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PANDEMIC ALERT LEVEL
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Online Discussion: Tracking new emerging diseases and the next pandemic since 2005; Coronavirus COVID-19 Pandemic Discussion Forum.

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Dutch Josh View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 3:35am

ksc-the picture I am getting is that in the US;

-a lot of people when they fall ill is they lose income, job, insurance and sometimes housing

-Health care is not public but for profit

-First indications give me the impression HCW run more risks of getting infected in the US than in most of the EU

(due to more PPE available in most EU, stronger rules and trade unions)

-Although in some parts of the EU there are a lot of older-at higher risk-people obesity etc. seems to be a bigger problem in the US

ksc-Blaming China is not helping in stopping the spread of Covid19-stopping flights/travel is. 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 3:52am

Also Mr Pence said that the USA was following the path of Italy, which currently has the worst situation in Europe.  So by simple logic, the European average must be less than that of Italy. and therefore on average will do better than the USA [although that is hard to emotionally accept given how bad parts of Europe are now].


I think Mr Pence should get credit for not watering down the situation his country is facing.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote ksc Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 4:01am

ksc-the picture I am getting is that in the US; You're not getting an accurate picture

-a lot of people when they fall ill is they lose income, job, insurance and sometimes housing wrong

-Health care is not public but for profit wrong

-First indications give me the impression HCW run more risks of getting infected in the US than in most of the EU wrong

(due to more PPE available in most EU, stronger rules and trade unions) wrong

-Although in some parts of the EU there are a lot of older-at higher risk-people obesity etc. seems to be a bigger problem in the US maybe

ksc-Blaming China is not helping in stopping the spread of Covid19-stopping flights/travel is. already done

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Post Options Post Options   Thanks (0) Thanks(0)   Quote ksc Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 4:08am

This might help you understand...

"The reason that drugs and medical systems can be so cheap in the world is because they are so expensive in America. If companies recover all costs of research and development from America then sales in other countries can be done on a marginal profit basis.

Let me put this into perspective for you... In 2017 the world spent $7.79 trillion on healthcare, the U.S. made up $3.3 trillion of that. Which, in case you are wondering, is 42.67%. We are not consuming 42.67% of the world's healthcare, we are paying for other's consumption.

Now let me also put that into perspective for you... If America refused to pay any more than Canada per capita for healthcare costs the world would lose $1.25 trillion from the system. Which is way more than all the profit in the entire world's healthcare system in fact, it would be roughly equivalent to all the profit in the entire world's health care system from suppliers to providers plus about 50% -70% of all doctor salaries (that is every doctor in the entire world taking a 50% to 70% paycut just so the system could maintain the level of care that it currently does and America could pay what Canada pays). If that seems preposterous... congratulations you now understand how massive this problem is. How does this happen?

It is a function of product development costs. It takes about a billion dollars to bring a drug to market. Suppose that a company estimates that the world wide dosage for this drug is 100 million doses (let's ignore the time value). The drug then needs to sell for $10 per dose worldwide to break even, but many countries refuse to pay that. However, suppose that Americans are willing to pay $100 per dose and they will use 10 million doses. That means that all of the development costs are covered by Americans so any contribution margin (price - cost of producing one pill) that comes from other countries is profitable."


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Dutch Josh View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 4:17am

ksc-it would be nice if you have a source/link

[url]https://www.theguardian.com/world/2020/mar/13/european-countries-take-radical-steps-to-combat-coronavirus[/url]

Indeed the US is spending a lot of money on healhcare but that does not mean;

-healthcare for all

-money well spent/most effective

-China, Germany and India not being very major players 

[url]https://www.zerohedge.com/health/shocking-footage-bodies-piled-manhattan-hospital[/url]

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Post Options Post Options   Thanks (0) Thanks(0)   Quote ksc Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 4:37am

Hopefully, the worldwide boycott of chinese products will start gaining traction. They can partner up North Korea when the missiles start flying...


https://www.theatlantic.com/ideas/archive/2020/03/china-trolling-world-and-avoiding-blame/608332/

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 5:01am

You are right ksc, but not entirely.  America's money also makes drug company executives rich.  On the rare occasion an American is given medical aid here, they start out astonished at the assumption we will give aid even if you can't pay for it and go on to be even more amazed when they find out how little we do pay for it.

Because our government pays ALL medical bills, it really buys in bulk!  This means they can drive a    very    hard bargain. 

The NHS is short of money, as is every health system on the planet, but has an internal body called NICE (National Institute for Clinical Excellence) and they bargain for every pill.  If something is extortionate they simply won't buy it.  NICE is not thought of as nice, but it is very effective.  Thanks in part to them, it all remains free at the point of need.


We also have several charities that do research and their goals are different from those of big pharma.  They look for cures.  Big pharma really wants treatments - then the patient must pay for longer!  The charities also get government funding and lottery money on top of their donations.


I paid national insurance for decades.  I don't have to pay it any more.  It gives me a pension and lifelong health insurance and also paid dole money if I needed it.  It used to cost me about £30 a week.  I don't know what it is these days, but probably double that now.  That one payment covers all three for life.

In addition to saving us a fortune, compared to our American cousins, infectious diseases (not just covid, but HIV, TB Hepatitis etc.) spread less quickly as all are treated and our medical staff get their jobs as a calling, not an act of desperation to put food on the table.  About 15 years ago a friend of mine was contemplating going to the states to rejuvenate her career.  She decided to swat up for the exam to be a nurse in the USA.  She sat several online 'mock' exams to practice.  I have no medical training but sat one out of curiosity - I got a distinction, hubby tried it and got a 100% perfect score.  As it happens she did not go as she found out how hard life there can be.  I don't think I could pass one of our own nurse exams.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 7:59am

[url]https://nltimes.nl/2020/04/02/coronavirus-deaths-top-1300-nurses-alarmed-icu-staff-shortages[/url]

It may get hard to get more than 2400 ICU's in NL-due to shortages of staff. Also medication to keep patients sleeping for longer time-2-3 weeks-may become a problem.

Dutch watercompanies are warning for [url]https://en.wikipedia.org/wiki/Legionella[/url] now that sportfacilities, restaurants are not used for a longer time. 

[url]https://www.rivm.nl/en/current-information-about-novel-coronavirus-covid-19[/url]; Techno-we also have a "NICE" here in NL -National Intensive Care Evaluation

Explanation

Hospital admissions for 625 patients were reported today. 166 deaths were reported. Not all of the hospital admissions or deaths occurred within the last 24 hours.

The ‘coronavirus data’ report includes a graph showing the number of hospital admissions by reporting day and deaths per day of death. Due to delays in reporting, these figures may change per day.

It seems as though the initial effects of the measures can be seen. The number of patients admitted to hospital and the number of deceased patients reported in the Netherlands are increasing less rapidly than would have been expected without measures in place.

RIVM National Institute for Public Health and the Environment   is receiving information on the outbreak of the novel coronavirus from multiple sources. The daily data reports from the National Intensive Care Evaluation (NICE) Foundation are now also included in the reports on coronavirus data in the Netherlands (only in Dutch). These figures are updated constantly by the NICE Foundation. For that reason, the figures in this report have a slight delay compared to the real-time situation.

Since not all COVID-19 patients are tested, the actual numbers in the Netherlands are higher than the numbers stated here.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiMum Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 1:45pm

Originally posted by ksc ksc wrote:

So what facts led you to form this opinion?

"-comparing with the US the EU is doing so much better !  "

Heavens, are you another American looking to take offense? Another American who can find an insult in any sentence? Seriously you guys need to get over yourselves and enter into a discussion rather than shutting it down with your misplaced sense of national pride. It's not appropriate here.

You can't fix stupid.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote ksc Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 2:15pm

I'm not taking offense at all, just amazed at the ignorance shown by citizens of other countries concerning the USA. It's actually humorous, especially since I was born in the UK and have family living in Europe.....

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 02 2020 at 10:55pm

ksc-With the rule-nationwide-you have to wear masks in the US the US is taking a major step forward. The EU is not doing that allover the EU.

Also "sense of community" may be better in the US-lots of volunteers willing to help in a crisis-nationwide. In the EU borders often still are barriers-interest of most stop at the border of their own country. 

Maybe I put my criticism of the US to "black-and-white"-some more nuances may be welcomed. With criticsm (based on what I read/learn from Moon of Alabama, Zero Hedge, Peak Prosperity-all US sites or this one [url]https://halturnerradioshow.com/index.php/en/[/url] behind paywall shortages food, medication in US)  I hope to help push for changes.

[url]https://www.zerohedge.com/economics/here-comes-next-crisis-30-all-mortgages-will-default-biggest-wave-delinquencies-history[/url]-this is not only a US problem. But the US is supposed to be "the richest nation" in the world. It should do better in public healthcare, housing etc. We are all-in many ways-in "the same boat".

(By the way "Yankee" comes from Jan-Kees -Dutch names when New York was Nieuw Amsterdam-the US has "Dutch roots" in my opinion)

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 06 2020 at 12:44am

DJ-With so much bad news from around the globe things look "reasonable" in NL;

-ICU are being stretched-but many German hospitals are willing to take IC patients from NL (problem is more in duration-staff may be working very hard for the coming 4-6 weeks) [url]https://nltimes.nl/2020/04/06/early-optimism-icu-assoc-says-covid-19-figures[/url]

-One "person" between 25-29 died of Covid19, several others have died yonger than 50-in all cases comorbidities

[url]https://www.rivm.nl/en/current-information-about-novel-coronavirus-covid-19[/url];

Among the deceased patients, three were between 25 - 50 years of age. They all had serious underlying health conditions.

