19 Burst results for "Brad Spell"

"brad spell" Discussed on 90.3 KAZU

90.3 KAZU

01:52 min | 1 year ago

"brad spell" Discussed on 90.3 KAZU

"It made an already growing trend worse for the past 50 years, they financial disparity across house for those is expanding. So the richer ones become richer and the poor ones become poor safety nets made it through the past year with some federal relief money and local help. But Brad Spell Bergen L. A county, USC says it will take years before safety net hospitals budgets balance out. It is a little unfathomable to me. How a Hospital system could be making a huge profit in the middle of a covert pandemic. But honestly, nothing surprises me anymore. Nobody ever sat down in mapped out. How health care should be delivered. And so you have winners and you have losers. Industry experts expect some safety nets will close in coming years or perhaps be sold to private investors looking to turn them into for profit money makers. And they can be as long as somewhere nearby. There is another safety Net hospital willing to take all the patients they don't want. Laura Sullivan NPR news and you can watch the front line film the Healthcare Divide at PBS dot or g'kar. This'd is NPR news. For decades. There's been bipartisan support in Congress to stand with Israel almost unconditionally. But the latest conflict has some Democrats rethinking that position. There was never this kind of pressure from the left on issues related Israel during the Obama years. How and why progressives are changing the foreign policy conversation about Palestinians tomorrow on morning edition from NPR News. Join us for morning edition.

Laura Sullivan Congress Brad Spell Obama Democrats PBS NPR tomorrow NPR News USC past year Bergen L. A past 50 years Israel Divide Palestinians Healthcare g'kar
"brad spell" Discussed on AP News

AP News

03:48 min | 1 year ago

"brad spell" Discussed on AP News

"Has already begun scheduled for roll out Sunday with Monday arrival across the country, Esther States not getting the amount of visor vaccine they expected. He says that was his planning ever. I failed Am adjusting. I have fixing and we will move forward from there, General Partner says With the addition of Madonna's Corona virus vaccine to visors, the government is now on track to get about 20 million doses. Two states by late December early January. I'm Julie Walker Pompeo says. Investigators is still unpacking precisely what it is. But he called the attack on U. S government and private sector computer networks of very significant effort and says it wants the Russians that engaged in this activity. Pompeii was the first administration official to publicly tie the Kremlin to the attack. President Trump has kept silent. It's not clear exactly what the hackers were seeking, but experts say it could include nuclear secrets, blueprints for advanced weaponry, covert 19 vaccine research and information for dossiers on key government and industry leaders. Russia says it had nothing to do with the hack. And Thomas Washington, Secretary of State Mike Pompeo says Russia was pretty clearly behind the greatest cyber attack against the US on record, Pompeo says investigators is still unpacking precisely what it is. But he called the attack on U. S government and private sector computer networks of very significant effort and says it wants the Russians that engaged in this activity. Pompeii was the first administration official to publicly tie the Kremlin to the attack. President Trump has kept silent. It's not clear exactly what the hackers were seeking, but experts say it could include nuclear secrets, blueprints for advanced weaponry, covert 19 vaccine research and information for dossiers on key government and industry leaders. Russia says it had nothing to do with the hack. And Thomas Washington, Johnson says the capital and other areas in southern England currently under Tier three, the highest level of coronavirus restrictions, will move to even stricter new tear forth that requires non essential shops had dresses and indoor legend and he's too close. Johnson also says that a plan to five day easy and socializing rules for Christmas will be canceled for Tier four areas. No mixing of households will be allowed except for under very limited conditions outside in public places. Vera Shockley. London British Prime Minister Boris Johnson says Christmas gatherings can't go ahead and non essential shops must close in London and much of southern England as imposed a new high level of kroner vice restrictions on the region to curb rapidly spreading infections. Johnson says that the capital and other areas in southern England currently under Tier three, the highest level of coronavirus restrictions, will move to even stricter new tear forth that requires non essential shops had dresses and indoor legend and he's too close. Johnson also says that a plan to five day easy and socializing rules for Christmas will be canceled for Tier four areas. No mixing them households will be allowed, except for under very limited conditions outside in public places. Vera Shockley. London, California Hospitals are battling to find beds to house patients amid fears that the exploding rate of Corona virus infections there will exhaust resource is and health care workers. Nearly 17,000 people were hospitalized with confirmed or suspected covert 19 infections in California as of Friday, more than doubled the previous peak Doctor Brad Spell. Berg is chief medical officer at the Los Angeles County USC Medical Center, one of the largest hospitals in the county with more than 600 beds. We are getting crushed for most of the days of the last week. We've had zero ICU beds open in the morning and we have had to scramble..

Russia Boris Johnson Julie Walker Pompeo Vera Shockley Thomas Washington official London England Trump President Mike Pompeo U. S Esther States California General Partner Los Angeles County USC Medical Madonna Brad Spell US
"brad spell" Discussed on AP News

AP News

03:16 min | 1 year ago

"brad spell" Discussed on AP News

"Sunday with Monday arrival across the country, Esther States not getting the amount of visor vaccine they expected. He says that was his planning ever. I failed Am adjusting. I have fixing and we will move forward from there, General partner says With the addition of Madonna's Corona virus vaccine to visors, the government is now on track to get about 20 million doses. Two states by late December early January. I'm Julie Walker, the Army general in charge of getting Coben 19 vaccines to the U. S. Is apologizing for what he calls miscommunication with states. Over the number of doses delivered in the early stages of the rollout. General dust, Pernis says that's not happening with the newest vaccine distribution of Madonna vaccine has already begun scheduled for roll out Sunday with Monday arrival across the country, Esther States not getting the amount of visor vaccine they expected. He says that was his planning ever. I failed Am adjusting. I have fixing and we will move forward from there, General Partner says With the addition of Madonna's Corona virus vaccine to visors, the government is now on track to get about 20 million doses. Two states by late December early January. I'm Julie Walker Pompeo says. Investigators is still unpacking precisely what it is. But he called the attack on U. S government and private sector computer networks of very significant effort and says it wants the Russians that engaged in this activity. Pompeii was the first administration official to publicly tie the Kremlin to the attack. President Trump has kept silent. It's not clear exactly what the hackers were seeking, but experts say it could include nuclear secrets, blueprints for advanced weaponry, covert 19 vaccine research and information for dossiers on key government and industry leaders. Russia says it had nothing to do with the hack. And Thomas Washington. Thank you for Have been fed. That's a fact have been, and that's a fact. Credit card purchases. Give me cash. They're happy. Give me cash back. No one else gets these reboard sergeant that is just playing us through. What in Tarnation? Sir Penn Fed's para cash rewards card isn't just for military members. Anyone can get cash back on all purchases. Figgins, you've ruined my favorite song. Penn Fed Credit Union visit Penn fed dot org's slash power cash to receive any advertised product, you must become a member of Penn Fed injured by NC Away And Thomas within a P news minute. The numbers compiled by Johns Hopkins University show nearly a quarter of a million covert 19 cases confirmed in the US over the past week, while more than 15,000 Americans died of infections. The totals as of Saturday morning. Worldwide cases approaching 76 million since the pandemic began. Nearly 17.5 million in the U. S. Or covert has killed more than 313,000 people. California is being hit particularly hard with nearly 17,000 people hospitalized with confirmed or suspected infections. Double July's peak doctor Brad Spell. Berg is chief medical officer at the Los Angeles County USC Medical Center crushed Most of the days of the last week. We've had zero ICU beds open in the morning and we have had to scramble. Can we move this patient here?.

