7 reported 1,210,956 confirmed COVID-19 cases (77,200 new) and 67,594 deaths (4,810 new).

FROM NEJM:

Barrier Enclosure during Endotracheal Intubation https://www.nejm.org/doi/full/10.1056/NEJMc2007589?query=featured_coronavirus

This short video shows how contaminating the insertion of a plastic tube into the windpipe of an unconscious or anoxic patient can be. It is surprising that no one thought of it before, because almost invariably the patient coughs involuntarily when this procedure is performed.

If you watch this video, you will see just how much mucous and debris can be generated and how widely it can spread. YOU WON’T FORGET TO WEAR YOUR MASK AND WASH FREQUENTLY.

NEJM EDITORIAL ATTACHED

Ten Weeks to Crush the Curve

Harvey V. Fineberg, M.D., Ph.D.

How to declare victory by June 6, D Day. Easy enough to read and appreciate. 2 pages

See attached 1

USE OF ALTERNATIVE MEDICAL CARE FACILITIES IN THE COVID-19 PANDEMIC

Eric Toner, MD, and Richard Waldhorn, MD 

April 7, 2020

See attached 2

EXTENSIVE ARTICLE ABOUT DISINFECTANTS, BOUGHT AND HOMEMADE, AND HOW TO USE. WELL WORTH READING. I had to read it twice.

How to Make (and Use) a Disinfectant Against Coronavirus https://www.nytimes.com/2020/04/07/well/how-to-make-and-use-a-disinfectant-against-coronavirus.html

Includes: Complete disinfecting protocol includes four steps: Pre-cleaning, disinfecting (dwell time), wiping clean and rinsing with water.

Pre-cleaning is most important on heavily soiled surfaces, because dirt can shield pathogens underneath; it’s fine to use soap and water or a household cleaner. Disinfecting for the proper dwell time, of course, is nonnegotiable. Wiping afterward is essential because disinfectants can leave a sticky residue where pathogens can quickly resettle. And rinsing finishes the process.

*This is a good article to read yourself. I was doing a lot of things wrong. JH

UPDATE: The number of confirmed COVID-19 cases in Gregg County increased by six Tuesday to a total of 34, according to Gregg County Health Administrator A.J. Harris.

Coronavirus Tips: Frequently Asked Questions and Advice (Business as well as Medical, travel, estimates—lots of questions and answers)

Remember KMHT RADIO—our own station in Marshall carries C-19 News in addition to other news and entertainment.

KMHT Radio 103.9 FM

The United States should enjoy a new group of “War Babies” around the holiday season next winter.

Still haven’ decided where to go for Easter — the Family Room or the Living Room.


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 4/7/2020

April 7, 2020

Harrison County Judge (https://www.facebook.com/harrisoncountyjudge/)

17 hrs ·

April 6, 2020 Update #2. I’ve just been notified by the Texas Department of State Health Services that we have 3 additional positive cases of the coronavirus. That brings our Harrison County total to 11.

As testing in our communities increases, we are likely to see the number of cases increase. We must take this seriously and stay home.

The good news… I’m not aware of any of these cases requiring hospitalization. Please join me in prayer for complete recoveries.

 HARRIS IN MARSHALL: yesterday at a grocery store, most of the people who went into the store without masks were under 40. The older people all had on masks, but few had on gloves. Not all the store employees were masked. If you go out and are around people, I suggest wearing a mask and gloves and washing up when you get home as well as assuming that anything you bring home is contaminated. Young people are less likely to die from C-19, but they can be infected and develop an inapparent, asymptomatic infection and then go home and infect grandma. At the present time, in my medical opinion, we all have a civic responsibility to wear masks when outside and around other folks.

Besides creating wills and possibly trusts for more complex estates, lawyers suggest that people draw up a financial power of attorney and an advance directive, which designates agents to make financial and health care decisions while a person is alive but incapacitated

WHICH IS TO SAY THAT ALL ADULTS NEED 3 DOCUMENTS MEDICALLY (epidemic or not):

1.     Living will

2.     Medical power of attorney

3.     Last will and testament

THE CORONAVIRUS INFLICTS ITS OWN KIND OF TERROR

(Various quotations follow from NYT)

The virus generates much the same fear and anxiety caused by terrorism, but it is brought by nature, not by humans. And it demands a different response: staying alone.

But to defeat the virus requires a different mentality…You see the bomb at the Boston Marathon, so you wonder about going next year, it’s a pretty direct impact,…But the virus requires one greater step — to think collectively, so as not to burden others by spreading the virus” and overwhelm the health system.

“To be resilient now is to stay at home.”