-Germany may close border with NL today (goods, essential workers excluded)-there is some criticism on that; [url]https://nltimes.nl/2020/04/06/germany-declares-nl-international-risk-area-covid-19-borders-close[/url]

  -why now-it is rather late, Easter-weekend as an excuse ? [url]https://nltimes.nl/2020/04/06/warm-sunny-weather-give-way-clouds-showers-easter-approaches[/url]

  -why all of the border while most cases in NL are in the south and west, some regions in the north still have no cases (!), also in Germany spread is very uneven-Northrhein-Westphalia has a lot of cases, also limited numbers in northern Germany

   -People see it as conservative CSU getting its way-closure of border for political reasons

-Insurance companies are not renewing/giving new credit-insurances for shops in the NL so they may run into difficulties buying goods

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Post Options Post Options   Thanks (0) Thanks(0)   Quote ksc Quote  Post ReplyReply Direct Link To This Post Posted: April 06 2020 at 2:11am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 06 2020 at 6:11am

ksc-thanks for that link, from [url]https://www.worldometers.info/coronavirus/[/url] more and more testing in most western countries. 

[url]https://www.worldometers.info/coronavirus/country/us/[/url], [url]https://www.worldometers.info/coronavirus/country/italy/[/url]

[url]https://www.worldometers.info/coronavirus/country/spain/[/url] and [url]https://www.worldometers.info/coronavirus/country/netherlands/[/url] have lots of data for comparison 

-the Dutch (and Belgian) border with Germany will get more controls but not close [url]https://en.wikipedia.org/wiki/North_Rhine-Westphalia[/url] wants the borders to remain as open as possible

-For NL at least till april 28 a lockdown-with some room to move (shopping, fresh air) is-more or less-working. 

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Post Options Post Options   Thanks (1) Thanks(1)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 08 2020 at 2:02am

DJ-The Dutch CDC is telling the R0-on average-is under 1 in NL-but still smaller outbreaks do happen. In 1/3 (900) of the 2500 care centers for elderly there is Covid19-the peak is flattening but far from over. 

[url]https://nltimes.nl/2020/04/08/coronavirus-biggest-humanitarian-disaster-since-wwii-red-cross[/url], [url]https://nltimes.nl/2020/04/08/govt-plan-use-apps-track-covid-19-raises-privacy-concerns[/url] DJ-one of the concerns is police checking via apps how many people are in your house etc. Is there an "exit-strategy" for the use of thes apps or will they be used long term ? 

[url]https://nltimes.nl/2020/04/08/coronavirus-new-normal-attention-needed-regular-healthcare-lcps-chair[/url],  [url]https://nltimes.nl/2020/04/08/29-year-old-youngest-yet-die-covid-19-brother-31-icu[/url]

DJ-More and more realism-this Corona-crisis is lasting for years. Economic damage is major-our economy will loose at least 10%.

Since we are "not an island" developments around the globe will effect events in NL. Economic pressure can bring a rise in cases. 

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Post Options Post Options   Thanks (1) Thanks(1)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 10 2020 at 12:16am

DJ-There is a severe shortage in PPE, face masks etc. for care centers in NL [url]https://nltimes.nl/2020/04/10/healthcare-workers-veluwe-quitting-lack-protective-gear-fear-covid-19-infection[/url] since also rules are not always clear, staff sometimes switch jobs often-[url]https://nltimes.nl/2020/04/09/half-residents-rotterdam-dementia-care-home-died-coronavirus-report[/url] this cen be the outcome. 

Most old, people in need, are not allowed to get outside the care center (some do have (roof)gardens, balconies etc) or to get visitors. In practice sometimes partners get seperated-only contact via window, phone, internet. 

The borders between NL and Germany, Belgium are "open" for goods and essential travel [url]https://nltimes.nl/2020/04/10/german-police-randomly-check-dutch-border[/url] . Quite a lot of people live on one side of the border, work on the other side-urban area's may cross borders-with supermarkets etc 'on the other side"-a strict closure of the border brings problems. 

[url]https://www.rivm.nl/en/novel-coronavirus-covid-19/current-information-about-novel-coronavirus-covid-19[/url] Over a 100 German hospitals are willing to accept Dutch patients-our ICU system is (very) close to the max-we would not be able to give the needed care without Germany. [url]https://nltimes.nl/2020/04/08/first-drop-covid-19-patients-treated-icu-since-pandemic-began[/url]

DJ- The "Euro-crisis" is not over yet [url]https://nltimes.nl/2020/04/10/europe-commits-eu500-billion-coronavirus-support-package-sensible-solidary-dutch-fm-says[/url] (DJ-Italy, Spain, Greece etc. see the Euro damaging their economies-while rich Euro-countries NL, Germany, Austria, Finland are not willing to give up their benefits. In interest-rates that would cost them billions they fear-but putting those cost/rates on the poor Euro-states (already also dealing with most of the refugees) is-in my opinion-also not reasonable, durable. There once were talks on N-(North)Euro and S-(South) Euro-but that would not solve problems for countries in between like France-let alone new-possible-Euro-countries like Poland.)

[url]https://nltimes.nl/2020/04/09/zero-chance-life-will-return-normal-apr-28-dutch-pm-schools-talks-reopen[/url] DJ-Some estimates 800.000 to 900.000 jobs lost due to Coronicrisis. Tourism was a main source of income-should hotels transform to studenthousing ? The transportsector move to home-delivery of groceries ? KLM staff instead of working in aircraft work in healthcare ? 

The Netherlands are supposed to be very flexible-able to see new oppertunities and chances. The internet already was a major competitor for shops-in-the-street-Covid19 speeds up that proces. There were over 250.000 vacencies in care, a shortage of teachers-there is a shortage of affordable housing. (Lots of offices now have turned into houses-sometimes they started as a house-become office for decades-now turn back to appartments...)

The not-that-strict lockdown in NL may be working better than strict lockdowns in other countries. [url]https://www.worldometers.info/coronavirus/country/netherlands/[/url] There is shortage of tests, masks etc. but there is also new production of those in NL. 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 11 2020 at 2:44am

DJ-Some news (with Dutch links) [url]https://www.gelderlander.nl/ede/rioleringen-raken-verstopt-door-ontsmettingsdoekjes-zelfs-mondmaskers-spoelen-mensen-door~aed227ad/[/url] The Dutch sewage system is facing more problems due to all kind of materials being dumped in the toilets-from facemasks, kitchenpaper, to dipers since small children do not go to kindergarten etc. It takes two persons to clean up the mess-they have to wear PPE since they can not keep a distance of the prescribed 1,5 meter. 

[url]https://www.gelderlander.nl/nijmegen/trouwambtenaar-noemt-huwelijk-met-dertig-mensen-onverantwoord-en-krijgt-ontslag~a1d993f3/[/url] A civil servant for mariages lost her job after critizizing there are still 30 people alowed at mariages (and funerals etc)-it contradicts the other rules of no more than 3 persons (or a household) getting together. "For a wedding you need the persons getting married, two witnesses and a civil servant. "

[url]https://www.gelderlander.nl/binnenland/weer-branden-in-zendmasten-telecomaanbieders-gaan-uit-van-5g-terreur~a7d9485e/[/url]

Several 5G-telecom mast have been set on fire. Some people see a link between 5G and Covid19. The police see these attacks as terrorism and attacks at vital infrastructure. 

Links in English;

[url]https://nltimes.nl/2020/04/10/nl-acquisition-production-masks-happened-slowly-report[/url] Dutch manufacterors could have started production of PPE, masks etc. weeks earlier if the government did order earlier. (DJ-The NL exported PPE etc to China in february-the government did not see this pandemic coming eventhough they were warned-in early february there were already cases in the EU !!!). Also carecenters for the elderly (etc) have severe shortage of PPE-killing hundreds of people-the government denied the problem !

[url]https://nltimes.nl/2020/04/11/large-majority-icu-patients-suffer-long-term-consequences-visit[/url]

Also in Dutch press-keeping elderly alone in carecenters, without visitors, social distancing, can cost lives (and decrease quality of live) soon. 

DJ-Dutch politics first had the idea of a "controled break out"-herd immunity would protect the most vulnarable, others would not get severly ill....the main problem was to protect ICU/healthcare from being overrun. Most likely the hope was warmer weather would slow down the spread. In the balancing act keeping the economy going was maybe more important than saving lives. Still the view seems to be to go back to the "old way of living" with international travel, traffic jams, etc. In my (DJ) opinion that view is unrealistic-politics is slowly getting there. This covid19 will have effects for a longer period-so we should prepare for a "new normal". 


There is growing concern that this easter (by the way that name comes from Ishtar [url]https://en.wikipedia.org/wiki/Inanna[/url]) may cause a second wave. Allthough airtravel is now 10% of normal flights from New York see no controls, people are "advised" to limit contacts. In their first comments the Dutch PM gave the impression young people would not be effected by Covid19-(based on RIVM non sense !). Since then he learned better but the story put younger people at the wrong foot. 


Testing is limited, severe shortages of PPE, unclear rules, still international travel  and nice-summer like-weather all form the bases for a second wave we will see end of April, early May...


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 20 2020 at 2:40am

DJ-Tomorrow the Dutch cabinet will inform the nation on plans and restrictions after april 28. What to expect ?

-Maybe barbers, dentists can reopen under the restriction of limiting contacts (so only on appointment, most likely with PPE/masks, desinfection, a screen at a reception, pay-by-card etc.)