Esther States Sir Penn Fed Pernis Madonna General partner Russia Julie Walker Pompeo Thomas Washington Fed Credit Union Julie Walker Los Angeles County USC Medical Johns Hopkins University Brad Spell California official Tarnation Figgins Berg President Army
"brad spell" Discussed on AP News

AP News

03:44 min | 1 year ago

"brad spell" Discussed on AP News

"The numbers compiled by Johns Hopkins University show nearly a quarter of a million covert 19 cases confirmed in the US over the past week. Well, more than 15,000 Americans died of infections. Totals as of Saturday morning. Worldwide cases approaching 76 million since the pandemic began. Nearly 17.5 million in the U. S. Were covert has killed more than 313,000 people. California is being hit particularly hard with nearly 17,000 people hospitalized with confirmed or suspected infections. Double July's peak doctor Brad Spell. Berg is chief medical officer at the Los Angeles County USC Medical Center crushed Most of the days of the last week. We have had zero ICU beds open in the morning and we have had to scramble. Can we move this patient here? Queen? Move that patient theory and hold it for me. You health care workers there are getting vaccinations and Dr Paul give money with l. A county health services says that's hopeful our workforce is facing overwhelming demand that today we can face that need with renewed energy. The Food and Drug Administration has authorized emergency use of a second vaccine. FDA commissioner Dr Stephen Hahn this authorization from the Dernis Code 19 vaccine comes just one week after we authorized the Peyser Bio and TEC Vaccine and Congress is working through the weekend on a covert 19 economic relief package. AP correspondent My Grassi A describes the latest roadblock negotiators of trying to overcomes Democrats opposed to provision that would bar the Federal Reserve from restarting lending powers next year. The Treasury Secretary Steven Mnuchin, is shutting down at the end of the month. Those programs provided loans to small and mid sized businesses and bought state and local government bonds, which made borrowing easier for those governments might cross CIA Washington And I'm Ben Thomas. AP News Secretary of State Mike Pompeo says Russia was pretty clearly behind the greatest cyber attack against the US on record, Pompeo says investigators is still unpacking precisely what it is. But he called the attack on U. S government and private sector computer networks of very significant effort and says it wants the Russians that engaged in this activity. Pompeii was the first administration official to publicly tie the Kremlin to the attack. President Trump has kept silent. It's not clear exactly what the hackers were seeking, but experts say it could include nuclear secrets, blueprints for advanced weaponry, covert 19 vaccine research and information for dossiers on key government and industry leaders. Russia says it had nothing to do with the hack. And Thomas Washington. Johnson says that the capital and other areas in southern England currently under Tier three, the highest level of coronavirus restrictions, will move to even stricter new tear forth that requires non essential shops had dresses and indoor legend and he's too close. Johnson also says that a plan to five day easing of socializing rules for Christmas will be canceled for Tier four areas. No mixing of households will be allowed except for under very limited conditions outside in public places. Vera Shockley. London British Prime Minister Boris Johnson says Christmas gatherings can't go ahead and non essential shops must close in London and much of southern England as imposed a new high level of coronavirus restrictions on the region to curb rapidly spreading infections. Johnson says that the capital and other areas in southern England currently under Tier three, the highest level of coronavirus restrictions, will move to even stricter new tear forth that requires non essential shops had dresses and indoor legend and he's too close. Johnson also says that a plan to five day easing of socializing rules.

Boris Johnson Food and Drug Administration Russia England Mike Pompeo US Johns Hopkins University Los Angeles County USC Medical London Dr Paul California My Grassi A Vera Shockley Brad Spell Thomas Washington Dr Stephen Hahn CIA Ben Thomas
California hospitals struggling as coronavirus cases explode

AP News Radio

01:04 min | 1 year ago

California hospitals struggling as coronavirus cases explode

"California hospitals are battling to find beds to house patients amid fears that the exploding rate of coronavirus infections there will exhaust resources and health care workers nearly seventeen thousand people were hospitalized with confirmed or suspected covert nineteen infections in California as of Friday more than doubled the previous peak Dr Brad spell Berger's chief medical officer at the Los Angeles county USC Medical Center one of the largest hospitals in the county with more than six hundred beds we are getting crushed for most of the days of the last week we've had zero ICU beds open in the morning and we have had to scramble to remove this patient here quick move that patient care many emergency rooms are using outdoor tends to make more space meanwhile healthcare workers are getting vaccination shots Dr Paul Givony with LA county health services says that's hopeful our workforce is facing overwhelming demand that you know today we can face that need with renewed energy I'm Ben Thomas

Dr Brad Spell Berger Los Angeles County Usc Medical California Dr Paul Givony La County Ben Thomas
"brad spell" Discussed on WGN Radio

WGN Radio

02:13 min | 1 year ago

"brad spell" Discussed on WGN Radio

"News Nation this hour. I'm don clip in President Donald Trump signed into law a two day stopgap spending bill passed by Congress Friday night to avert a partial government shutdown. Trying to buy time for negotiations on almost $1 Trillion Cove in 19 economic relief package. The House passed the temporary funding bill is lawmakers headed for a weekend session, sending it to the Senate, where it passed unanimously. The earliest anticipated vote on the cove in 19 relief package, or omnibus spending bill would be 1 P.m. eastern time Sunday. Health experts say that Los Angeles is moving toward the epicenter of the pandemic. Every ICU bed in Southern California is being used. Brad Spell Berg, chief medical officer at the Los Angeles County and University of Southern California Medical Center. We don't stop the spread. Our hospitals will be overwhelmed. If you have a heart attack if you get into a car accident. If you fall off the ladder or have a stroke, we may not have a bed for you. With ICUs filled hospitals are stepping up measures to make sure the sickest patients At the highest levels of care. That means moving some patients who would typically be in the intensive care unit to other areas of the hospital, like recovery or keeping patients in the emergency room for longer than normal. New York City is changing its admission system for hundreds of middle and high schools to help address racial segregation. Mayor Bill de Blasio said the city is suspending academic merit based screening. For its selective middle schools for at least a year, partly because the Corona virus pandemic has scrambled test attendance and grating data that the schools have used to grant admissions to top performing elementary school kids and the NHL and players reached a tentative deal Friday to hold a 56 game season starting January. 13th the leagues Board of governors could vote on the plan as soon as this weekend. Approval from health officials in the five Canadian provinces that have teams is still needed before the NHL can go ahead with the season training camps for the seven non playoff teams would open December 31st and then January 3rd for the other 24 teams. It's unclear whether teams would play in their home arenas or in Hub cities, though, and all divisional schedule is expected. Watch news Nation every night on WGN America or go on the news nation Now APP for news around the clock. I'm down Clevant. Probably.

