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

April 4, 2020

C-19 Vol III Jim Harris

https://www.christushealth.org/good-shepherd/marshall

“Medium” appears to be a reliable blog about C-19. You should consider signing up and reading their several articles about the virus daily, sent to you.  
Medium Coronavirus Blog
https://coronavirus.medium.com/

The Washington Post

U.S. Navy Capt. Brett Crozier has turned into something of a martyr for sailors on a virus-stricken aircraft carrier in Guam. A leaked letter Crozier wrote accused his commanders of “failing to properly take care of our most trusted asset — our sailors” by refusing to evacuate the ship. The Navy subsequently relieved the captain of his command, prompting hundreds of sailors to fill the deck and chant: “Captain Crozier!”

From the ATLANTIC

Here’s what our science writer Ed Yong reported about the efficacy of such masks yesterday:
A few studies suggest that homemade cloth masks are less effective than proper medical ones, but are still better than nothing. In one experiment, a surgical mask filtered 89 percent of viral particles from the air, a tea towel blocked 72 percent, and a cotton T-shirt blocked 50 percent. … If people use makeshift masks, they should thoroughly wash them afterward. And most of all, they should remember that homemade masks are not fully protective.

MARSHALL AMONG EAST TEXAS CITIES TO RECEIVE CORONAVIRUS RECOVERY GRANTS
By Jessica Harker Jharker@marshallnewsmessenger.com
Marshall will receive $212,544, Longview will receive $409,551 and Tyler will receive $514,341.

This grant may be used for a range of eligible activities that prevent and respond to the spread of COVID-19, such as: public testing; providing equipment; delivering meals; training health care workers; constructing a facility for testing, diagnosis, or treatment; improving or re-purposing an existing facility for the use of housing or treating patients; and providing grants or loans to support businesses in creating jobs and manufacturing medical supplies necessary to respond to the disease.

First COVID-19 death reported in Panola County; Harrison county remains at 5 confirmed cases
HealthCARE Express in Marshall to open COVID testing site
Beginning Thursday, April 2, the HealthCARE Express clinic here in Marshall will join the ranks of the clinics HealthCARE Express has designated as COVID-19 testing centers in their communities.

LONGVIEW NEWS-JOURNAL HAS FREE C-19 EMAIL:
Coronavirus Updates from Longview News-Journal
This email will send daily with the most recent updates of news regarding the Covid-19 coronavirus significant to our area.
Sign up
Manage your lists

Marshall Chamber of Commerce
Good area information
https://marshalltexas.com/covid-19/
Texas Cases Map: https://txdshs.maps.arcgis.com/apps/opsdashboard/index.html#/ed483ecd702b4298ab01e8b9cafc8b83

FRONTLINE PODCASTS
https://podcasts.apple.com/us/podcast/the-frontline-dispatch/id1277250997?mt=2&utm_source=Iterable&utm_medium=email&utm_campaign=ICYMI&utm_content=19xxxx

What Italian Pediatricians Can Tell Us
https://www.nytimes.com/2020/04/02/well/family/coronavirus-pediatricians-Italy-children-families.html?algo=identity&fellback=false&imp_id=3117216&imp_id=91392111&action=click&module=Science%20%20Technology&pgtype=Homepage

As most pediatric practices are now doing here in the United States, they are trying to keep children out of medical offices and clinics. Essential vaccines are still being given (nobody wants to see one pandemic complicated by the emergence of other infections that could have been prevented).

“You have to talk to children, you cannot leave children with their fears,” he said. “It’s better to talk rather than avoid talking.”

What New York Looked Like During the 1918 Flu Pandemic
https://www.nytimes.com/2020/04/02/nyregion/spanish-flu-nyc-virus.html?smid=em-share
Good historical story. That flu was more severe and had its highest mortality in young adults.


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Coronavirus. COVID-19.

By George Smith

Coronavirus.  COVID-19.

I know some people who are not taking this pandemic seriously. They are flirting with disaster of the most personal kind.