-I do expect restaurants, gyms etc. will have to stay closed. At best some rules will be discussed on what bases they may reopen. (A lot of these kind of businessess will wait for tomorrows news and then may decide to go for bankruptcy)

-No visiting for the old in carecenters-maybe till june 1 ? (Maybe in the north of the NL were there are less cases there will be more room for other rules)

-[url]https://www.zerohedge.com/technology/covid-19-smartphone-surveillance-and-state[/url] there has been a lot of discussion on the use of smartphone-apps to help against Covid19. Seven companies had a chance to present their products. Experts are not very happy with the results-so this will take more time.

(DJ-I am against mandatory using of apps-there is still a large group that does not have the (right) smartphone-specialy with elderly. Also using drones etc. proberbly will be seen as government mistrusting their own people. There is a "social contract" of trust. People mostly doing the best they can in social distancing, staying informed/educated. Most people are willing to accept-for the time being-stricter rules when the government is willing to provide income for those now without an income.)

-[url]https://nltimes.nl/2020/04/20/adjusting-public-transit-social-distancing-society-will-cost-eu12-billion-report[/url] DJ-The number of people using public transport now is about ten percent of normal. To create social distancing in public transport will be a challange-it also will not make that kind of transport cheaper. It is expected people will go for e-bikes.

[url]https://www.youtube.com/watch?v=hxGRiipfuCI[/url] in Dutch-the (7 persons) Outbreak Management Team advises the government on what measures will do. They are doing that on bases of  their professional knowledge-but as a person (so not as a representative of the hospital or company they work for). It is politics that have to make the rules. 

-[url]https://nltimes.nl/2020/04/20/elderly-coronavirus-patients-transferred-icu-less-report[/url] DJ-The number of ICU patients has been dropping for some days now. But part of the story is elderly (70+) may go to ICU less. 

[url]https://www.at5.nl/artikelen/201429/hans-was-kerngezond-maar-overleed-aan-corona-ik-ben-gebroken[/url] A story from Amsterdam. A 62 y/o man died-after a very active sporting life. His wife and his mother (97) also were ill. But they both recovered. 

For intubation the man was brought in coma-but suffered 4 strokes-so he never woke up again....

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: April 21 2020 at 11:10am

DJ-Just had the PM/CDC-RIVM press conference on Covid19-

Main point was keeping healthcare functioning so very limited room. For schools NL watched what Scandinavia was doing-further there have been talks between PM Rutte and Angela Merkel-Germany-because we face the same questions-more or less in a same phase. 

[url]https://nltimes.nl/2020/04/21/netherlands-will-open-primary-schools-may-lockdown-measures-continue[/url]

Prime Minister Mark Rutte confirmed on Tuesday that primary schools will reopen after the May vacation period, weeks after they were ordered closed to help contain the spread of coronavirus. The schools were part of five points Rutte wanted to make on behalf of his Cabinet just one week before the first coronavirus social distancing measures were set to expire.

He also discussed the extension of a ban on most organized sports and close-contact businesses through May 20, and the cancellation of all large events through September 1, including professional football, which effectively ends the Eredivisie's 2019-2020 season.

-

Joined by the head of public health agency RIVM, Jaap van Dissel, Rutte repeated what the country's health leaders have been saying for a week: That the number of Covid-19 patients in intensive care and the reduction of new patients with coronavirus in hospitals are both positive signs. However, "the pressure on healthcare is still enormous," he said.

Both men expressed concern for healthcare workers, and said that they have to get a break and a chance to recover before any more rules may be relaxed. "For months, these people are already working shifts of twelve hours a day; They need time to recover."

-

He continued, "One person's freedom should not be at the expense of another's health."

Rutte also suggested that testing for coronavirus would be expanded to include teachers and school staff, with the schools reopening their doors. The Dutch leader said that the he felt the decision will make life easier for parents.

"Few children have been reported with infections, the disease display was mild and the transmission of children to parents appeared to be limited," Van Dissel said. Of the 34 thousand people in the Netherlands who have tested positive for the virus, 124 are under the age of 14, of which 47 were treated in a hospital.

He also said that there were no clusters of children who tested positive for the virus. "Children are underrepresented in the number of illnesses. We see that elsewhere in the world."

-

Children up to age 12 are also allowed to begin playing team sports again starting on April 28. Those from 12 to 18 years of age may play sports or exercise, but only at a distance of 1.5 meters from each other. Still, the prime minister urged people to "use their common sense", and not crowd up alongside sports fields, and to shower at home.

"Individual sports, such as running and cycling, can and should still be done for everyone," he said.

-

The initial plan from the government to cancel all large events was supposed to be in effect up through the end of May, however that was extended to September 1 on Tuesday. The decision largely matches advice from many mayors in the country, and provides more clarity for some of the biggest Dutch festivals which had complained they were in the dark and did not know how to proceed with their ticket-holders, performers, sponsors, and insurance firms.

-

While hairdressers and beauticians had put effort into creating a protocol to return to their work, that effort was in vain for the time being. Barbers, masseuses, sex workers and other close-contact professions will still have to stay closed, Rutte affirmed. 

"We are not yet safe. There is no vaccine. People who get the virus may have to call on the hospital. The pressure [on hospitals] is still enormous and must really decrease first," Rutte said.

Other businesses, where workers and visitors can keep 1.5 meters away from each other, can continue to stay open.

There was also talk earlier Tuesday of a possibility to allow people to again visit loved ones resident in care facilities. However, the Cabinet decided against permitting this.

"As difficult as it is to not allow visits to nursing homes, we must protect our elderly. We do this, knowing that it is very difficult," Rutte said.

-

The team of experts could not reach a consensus on whether high-contact businesses should be allowed to reopen. The hesitancy here had to do with lack of knowledge on exactly how contagious the coronavirus is before a patient starts showing symptoms, and the shortage of protective gear. For example, this week hairdressers submitted a protocol containing measures they will take in order to safely reopen. These largely involved wearing masks and gloves. This will increase the already high demand for protective gear.

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[url]https://nltimes.nl/2020/04/26/mink-found-infected-covid-19-two-dutch-fur-farms-areas-now-closed-public[/url] ;

"Human to animal contamination is possible, but the impact of this mink contamination on human health is currently negligible. Human to human contamination is the driving force behind the current coronavirus pandemic," the ministry said.

"There is currently no reason to believe that the virus spreads in these mink farms in any other way than it does between humans," the ministry said. All Dutch mink farmers, veterinarians, and researchers will be required to report any respiratory problems or increased mortality in mink.

The ministry wants more research to be done to determine if the virus spreads the same way among livestock as it does among humans. "While it is not expected that the virus will spread over longer distances, air and dust samples are also taken in the vicinity of the company as a precaution," the ministry said.

[url]https://nltimes.nl/2020/04/26/customers-angered-klm-refusal-give-cash-refunds-tickets-eu-discuss-issue[/url] ;

KLM has confirmed that they will not be issuing refunds for travelers who have booked flight tickets with a departure date prior to May 31, the airline told NL Times. This comes amid a spate of customer complaints against the airline from passengers who said their financial situations means they need the cash back for their cancelled flights, requests which they said have fallen on deaf ears at the airline's customer service department.

In place of a refund, passengers are being offered vouchers equal in value to the cost of the original ticket. The vouchers are valid for one year and can be used in exchange for future flights with KLM and its partners, including Air France, Delta Airlines or Virgin Atlantic. Alternatively, affected travelers can opt to adjust the date of their travels, or change their destination entirely, both free of charge.

Vouchers which go unused may be exchanged for cash after the 12-month period runs out, the airline said.

-

However, many customers believe that the vouchers are insufficient, and that KLM has not done an adequate job of communicating with its aggrieved customers. "I understand it is important to support companies during the crisis," said Eindhoven-based Susannah Letouze.

She spent 800 euros to fly to Washington D.C. last month, but fearing the contagious virus, and with countries racing to change their entry policies, she paid KLM an extra 100 euros to move the flight to May. That flight was later cancelled by the airline. She was offered KLM's voucher instead, and said the airline told her the conditions involved.

"I explained that it is not good enough. They pushed me to fill in a dispute via the website." she told NL Times. Since then, they have not replied to her concerns over using the voucher.

"It’s not my place to help bail out KLM," she said.

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[url]https://nltimes.nl/2020/04/28/coronavirus-crisis-increasing-inequality-netherlands-society-professor-says[/url] ;

About a fifth of Dutch people lost a big part of their income since the outbreak of the coronavirus crisis. Another group is saving more money now that restaurants are closed and holidays are being canceled. The crisis is widening the gap between these two groups, Oscar Gelderblom, professor of financial history in Utrecht, said to the Telegraaf. Vulnerable families are being hit hardest.

According to Gelderblom, there are worrying parallels between this crisis and the great depression in the 1930s. "There is a big difference in vulnerability between people with a big and small purse. The people who were able to build up a buffer will survive the crisis. If you don't have that, you can do nothing but spend less. Then there is only money for the basic necessities in life," he said to the newspaper.

[url]https://nltimes.nl/2020/04/28/organized-crime-hindered-coronavirus-crisis-rotterdam-police-chief-says[/url] ;

While the coronavirus crisis brought massive parts of society to a halt, organized crime continues unhindered. There is no visible reduction in the amount of trafficked drugs discovered in Rotterdam, and a first batch of cocaine has already been found in a shipment of medical supplies that was shipped to the United Kingdom, according to Rotterdam police chief Fred Westerbeke. "Criminals adapt very quickly," he said to AD.