Mayor Bill de Blasio NHL New York City Donald Trump Los Angeles Los Angeles County WGN Brad Spell Berg Southern California Congress University of Southern Califor President Senate Clevant medical officer America Board of governors
"brad spell" Discussed on KQED Radio

KQED Radio

04:19 min | 1 year ago

"brad spell" Discussed on KQED Radio

"Friday news round up next time on one A when it comes on at nine o'clock tonight and then stay with us a 10 for the statewide form with meaning Kim. It's a rebroadcast of this morning's program about why the pandemic is taking an outsized toll on The Latino American nurses in California. From NPR news. It's all things considered. I'm Audie Cornish and I'm Elsa Chang. There are lots of big, horrifying numbers in this pandemic. 17 million confirmed US cases, 300,000 some deaths. Well, here's a small, horrifying number. 00% is the current available capacity of intensive care unit beds here in Southern California. Joining us now to talk about what that means. And what happens next is Jackie 48. She's a health reporter with KPCC in Los Angeles. Welcome. Thank you. So I think when people hear 0% capacity, they might imagine someone showing up at the hospital with co vid being turned away, right? So what does 0% capacity actually mean? Yeah, it means that intensive care unit beds are full, so hospitals go into surge mode, And that means that they put patients and open beds in other parts of the hospital, like emergency rooms are operating recovery rooms. Now hospitals can accommodate a few more patients, but they really worry about being able to care adequately for the sickest patients. Well, what does that mean for like another hospital patients? What? What happens to people who say Get in a car crash or I don't know, fall off a ladder while they're putting up Christmas lights right, And that's the dilemma the hospitals have. They're really at their tipping point, and they can on Lee care for the sickest patients. I talked to Brad Spell Berg, the chief medical officer of L. A county USC medical Center. It's one of the largest hospitals in the area. We are the safety net. That is the point. The safety net itself is stressed to the limit. So, he says. It means waiting, You know, sometimes hours for care. Hospitals are trying to get patients out of recovery as quickly as possible. The free up beds they're trying to treat patients via tele health as often as possible. Many have already set up triage tents to keep people from flooding the emergency rooms. Okay, so we have crossed this extremely dangerous threshold cases are still surging across California. What is the state doing at this point to try to bend that curve? California has requested 200 Department of Defense medical workers to help from and even help from other countries. Some areas in California, like an Orange County or the Central Valley, are setting up temporary field hospitals. Now most of California's population is under a stay at home order, and health officials are just pleading with people to wear masks. But beyond that the state is really struggling to find an answer. Well, if we're expecting this flood of patients to continue, I mean with Christmas and New Year's still ahead of us. What are you hearing from hospital staff right now, who are just completely exhausted already? I mean, can you imagine working for months in the ICU, having to explain to family members on the phone Because the family members are not allowed in that their loved one will likely die and then walking outside to see people not wearing masks, you know, not being safe. I mean, health care workers that I talked to are frustrated, and they are exhausted. And they know that they'll have to take care of even more patients. This Thanksgiving surge is really coming, really the worst time and honestly, they are scared that Christmas and New Year's and other holidays will lead to even more cases. At the same time, hospital administrators are struggling to find more staff because they know they're going to need them. That is Jackie 48 Health reporter with member station KPCC in Los Angeles. Thank you. Thanks. There's a lot of Oscar buzz around Viola Davis as the blue singing title character in Ma Rainey's Black Bottom, but critic Bob Mondello says the film version of August Wilson's play is all but hijacked by Ma's trumpet player. He's played by the late Chadwick Boseman in the play Ma Rainey's Black bottom. Ma doesn't show up until almost in our inn. It's a power move on her part. She likes folks to wait. But no way the movie is going to keep violent. Davis under wraps for that long.

California Ma Rainey Los Angeles Brad Spell Berg NPR reporter Audie Cornish US Viola Davis Kim Southern California KPCC Ma Chadwick Boseman Elsa Chang Health reporter Bob Mondello
"brad spell" Discussed on 790 KABC

790 KABC

01:45 min | 1 year ago

"brad spell" Discussed on 790 KABC

"A coping. 19 pandemic intensifies As of 9 A.m. Los Angeles County is reporting 699 total available hospital beds, just 69 of them and intensive care units. Officials note that the numbers represent a snapshot in time and bed availability conf luxury dramatically throughout the day. Dr Brad Spell. Burke, chief medical officer at County USC Medical Center, says that on most mornings, the hospital has zero ICU beds available, adding quote, We're getting crushed. In other news, a special election for the 30th, the state Senate seat vacated by Holly Mitchell, a set for March 2nd. The district boundaries cover a large chunk of the L. A metro area, including Culver City, Marvis to Century City. Ladera Heights Exposition Park, Westmont. South l A and a portion of Inglewood. If no candidate receives the majority of the vote, a runoff will be held. May 4th Mitchell now sits on the L. A County Board of Supervisors sharing Rairden K. ABC News in Africa. Hundreds of school Children abducted in Nigeria are now safe and sound more than 300 boys, who were kidnapped last week in an attack on their school are now free arriving in the Nigerian capital. They were abducted a week ago by Boko Haram rebels who raided the school in the town of Kang Cora. The boys will undergo medical testing before they're reunited with parents. The government has yet to reveal details of what led to the release of the Children. There was speculation that some prisoners may have been released in exchange for the abducted Children. I'm Bill's in for more good news. A good Samaritan is helping save Christmas for a family in Wisconsin Walsall, Wisconsin Police Department says A man was walking in the city this week when he found $3000 in cash, gift envelopes and a receipt on a sidewalk turned the goods into the police were able to find the rightful owner after working with the local bank department says they.

Century City Los Angeles County County USC Medical Center Holly Mitchell Culver City Ladera Heights Exposition Park Dr Brad Spell L. A County Board of Superviso Wisconsin Police Department medical officer Kang Cora Inglewood Nigeria Senate ABC News Wisconsin Walsall Bill Burke
"brad spell" Discussed on KCRW

