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Local proposal: $400 for singles, $800 for couples
31 recover; 4 new patients
GovGuam works to increase bed capacity
By Oyaol Ngirairikl | The Guam Daily Post
7 hrs ago
1 of 2

EXCEEDING CAPACITY: The governor’ medical advisory group anticipates that the number of people who will be COVID-19 positive in one day will reach 100 by April 14 and exceed our current capacity by April 23. Slide from governor’s medical advisory group April 3 presentation.

NEED: The government is looking at ways to expand its hospital capacity. The governor’s medical advisory group anticipates that as many as 6,000 hospital beds could be needed by June. Slide from medical advisory groups April 3 presentation.

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Four more people tested positive for COVID-19 on Wednesday, bringing the total number of cases to 125 – a count that includes two more children.

One of the two kids caught the virus at a hotel birthday party, though the Department of Public Health and Social Services didn’t provide details on when the party was held, or the number of people who were in attendance. The other child is believed to have caught the virus during recent travel.

DPHSS Director Linda Unpingco-DeNorcey said the two children fall within the 10-19 age group with five other kids. There’s also a 1-year-old baby who has fallen ill. That’s a total of eight kids.

A Homeland Security report, dated March 18, notes that children of all ages are susceptible to COVID-19 “though generally present with milder symptoms. Severe symptoms in children, however, are possible.”

DPHSS tested 34 individuals, one of whom tested positive for SARS-CoV-2, the virus that causes COVID-19. The additional new cases include one from Diagnostic Laboratory Services and two from Naval Hospital Guam, which sends its samples to the Naval Health Research Center in San Diego, California.

There was some good news from Wednesday’s briefing with the governor and her team. Unpingco-DeNorcey reported that four more people who tested positive have since recovered – bringing that total to 31. Among the patients who recovered are nine who range from their 60s to one person who is in the 90s.

National and international health officials have said COVID-19 hits those over the age of 60 the hardest.

Gov. Lou Leon Guerrero on Wednesday said while the number of recovered patients is encouraging, the rate of recovery falls short of the rate at which the virus is spreading.

“While this number is positive, we must not stray from this strict path of social distancing. These recoveries would not have been possible without everyday heroes who risk their lives in the service of others. But they cannot win this fight alone. They need your help,” the governor stated. “To beat COVID-19, every single one of us needs to follow the social isolation directive.”

Officials confirmed that 107 people – a vast majority of those who tested positive – were exposed through some sort of local contact and not because of travel.

Hospital capacity

Leon Guerrero said the number of people requiring hospitalization and more serious medical attention still falls within Guam Memorial Hospital’s capacity to provide care.

Unpingco-DeNorcey said of the current COVID-19 patients, seven are isolated and getting some treatment at GMH. There are two others who are currently in the intensive care unit.

“We’re still really way below that break point where we would overwhelm our hospital facility,” Leon Guerrero said.

As of April 8, the island is already well on its way to surpassing that number. With 125 cumulative positive cases, 31 recovered and four who’ve passed away, Guam has 90 active cases.

In March, Dr. Felix Cabrera said Guam’s overall hospital bed capacity, taking into account nursing levels, is 250 beds. Intensive care unit capacity is 13 beds based on nursing staff levels. Last week, the governor’s medical advisory group anticipated that Guam would surpass that capacity by April 23.

That same model predicted Guam would reach 100 COVID-19 patients by April 14. And by June, we’d need thousands more hospital beds.

The governor said they’re purchasing 20 tents that can house 10 patient tents, potentially expanding the island’s total hospital bed capacity to 1,020. Additionally, they’re looking at other facilities that, with the use of federal funds, can be converted to accommodate COVID-19 patients.

However, “our concern is medical personnel,” the governor noted, saying she’s spoken to Joint Region Marianas Rear Adm. John Menoni.

“He’s bringing in medical personnel for the USS Theodore Roosevelt (and) they will be there to help us if we get to that point … where we need help,” Leon Guerrero said.

The governor said “right now we seem to be OK … with the current hospital capacity” but that can change if people don’t follow the social distancing and stay-at-home directives.

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NewsFact CheckFact Check: Truth of corona conspiracy theory behind arrest of Harvard professor
Fact Check: Truth of corona conspiracy theory behind arrest of Harvard professor
Amid the coronavirus pandemic, a conspiracy theory is viral on social media. A message with a video clip is circulating on Facebook, Twitter and WhatsApp claiming that US authorities have arrested Dr Charles Lieber, a Harvard professor, for creating coronavirus and selling it to China.