BobJean and I are among the lucky ones. We live of County Road 31, off State Highway 73 in big-time rural Nevada County, Arkansas. 

Our house is at the end of a dirt road and at the end of a 220-yard lane. If you come to our house, you are looking for us or you are lost.

Our intent is to keep this highly infectious disease away from the house on Bedspring Ridge and stay healthy.

To achieve that end, we go to town only when we have to, wearing gloves and masks and wiping down everything we might touch outside our realm of isolation. 

We even wipe down the mail with Clorox wipes, UPS or FedEx packages, too, outside and contents. We used to save grocery sacks for friends; now, we dispose of them.   

Following the advice from a website, we have a “dirty” and “clean” side of our large countertop island. Groceries or other items brought in are put on the dirty side and unpacked; all items are washed and/or wiped down with sanitary wipes and placed on the “clean” side. After all items are put away, the entire counter is wiped down with Clorox wipes.

When I go check on my aunt and uncle, I wear gloves and touch nothing. I take them food occasionally and make sure the containers have been wiped down. 

Overkill? Who knows. But at our age —fast approaching 73 and 75—and with certain medical conditions, why take a chance?

Being a “semi-colon” people (you know, when you hit a semi-colon in a sentence…it means you ain’t done yet!) we have a ton of living to do. We have places to see, grandkids to hug and spoil, ideas to be explored and college students to inspire us to keep living and sharing. 

And, we have each other. After being separated for more than four decades — from being young and stupid (me) to finding each other again was like winning the lottery of life.

This time of our life is too good, to precious, to throw it away by being hard-headed or neglectful or forgetful.

Be smart. Stay safe. Stay healthy.

We are all valuable cargo and our time to live is…right now.


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 4/3/2020

April 3, 2020

The US CDC reported 186,101 cases (22,562 new) and 3,603 deaths (743 new) on April 1. OF THESE CASES, FEWER THAN 2.5% HAVE AN IDENTIFIED EXPOSURE—TRAVEL-RELATED OR CLOSE CONTACT OF A KNOWN CASE. As of yesterday, 8 states have reported more than 5,000 cases (1 new), and 25 states have reported widespread community transmission (5 new). The Johns Hopkins CSSE dashboard is reporting 217,263 US cases and 5,151 deaths as of 11:00am on April 2.

COVID-19

Daily updates on the emerging novel coronavirus from the Johns Hopkins Center for Health Security.
April 2, 2020

The US CDC reported 186,101 cases (22,562 new) and 3,603 deaths (743 new) on April 1. OF THESE CASES, FEWER THAN 2.5% HAVE AN IDENTIFIED EXPOSURE—TRAVEL-RELATED OR CLOSE CONTACT OF A KNOWN CASE. As of yesterday, 8 states have reported more than 5,000 cases (1 new), and 25 states have reported widespread community transmission (5 new). The Johns Hopkins CSSE dashboard is reporting 217,263 US cases and 5,151 deaths as of 11:00am on April 2.

US RESPONSE US government officials, including representatives from the Department of Homeland Security and US President Donald Trump, have confirmed that the Strategic National Stockpile (SNS) is running low on supplies and equipment.

Unconfirmed reports are circulating that the United States could be suspending overseas aid shipments in an effort to secure sufficient domestic supply of critical supplies and equipment.

A report published in The New York Times describes challenges with false negative test results—ie, negative test results in patients actually infected with the virus. According to the report, the SARS-CoV-2 tests have a high rate of false negatives, which could result in individuals believing they are not infected but still transmitting the virus to others.

An earlier report circulated about the existence of a 2-minute serology test kit that received an Emergency Use Authorization (EUA), based on a press release by the company, but this also proved to be false.