Over the past six week, over 40 people were arrested at the port of Rotterdam on suspicion of being so-called "retrievers" - people who get themselves locked into the port in order to remove drugs from containers and smuggle it off site. According to Westerbeke, their presence shows the continuity of the drug trade.

Westerbeke doesn't think lockdown diminished the demand for drug in many countries, he said to the newspaper. "The use will be less, but I don't believe there was a halving." 

Increased controls on the borders, due to measures in place to curb the spread of the coronavirus, did make drug distribution more difficult. But according to the Rotterdam police chief, criminals just switched back to old smuggling routes, or invented other methods of moving their product.

Drug dealers themselves are also having a harder time. With everyone stuck at home, there is not only fewer customers on the street, but more people watching out their window. They are therefore gathering in places where there are crowds, such as the parking lots of supermarkets or hardware stores, Westerbeke said

[url]https://www.rivm.nl/en/novel-coronavirus-covid-19/what-are-we-doing-in-the-netherlands-in-response-to-the-coronavirus[/url]


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Post Options Post Options   Thanks (0) Thanks(0)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: April 28 2020 at 2:03am

About the first point of some losing income, and others finding they have more money now they cannot spend it...


I was talking to some family in London who are fortunate in that they have kept their jobs and are working from home.  They all commented that they now have more money than ever because they are not having to pay out for the very expensive communing costs.  On the down-side more is being spent of food - for one family this was because there was a local M&S that was pleasant to go to, rather than a hour+ wait in queue to get into one of the big box stores.

I guess we will see much more pressure for firms to allow more working from home than they did before.  Along the same lines, some of the rural communities in Finland want to keep up tele-schooling in some form as the long distances make transport cost very high (the worst case was where over 10% of the education budget in a community went on transporting children to and from school).

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EdwinSM, I hope (and expect) working, study from home will become a new normal. Here in NL we have a major online supermarket [url]https://join.picnic.app/?_ga=2.140400051.1678489304.1588574530-92380823.1584174098[/url] (also already selling in Germany (?)) Other major supermarkets have now also become internet-supermarkets bringing groceries at your doorstep (some used to bring it to your kitchen-may even help those in need to store it-social distancing has stopped that service. Now they park it at your front door-ring the doorbell-step away-so you can get your shopping.) Drugstores also send their goods for free when you order for over 20€.

Here in local (Arnhem) news-this weekend police ended a party with over 40 people in a house.[url] https://www.gelderlander.nl/arnhem/politie-maakt-einde-aan-illegaal-feest-met-veertig-personen-in-arnhem~ab75a165/[/url] link in Dutch In Velp (suburb) a group of Polish migrant workers was found to be infected with Covid19. Over 28 of them now placed in quarantine on a rivercruiseship in Arnhem-harbour. [url]https://www.gelderlander.nl/arnhem/tientallen-buitenlandse-arbeiders-in-isolatie-op-arnhems-cruiseschip-na-coronauitbraak~aabe55e3/[/url] Link in Dutch

[url]https://nltimes.nl/2020/05/04/third-teachers-worried-schools-reopening[/url] DJ-I would not be surprised if NL followed Germany and schools may reopen in september. 

[url]https://nltimes.nl/2020/05/03/many-international-train-passengers-required-wear-masks-monday[/url] and [url]https://nltimes.nl/2020/05/02/make-face-masks-mandatory-public-transport-urges-advisory-group[/url] DJ-Since public transport and social distancing do not mix very well: A Public transport in urban area's only for longer distances B Since cars use so much space-use of cars further restricted to create more room for people walking or riding a bike. (C. More government money needed to keep "privatized" (often now in foreign state-public transport companies hands) public transport running.)

[url]https://nltimes.nl/2020/05/04/mayor-calls-adam-residents-responsibility-adhere-coronavirus-measures-hoping-relaxation[/url] and [url]https://nltimes.nl/2020/05/02/dutch-take-streets-raising-concerns-around-sprawling[/url] DJ-More shops reopen/need to reopen or face banktruptcy=more people on the street. There are limits on NPI/(even "intelligent" lockdowns (with more room to go outside). 

If there would be a second wave (and I expect there will be several waves) both NPI and healthcare may become problematic. A lot of HCW are getting exhausted (or infected in care centers-shortage of PPE). Still very limited testing so underreporting. [url]https://nltimes.nl/2020/05/01/nurses-caregivers-mentally-exhausted-feel-pressured-work-unprotected[/url]

Government aid programm is far from perfect [url]https://nltimes.nl/2020/04/29/students-financial-trouble-unions-call-aid[/url]. Forcing some restaurants, cafe's etc. to "become creative" (You can book a hotel-eat at a restaurant without even staying in the hotel-hotels are excluded from some rules). 

[url]https://nltimes.nl/2020/04/28/coronavirus-crisis-increasing-inequality-netherlands-society-professor-says[/url] DJ-Just like in most other countries less well educated have lesser income, health, housing-face more problems when children are supposed to "study at home". (DJ-They smoke more-so if nicotine means less ACE2 receptors they may have a bit more protection than non-smokers-on the other hand life-expectency for the poor is sometimes 12 years less than for the rich. In poor area's (the study was in Amsterdam) babies dying at birth is at third world level. 

DJ-Outlook-the spread of Covid19 is not even in the NL. The south and west have more cases-but cases per million are the highets in the south-risk of further spread is major in the big cities (Amsterdam, Rotterdam, The Hague, Utrecht) in the west. The government has put a lot of costs for unemployment and care on [url]https://nltimes.nl/2020/04/30/coronavirus-pushing-municipalities-financial-trouble-report[/url] they now face banktruptcy. 

There is NO exit strategy. Call for "apps" to slow down the spread are not very welcome. On a voluntary basis over 60% may cooperate but so far the government has not showed they know what they are doing. Shortage of PPE and testing goes on-even with an airlift from China and increased production in our country (Here in Arnhem refugees will produce 100.000 masks per day in a social-work project [url]https://www.gelderlander.nl/arnhem/vluchtelingen-in-arnhem-aan-de-slag-met-productie-100-000-mondmaskers-per-dag~acd44c93/[/url] link in Dutch).  There is need for perspective-a lot of companies can do without income for three months but may not survive six months. Even open shops now see an income of less than 50% of normal. [url]https://www.gelderlander.nl/nijmegen/horecabaas-met-veertien-kroegen-in-arnhem-en-nijmegen-1-juni-open-of-meer-steun-anders-actie~a5b62f79/[/url] link in Dutch-Owner of 14 cafe's will reopen june 1 unless he gets more help. 

The picture I get NL is doing "above average" but as a major spill in international trade "pain" is on its way. (Oil and gas are an important part of NL trade. Global demand for all products may be falling. NL is second largest agriculture exporter (after US) in the world-a lot of it may go to China. Flower export collapsed. )

[url]https://www.buitink-technology.com/uk/industry/sanitarian-transparent-separation-panels/?cat=7898[/url] Extreme light weight screens may be used in offices, schools, gyms etc. New technics for social distancing society. 

PS-google translate is a great help for articles in Dutch. 


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[url]https://nltimes.nl/2020/05/06/coronavirus-restrictions-ease-spring-summer-testing-widely-available[/url]

Schools reopening step-by-step from may 11. DJ-There is still limited knowledge of how Covid19 may effect children. Since the belief is they do not get infected or ill-very limited testing. [url]https://nltimes.nl/2020/05/06/roadmap-reopen-netherlands-unveiled-economic-assistance-planned[/url] In the balancing act-the other choice would end most bussinesses in the NL. 

[url]https://nltimes.nl/2020/05/06/face-coverings-public-transit-hairdressers-terraces-open-soon-reports[/url], [url]https://nltimes.nl/2020/05/07/ns-scraps-group-discounts-bans-bikes-trains-prepares-travelers[/url], [url]https://nltimes.nl/2020/05/07/social-distancing-two-thirds-dutch-notice-others-getting-close[/url]

DJ-The outcome may be that in the NL the most vulnarable will seek self-isolation with very limited help from authorities. The "gamble" is R0 will stay below 1-if cases rise more restrictions. The idea is there will be more testing-but so far the number of tests per million in NL is at the same level as that of countries like Peru. [url]https://www.worldometers.info/coronavirus/[/url]

[url]https://www.worldometers.info/coronavirus/country/netherlands/[/url] Reporting of cases is far from optimum. There is an uptick every tuesday since then the weekend numbers come in. Very likely there is major undereporting. 

[url]https://www.rivm.nl/en/novel-coronavirus-covid-19/current-information-about-novel-coronavirus-covid-19[/url] looking at the map still the old pattern of most cases in the South-East. 

DJ-We have to do with this-limited testing, limited statistics, very limited PPE, Do-it-yourself masks in public. Our economy/industrial production will decrease 7,5% Q1-EU average =9%. Maybe this is the best scenario ? NL now at place 16 in worldometers list-a week ago at place 10. But we may be doing it "a little bit less worse" than some other countries not that much better.

A lot of people doing "vital jobs" get minimum wage in NL (10€ p/h). We have minimum wages since 1968-then it was enough to pay for a family-now it covers only 42% of the costs-corrected for inflation-it then covered. Trade Unions want better minimum wages (it would be nice if they also discussed maximum wages. Politics now discussing support for KLM-Dutch airlines. They do not want taxmoney for bonusses, buy-backs and high saleries for the overpaid. It is a good thing they are at least somehow thinking of what role aviation has to play in future. Why tax on gas-for-cars but not for kerosin-for-planes ? AVT etc on airliners. 