KCRW

04:59 min | 1 year ago

"brad spell" Discussed on KCRW

"Our hosts and DJs, so please go to kcrw dot com slash giff. Good morning. This is the California report. I'm Saul Gonzalez in Los Angeles. It's a chilling development in the pandemic. The availability of intensive care unit beds at many Southern California hospitals has reached 0% because of the explosion of covert patients. Position. Brad spell. Berg is the chief medical officer of L. A county USC Medical Center, one of the area's largest hospitals. We have no ICU beds. We are just continually 24 hours a day scrambling to move patients around Flood just continues. When I see youse reaches 0% capacity Hospital's going to surge mode, moving patients to other hospital areas like the emergency rooms forecast. Predictive infection rates continue. There could be thousands of people in need of ICU beds in the region by early next month. To deal with patient overflow. The state is opening temporary field hospitals across California. The covert pandemic has been tough for California's childcare providers as well, many of struggle to keep their doors open in order to care for the Children of a central workers. And they're getting little support themselves. Cake reads Katie or spoke with two women who are trying to make it all work. Child care provider Cotino Richardson has a lot on her plate these days. She's juggling kids aged two tonight, Okay, You guys have to make sure we use our inside voice and some new responsibilities as well. Remember, we have our school age kids here. Zoom in today. Richardson owns and operates the Littles daycare out of her home in Hayward, California. The pandemic has presented a number of challenges, including dealing with distance learning. Normally, Richardson wouldn't see her older kids until after school got out. But with many of their parents working, she has made her home their school. Now we're also juggling 3 to 4 different teachers that salami with the Children. So now we're finding quiet spaces so that they can kind of focus. Richardson isn't doing it on her own. She has the help of her assistant and friend, Andrea Williams, Andrea. How are you this morning, Williams said she had another job working with autistic kids. But she stopped working there in an attempt to limit her social bubble. This is her home, and then I go to my home, which I have a grand baby. That's three years old at my home and matter lot on helping my mom. So I have to make sure that I'm safe at all times to make sure that they're safe. When I go home. It's a stressful situation for everyone. Richardson and Williams say they're constantly acting as teachers trying to keep the kids protected and trying to keep Richardson's home extra clean. And while schools have budgets and staff and supply chains to help get them through Childcare providers are largely on their own. These women say it can be exhausting. Everything has just come down even, you know, just washing her sheets. They're blank is more often and then herself because she has to buy these extra supplies for her home to make sure that she say, I have to buy supplies from my home to make sure that I'm saved and we didn't get anything for been essential workers. Thousands of providers across the state have decided it's easier to close than to navigate the pandemic. The Department of Social Services estimates more than 2400 providers have permanently closed. Thousands more have endured temporary closures after being exposed to cove. It In order to keep her doors open. Richardson and Williams makes safety a top priority. They were masks and face shields and try to limit their physical contact with the kids who also wear masks. There are procedures in place for drop off and pick up all the kids have to put their coats into a tote, so they're not touching we have. Ah, thermometer were taken in temperatures in longer than daily as they're entering the daycare. Richardson also bought plexiglass divider She puts between the kids to help stop the spread of germs. She switched to paper plates and cups for meal times. She and Williams are constantly wiping down surfaces and toys. For the most part, Richardson says, the Children have adapted well. The key is have really call on it really caught on. I'm really proud of them for what they do as little people. Still, she says. It's not fair to make providers like her handled the pandemic without more support in the same needs to understand that that us as providers Have not shut my door not one day for the California report. I'm Katie or in Sacramento. For childcare providers like the ones you just heard. There's now a direct line to state officials to make the case that more resource is air needed to do the job safely. In fact, just yesterday, the newly ratified Childcare providers union had its second bargaining meeting with the state.

Richardson Andrea Williams California Cotino Richardson Katie Saul Gonzalez Los Angeles Brad spell Sacramento USC Medical Center Department of Social Services Flood medical officer Berg Hayward Littles
"brad spell" Discussed on KQED Radio

KQED Radio

03:43 min | 1 year ago

"brad spell" Discussed on KQED Radio

"Get you up to speed and bring you clarity about the stories that matter most, so you can make sense of the day. Listen to consider this from KQED and NPR weekdays wherever you get your podcasts, sunny skies later today highs from the upper fifties to the low sixties. North Wind 5 to 8, MPH light and variable later on, and it looks like today's highs. Upper fifties. How about 59 for San Francisco and in San Jose? It should reach 61. Same for Walnut Creek. The temperature later on today in Oakland 61 degrees Good morning. This is the California report. I'm Saul Gonzalez in Los Angeles. It's a chilling development in the pandemic. The availability of intensive care unit beds at many Southern California hospitals has reached 0% because of the explosion of Cove in patients. Position. Brad spell. Berg is the chief medical officer of L. A county USC Medical Center, one of the area's largest hospitals. We have no ICU beds. We are just continually 24 hours a day scrambling to move patients around Flood just continues. When I see youse reaches 0% capacity Hospital's going to surge mode, moving patients to other hospital areas like the emergency rooms forecast. Predictive infection rates continue. There could be thousands of people in need of ICU beds in the region by early next month. To deal with patients overflow. The state is opening temporary field hospitals across California. The covert pandemic has been tough for California's childcare providers as well, many of struggle to keep their doors open in order to care for the Children of a central workers. And they're getting little support themselves. Cake reads Katie or spoke with two women who are trying to make it all work. Child care provider Cotino Richardson has a lot on her plate these days. She's juggling kids aged two tonight, Okay, You guys have to make sure we use our inside voice and some new responsibilities as well. Remember, we have our school age kids here. Zoom in today. Richardson owns and operates the Littles daycare out of her home in Hayward, California. Pandemic has presented a number of challenges, including dealing with distance learning. Normally, Richardson wouldn't see her older kids until after school got out. But with many of their parents working, she has made her home their school. Now we're also juggling 3 to 4, different teachers that slow me with the Children. So now we're finding quiet spaces so that they can kind of focus. Richardson isn't doing it on her own. She has the help of her assistant and friend, Andrea Williams. Morning, Andrea. Are you this morning, Williams said she had another job working with autistic kids. But she stopped working there in an attempt to limit her social bubble. This is her home, and then I go to my home, which I have a grand baby. That's three years old at my home and matter lot on helping my mom. So I have to make sure that I'm safe at all times to make sure that they're safe. When I go home. It's a stressful situation for everyone. Richardson and Williams say they're constantly acting as teachers trying to keep the kids protected and trying to keep Richardson's home extra clean. In law. Schools have budgets and staff and supply chains to help get them through. Childcare providers are largely on their own. These women say it can be exhausting. Everything has just come down even, you know, just washing her sheets. They're blank is more often and then herself because she has to buy these extra supplies for her home to make sure that, she said. I have to buy your supplies from my home to make sure that I'm saved and we didn't get anything for been essential workers..

Cotino Richardson California Katie Andrea Williams Richardson Saul Gonzalez KQED NPR Oakland Walnut Creek San Francisco Brad spell Los Angeles USC Medical Center San Jose medical officer Flood Berg
"brad spell" Discussed on WTOP

WTOP

02:58 min | 1 year ago

"brad spell" Discussed on WTOP

"CBS is Mullah, lanky, with the FDA released New Madonna Vaccine data head of the panel vote Thursday. The FDA says the vaccine overall is 94 point. 5% effective. It's 100% effective in people 65 older like the Visor vaccine, it's given in two doses, but Madonna's doses could be stored it normal refrigerator temperatures for 30 days, six million doses could go out as soon as the FDA gives the green light. Moderna, California Governor Gavin Newsom says that the state has received more than 30,000 of the more than 600,000 doses of the Visor vaccine are Lilia Luciano, in L. A says it's especially needed in the Central Valley in Southern California hospitals were space is running out. L. A County has less than 100 ICU beds available this morning We had no more ICU. Dr Brad Spell. Berg is the chief medical officer of L. A county's USC medical center. This continues for another couple weeks like this when you have your car accident where you gonna go over 4400. People are hospitalized in L. A one in five in the ICU, with vaccinations making their way. There is light at the end of the tunnel, but infections are rising at record breaking levels could collapse on us before we reach a like Luciano CBS News Los Angeles President elect Joe Biden stops and Georgia to rally support for the two Democratic Senate candidates Jon Ossoff's and Raphael Warnock. They face Republican incumbents David Perdue and Kelly Leffler in the January 5th runoff election. Biden tells a crowd of supporters at a drive in rally power to win this election again. Let your voices be heard, so the voice of Georgia could be heard. There's nothing beyond our capacity. There's no limit to America's future. CBS News has learned. President elect Biden intends to nominate former South Bend, Indiana Mayor Pete Buddha judge to be Secretary of transportation. CBS is Steve Important, was the second former Democratic primary rival to be tapped for the Biden Cabinet. The first being Kamila Harris, if confirmed, Peep Buddha judge would be the first Senate approved Cabinet official who identifies is gay. The former mayor of South Bend would oversee a sprawling department that regulates everything from railroads and airlines to natural gas pipelines. Major snowstorm on track to hit the Northeast Mid Week on New York's Long island shoppers are stocking up and in New Jersey the executives say that they're preparing for what may be several inches of snow. This is CBS News. W T o p a 203. Good Wednesday morning, mid week, December 16th 2020 cloudy, very cold this overnight. Early morning 23 for the low. Most of the area by daybreak were a 34 and holding now Being late. Thanks for taking us along for your early morning ride weather topping the news this morning. The white stuff on the way this Wednesday, According to the weather man, some parts of the region, mostly to the north and west of the district could get a significant amount of snow today. Most of us will see at.