Chayan Kundu
New Delhi
April 5, 2020UPDATED: April 5, 2020 22:24 IST

India Today Anti Fake News War Room (AFWA) has found the claim to be misleading. (File image: Reuters)
Amid the coronavirus pandemic, a conspiracy theory is viral on social media. A message with a video clip is circulating on Facebook, Twitter and WhatsApp claiming that US authorities have arrested Dr Charles Lieber, a Harvard professor, for creating coronavirus and selling it to China.



India Today Anti Fake News War Room (AFWA) has found the claim to be misleading. Dr Charles Lieber was arrested in January 2020 for lying and making fraudulent statements to US federal authorities about funds he had allegedly received from the Chinese government. His arrest has no connection to coronavirus.

Facebook users such as "Alex Alvarez" and "Meera Singh" have posted the video – a clipping of US news channel "WCVB" – with the caption, "USA just discovered the man who manufactured and sold the #coronavirus to #China. Dr #CharlesLieber, head of the chemistry and biology department at #HarvardUniversity, USA. He was just arrested today according to American department sources."

The archived versions can be seen here and here.

The claim is viral on Facebook and Twitter.

Why was Dr Lieber arrested?

Dr Charles Lieber is a nanoscientist and has no connection to coronavirus. News of his arrest was reported widely by the mainstream US media. According to "The New York Times", the Harvard professor was accused of concealing Chinese funding. He was not arrested for spying or accused of sending any sensitive information to China.

Dr Lieber was arrested in January 2020 by US federal authorities for "making a materially false, fictitious and fraudulent statement" on funds he received from China.


According to the US Department of Justice statement, on January 28, 2020, Dr Lieber, who has served as principal investigator of Lieber Research Group at Harvard University, which specialises in nanoscience, got more than $15 million in grants from the National Institutes of Health (NIH) and Department of Defense (DOD).

These grants require the disclosure of significant foreign financial conflicts of interest, including financial support from foreign governments or foreign entities.

But Dr Lieber was also a "strategic scientist" at Wuhan University of Technology (WUT) in China and a contractual participant in China’s "Thousand Talents Plan" and received a huge amount of money from the Chinese government. It is alleged he kept this information as secret and did not inform either Harvard University or US authorities.

The "Thousand Talents Plan" is one of China’s most prominent programmes designed to attract and recruit overseas talents and foreign experts to contribute to its scientific development.

Conclusion

It is true that Dr Charles Lieber, a Harvard professor, was arrested by US federal authorities for concealing the fact that he received huge money from the Chinese government and worked as a "strategic scientist" at China’s Wuhan University of Technology. But US authorities have not found any connection of Dr Lieber with coronavirus.

INDIA TODAY FACT CHECK

Claim
Dr. Charles Lieber, a Harvard professor, was arrested for creating coronavirus and selling it to China.
Conclusion
Dr Charles Lieber was arrested by US authorities for concealing Chinese funding. This arrest has no connection to coronavirus.
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1 Crow: Half True2 Crows: Mostly lies3 Crows: Absolutely false
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https://www.trendybuzzfeed.com/2020/04/the-united-states-has-just-discovered.html

https://www.picresorts.com/saipan/

April 6, 2020,07:10pmx
You have undoubtedly read or heard that we don’t have enough ventilators in this country to help Covid-19 victims breathe, especially in coronavirus hot spots like New York City, northern New Jersey, Detroit and New Orleans where hospitals need hundreds (if not thousands) of additional mechanized units.

In the face of this lopsided supply and demand dynamic, there is another more insidious problem lurking in that the prevailing design of manual ventilators (commonly known as Ambu bag resuscitators, which date from the 1950s) does not allow respiratory therapists or ambulatory technicians to precisely control the amount of oxygen that is pumped into the damaged lungs of those suffering from Covid-19. When you consider the incredible strain on first responders and medical staff in the throes of this pandemic, and the vulnerability of coronavirus patients, over-inflation of delicate lung tissues may well lead to routine violations of the Hippocratic oath: first do no harm.

As to the quantity conundrum, President Trump (finally) last week exercised his authority under the Defense Production Act (DPA) to supply components and compel manufacture of these critical devices. This will begin to address a severe shortage that may leave New York City hospitals without an adequate number of ventilators within days, even after California and Oregon have shipped ventilators east and the Federal government has distributed about half of the units stockpiled in the national reserve.

ResMed, one of the leading domestic manufacturers of ventilators, is “maximizing its production” of ventilators and bilevel non-invasive breathing machines, said CEO Mick Farrell.