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DJ Although the official numbers in NL have been going down [url]https://www.worldometers.info/coronavirus/country/netherlands/[/url] there are still problems both in testing and PPE in lots of carecenters. 

[url]https://nltimes.nl/2020/05/11/schools-hairdressers-reopen-nl-eases-coronavirus-lockdown[/url] In my opinion "we" have to be very carefull. In Germany the R0 now has moved above 1-a "slow spread". 

A cynical view could be that support for NPI/lockdown is decreasing so a certain increase in cases may provide new support for NPI. I hope that is not the basic idea. Both Dutch and German virologists warn for a second wave (although that is the job of epidemiologists). [url]https://nltimes.nl/2020/05/09/second-coronavirus-wave-horizon-experts-warn[/url]

In other Dutch news;

[url]https://nltimes.nl/2020/05/09/ancient-volcano-discovered-dutch-seafloor[/url]

and [url]https://nltimes.nl/2020/05/10/three-n-s-americans-arrested-eu10-million-crystal-meth-bust[/url] A 37 y/o US, 29 y/o Mexico and 19 y/o Columbia man were arrested in a crystal meth bust-not far from Arnhem-production meant for Eastern Europe. 


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Post Options Post Options   Thanks (1) Thanks(1)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: May 11 2020 at 2:40am

From [url]https://www.gelderlander.nl/arnhem/rijnstate-en-philips-gaan-coronapatient-volgen-met-slimme-pleister-vol-sensoren~a9e69c01/[/url] via google translate;

Rijnstate and Philips will follow a corona patient with a smart plaster full of sensors

ARNHEM - Rijnstate Arnhem Hospital will monitor corona patients after discharge from the hospital. It will do this, among other things, with smart plasters full of sensors. They measure and pass on a person's heart rate, blood pressure and temperature.


To this end, the hospital is working together with Philips, healthcare provider DrieGasthuizenGroep in Arnhem and the regional general practitioner organization Onze Huisartsen, which is active in Arnhem, the Betuwe and the Liemers. Corona patients can be monitored remotely by combining measurements with portable sensors and questionnaires, says Wim van Harten, chairman of the board of Rijnstate. Through measurements of vital functions by portable sensors on the patients' bodies, doctors assess which corona patients need (additional) care. The test with sensors was previously announced, now it is being used for the corona patients. More complete picture These patients are located outside the walls of the hospital, for example in a care facility of Drie GasthuizenGroep or at home. "This solution gives the treating specialist at Rijnstate or the general practitioner a more complete picture of the patient's health situation," explains Van Harten.

The sensor measures heart rate and respiratory rate. These measured values and the results of the automated follow-up questionnaires are displayed in a dashboard. In this way, Rijnstate has an overview of any trend change in the patient's health situation and healthcare providers can act accordingly, according to Van Harten.

More remote care
One of the objectives is to prevent the further spread of the coronavirus. At the same time, the approach must ensure that the hospital can resume non-corona care. “It is important that we can continue to provide care for all patients who need it, even in times of crisis. Our innovations come in handy here, ”says Henk Valk, CEO Philips Benelux.

Rijnstate is working on the clinic of the future together with Philips. In addition, hospital doctors are increasingly providing remote care.

Acceleration of digital care
The pilot for tracking corona patients started this month. Essential parts of this program are scientifically evaluated in collaboration with the University of Twente. “We want to realize innovations that are tangible. So using science and research that matters in practice, ”says Van Harten van Rijnstate.
Because of the corona outbreak, both the hospital and Philips see the need to accelerate the digitization of care.
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Now THAT is smart!

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[url]https://nltimes.nl/2020/05/15/slump-dutch-gdp-plunges-17-5-years-quarterly-growth[/url]

[url]https://nltimes.nl/2020/05/15/dutch-coronavirus-medicine-ready-6-months[/url]

[url]https://nltimes.nl/2020/05/15/dutch-find-coronavirus-antibodies-first-dog-3-cats-risk-mink-farms[/url]

[url]https://www.gelderlander.nl/binnenland/brabant-steunt-onderzoek-naar-luchtvervuiling-signalen-te-alarmerend-om-af-te-wachten~a64bfcc6/[/url] google translate;

Brabant supports research into air pollution: "Signals too alarming to wait"
Brabant probably allocates tons for research into air pollution. The investment has everything to do with a possible link between polluted air and the high number of corona victims in the province. In the east of Brabant in particular, the virus strikes mercilessly hard and air quality is affected, partly due to traffic, industry and intensive livestock farming.

The new, hard political contradictions went overboard on Friday evening to enable research into air pollution in Brabant. Only the PVV voted against the proposal to invest in RIVM measuring points that map air quality. The measuring points cost about a ton each to build, estimates Hagar Roijackers, GroenLinks leader in Brabant.

Roijackers is one of the driving forces behind the new research. It is still unknown how many measuring points will be added to the province, where they will be located and when. The new provincial government will start working on the assignment. Roijackers wants six measuring points. "But two is also an improvement."

"Should something happen now"
RIVM is already investigating whether air pollution contributes to the number of corona victims. A broad coalition of experts and interest groups urges the institute to hasten that research, especially now that international studies are already showing links. Brabant politics also supports this research, which may take years.

The province does not want to wait patiently for the results. "We believe that something should be done now, the signals from residents, doctors and experts are too alarming to wait," said Janneke van Kessel, D66. "We must act now and develop a concrete step-by-step plan to structurally improve air quality in Brabant."
Maarten Everling (SP) also believes that Brabant should not sit still, pending the research results. “It is striking to see that especially in East Brabant, where there is a lot of cattle, more people are sick and die from corona. I don't have hard evidence for a connection, but it is at least striking. It needs to be investigated. ” Everling also says, "We've been arguing for a long time to reduce livestock, this is an additional argument

"Really inappropriate"
Hans Smolders of the Forum for Democracy thinks it is "really inappropriate to associate corona with air pollution for political gain", as the SP said he does. "Just wait for the investigations first. And don't abuse it, ”says the party's nestor, who has officially joined the new provincial government since Friday.

Brabant and Limburg together account for almost 40 percent of the Dutch corona deaths, while 20 percent of the Dutch live in these provinces. GroenLinks, D66, SP, PvdA and Party for the Animals initially wanted to enforce that the province not only measures air quality, but also reduces emissions of nitrogen, particulate matter and ammonia. This could be done through stricter licensing and enforcement. However, the parties waived this after consultation on Friday, to ensure that the other part of their proposal would reach the finish line.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: May 21 2020 at 3:53am

[url]https://nltimes.nl/2020/05/21/gelderland-slaughterhouse-closed-45-coronavirus-diagnoses[/url] and [url]https://www.dutchnews.nl/news/2020/05/dutch-meat-processing-plant-closed-as-45-workers-test-positive-for-covid-19/[/url] (DJ-Arnhem is the capital city of Gelderland-in the east of NL)

[url]https://nltimes.nl/2020/05/20/13-netherlands-deaths-covid-19-related[/url], [url]https://nltimes.nl/2020/05/21/forced-quarantine-possibility-governments-new-coronavirus-policy[/url]

[url]https://time.com/5836599/rem-koolhaas-architecture-coronavirus/[/url]

DJ-In NL the number of cases has dropped-but there is trend of new cases showing up more in the larger cities, Amsterdam, Rotterdam, The Hague (Den Haag) the main ourbreak center up till recent was in the South East of NL. 

With summer weather [url]https://nltimes.nl/2020/05/21/warmest-day-week-temps-28oc-expected[/url] and slowly less restrictions [url]https://nltimes.nl/2020/05/19/dutch-pm-unveils-relaxed-coronavirus-measures-june-15[/url] the number of infections may go up again. 

Also possibly more news on Covid19 in minks, ferrets, rabbits, cats etc. in NL the coming weeks.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2020 at 10:54pm

DJ-In NL elderly in care centers have been under a two month lockdown-they were not allowed to go outside-no visitors. From today they can only get 1 visitor-1 hour-per day-and it has to be the same visitor every day. 

[url]https://www.gelderlander.nl/nijmegen/keiharde-kritiek-op-corona-aanpak-ze-hebben-alleen-doden-en-ic-bedden-geteld-alsof-dat-het-enige-is-dat-er-toe-doet~a8de9ac0/[/url]; google translate

Harsh criticism of corona approach: "They only counted dead and ic beds, as if that's all that matters"

Health minister Hugo de Jonge accuses him of "raising false expectations", virologists of "indiscretion". “They only counted dead and IC beds. As if that is the only thing that matters. "" Professor of geriatric medicine Marcel Olde Rikkert is cracking down on how the Netherlands has handled the virus so far, its elderly, and the younger generations.

 

The effect of the coronavirus on the elderly has not been studied. Too much has been led by some military command of ministers, IC doctors and virologists who paid too little attention to other interests. And it shows an "unprecedented lack of realism" if you really think that in the near future there will be a corona vaccine that adequately protects everyone.

Marcel Olde Rikkert has long kept his mouth outward. "But," says the professor of geriatric medicine at Radboud University Nijmegen, "there is no reason to continue to use panic scrutiny, no reason to continue to feed the story" we are in crisis. " There is now an opportunity to learn from each other. "

Two degrees lower
And he wants to contribute to the dialogue. Because many things should have been different. As with the elderly. The knowledge about that target group built up in years suddenly seemed to no longer exist. For example, it was standardly assumed that people could only have corona had a minimum fever of 38 degrees. While the standard body temperature for a very elderly person is one or sometimes even two degrees lower than for a younger person. And with an older person with 37 degrees you can sometimes speak of a relevant temperature increase.