Joe Biden CBS News CBS FDA South Bend Senate Luciano CBS President Georgia Lilia Luciano Governor Gavin Newsom California Madonna Dr Brad Spell USC medical center Cabinet Berg David Perdue Kamila Harris
"brad spell" Discussed on KIRO Radio 97.3 FM

KIRO Radio 97.3 FM

01:51 min | 1 year ago

"brad spell" Discussed on KIRO Radio 97.3 FM

"New York bells at the National Cathedral in Washington have been ringing all our 300 times for the 300,000 Cove in 19 deaths here in the U. S. Those on the front lines, agreeing the visor Corona virus vaccine for a second day. Some 400 hospitals nationwide received shipments today. Robert Lucky is a nurse in Houston. Proud Children do something like this for myself and obviously for the community as well. But dirties vaccine could get FDA approval this week and be distributed next week. I see you. Capacity in Los Angeles County hospitals has fallen to less than 100 beds. Some are completely out as our lilia Luciano reports from l A. This morning we had no more ICU bed Doctor, Brad spell. Berg is the chief medical officer of L. A county's USC medical center. This continues for another couple weeks like this when you have your car accident Where you gonna go over 4400. People are hospitalized in L. A one in five in the ICU, with vaccinations making their way. There is light at the end of the tunnel, but infections are rising. Record breaking levels panel could collapse on us before we reach the like Luciano. CBS NEWS LOS Angeles lawmakers are inching closer to an agreement on covert relief bills correspondent Steve Dorsey from Washington. We're not leaving here. Without a covert package. A promise from Senate Republican leader Mitch McConnell is lawmakers prepared to leave for the holiday recess. Many Democrats are dropping demands of bill include aid for local and state governments, while McConnell appears to be backing away from insisting on Corona virus related liability protections for businesses. For the first time since the presidential election. Joe Biden is appearing in person. With two Senate candidates in the South, the president elect ventured into the nation's hottest political battleground. The state of Georgia vote. Mr Biden.

Joe Biden Senate Robert Lucky Mitch McConnell lilia Luciano Washington Los Angeles County 300,000 Cove National Cathedral New York FDA USC medical center Brad spell CBS Houston Steve Dorsey medical officer Berg
"brad spell" Discussed on WTOP

WTOP

01:38 min | 1 year ago

"brad spell" Discussed on WTOP

"Visor Corona virus vaccine For a second day. Some 400 hospitals nationwide received shipments today. Robert Lucky is a nurse in Houston. I just feel proud to be chosen to do something like this for myself, and obviously put a community as well. But dirt is vaccine could get FDA approval this week and be distributed next week. I see you capacity in Los Angeles County hospitals has fallen to less than 100 beds. Some are completely out as our lilia Luciano reports from l A. This morning We had no Or ICU Bed Doctor Brad Spell. Berg is the chief medical officer of L. A county's USC medical center. This continues for another couple weeks like this when you have your car accident where you gonna go over 4400 People are hospitalized in L. A one in five in the ICU, with vaccinations making their way. There is light at the end of the tunnel, but infections are rising at record breaking levels could collapse on us before we reach a like Luciano. CBS News Los Angeles lawmakers are inching closer to an agreement on covert relief bill. Correspondent Steve Dorsey from Washington. We're not leaving here. Without a covert pocket. A promise from Senate Republican leader Mitch McConnell is lawmakers prepare to leave for the holiday recess. Many Democrats are dropping demands of bill include aid for local and state governments, while McConnell appears to be backing away from insisting on Corona virus related liability protections for businesses. For the first time since the presidential election. Joe Biden is appearing in person. With two Senate candidates in the South, the president elect ventured into the nation's hottest political battleground. The state of Georgia vote..

Robert Lucky Mitch McConnell lilia Luciano Los Angeles County Senate Joe Biden Los Angeles Doctor Brad Spell USC medical center FDA Steve Dorsey CBS medical officer Berg Houston Georgia Washington president
"brad spell" Discussed on KCRW

KCRW

06:58 min | 1 year ago

"brad spell" Discussed on KCRW

"This is the greatest threat to life in Los Angeles that we have ever faced, and current levels of infection won't just mean coded deaths. It means overwhelmed hospitals so that people who have other life threatening health conditions. Might not get in or will be competing for those very same bags that covert 19 patients need people with strokes and heart attacks and other emergencies. Unable to get hair Mayor Eric Garcetti on Friday warning about the growing search of covert cases that are starting to overwhelm L. A area hospitals. Disease is spreading at levels. We have never seen more than 10,000 new covert cases in L. A county alone yesterday, double the number of new cases reported just a week ago. All of Southern California is now under a state issued. Stay at home order, because I see you capacity in the region has dropped to below 15%. And while the death rate has not reached its peak During the summer, the more hospital capacity shrinks, the more likely the death rate is to increase. Joining us to talk about this is Dr Brad Spell Berg, chief medical officer at the L. A county USC medical Center. Welcome back to the show. Thank you very much. Well, what do you make of these numbers? Just seeing the doubling in a week. Pretty shocking, right? It's pretty terrifying for us in the hospital to contemplate how we're going to stay afloat. With numbers continuing to rise like this. It is really important for people understand that the number of patients They're coming to the emergency room with covert now is substantially higher than it was in July when we read our peak. What does it look like? Inside your hospital? Howard, the nurses and doctors coping We're pretty exhausted. I'm not gonna lie. It's been a long road. It's very frustrating for us to come in every day. You know, we have people with families who are putting themselves at risk going into these rooms taking care of these patients. And then you drive home where you drive to work and you see people not taking it seriously or you turn on the news and see people not taking it seriously. It's very frustrating. Do you think that these orders will the state home orders will make a dent? Well, we hope so. Um, I think there are a limited number of tools that we have. Yeah, until the vaccine becomes widely rolled out mitigation strategies like what we're talking about. It's physical distancing washing your hands. Avoiding crowds do not get into two groups. Wearing the mask those of the tools we have People don't take those seriously. We're not going to make it to the point. But we have widespread vaccine availability before the health care system sort of crashes, inwards. So the hospitalization rate right now from from what? I can ascertain the number of people in Hostin in the hospital for Cove, it is around 2800. And Barbara Ferrer, the director of the Public Health Department, said she wouldn't be surprised if daily hospitalizations went up to 4000. What would that look like? Well, uh, you you alluded to something really important In your introduction. It turns out that the state is correct. The health system will succeed or crash based on ICU bed availability. Not total bit availability. We have more space and regular ward bits. We are running out of space in the ICU. And so if we if we fill up our word bends if we if they if the load was distributed evenly across the beds And I see you remained within capacity. We would be okay It is when the ICU becomes completely overwhelmed. That's when the wheels start falling off the wagon. And in New York during the height last spring, they some hospitals turned operating rooms into icy awards. Is that something you're contemplating? So this is something I hear a lot and it's a very important point. Our problem is not space. Our problem is not physical space using existing physical space. Just a L S. U. S. C. We could create 80 80 to 100 new. I see. That's Who's gonna care for patients in those beds. What trained doctors and nurses are going to care for the patients and those bets. If you look at the New York experience Um, you started having Crazy ratios of nurses and doctors to patients unsafe crazy ratios and you started having to use positions who had no real training our expertise. Complicated better later. I see management being responsible for that care. So the rate let me resource is not actually space or beds or ventilators, its people trained experts. The current positivity rate is around 11% and I guess that's that's the amount of people who tested positive who were tested. Given that number and given the fact that Many people perhaps who might be infected haven't been tested yet. What do you think the current Ratio is in L. A county of People who have covert like if you went into Public place. Could you assume that maybe one out of every five people could be infected? Well, this becomes starts become very complicated. So when you say infected are we talking about people who have had coded Are we talking about people who at the moment are actively shedding virus? Those air two very different answers. The latter turns out to be a very difficult question to answer. What would you assume, though? As As a doctor and a someone who is experienced in this matter. What would you assume? Going? You know, the risk is in terms of going out into a public place when you look around and you see how many people are out there. I'm a simple country boy from Rancho Palace. Fergus. I like to keep things won't okay? Don't go out there. Don't go into crowds. We are using universal precautions. You should assume everyone you come in contact with is potentially contagious. This is a global pandemic. It is a once in a century event. We're asking people to modify their lives for a year. Not forever. We think we will be through this soon, but we have that there's light at the end of the tunnel, but we have to make it to that light..