Farrell emphasized that the rate-limiting issue that has slowed production acceleration has been their inability to gain “priority access to the [ventilator] components.” The DPA is intended to address this very issue, but the White House appeared reluctant to issue an executive order as the public health crisis intensified. For its part, ResMed said that it has been “actively engaging with key government officials” both here and abroad for weeks and that, notwithstanding any component supply limitations, it began ramping up production in early January as soon as the outbreak was detected in China. The company aims to double or even triple its annual production of ventilators and bilevels this year.

Another option to increase ventilator supply could be the conversion of Continuous Positive Airway Pressure (CPAP) or bilevel positive airway pressure (BiPAP or BPAP) machines typically used for treatment of sleep apnea.

A ResMed spokesperson suggested that this could be done but would require “significant rework to function as a ventilator.” A nascent effort to do just that is underway based upon work done by faculty at the University of California, Berkeley and the University of California, San Francisco. The effort appears to be consistent with new FDA guidelines that support “flexible . . . manufacturer modifications made to ventilators, anesthesia gas machines and other respiratory devices, and their accessories, in response to the COVID-19 public health emergency.”

Under a new schematic design co-developed by Berkeley mechanical engineering professor Grace O’Connell, the modified CPAP machine accepts oxygen where ambient air enters the device. The oxygenated air is then filtered and delivered to a patient through an FDA-approved endotracheal tube, and the exhaled air is re-filtered before being released. O’Connell emphasized that using an endotracheal tube bypasses the need for face masks, which could spread disease if aerosolized viruses escape.

A man wears a mask while walking past Sather Gate[+]
ASSOCIATED PRESS
The Berkeley innovation has morphed into a volunteer community effort, led by two students and centered in the San Francisco Bay Area. The group is appealing to sleep apnea sufferers to donate their CPAP or BIPAP machines to be converted, and is optimistic that they can make an impact on addressing the shortfall based upon estimates that there are 8-10 million such machines in American households that could be converted. Notably, both the devices and components necessary to convert them are readily available and therefore could be put into the market more quickly than newly manufactured units.

Converted CPAP machines would not take the place of a mechanical ventilator employed in hospital intensive care units, but could be used in the field to supplement existing Ambu bags. These manually controlled bag ventilators are used to administer short-term respiratory support in ambulances and emergency rooms until patients can be placed on mechanical ventilators that deliver controlled breath sizes.

Currently, respiratory therapists (or worse, harried ambulatory or emergency professionals) must manually squeeze a hard, plastic balloon-like sphere to deliver air into the lungs of patients who can no longer breath sufficiently on their own. Many intuit that the lungs are simply empty vessels and that the risk to patients lies in providing too little oxygen, given the patient circumstances. But the bigger challenge is to do this cautiously so as to avoid lung hyperinflation that damages the delicate alveoli air sacs. This damage often is not apparent at the time but becomes evident within days as the body triggers an inflammatory response with severe implications that can lead to organ failure and death.

Peer reviewed publications on the advantages of so-called low-tidal-volume ventilation (and the costs and risks associated with excess volume ventilation) suggest that about 75,000 Americans die each year from complications associated with acute lung injury, more than die from breast and prostate cancer combined. Moreover, treatment associated with lung damage resulting from hyperinflation costs an estimated $20 billion per year.

In fact, no currently available bag used in the field promotes compliance to metrics established by the American Heart Association and the European Resuscitation Council, according to Dr. Michael Peck. Peck is a board-certified anesthesiologist and chief medical officer of AirMid Critical Care Products, a startup venture company focused on developing and commercializing an innovative volume-controlled manual ventilator. [In full disclosure, my law firm is advising the company on regulatory matters.]

“We have been working on this technology to promote guideline-compliant breaths from resuscitators for some time, but the coronavirus has given us a heightened sense of urgency to move from prototype to finished product as quickly as possible,” Peck said. “With the exposure to potential lung injury from non-compliant ventilators, we are focused on making a product that addresses this safety issue.” The company believes that widespread use of its guideline-compliant manual ventilators will reduce lung injuries and save massive healthcare system costs.

One intriguing, though perhaps unanswerable, question is whether deaths caused by acute lung damage will be wrongly attributed to Covid-19?

“I have had discussions with a number of my colleagues around the country, and some of us suspect that a portion of the death toll attributed to the coronavirus actually is being caused by excess manual lung inflation – whether in an ambulance or in a crowded hospital hallway – so that the patient’s lungs are irreparably harmed,” Peck noted. “This is yet another aspect of the tragedy of this ongoing public health crisis, but if we can build enough of these ventilators we may not need to make painful decisions as to who gets one and who doesn’t. This certainly won’t be our last pandemic.”

John Osborn

I have been a senior executive with life sciences and healthcare companies, including a Merck joint venture, McKesson Specialty Health/US Oncology, and Cephalon. I now…Read More

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