CHRISTUS TRINITY CLINIC HAS EXPANDED TELEMEDICINE:
Telehealth services use safe, secure and HIPAA-compliant technology.
844-606-DOCS(3627)
https://www.christushealth.org/trinity/clinic/patient-resources/virtual-med/telemedicine-faq
A BIT OF A DIGRESSION: Try not to tear up.
My sister sent this. She grew up in Marshall.
https://www.youtube.com/watch?v=cqFCbtRz1Z0&feature=youtu.be

THIS WEB SITE HAS MANY GOOD ARTICLES. I DON’T KNOW ANYTHING ABOUT THE PUBLISHERS. I’VE BEEN READING IT A COUPLE OF WEEKS. JH
https://mail.google.com/mail/u/0/#inbox/FMfcgxwHMZTKKbjCTFlKrcqRlnsJRGzr

In reality, mutation “is a humdrum aspect of life for an RNA virus,” writes Nathan D. Grubaugh, assistant professor in the Department of Epidemiology of Microbial Diseases at the Yale Institute for Global Health, in a letter in the journal Nature Microbiology in February. SARS-CoV-2 is considered an RNA virus because its genetic material is RNA, not DNA. He is urging both scientists and the general public not to speculate about the potential effects of mutation. Misinformation, he warns in an article for CNN, may “turn out to be as costly as the disease.”

Since SARS-CoV-2 doesn’t seem to be mutating very much, any vaccine we create now is expected to protect people for the long term.

Good Unknown Heroes article:
https://www.nytimes.com/interactive/2020/04/01/magazine/coronavirus-workers.html?campaign_id=52&emc=edit_ma_20200403&instance_id=17294&nl=the-new-york-times-magazine&regi_id=86477722&segment_id=23739&te=1&user_id=d3eb1757c37cd1d61b467454d43f2286#

The Lancet Journal
FANGCANG SHELTER HOSPITALS: A NOVEL CONCEPT FOR RESPONDING TO PUBLIC HEALTH EMERGENCIES
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30744-3/fulltext?dgcid=raven_jbs_etoc_email

Summary
Fangcang shelter hospitals are a novel public health concept. They were implemented for the first time in China in February, 2020, to tackle the coronavirus disease 2019 (COVID-19) outbreak. The Fangcang shelter hospitals in China were large-scale, temporary hospitals, rapidly built by converting existing public venues, such as stadiums and exhibition centres, into health-care facilities. They served to isolate patients with mild to moderate COVID-19 from their families and communities, while providing medical care, disease monitoring, food, shelter, and social activities. We document the development of Fangcang shelter hospitals during the COVID-19 outbreak in China and explain their three key characteristics (rapid construction, massive scale, and low cost) and five essential functions (isolation, triage, basic medical care, frequent monitoring and rapid referral, and essential living and social engagement). Fangcang shelter hospitals could be powerful components of national responses to the COVID-19 pandemic, as well as future epidemics and public health emergencies.
How to Get Medications Quickly and Safely During COVID-19
https://mail.yahoo.com/d/folders/1?.src=neo&reason=bkt_myc
Attachments areaPreview YouTube video Daddy Daughter Duet – The PrayerDaddy Daughter Duet – The Prayer


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 4/2/2020

April 2, 2020

CITY OF MARSHALL VIRTUAL COMMISSION MEETING
https://mail.google.com/mail/u/0/#inbox
Mentioned that C-19 swabs done at outside labs. 96 Tested. 71 were negative, 3 positive, 22 pending.

Update: BREAKING: Two more virus cases reported for Harrison County
https://www.marshallnewsmessenger.com/general/breaking-two-more-virus-cases-reported-for-harrison-county/article_658ed3aa-7469-11ea-941f-532b4f206a43.html

[Marshall News Messenger] Local woman shares the story of virus testing delay
https://www.marshallnewsmessenger.com/news/local-woman-shares-story-of-virus-testing-delay/article_9c194f86-745a-11ea-a5d1-7b33a2d02efc.html?utm_medium=social&utm_source=email&utm_campaign=user-share

SMALL COMPANY IN TEXAS TOWN COULD HAVE NEW SOLUTION TO VENTILATOR SHORTAGE (video)
https://www.today.com/video/small-company-in-texas-town-could-have-new-solution-to-ventilator-shortage-81480261958

NYT OPINION PIECE WITH WHICH I AGREE:
From The New York Times:

THESE CORONAVIRUS EXPOSURES MIGHT BE THE MOST DANGEROUS
As with any other poison, viruses are usually deadlier in larger amounts.
https://www.nytimes.com/2020/04/01/opinion/coronavirus-viral-dose.html?smid=em-share

Avoid exposure, and especially avoid high dose exposure. Be prepared.