New York Eric Garcetti Los Angeles Disease Southern California Dr Brad Spell Berg Public Health Department Howard Hostin USC medical Center Barbara Ferrer medical officer Rancho Palace director
"brad spell" Discussed on KCRW

KCRW

06:14 min | 2 years ago

"brad spell" Discussed on KCRW

"From 0 to 60 MPH very quickly. We're in a place today. But that can rapidly change. Maybe not statewide, maybe just in a handful of counties, but further restrictions of what we hope to avoid California Health and Human Services Secretary Dr Mark Galley during a news conference this afternoon after the governor announced a mandatory stay at home order. For most of California. It begins Saturday night, and it prohibits most non essential activities between the hours of 10 P.m. and 5 a.m. for the next month. L. A County reported more than 5000 new cases today, and that's a record more than 1200. People are now hospitalized, and the only time says hospitalizations have gone up 70% in the past month alone. Valley and other officials say another shutdown could be imminent and they're urging people to cancel holiday plans. The CDC echoed that recommendation nationally today. Covered. Fatigued, though, has set in, and some of us still may be willing to overlook public health guidelines as the case is searched. So what would that do to our hospital capacity? We're going to talk to Dr Brad Spell Berg about that. He's chief medical officer at the L. A County USC medical Center. Welcome. Thank you. Well, Dr Galley said yesterday that we do have sufficient hospital capacity at the moment. What does it look like at County USC? So we can to be the Belle letter. And while many hospitals really sort of emptied out of covert over the last couple months, we never do. We bottomed out at about 25 covert patients in the hospital. We are now at about 45. S o. We haven't gone up 70% we've got up about, you know, 50 60%, but that's because we never went as low as the other hospitals did. Nevertheless, that increase happened over a two week period. And when we look at the number of patients that are getting cove it now and we project through January, February Winter months tend to be the worst months for respiratory viruses. It's pretty scary to be in that place now, and I think that all of us echo doctor galleys concerned if people's do not take this seriously worrying for very rough winter. Can you put that into concrete terms when it comes to what you just said about having 45 people hospitalized for covert Now? If things don't change what are you anticipating in the coming weeks? Well, you know what peak in July we were at 120. And that was the limit the water had been rising. It wasn't like New York, which was just a massive sudden surge. It was like in New Orleans, where the water kept rising to the top of the levee, and it stopped right at the lip of 11. We're starting now with 45. Okay? We're three months away from the heart of winter and if cases continue to rise, as they were doing in April, May and June We will become overwhelmed in a matter of a few weeks to a couple months. And what does that look like? That looks like people who would have survived from non covert on this is dying because there simply isn't enough health care to be delivered. The population of people in L. A county, and that's what's happened and is happening elsewhere in the United States. L A has been relatively spared due to a combination of Excellent, proactive public health actions, strong hospital based response and, frankly, weather We cannot take that for granted. And as the weather turns colder in the L a area, we need to look out. Because if we're not careful, we're gonna be in trouble. So you're saying that people who don't have cove it but who have life threatening illnesses or Are the victims of a terrible accidents. They might die because there's not enough space. Yeah, correct. And it's not. It's space turns out not to be the big problem. Its staff We can put Hospital beds and parking lots. We can put hospital beds in rooms that are not currently being used for health care who or the doctors, nurses phlebotomist Laboratory technicians who is going to take care of them. Now there's a limited number of staff that one can expand to. And when you start asking people to work in roles that they're not expert, and the quality of care is not the same. That's triage medicine That's battlefield triage medicine. That's what happened in New York. That's what happened in Italy in Spain and parts of the world that got overwhelmed suddenly by a massive search. You don't want that. You really don't and you can't get people from out of state because they're in demand in their own states. That's exactly correct. I keep hearing all just hire registry people from a local or out of state. Everyone's trying to do that at the same time. That's not how triage medicine works. If you were able to do that, you wouldn't be in triage medicine. People need to be realistic. The entire country is going through this right now. We are At the tail end of it. We've been relatively spared for the last couple months. While much of the rest of the country has exploded. There is not going to be substantial access capacity of physicians and nurses toe on board at that point L. A County has announced new restrictions that take effect tomorrow. So restaurants breweries, wineries will reduce their outdoor capacity that closet 10 o'clock. There'll be some reductions in retail sites. You know, personal care businesses, things like that. You think that's going to make a substantial difference? Well, we certainly hope so. We have to acknowledge that there is economic consequences of all of this, And I think one of the frustrating things for me as an infectious disease specialists is to have people blamed government for those economic consequences when It is the virus that is causing those economic consequences..

Dr Mark Galley New York California L. A County USC medical Center Dr Brad Spell Berg USC CDC New Orleans Secretary United States medical officer Belle Spain Italy
"brad spell" Discussed on KCRW

KCRW

01:58 min | 2 years ago

"brad spell" Discussed on KCRW

"Today, officials announced a record breaking more than 5000 new cases, the highest single day number so far, and hospitalizations have gone up 70% in the past month alone. Dr Brad Spell, Berg is the chief medical officer of the L. A County USC medical center. With the exponentially rising numbers of patients getting covert now says he's worried about where we could be in a few months. It's pretty scary to be in that place now. And I think that if people's do not take this seriously worrying for very rough winter, while the USC Medical center has capacity now, he says that could rapidly change. Our emergency room is open. We have ICU beds there fall, but we start capacity. If we get to the point like we were looking in June of this year. And there will be no choice but to lock everything down. Well, many people are watching the not so seamless transition between the Trump and Biden administration's other newly elected officials are also announcing their transition teams. Only District Attorney elect George Gascogne is among them. KCRW's Katherine Barnes reports on who he's chosen to try and move the office in a new direction. In less than three weeks, Gascogne will be sworn in to replace two term District Attorney Jackie Lacey in a statement, he said those that have been directly impacted by the work of the office have unique insights that are integral to an effective administration. And we'll have a seat at the table as he seeks to modernize the criminal justice system. For example, Frankie Korea will lead the conviction review team. Along with Paula Mitchell, the executive director of the project for the Innocents at loyal a law school. Korea spent more than 20 years behind bars before his conviction for 1991 murder was vacated. Law enforcement Accountability will be led by Erwin Chemerinsky, dean of UC Berkeley Law, and Jae Young Eun, an attorney who previously worked at the Consumer Financial Protection Bureau. Support for NPR comes from Fidelity Wealth.