Rather than mobilization, this enemy demands stasis.

… “there’s nothing sexy or cool about staying at home, or ordering a company to produce face masks and gowns…We don’t usually chant, ‘U.S.A.! U.S.A.!’ about homeschooling.”

…”The virus may be politically divisive, but “it is also a reminder,”… “that free societies thrive on norms of civic responsibility.”

Johns Hopkins April 6 :

Johns Hopkins Center for Health Security

https://mail.google.com/mail/u/0/#inbox/FMfcgxwHMjmHbQjsnRWchwmwbhGgkSGb

COVID-19 Updates – April 6

https://mail.google.com/mail/u/0/#inbox/FMfcgxwHMjmHkkqVsJmPlsKmwsNSsHhV

The WHO COVID-19 Situation Report for April 6 reported 1,133,758 confirmed COVID-19 cases (82,061 new since the previous day; 237,308 new since Friday’s briefing) and 62,784 deaths (5,798 new since the previous day; 17,258 new since Friday’s briefing). The global totals reached 50,000 deaths on April 3 and 1 million cases on April 4.

SHREVEPORT TIMES NEWSPAPER

https://www.shreveporttimes.com/news/

Do Caddo and Bossier parishes have coronavirus epidemics? Study says yes

https://www.shreveporttimes.com/story/news/local/2020/04/06/coronavirus-do-caddo-and-bossier-parishes-have-epidemics/2953107001/

(THIS TREATMENT COULD BE IMPORTANT AND AVAILABLE IN OUR AREA):

LSU HEALTH SHREVEPORT AMONG FIRST IN US TO OFFER NITRIC OXIDE CLINICAL TRIALS FOR COVID-19

https://www.shreveporttimes.com/story/news/education/2020/04/06/lsuhs-offering-inhaled-nitric-oxide-clinical-trials-covid-19/2951608001/

“Inhaled nitric oxide had previously been suggested to decrease original SARS-CoV infectivity over a decade ago but its effect on SARS-CoV2 remains unknown.  Moreover, research from LSU Health Shreveport has shown that nitric oxide is a strong protector against tissue hypoxia, which occurs during severe Covid-1 infection”, said Dr. Chris Kevil, vice chancellor for research at LSU Health Shreveport.

Critical care and emergency medicine faculty at the LSU Health Shreveport Department of Medicine join the Department of Anesthesia at Massachusetts General Hospital (MGH) and the Division of Cardiology in the Department of Medicine at University of Alabama-Birmingham (UAB) as being among the first centers in the United States to enroll patients in an international study testing using inhaled nitric oxide to improve outcomes for COVID-19 patients with severely damaged lungs; using gas to effectively “kill” coronavirus in the lungs and improve delivery of oxygen to injured tissues.

“This is a wonderful collaboration with two highly regarded institutions in the U.S. as well as the sites in Europe.  We have tremendous confidence this therapy will alter the devastating effects of CoVID-19 but we must test it. If results show promise, and since this gas is already FDA approved, widespread use could begin immediately.

ETBU:Passion Week | Tuesday, April 7

https://mail.google.com/mail/u/0/#inbox/FMfcgxwHMjnQScTtJXnfJPrHwpwqCmhN

WHAT’S THE BEST MATERIAL FOR A MASK?

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html

AP (ASSOCIATED PRESS) GREAT SITE FOR RECENT NEWS:

https://apnews.com/VirusOutbreak

Click to copy

Virus is mostly mild and rarely fatal for US kids, data show

https://apnews.com/89781e9aea42774360e1ff6cdebbd8e5

A LITTLE LOCAL HISTORY”

THE EPIDEMICS IN MARSHALL.

Gladys Knight.

The greatest epidemic Marshall has ever had is the one recorded in a little paper, “The Marshall Sen- tinel”, published in 1873. This epidemic was the yel- low fever. P>om the “Iron Age Extra” October 30 we find that “a quarantine be raised between Shreveport and Marshall so far as the freight of all description, but be continued as to the citizens of Shreveport.” They also advised that “citizens absent from this place remain absent until further notice”. From Septem- ber 10th to October 30th, 1873, there were seventy deaths from yellow fever.

In 1900 Marshall had an epidemic of Small Pox.

Later in 1912 there was an epidemic of meningitis. There was no record kept of the number of cases or deaths during this dreaded epidemic, but we know that there were many cases; a few of these proved fatal.

The next epidemic that Marshall had was in 1918 and early part of 1919. This epidemic was the Influ- enza which is commonly known as the “Flu”. There were between six hundred and seveii hundred cases in Marshall, only seventy of which proved fatal.