Johns Hopkins Daily Report (several good articles)
https://mail.google.com/mail/u/0/#inbox/FMfcgxwHMZSBRJJzCxgfbSQWFKrJHXGX

A GROCERY SHOPPING ARTICLE:
How to Grocery Shop Without Stress Spiraling
https://elemental.medium.com/how-to-grocery-shop-without-stress-spiraling-e3c9ce8df2af

I don’t believe this article is sufficiently cautious, especially for older or impaired people. If I just had to shop, I’d wear disposable gloves and some type of mask. A bandana is better than nothing — it keeps your hands off of your face and mouth and is easy to wash. Keep your distance from people. My wife and I try to leave anything new that comes to the house in the garage or car for a day or two before we bring it in and wash it. (We also leave the mail out a day or so to let potential viruses die, then open it with gloves on.) Are we overly cautious? Yes, but why not be cautious? A pulmonary death in a crowded ICU is a miserable (and somewhat selfish) way to die. Before long, there might not be much room for really old folks in area (or any) ICUs.

If older people have someone to do the shopping or have a delivery service, so much the better. Takeout food can be unpacked outside the house while wearing gloves, and then warmed up. If takeout food is not hot or you can’t heat it up, you, don’t buy it. If you can avoid takeout food, do so.

Remember, that at least a third of C-19 is spread by carriers who are without symptoms. Some people who have had a mild undiagnosed case, can and still shed the virus.   You should consider anyone you are around to be a carrier of the C-19 virus and keep a distance from them. This is my medical opinion, and I hope that I/m being overly cautious, but I think things are going to get rough in East Texas before they get better.

Jim Harris MD


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Harrison County and City of Marshall Clarify Essential Businesses

[Marshall, Texas, April 1, 2020]

[Harrison County and Marshall, Texas] In response to inquiries from our community regarding the Shelter in Place Orders issued on March 31, 2020, Harrison County Judge Chad Sims and City of Marshall Mayor Terri Brown have defined essential vs. nonessential businesses and/or services in Harrison County, including the City of Marshall.

Essential Businesses / Services

Healthcare Operations

•             Hospitals, Clinics and Pharmacies

•             Veterinarians

Grocery Stores

•             Grocery Stores, Certified Farmers’ Markets, Farm and Produce Stands, and Supermarkets

•             Food Banks

•             Convenience Stores

•             Other establishments engaged in the retail sale of canned food, dry goods, fresh fruits and vegetables, pet supply, fresh meats, fish, and poultry, and any other household consumer products (such as cleaning and personal care products)

•             Liquor Stores

•             Some Retail: Stores that also sell groceries or sell supplies necessary for operation of essential businesses, working for home, or maintenance of residences. Example: electronics, appliances, health care products, office supplies.

Food Cultivation

•             Farming

•             Livestock

•             Fishing

Social Services

•             Businesses or non-profit organizations that provide food, shelter, and social services, and other necessities of life for economically disadvantaged or otherwise needy individuals

Media

•             Newspapers, Television. Radio, and Other Media Services

Vehicles

•             Gas Stations

•             Auto Sales

•             Auto Supply

•             Auto Repair

•             Car Wash & Mobile Detailing

Financial Institutions

•             Banks

•             Other Financial Institutions/Lending

Property Maintenance

•             Hardware Stores and Construction Supply Stores

•             HVAC Repairs, Plumbers, Electricians and Exterminators

•             Lawn Maintenance

•             Pool Service

•             Other service providers who provide services that are necessary to maintaining the safety, sanitation, and essential operation of residences, Essential Activities, and Essential Businesses

Mailing

•             Mailing Services, Shipping Services, and P.O. Boxes

Clothes Cleaning

•             Laundromats, Dry Cleaners, and Laundry Service Providers

Restaurants

•             Restaurants and other facilities that prepare and serve food, but only for delivery or carry out.