L. A County USC medical center George Gascogne Berg Frankie Korea Dr Brad Spell medical officer Jae Young Eun Erwin Chemerinsky UC Berkeley Law NPR Consumer Financial Protection Trump KCRW Paula Mitchell attorney Jackie Lacey murder Biden
"brad spell" Discussed on KCRW

KCRW

06:02 min | 2 years ago

"brad spell" Discussed on KCRW

"News is next. Live from NPR news. I'm Corbett Coleman. Defense Secretary Mark Esper says about 12,000 U. S. Troops are going to be withdrawn from Germany. About half will return home while the rest will go to other European nations. President Trump has blasted Germany, claiming it fails to meet defense spending commitments for NATO. Esper says pulling US troops is not punishment. Moving forces out of central Europe, Germany, where they had been since the Cold War. Uh, since I first traveled during the early 19 eighties, and we're now moving, we're following in many ways. A boundary east where our newest allies are s O into the Black Sea region. We talked about additional forces into Poland and I think there are opportunities to put forces into the Baltics. However, some Republican lawmakers air condemning the U. S troop withdrawal and say it is a gift to Russia. CEOs of Amazon, Apple, Facebook and Google will testify before Congress today in the hearing over big text market dominance As NPR's Bobby Allen reports, the tech executives plant argued that their companies are not like monopolies. Facebook's Mark Zuckerberg, Amazon's Jeff Bezos, Google Sundar Pichai, Apple's Tim Cook are all appearing for the first time together in front of House lawmakers. Virtually, of course and the CEO's opening statements. The executives will say that they have plenty of competition. But critics of big tech question whether any company can rival Silicon Valley's immense power. The four companies have a combined market value of nearly $5 trillion have grown up in a nearly regulation free environment. But there was Now bipartisan support to clamp down as the companies have acquired wide ranging skepticism for reshaping American commerce, communication and political discourse. Bobby Allen, NPR NEWS San Francisco All for tech companies are financial supporters of NPR. The body of the late Congressman John Lewis is heading for Atlanta. He had been lying in state in the U. S Capitol and in the Alabama state capital from member station W. A. B in Atlanta. Emma hurt reports, Mourners in Georgia will now have a turn to pay their respects. Today marks the beginning of the final stop for the casket of Congressman Lewis his district in Atlanta. There will be four ceremonies in his honor today at the state Capitol, one for all elected officials, one for the Georgia Legislative Black Caucus for his fraternity, Phi Beta, Sigma and Masonic last rites. He will lie in state from three PM through the night. Any members of the public in the capital by 10 p.m. Will still be able to view the congressman. Lewis is the first black member of Congress to lie in state in Georgia. His funeral is set for tomorrow morning at Ebeneezer Baptist Church, his home church, which Martin Luther King Jr used to lead. Louis represented Georgia's fifth district for more than three decades and was reelected with overwhelming majorities 16 times for NPR news. I'm Emma hurt in Atlanta on Wall Street. The Dow Jones industrials are up 75 points at 26,450 to the NASDAQ is up more than 1%. This is NPR. It's 804 I'm Cherry Glaser With KCIA MW news. Medical workers from the U. S Air Force have been deployed to Ella's two busiest hospitals to help with a surge of Covad 19 patients. Military is deploying dozens of air force physicians and nurses to both L, a county, USC and Harper. Dr Brad spelled. Berg is the chief medical officer at L. A county USC Medical center, he told Casey or W's greater L. A. The surges, leading challenges more with staffing than with space, right, so the issue is You run out of qualified staff, and then you begin using staff or not trained for this kind of patient care. And what we don't want to be is in that situation, According to the Public Health Department, L. A county hospitals are now treating more than 2000 people with a Corona virus. Dr Spielberg says he's cautiously optimistic to see that hospitalization and death rates have recently taken a dip locally. For the last I would say 5 to 7 days for reasons I don't understand new positives coming to the hospital have slowed. That doesn't mean we're out of the woods. We have no idea if that turning will continue or things will take back out. About 40 Air force medics are working at the two hospitals. Schools in most counties across California are planning to start this wall with distance learning due to the Corona virus surge, and that has districts around the state scrambling to get their hands on laptops for students and make sure they have reliable Internet connections. State Superintendent of public instruction, Tony Thurman told lawmakers at a recent hearing. He wants to close the digital divide between students who have access to technology and those who don't do a lot of work to be done. We're leaning in. We see we're racing against the clock because we know that school opens in three weeks, The state allocated over $5 billion for schools to address pandemic related needs. Some districts are spending all of it on technical devices. Others air, hoping that companies like Intel and Google will step up and donate to fill in the gaps. 400 families in Inglewood got a helping hand this week, the Dodgers foundation teamed up with a group called Helping Hands Community to deliver 22,000 meals yesterday. The foundation CEO Nicole Whitman told NBC for the goal is to deliver meals to hard to reach families. These families have been unable to make it Teo to our previous grab and goes and so they have no transportation or they have seniors who are not equipped to come out of the house during this time, and so we thought it was really important to serve this population as well. The development fund found that almost 60% of families have lost income because the Corona virus pandemic most of those meals delivered yesterday went to families with Children he usually get free or reduced lunches at their schools. Support for NPR comes from the Dana Farber Cancer Institute. Developing ways to use the PTL one pathway and immuno therapy to treat cancer committed to making contributions in cancer treatment for 72 years. Dana Farber dot ord..

NPR Congressman John Lewis Atlanta Georgia Germany Mark Esper Bobby Allen Google Congress Emma Black Sea Poland Dana Farber Cancer Institute Corbett Coleman Amazon Facebook NATO President Trump
"brad spell" Discussed on KCRW

KCRW

01:46 min | 2 years ago

"brad spell" Discussed on KCRW

"Medical center as you mentioned one of the busiest trauma centers in the United States. You come to work knowing why you're here? And so I think our staff have rallied. Our staff, you know, are are banding together. They're doing what they need to do. But this is both a sprint in a marathon and there is a point at which people start to become exhausted, emotionally and physically. We're holding up We're holding on. But we do We really do need the public to understand what our staff go through because we're all in this together. Does your stuff have enough pee pee? We have had no problems with Peopie. The department has done a magnificent job of sourcing people. We've had no shortages of pp, so that has not been an issue. Well, I guess that's one good thing in this whole thing. Yeah, well, you know, they're I mean, what you want is to bring good from the back. The reality is society has been through much worse than this. We've been through world wars. We were went through the 1918 1919 flu pandemic that infected several 1,000,000,000 people and killed 50 million people, and they didn't know what an icy wass This is not as bad as that We need to remember to stick together. If we stick together, we will get through this and wear a mask more at it. Where math part of sticking together is be respectful of the people we live with in our community. Dr Brad Spell. Berg is chief medical officer at L. A county USC medical Center. Dr Spielberg. Thank you so much. Have a good weekend. Thank you very much.