Result: it was recognized too late that a lot of corona did occur in the elderly in nursing homes, for example. People are therefore treated later and protected later. And when a high mortality arose, there was a kind of panic reaction: they were locked, visitors are no longer possible.

In itself Olde Rikkert understands such reactions. “In the beginning there was really chaos. In chaos it is very important that you take a clear measure and it can not always be nuanced. That is not a problem at all, but you need to make adjustments quickly. "

You quickly fail large groups of people
But that has not been done, according to Olde Rikkert, caused by the "chain of command" that addressed the problem with the coronavirus. ,,, They only counted dead and IC beds. As if that's all that matters. But you quickly fall short of large groups of people by mastering only one discipline, in this case letting the hospitals, intensive care, take the lead. "

He failed to look at what could be learned abroad. “You saw in Italy that a lot of people did not survive and in the care homes there were hot spots for the virus. Then you can also start thinking: this can also affect us and what do we do with our concentrations of elderly people in nursing homes? Due to the dominance of the chain of command that was aimed at intensive care, this was looked at far too late. "

And there is still insufficient attention, says Olde Rikkert. ,, Especially when you realize that there is so much mortality in the elderly, that in people aged 80 and older the death percentages rise to 30, 40 percent, then you also have to think: how are we going to arrange this properly with palliative care? How do we ensure that the people who are admitted do not die in isolation? How do we ensure that people who are not allowed to receive visitors do not become socially isolated? "

Marcel Olde Rikkert
Olde Rikkert thinks that this has not been sufficiently looked at. ,, In a kind of military organization in which the crisis has been tackled, people often don't listen very well. Then it is very difficult to get through to the captains and make it clear: what I see here could really be better. Really, I am convinced that everyone had the intention to do it as well as possible. But there is little sensitivity to what seems to be something out of the sight of the storm. "We must ensure that the IC remains upright," that was the goal. But of course that can never be the goal. The aim is to provide good care and to fit what you encounter in practice.

Counting dead is easy, and then mortality seems to be the only thing that matters in this period. While you also have to look at effects on quality of life, quality of dying: you also have to consider the final phase of life. You are very narrow if you are only talking about the numbers that die and do not ask yourself: how is that going? Are the people well prepared, has there been enough dialogue, are they not lonely, does the family know how to deal with it? I think, also globally, we have unfortunately often been too short-sighted. Everyone has stepped into the heroism of the disaster, especially considering that death counter. "

No timely concern
For example, the observation of general practice that there was a decreasing demand from patients about other problems was not heard. Now figures from excess mortality show that thousands of people may have died because they did not go to the doctor with, for example, heart complaints. "About two hundred thousand heart patients in the Netherlands did not receive timely care as a result of the corona outbreak," said the Dutch Association of Cardiology last week. "This leads to premature death and loss of quality of life for tens of thousands of cardiovascular patients."

Olde Rikkert: "Those signals were there much earlier." But what he says is missing is intelligent leadership. “Intelligence is using as many different insights as possible and making the best choice together. Intelligence is not one person or a very select group continuously mandated to decide everything. "

You are suddenly the boss
While there has been too much reliance on experts who do not properly estimate the complexity of the pandemic. “Those experts don't have a crystal ball either. But don't sufficiently realize that they should be more modest. That is not in them and there are also all kinds of temptations that make modesty difficult: you are suddenly in charge, are in the spotlight, the research money is for the bragging rights ... That is a dynamic that we have not realized. "

And that may bother us now. “Look at the dynamics of the money. A jar of honey has been placed outside, which means that people in corona research are now perhaps doing in a thousand places worldwide. That is not sensible, for the most part does not become good scientific research: too small, too quickly twisted together. The history of virus vaccines teaches us that it is very difficult to realize an effective vaccine. For example, we have so far not been able to make influenza vaccine that is sufficiently effective for the elderly, for example.

That we can only organize events again when there is a vaccine, as Hugo de Jonge says, is ventilating something that is not realistic, it is arousing the wrong expectations. If you have a desire to protect vulnerable groups, you have to realize that it will not work soon. Certainly not if you allow too much small-scale research, while it requires large studies, the association of people, the collection of expertise. It requires scientists who step over their own shadow, who do not necessarily want to do their own research. But that approach is difficult for us. And it becomes even more difficult if we let ourselves be rushed by the public opinion that asks for fast quickly quickly. "

Fear of electoral loss
Olde Rikkert understands that it goes like this. "In politics, of course, there is fear of electoral loss, of hassle in the Chamber, of populist parties that shout" you are going to let people die. "" But the "narrow view" does not do justice to the elderly.

“It turns out to be very difficult for people who are not in elderly care to realize that people do not fear death themselves. If you are used to fighting death, if that is your daily activity in politics or health care, it is difficult to recognize that the question being asked is another. That the patient may not mind dying, but is concerned about the way. "


“The most intelligent general rule for aging better and healthily is to keep moving, both socially and physically. And what do we do with our so-called intelligent lockdown? We are going to limit the room for maneuver very much. That is an intervention that you know will cause a lot of damage, both in a physical and social sense. You see the condition of people deteriorate, you see the muscle strength decreases, you see the appetite decreases. People become more vulnerable precisely because of the intervention. The well-being of the frail elderly is the most important thing to keep in mind. And what is happening now is what you shouldn't want. As long as you keep denying that ... "

Not forbidden for a moment
He calls the experiments in the nursing homes, where some visitors are spared, "too slow".

“In the Radboud university medical center, our geriatrics department has never banned older people from receiving visitors. However, it is limited to one known person per day and strict precautions. I do not see why you cannot work in the nursing home with the same measures. I would say: talk to hospitals, share their experiences, how they have protected their elderly. But anyone who claims that the pandemic made all specialties work well together ... That is what the people who pull the cart say, but they do not see that there is also a large group that is not involved at all. "

Olde Rikkert calls for a short breather. “Look at what happened to us, and look at what you can now learn from what is happening together. Then you are more effective than now. And realize that we are now in control, but that new cases are constantly being added. That is also part of life. People get sick and die. But we can also learn to see how it goes. "
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DJ-A lot of cases/deaths in NL are related to care centers. [url]https://nltimes.nl/2020/05/25/nursing-homes-using-sub-par-mouth-masks-large-scale-report[/url] And then there are several problems;

-lack of testing, sometimes people with healthissues are told to come to work/shortage of staff

-lack of PPE, out-of-date masks, sometimes just dusk-masks are used for a long time

-some carecenters have airco's limited possibility to open windows

Under these circumstances one has to question if the used policies were realy meant to protect the people that lived inside those centers or just "act like politics is doing something usefull". In most countries the policies in care centers did not prevent cases/deaths being above what one may expect based on statistics. 

If lockdowns were meant to save those people with vulnarabilities the policy failed. In many places lock downs did reduce the R0, saved the ICU-capacity from being overrun. 

[url]https://nltimes.nl/2020/05/25/147-employees-gelderland-slaughterhouse-tested-positive-coronavirus[/url] DJ-We knew that meat-production was high risk-why was there no action earlier ? How can it be a lot of workers are untraceable ? [url]https://nltimes.nl/2020/05/24/emergency-covid-hospitals-rotterdam-maastricht-rushed-nobody-pay[/url]

[url]https://www.dutchnews.nl/news/2020/05/frugal-four-including-the-netherlands-present-eu-recover-plan/[/url] DJ-We are still in the early stages of this pandemic. Why there is no plan on what bussinesses have a future and what do have no future-a lot of money will go to companies that only will delay their bankruptcy.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: June 02 2020 at 3:04am

Black Lives Matter-also in NL !

[url]https://nltimes.nl/2020/06/02/adam-mayor-criticized-massive-anti-racism-protest-potential-super-spreading-event[/url] and [url]https://nltimes.nl/2020/06/02/calls-anti-racism-protesters-self-quarantine-unnecessary-says-virologist-adam-mayor[/url], [url]https://nltimes.nl/2020/06/02/hague-discussion-organizers-tuesday-black-lives-matter-protest[/url]

[url]https://www.dutchnews.nl/news/2020/06/amsterdam-mayor-under-fire-for-not-intervening-at-anti-racism-demo/[/url]

Minks

[url]https://www.dutchnews.nl/news/2020/06/coronavirus-found-on-more-mink-farms-taking-total-to-eight/[/url] (DJ-In earlier reporting the story was one farm had 50 people working there-if that would be an average 400 workers would have been exposed). There is an illnes in Dutch hedgehogs in the area were also the minks are kept. More on hedgehogs in general-and by eating everything their vulnarabilty [url]https://www.wildlifeonline.me.uk/animals/article/european-hedgehog-mortality-parasites-diseases[/url] It does not have to be Covid19-may be coincidental this "strange disease in hedgehogs"is in the same area. 

Religion

[url]https://nltimes.nl/2020/06/01/second-hague-mosque-closes-coronavirus-outbreak[/url], (There are still limits to the number of people allowed in a church, mosque or synagoge-also no choirs/group-singing)

Public transport

[url]https://nltimes.nl/2020/06/01/mouth-masks-compulsory-public-transit-today[/url] (From june 1 also restaurants are allowed to go to 40% of their capacity-social distancing, only on reservation etc.)

History

[url]https://www.dutchnews.nl/features/2020/05/leiden-400-commemorates-the-journey-of-the-pilgrim-fathers/[/url]




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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: June 05 2020 at 2:09am

DJ-Good development [url]https://nltimes.nl/2020/06/05/dutch-governments-coronavirus-dashboard-launched[/url] also regional info [url]https://coronadashboard.rijksoverheid.nl/regio?regio=VR07[/url].. 