•             Schools and other entities that typically provide food services to students or members of the public may continue to do so under this Order on the condition that the food is provided to students or members of the public on a pick-up or take-away basis only.

•             Schools and other entities that provide food services under this exemption shall not permit the food to be eaten at the site where it is provided, or at any other gathering site.

E-Commerce

•             Businesses that ship or deliver groceries, food, goods or services directly to residences

Supplying Essential Business support

•             Businesses that supply other Essential Businesses with the support or supplies necessary to operate

•             Printers and Promotional Products

•             Hotels, motels and RV parks

Transportation

•             Airlines

•             Taxis

•             Other private transportation providers providing transportation services necessary for Essential Activities and other purposes expressly authorized in the Order

Care Facilities

•             Home-based care for seniors, adults, or children

•             Residential facilities and shelters for seniors, adults, and children

•             Childcare facilities providing services that enable employees exempted in this Order to work as permitted

Professional Services

•             Legal

•             Bail bonds

•             Accounting

•             Insurance

•             Real Estate Services, Architectural, Appraisal, Survey, and Title Services

Vital Infrastructure

•             Utilities

•             Telecommunications

•             Trash Collection and Disposal

•             Law Enforcement, Fire, EMS/Ambulance, Corrections, Dispatch

•             Animal Shelters

•             Governmental Employees who have not been specifically deemed non-essential and sent home by the government entity

Societal Maintenance

•             Janitorial and Maintenance Services

•             Funeral Industry

•             Defense Industry

•             Space and Technology Industry

•             Technology Support

•             Scientific Research

Religious Services with Social Distancing of 6’ between individuals and gatherings of no more than 10 people

•             Provided in Residences

•             Healthcare Operations

•             Funerals

•             Provided online while being broadcast from a religious facility

Non-Essential Businesses Prohibited from Operation

All businesses not specifically listed as essential above are considered non-essential and are to be closed at all times. A partial list is shown below:

Personal Hygiene

•             Hair Salons and Barber Shops

•             Nail Salons and Spas

•             Tattoo Parlors

•             Tanning Studios

•             Massage Studios

Other Retail

•             Furniture and Home Furnishings Stores

•             Cosmetics, Beauty Supplies, and Perfume Stores

•             Clothing Stores & Boutiques

•             Shoe Stores

•             Jewelry, Luggage, and Leather Goods Stores

•             Sporting Goods Stores

•             Hobby Stores and Game Stores

•             Framing Stores

•             Book Stores

•             Florists

Entertainment

•             Movie Theaters

•             Museums

•             Indoor Recreation, Game Rooms & Children’s Gyms

•             Ranches & Camps

•             Concert and Special Event Venues

Lifestyle

•             Gyms

•             Martial Arts Studios

•             Yoga Studios

•             Restaurants (Dine in), Bars, Clubs, and Lounges

Failure to comply with any of the provisions of this Order constitutes an imminent threat to public health. In accordance with Texas Government Code §418.173, a person who knowingly or intentionally violates this Order commits a Class B Misdemeanor punishable by a fine up to $1,000.00 and/or confinement in jail for a term that does not exceed 180 days, and each day or portion of a day that such a violation continues shall constitute a separate offense.

Harrison County and the City of Marshall are following the Centers for Disease Control’s (CDC) guidelines and recommendations on the steps our community can take to help prevent catching or spreading the coronavirus (COVID-19). This is a situation that continues to evolve and we will do our best to keep our citizens informed of the latest information.

Harrison County and the City of Marshall urge our community to practice healthy habits including:

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, 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

If you are experiencing fever, cough or difficulty breathing, been exposed to a sick traveler or been exposed to a person with COVID-19 in the last 14 days, please contact your healthcare provider immediately. Inform your physician or emergency department of your symptoms to prevent any potential spread.