Dr Brad Spell USC medical Center Dr Spielberg United States medical officer Peopie Berg
How An Early Plan To Spot The Virus Fell Weeks Behind

Short Wave

08:44 min | 2 years ago

How An Early Plan To Spot The Virus Fell Weeks Behind

"The government's missed opportunity for surveillance of the crow bias. What slowed scientists down and the loss time that could have been used to give some cities an earlier warning. You're listening to shortwave the daily science podcast from NPR. Okay Lawrence so it least. Six cities were supposed to be using surveillance systems that were originally built for the flu to test for cases of the Corona virus weeks into that effort. Only one had done that. So where's a good place to start? Let's start in Los Angeles. They ran into some issues back in February. They knew that tracking the outbreak through the number of positive cases that were popping up. Just wasn't a great idea. Because testing was so limited right in order to get tested at that time you had to either recently traveled to China or had close contact with somebody else who tested so. It was like a really high bar to get tested. Yeah and that was because almost no state labs could run the CDC's corona virus tests at the time they had sent out faulty test. Kits see no even patients with the right symptoms. Really couldn't get a test. Which makes it really hard to see. What's happening in a community but for this project the surveillance cities they were guaranteed testing by the CDC and they could send their samples to the agency's headquarters in Atlanta. So how did Los Angeles Start? Looking for the corona virus so county health officials starting talking to hospitals about testing these mildly symptomatic patients. You know and they got pretty far with one of them Dr Prabhu Gander of the Los Angeles County Department of Public Health. He told me when the hospital's board discussed it though they declined to be part of it we only had one confirmed cove in nineteen case in La County and they were concerned that if the second case in La County was linked to this hospital. That there'd be a certain stigma that would potentially be bad for the hospital. Okay so they were worried about the hospital's reputation. Do I have that right? Yeah and he says. The hospital was concerned that patients would be anxious and avoid the hospital if they found the corona virus there now county. Health officials declined to name this hospital because they said they agreed to keep discussions confidential. Well okay so how did L. A? Eventually get testing started. Another hospital reached out to county health officials and that was La County USC Medical Center the Chief Medical Officer. There is Dr Brad Spell Berg. And he knew surveillance monitoring was important. This is a leading edge indicator. If you don't look at it you're missing the Canary in the coalmine. You're waiting for the coal mine to collapse on you. Yes Spielberg wanted to do this. But his hospital into one of the biggest issues in this story of the pandemic testing to speed things up they were gonNA use tests from a private lab but there was only a small number of them. That was against huge resistance. The whole system is like you're wasting our tests. Don't do this. But his hospital pushed ahead and began testing at the county's Medical Center and some of its clinics on March twelfth. When the results started coming back it looked as if five percent of the patients they tested positive for corona virus. Bruce People that had been going to work going to social events wandering around in the community for the days and days. They have the right. This was well before we had broad social distancing policies. Yeah we didn't have that almost anywhere in the country at the time but once officials in La county new this you know they realize that people have been walking around with the virus more of them that they knew and this was a really key turning point in how they responded until then it was about trying to contain the virus. Us contact tracing to track down every person who may have been exposed you know but one of viruses spreading undetected epidemiologists will tell you that containment strategy just isn't enough so in the days after those results Mayor Eric. Garcetti issued a stay at home order for Los Angeles your actions matter and they can and will save lives. Okay so that's what happened in L. A. What happened in those five other cities most of them also struggled to get going? You know for example. New York City didn't get results from its sentinel testing until March thirty first. I couldn't get more information about why it took so long. You know the city is obviously overwhelmed right now but at that point the surveillance was too late to be useful. I mean there are already forty thousand cases at that time. Yeah not exactly an early warning at that point and you know Seattle also had struggles Washington state officials had an idea of how they want to do a sentinel surveillance when they first started talking to. Cdc One of the things. I propose very early was that we use samples from Seattle lose steady. Scott Linquist is the state epidemiologist. He wanted to use the Seattle flu study. Which is a research project that was already testing people with respiratory symptoms surveillance? That was up and running. My point was why. Don't we use those samples? It's up and running. Let's do it and that was denied the problem according to the CDC and FDA was that it was a research project and it didn't have the necessary approvals to run clinical tests for patients and they hadn't gotten consent from the patients to do the corona virus testing so the FDA denied the request at that time. Okay actually make some sense to me so was Seattle able to get anything together eventually. Yes about a month after that the Seattle flu studied did get all the necessary approvals. And they're doing testing now but linguists thinks they clearly could have used it earlier. Could've let us know that it was here before we had the community outbreaks and transmission in the long term care facilities but We miss that period so okay. This effort came up short to say the least. These were weeks when we could have been looking for the virus but the system itself didn't work those extra weeks had to have made a difference right. Well it's to say recognize situation where we been passed as wanted to. That's Dr Joseph Z. A deputy incident manager at the CDC said the delays happened because it was an entirely new virus. It took extra. Planning for collecting samples shipping them ensuring healthcare workers had protective gear. But whether that time made any difference question about whether this revolt we delay APP on longer. resulted in losing visibility. In those half thing and it's and I don't think so. Three weeks is an enormous amount of time to allow cases to accumulate without knowing about it. That's Jennifer nozoe an epidemiologist at Johns Hopkins Bloomberg School of Public Health. If it has sentinel surveillance stood up in A number of cities cities where we would expect to see cases. I We possibly could have caught it earlier and possibly intervened before the case numbers exploded. And you know when you look at the data. It's not hard to see that. The places with earlier state home orders seem to have done better there curves are flatter and they avoided a lot of the hospitalizations and deaths according to models. It really wasn't easy for officials to issue those orders. You know if you remember. There was a lot of debate about when to do it. But from talking to these cities the ones that had this hard data from Sentinel surveillance community spread was happening. They were able to act. I write so okay. Obviously this a very useful public health tool does the CDC have any plans to do this in the future. Yes a number of the cities and counties I spoke to are planning on starting sentinel testing again soon because you know as the outbreak starts waning. They're going to need to find the flare ups and spot the new cases before it spreads even more the trump administration is also talking about using it in their plan for reopening the country. So we'll be doing sentinel surveillance throughout nursing. Homes throughout inner city federal clinics throughout indigenous populations to really be able to find early alerts of symptomatic individuals in the community. Dr Deborah Brooks is talking about doing that testing for people who don't show any symptoms but who may still be infected and spreading the virus the epidemiology. I spoke to said you know this is something the country has to get right. This time. You know not just waiting for cove in nineteen cases to walk into an emergency room but designing studies to go out and looking communities and actually get the early warnings that this kind of testing could have provided in the first place.

CDC Los Angeles Seattle La County Los Angeles County Department La County Usc Medical Center NPR China Lawrence Dr Prabhu Gander Dr Brad Spell Berg Medical Center Johns Hopkins Bloomberg School New York City Dr Deborah Brooks Bruce People Spielberg FLU Mayor Eric