More testing is more (positive) cases [url]https://www.dutchnews.nl/news/2020/06/positive-coronavirus-test-total-shoots-up-as-testing-is-expanded/[/url]

[url]https://www.rivm.nl/en/news/corona-crisis-has-limited-impact-on-infant-participation-in-national-immunisation-programme[/url]

[url]https://www.dutchnews.nl/news/2020/06/doctors-find-link-between-covid-19-complications-and-lack-of-vitamin-k/[/url]

[url]https://nltimes.nl/2020/06/05/government-may-step-rescue-hema-report[/url]

[url]https://www.dutchnews.nl/news/2020/06/encourage-working-and-studying-at-home-post-covid-19-think-tank-says/[/url]

Non corona-news;

[url]https://www.dutchnews.nl/news/2020/06/ruttes-recognition-of-systemic-problem-of-racism-is-a-watershed-moment/[/url] and [url]https://nltimes.nl/2020/06/05/dutch-pm-now-thinks-differently-blackface-zwarte-piet[/url] (DJ-Here in NL we have "Sinterklaas" [url]https://en.wikipedia.org/wiki/Sinterklaas[/url] on december 5. This "Sint"has black (colored) helpers (sometimes in slave like dresses/with slave rings). It come up in the 19th century-before that it was seen as "catholic" lot of protestants were/are against it for that reason. Now the "black helper" Zwarte Piet (Black Pete) is seen as racist-eventhough a lot of Dutch did not have racist intentions with it. A compromise coming up is "roetveeg Piet"-a white person with some black soot from the chimney. In the US Sinterklaas became Santa Claus. The origins of Sinterklaas (with helpers, rendeers etc) goes to Wodan or [url]https://en.wikipedia.org/wiki/Odin[/url] the timing has to do with winter turning/longest night.)

[url]https://nltimes.nl/2020/06/05/anti-racism-protests-utrecht-nijmegen-enschede-today[/url]


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Post Options Post Options   Thanks (1) Thanks(1)   Quote Newbie1A Quote  Post ReplyReply Direct Link To This Post Posted: June 05 2020 at 6:54am

DJ - I know you follow Peak Prosperity really heavily - do you remember the episode about how to develop 'gold standard testing' and how none of those protocals were followed for this virus?

Ever since watching that I take all test results with a grain of salt (for better or worse) as I don't really feel they have any idea what they are actually testing for - is the test even finding c19 specifically or just any coronavirus or ….   

I'm not doctor - but that video has seriously made me question test results.   

If it's to be - it's up to me!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: June 07 2020 at 2:06am

Newbie1A-I am also not a doctor-I do think testing for antibodies may be a bit more reliable-but even there one has to ask what it does mean. Do antibodies provide immunity (for all present strains of Covid 19) and for how long (a moth or two would completely change the picture. Make those test almost pointless-but the best may be antibodies only provide some protection for a matter of years. Maybe someone with more medical knowledge could answer that issue ? In a cold-causing corona infection how long does immunity last ?)

Some news from NL; 

[url]https://nltimes.nl/2020/06/06/new-covid-19-law-will-keep-emergency-restrictions-longer-leak-reveals[/url] For now there has not been that much of a discussion on the need for certain measurers. Trade Unions would like to include a right to work-from-home if possible. Also more growing resentment against "locking people up" in care centers for months while reopening restaurants, travel for most others. 

[url]https://nltimes.nl/2020/06/06/culling-mink-covid-19-fears-begins-activists-lose-court-hearing-thousands-put[/url] Dutch newspapers mention culling at ten, maybe 11 farms-so the number of infected farms would have grown (but stayed out of the news). I can not find-yet-news on hedgehogs, cats being infected/spreading-yet. 

[url]https://www.dutchnews.nl/news/2020/06/farmers-call-for-more-scope-to-bring-in-non-eu-seasonal-workers/[/url] A few fruit processing workplaces did see an outbreak last week.[url]https://nltimes.nl/2020/06/06/coronavirus-outbreak-gelderland-fruit-firms-11-employees-infected[/url] Just like in the meat"industry"-a lot of (some illegal-so cheap-in NL) foreign workers in crowded houses, sharing overcrowded busses and working close together.  [url]https://nltimes.nl/2020/04/21/fewer-people-eating-meat-daily-vegetarians[/url] DJ-Eating less meat will become a global trend-and at least for some part decrease healthrisks. 

[url]https://nltimes.nl/2020/06/04/dutch-ambassador-nigeria-leaked-confidential-info-shell-report[/url] DJ "corruption Dutch style". 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: June 12 2020 at 3:07am

[url]https://nltimes.nl/2020/06/12/coronavirus-infections-verge-rising-disease-modeller[/url]  ;

The coronavirus reproduction rate - the number of people a coronavirus patient infects - in the Netherlands is slowly rising to above one, according to Jacco Wallinga, the top infectious diseases modeller at public health agency RIVM. He said in an interview with newspaper Trouw that he worries the virus will flare up again. 

In the first month of the coronavirus outbreak in the Netherlands the reproduction factor was about two and the number of infections doubled every four days. Lockdown measures implemented in mid-March brought that number down to below one, which means that on average someone with an active infection passed it on to less than one other person allowing the number of new patients to decrease.

As the lockdown measures relaxed, the government took into account that the infection rate would increase again. But the discipline to stick to physical distancing measures that are still in place is also deteriorating, Wallinga said. "People do not stick to the basic rules," he said. "I hope that with the source and contact investigation of the GGDs we can get the [infection rate] back down," he added.

"If not, I see the number of infections and hospital admissions increasing again this summer."

The government's data-driven coronavirus dashboard will sound the alarm if any one of three things happen: if more than ten new coronavirus patients are admitted to ICU for three consecutive days; if more than 40 new patients are hospitalized; or if the infection rate rises above one. It is the government that decides what to do when that alarm sounds.

Timely action is necessary, Wallinga said. The number of infections is low now, so the Netherlands can cope with a reproduction rate above one for a while. "But we saw in march that the peak was yet to come when the lockdown had already started. We cannot let a resurgence take its course."

[url]https://www.dutchnews.nl/news/2020/06/coronavirus-takes-a-shocking-toll-on-health-patient-survey/[/url] ;

People who have been infected with coronavisrus but were not admitted to hospital are struggling with severe effects on their health months after first falling ill, a survey by the respiratory disease organisation Longfonds has shown. Some 95% of the 1,600 respondents, of whom 91% were not admitted to hospital and 43% were never officially diagnosed, said they have trouble with normal day to day activities three months after being infected. Persisting symptoms include tiredness, shortness of breath, headaches, muscle pain and heart palpitations. The average age of the respondents is 53. Most of the respondents, some 85%, said they had no health problems before the infection. That number dropped to 6%, with almost half of the respondents unable to resume physical activities like sport. Longfonds spokesman Michael Rutgers said the results are shocking. ‘This is a large group of corona patients who are sitting at home and who really need help. They are in a terrible state. (..) Six in 10 people even have trouble walking. These are normal, healthy people who are now wondering if they will ever be well again.’

[url]https://nltimes.nl/2020/06/12/shocking-nearly-recovered-covid-19-health-issues-months-later[/url]

[url]https://nltimes.nl/2020/06/12/coronavirus-must-push-health-insurance-premiums-higher-green-party[/url]

Health insurance premiums must not rise as a result of the coronavirus crisis, according to GroenLinks. The green party is submitting an emergency law to prevent the bill for this crisis ending up being paid by citizens. According to the party, big business can cover this bill by scrapping plans to lower profit tax, RTL Nieuws reports.

The coronavirus crisis had a massive impact on healthcare providers. Hospitals had to incur many extra costs while regular, income bringing care was brought ot a near halt. Other healthcare providers like dentists and physiotherapists also lost turnover. Health insurers helped compensate for the missed income.

According to healthcare economist Wim Groot, Netherlands residents can expect to see that reflected in their health insurance premiums. He expects that annual premiums will be an average of 150 euros higher next year, he said in the Zorgvisie magazine. 


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Post Options Post Options   Thanks (0) Thanks(0)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: June 12 2020 at 3:47am







not good DJ....

Not good at all.....

take care....

Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.🖖

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: June 12 2020 at 1:21pm

I agree carbon20-not good. Worse even no discussion on what to do. Airtravel will use facemasks and AC-filters-but economy goes for safety. 

[url]https://nltimes.nl/2020/06/12/survey-shows-22-washing-hands-toilet-use-covid-19-deaths-tops-6050[/url] There is a lot of denial here as well. 

Old people in care centers are not allowed to go outside since March 20-while there were no test available for care workers-at least that was the political story. Testing facilities claim there was room for testing. HCW in care centers were told to do their job-even with some healthissues-did infect lots of patients (that also often did not get tested-so not in the Covid statistics). 

We are on the same road as some US states-support for NPI is very limited. Those most vulnarable must take care for themselves...

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Post Options Post Options   Thanks (0) Thanks(0)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: June 16 2020 at 7:57am

Far from herd immunity

Originally posted by "BBC Live News" "BBC Live News" wrote:

Since 1 June, everyone in the Netherlands with suspected Covid-19 symptoms has had the right to get tested.

Between 1 and 15 June, more than 113,800 tests were conducted at the GGD (local health authority) sites and 1.7% showed up positive.

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Dutch Josh View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: June 16 2020 at 8:50pm

DJ-Testing in NL has been a problem for all of this outbreak-untill recent there was a shortage in testing. Last week we came to the point there was more testing capacity then people who wanted/needed to be tested. Often people believe they have a cold-not Covid19-so why testing. 