Reference: Dr. C. E. Heartsill.

Home schooling going well – two students suspended for fighting, one teacher fired for drinking on the job!


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 4/6/2020

April 6, 2020

TROUP MAN IS SECOND DEATH IN SMITH COUNTY FROM CORONAVIRUS, COUNT UP TO 62

Of the 62 cases in Smith County, 49 were in Tyler, five in Flint, five in Whitehouse, one in Lindale, one in Hideaway and one in Troup. The areas are based off of the physical address of the individuals, according to NET Health. As of Sunday, Tyler hospitals were treating 56 East Texas patients with confirmed cases of COVID-19.

NET Health said 38 of the Smith County cases were caused by community spread and 24 cases are travel-related. There were 32 male and 30 female patients.

Thirty-nine of the first 57 cases within the county were under the age of 60. There are two confirmed cases in someone 20 years old or younger, 16 in the 21 to 40-year-old range and 21 in the 41 to 59-year-old range.

TEXAS STATE TROOPERS BEGIN STOPPING, SCREENING MOTORISTS FROM LOUISIANA

Texas Department of Public Safety troopers began stopping and screening travelers entering Texas from Louisiana on Sunday, a week after an order from Gov. Greg Abbott to begin the next day.

Longview VA closed Monday for cleaning after ‘confirmed cases’ of COVID-19 

GREAT WEB SITE FOR HARRISON COUNTY BUSINESS PEOPLE AND CITIZENS

https://marshalledc.org/covid19

 This webb site has virtually all of the sites important to our area. Keep it handy.

WHY ARE FEWER WOMEN SICK THAN MEN?

            My wife, Beverly, is convinced that women don’t touch their face as often as men do — because they are often wear makeup and have learned through the years not to touch their faces since it messes up their makeup.

HOW TO QUARANTINE YOURSELF

By Roni Caryn Rabin 

In China, 70 to 80 percent of transmission occurred within family clusters, according to the World Health Organization. Local governments there were forced to set up isolation wards with thousands of beds in gymnasiums and stadiums to care for people who lived alone or were at risk of infecting their families.

This is a good and detailed article about self-isolation and the measure necessary to be successful. 

GOOGLE SEARCHES CAN HELP US FIND EMERGING COVID-19 OUTBREAKS

By Seth Stephens-Davidowitz

Every day, millions of people around the world type their health symptoms into Google. We can use these searches to help detect unknown Covid-19 outbreaks, particularly in parts of the world with poor testing infrastructure.

To see the potential information lying in plain sight in Google data, consider searches for “I can’t smell.” There is now strong evidence that anosmia, or loss of smell, is a symptom of Covid-19, with some estimates suggesting that 30-60 percent of people with the disease experience this symptom. In the United States, in the week ending this past Saturday, searches for “I can’t smell” were highest in New York, New Jersey, Louisiana, and Michigan — four of the states with the highest prevalence of Covid-19. In fact, searches related to loss of smell during this period almost perfectly matched state-level disease prevalence rates, as the accompanying chart shows.

The search data …..suggests that Ecuador may be even more of a Covid-19 epicenter than the official data says.

PASSION WEEK | MONDAY, APRIL 6

Please join the ETBU Community as we begin the week by worshiping the King of kings during ETBU’s Virtual Chapel today at 10:00 a.m. (CST)

https://www.etbu.edu/life-hill/faith-worship/chapel

A TIGER AT THE BRONX ZOO TESTS POSITIVE FOR THE CORONAVIRUS

A tiger at the Bronx Zoo has been confirmed to be infected with the coronavirus, in what is believed to be a case of what one official called “human-to-cat transmission.”

“This is the first instance of a tiger being infected with Covid-19,” according to the federal Agriculture Department, which noted that although only one tiger was tested, the virus appeared to have infected other animals as well.

“Several lions and tigers at the zoo showed symptoms of respiratory illness,” according to a statement by the department.

Public health officials believe that the large cats caught Covid-19, the disease caused by the coronavirus, from a zoo employee. The tiger was visibly sick by March 27.

CORONAVIRUS CAN INFECT CATS — DOGS, NOT SO MUCH

https://www.nature.com/articles/d41586-020-00984-8

But scientists say it’s unclear whether felines can spread the virus to people, so pet owners need not panic yet. 

Cats can be infected with the coronavirus that causes COVID-19, and can spread it to other cats, but dogs are not really susceptible to the infection, say researchers in China. The team, at Harbin Veterinary Research Institute, also concludes that chickens, pigs and ducks are not likely to catch the virus.


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