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 4/1/2020

April 1, 2020

Marshall News Messenger] Harrison County and city of Marshall issue mandatory shelter in place order
https://www.marshallnewsmessenger.com/general/harrison-county-and-city-of-marshall-issue-mandatory-shelter-in-place-order/article_3d845d56-739e-11ea-8d73-4fe6076c34a0.html?utm_medium=social&utm_source=email&utm_campaign=user-share

County Judge Chad Sims:
We have been notified of 2 more positives in Harrison County bringing our confirmed total to 3.  These are all travel related and we do not see evidence of community spread yet.  After meeting with the City of Marshall, the Marshall-Harrison County Health District, our local health authority, fire chief, fire marshal and hospital administrator we all agreed that a mandatory stay-at-home order should be implemented.

We will implement a mandatory stay-at-home order to be effective tonight, Tuesday, March 31, 2020, at midnight.  All non-essential businesses will be required to close.  Residents may continue to go to grocery stores, pharmacies, take-out restaurants, etc. as needed.  We are requesting residents to stop all unnecessary travel.  There are COVID-19 cases on our west border in Gregg County and numerous cases on our east border in Caddo Parish.  Governor Abbott has already issued an order limiting travel into Louisiana.  Now the Governor has also issued a stay-at-home directive that runs through the end of the month.  

Courthouse operations are already on a limited basis.  Department heads and Elected Officials may adjust your offices as needed while still trying to maintain limited operations to serve the public.

Chad Sims

Harrison County Judge

Northeast Texas COVID-19 case count
The total of reported cases in Northeast Texas by Tuesday evening was at least 82 in 19 counties, up from 69 in 16 counties a day earlier. Here’s a look at totals reported Tuesday, and changes from Monday’s reports:
• Anderson: 1 (+1)
• Angelina: 5 (+2)
• Bowie: 9, 1 death
• Camp: 1
• Cass: 2
• Cherokee: 1
• Franklin: 1
• Gregg: 6 (+1)
• Harrison: 3 (+2)
• Hopkins: 2
• Morris: 1
• Nacogdoches: 2
• Panola: 2 (+2)
• Rusk: 4 (+1)
• Shelby: 2 (7 says 4)
• Smith: 37 (+5), 1 death
• Upshur: 2
• Wood: 1 (+1)
• Van Zandt: 2, 1 death
Total: 83 know with C-19, 3 deaths in area

NEW TWO MINUTE TEST???
https://www.reuters.com/article/us-health-coronavirus-bodysphere/fda-authorizes-use-of-new-two-minute-test-kit-for-coronavirus-idUSKBN21I1T7?campaign_id=154&emc=edit_cb_20200331&instance_id=17231&nl=coronavirus-briefing&regi_id=68515195&segment_id=23454&te=1&user_id=bb895036534b6f3975fa13b4c601d34d
https://www.reuters.com/article/us-health-coronavirus-bodysphere/fda-authorizes-use-of-new-two-minute-test-kit-for-coronavirus-idUSKBN21I1T7?campaign_id=154&emc=edit_cb_20200331&instance_id=17231&nl=coronavirus-briefing&regi_id=68515195&segment_id=23454&te=1&user_id=bb895036534b6f3975fa13b4c601d34d

NYTimes.com: A Guide to Surviving Financially as the Bills Come Due
https://www.nytimes.com/aponline/2020/03/31/business/bc-us-virus-outbreak-financial-survival.html?smid=em-share


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 3/31/2020

March 31, 2020

MARSHALL NEWS MESSENGER
https://www.marshallnewsmessenger.com/news/commissioners-to-consider-extending-declaration-of-local-disaster/article_e49c5bb2-72d5-11ea-81ab-4b82ec866d2f.html?utm_medium=social&utm_source=email&utm_campaign=user-share

Northeast Texas COVID-19 case count
Updated 16 hrs ago
The total of cases in Northeast Texas is now at least 56 in 14 counties. Here’s a look at totals reported late Sunday and early Monday, and changes from Sunday’s report:

Angelina: 3
Bowie: 9 (+5)
Camp: 1 (+1)
Cass: 2
Cherokee: 1
Gregg: 5 (+1)
Harrison: 1
Hopkins: 2 (+1)
Morris: 1
Nacogdoches: 2 (+1)
Rusk: 3 (+1)
Shelby: 2 (+1)
Smith: 32 (+1), 1 death
Upshur: 2 (+1)
Van Zandt: 1 (+1), 1 death

MESSAGE FROM DR. HERMAN FELTON OF WILEY:
Marshall News Messenger] Leading with Faith during a global crisis
https://www.marshallnewsmessenger.com/opinion/leading-with-faith-during-a-global-crisis/article_1591373e-7145-11ea-b870-d3bae7275e1b.html?utm_medium=social&utm_source=email&utm_campaign=user-share

NEW ENGLAND JOURNAL OF MEDICINE RE CERTAIN BP PILLS:
KEEP TAKING THEM
https://www.nejm.org/doi/full/10.1056/NEJMsr2005760?query=RP
Renin–Angiotensin–Aldosterone System Inhibitors in Patients with Covid-19

SUMMARY: Given the common use of ACE inhibitors and ARBs worldwide, guidance on the use of these drugs in patients with Covid-19 is urgently needed. Here, we highlight that the data in humans are too limited to support or refute these hypotheses and concerns. Specifically, we discuss the uncertain effects of RAAS blockers on ACE2 levels and activity in humans, and we propose an alternative hypothesis that ACE2 may be beneficial rather than harmful in patients with lung injury. We also explicitly raise the concern that withdrawal of RAAS inhibitors may be harmful in certain high-risk patients with known or suspected Covid-19.
Renin–Angiotensin–Aldosterone System Inhibitors in Patients with Covid-19
https://www.nejm.org/doi/full/10.1056/NEJMsr2005760?query=RP

NAMES OF THIS TYPE OF MEDICINE: KEEP TAKING THEM UNLESS YOUR DOCTOR TELLS YOU TO STOP.

candesartan Atacand
eprosartan
irbesartan Avapro #
losartan Cozaar #
olmesartan Benicar
telmisartan Micardis
valsartan Diovan #
benazepril Lotensin

captopril Capoten
enalapril Vasotec #
enalapril solution Epaned
fosinopril
lisinopril Prinivil #
lisinopril Zestril #
lisinopril solution Qbrelis
moexipril
perindopril
quinapril Accupril #
ramipril Altace #
trandolapril

Covid-19 — Navigating the Uncharted (A NEJM editorial by DR. FAUCI—the little NIH doctor on the TV updates)
List of authors.
Anthony S. Fauci, M.D., H. Clifford Lane, M.D., and Robert R. Redfield, M.D.

https://www.nejm.org/doi/full/10.1056/NEJMe2002387?query=recirc_mostViewed_railB_article

This editorial is somewhat reassuring about the severity or mortality rate of the C-19 virus, but it points out it will take time to clear out. Easy to read. Based only on China, which means the cases are several months old. That’s why I also read the MNM and the NYT.  J. Harris, MD

ANOTHER NEJM SHORT ARTICLE WORTH READING:
Feeding Low-Income Children during the Covid-19 Pandemic
nejm.org/doi/full/10.1056/NEJMp2005638?query=RP

HERE’S HOW TO FIGHT CORONAVIRUS MISINFORMATION
Send this to the person in your life who needs to read it.

Consider the source and consider the source’s source.

Be patient, kind, deliberate, and fact-based. More people will listen.

We’re in this together. It’s our civic duty to ensure we’re all making the smartest decisions and not allowing rumors or conspiracy theories to take seed. We all have a role to play. You don’t have to become an epidemiology expert—the medical professionals and journalists will do their jobs. You do have to make an effort to not spread rumors or falsehoods, or anything else that could make a public-health response harder for those around you.

Lives depend on it.

JOHNS HOPKINS DAILY MESSAGE:
(Multiple helpful stories)
https://mail.google.com/mail/u/0/#inbox/FMfcgxwHMZPhtTChBCPJRvQLmhKXbDNv


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