[url]https://www.dutchnews.nl/news/2020/06/mass-covid-19-testing-identifies-sharp-region-differences/[/url] Some regions did have a problem-first SE NL carnaval related-also winter holliday was linked to carnaval-so lots of imported cases from Austria, Northern Italy. Second was most the major cities, The Hague, Amsterdam-with more international travel. 

The Northern NL was hardly effected by Covid19-some church-going regions did see outbreaks. 

[url]https://nltimes.nl/2020/06/16/05-children-12-tested-positive-covid-19-death-toll-6070[/url] We did see lots of restrictions lifted-with that the R0 moving dangerously close to 1 again. The outlook will be some restrictions may get in action again/lifting will be delayed.

Since NL is far from an island-we need international travel-there is a high vulnarability there still. Also the mink-infections at-at least 15 farms-with over 600.000 minks culled-remains a problem.

We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: June 21 2020 at 1:19pm

[url]https://www.dutchnews.nl/news/2020/06/the-hague-mayor-bans-anti-coronavirus-rules-demonstration/[/url] leads to [url]https://nltimes.nl/2020/06/21/clashes-police-protest-covid-restrictions-covid-19-death-toll-6090[/url] 

DJ-There were all kind of groups-most of them peacefull. Some of them think Covid19 is non-sense, some of them protest against emergency laws-limiting basic freedoms. Than a bunch of football/soccer hooligans showed up "to fight with the police". 


We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: June 27 2020 at 12:12am

DJ There is fierce opposition, protests against Dutch measures to deal with Covid19. Another protest-with possibly 50.000 protesters is expexted sunday june28 in The Hague. I do not agree with most of what they say or do-I think we have to take the virus very serious-but I want to understand their view. [url]https://www.dutchnews.nl/news/2020/06/three-more-corona-deaths-rivm-to-move-to-weekly-reports/[/url] The protests again are banned-but the behaviour and thinking behind it can not be banned. You need better communication not more police to deal with these kind of protests. 

From [url]https://viruswaanzin.nl/over-ons/[/url] virus lunacy/about us; 


Who are we? Willem Engel has made a scientific career as a Bio-Pharmaceutical scientist after graduating from Leiden University in 2001. [1] In 2008 he left the world of science. Since then he teaches dance in his own studio DA Dance Studio in Rotterdam. Mr. Jeroen S. Pols graduated in 2003 with a specialization in criminal law. Since then he has mainly conducted administrative and civil proceedings. For the past 17 years, he has litigated against governments that are not so keen on laws and regulations. The numerous procedures surrounding the RIECs have regularly attracted attention in recent years. The focus of the procedures is on the illegality of the integrated approach, whereby the cooperating authorities structurally override laws and regulations and violate civil rights. What do we want? We fight for the preservation of a democratic constitutional state in which our children also have the opportunity to develop freely and to live a life with their own convictions and opinions. These freedoms and fundamental rights have been increasingly jeopardized in the past decade. We see the COVID-19 crisis as a quantum leap in this worrying development. We believe that conducting legal proceedings against governments is an effective tool in this battle. We have noticed that many judges try to do their job well, but unfortunately the judiciary is also not insensitive to the increasing influence of the government. Being right does not mean being right. However, we believe that litigation is still an effective means. Why? Our lack of critical questions from parliament, regulators and the media hides our policymakers time and again behind inconsistent and unmotivated statements. This is not possible in court. The government will have to defend itself substantively on all arguments we have put forward. And this is of great importance in the COVID-19 case: even if our claims are rejected, she is forced to account for the first time for the content of her policy. And with that, we believe that this battle ultimately leads to victory inside or outside the courtroom.


We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: July 06 2020 at 12:03am

[url]https://www.volkskrant.nl/nieuws-achtergrond/op-de-dag-dat-het-rivm-nul-doden-meldde-stierf-verpleegkundige-boy-ettema-aan-corona~bf67bcd7/[/url] google translate;


POSTUUM BOY ETTEMA (1978-2020) On the day RIVM reported zero deaths, nurse Boy Ettema died of corona


Boy Ettema, a surgery nurse who worked in the Covid department, was healthy, cycled a lot, was not overweight and was only 42 years old. However, he died of corona on the first day that RIVM reported zero deaths. Thomas Borst and Maud Effting5 July 2020, 5:02 PM For RIVM it was a question of statistics, of simply adding up all reports. And they never came that day. But for Boys' family, the RIVM statement came as a blow to the face. It felt as if the death of Boy, a surgery nurse who had worked in the hospital's covid ward for many weeks, was ignored. As if he didn't matter. It was the reason that Boy's brother called Thomas de Volkskrant. Because the ice-cold statistic with those zero kills - that's the big story. But there is also another reality. Boy Ettema is the youngest healthcare provider in the Netherlands who died of corona at the age of 42 - a total of thirteen died. He was healthy, cycled a lot, was not overweight and did not smoke, his girlfriend said.

It is mid-May when the surgery nurse returns home from his covid service at St. Antonius Hospital in Nieuwegein in the evening. That day he helped a critically ill patient who had unexpectedly coughed in his face. He felt something in between his glasses and mouth mask.

"I have the idea," he said anxiously to his girlfriend, who is also a nurse, "that I was infected today."

At home they have been kept apart for weeks. They don't meet anyone and she does the shopping. Boy warns everyone to watch out. "Even if they arrange things differently at work, please stay at home," he tells his brother.

Two days later, he wakes up on a Tuesday with a high fever and headache. He sees flashes before his eyes. The stuffiness doesn't start until a few days later. "I'm deathly ill," Boy says to his brother Thomas. "But don't worry too much. It will be fine.'

His brother Thomas had previously asked him if he would do those covid services. "It has to be done," Boy replied. He felt it his duty to contribute. He sends cheerful photos of himself in a corona dress to his friends and family.


That nice brother
Boy Ettema is a striking appearance in the surgery department of the St. Antonius Hospital. His laughter is loud, he talks a lot and makes contact with patients quickly. Sometimes they ask specifically for "that nice brother". If there is a difficult patient, Boy is put on it. At home he is cheerful, gentle and caring, says his girlfriend Lizahn (31), whom he proposed to him last March and with whom he was engaged. Boy doesn't care about money, stuff or status; he prefers to spend time with nature, with friends, reading newspapers and books, doing fun things. He is concerned about inequality in the world. At the age of 35, he studied nursing after studying sociology. It turned out to be a golden move. He wanted to mean something to others, his brother says.

He is at home for days, where he is getting sicker. His girlfriend Lizahn calls the GP post three times. "I said Boy was getting exhausted," she says. "But the doctor brushed us off and said, well, he still speaks full sentences. We could come to a fever of more than 41 degrees. I felt we weren't taken seriously because Boy was still young. "

On day eight, Boy says, "This is really not good."

Within fifteen minutes they drive urgently to his own hospital, where Lizahn can see him that day. "I'm scared," says Boy, lying in bed panting. It's all he can say. His blood still contains 80 percent oxygen.


Lizahn: "He knew exactly how it could go. He should have taken so many people to the morgue himself. His greatest fear was the IC. "

The following night she is woken up at half past four with his telephone number. In the picture is a nurse. "It really is no longer with Boy," he says. "We have to intubate him now."

Then she sees Boy lying there, gasping for breath. He says he loves her. And that he is afraid. He has to cry, but it only makes him more anxious. Lizahn can say just a little before the nurse says the phone. Lizahn drives to the hospital as fast as she can, but when she arrives, he is already asleep.

This isn't really happening, Lizahn thinks. She feels that he can walk around the corner laughing any moment.

His brother Thomas arrives without being able to say anything to his brother.

Heart lung machine
The nurse is in his own intensive care unit for sixteen days, while his lung pictures get worse and his family hardly sleeps anymore. Doctors and nurses at the ICU skip breaks, work longer, do everything for their colleagues. Lizahn and her family receive extra visiting hours. It always seems to go better, but he always gets a backlash. "I thought a thousand times he was going to make it, and a thousand times he would die," says brother Thomas. Because his lungs can't make it, he is put on the heart-lung machine, where the blood gets oxygen outside the body and blood thinners are needed.


It is June 22 when Lizahn receives a call from an IC doctor at a quarter to five in the morning. "He said it was a good idea that I would come and asked if I wanted to call his parents and brother," she said. "Then I knew: this is wrong. I've worked here long enough to know that. "

That night Boy had a massive cerebral hemorrhage with major brain damage as a result. He doesn't respond to anything anymore. The doctor says that the state of his brain can no longer be reconciled with life. There are tears in his eyes. That morning he struggled to enter the department, he says. Lizahn drops through her legs when she hears that. "This just can't be true," she says.

"Then you know," says his brother Thomas, "that your brother is dying."

It is three o'clock in the afternoon when the doctor switches off the heart lung machine and the other devices in the presence of family and friends. In the room, someone plays Guns N 'Roses on the guitar: Boy was a fan of punk and hard rock.

While his girlfriend Lizahn is holding him, his heart beats for another two minutes. In the room it becomes very quiet. Nurses cry in the hallway. Afterwards, Lizahn barely manages to leave him.

Boy's motto was memento mori - remember to die. "He was always aware," says his brother Thomas, "that life could just be over."

The next morning, Boy's father reads the news. "Zero corona deaths for the first time," it says.
We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
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Post Options Post Options   Thanks (0) Thanks(0)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: July 06 2020 at 12:58am

It is sad....  I can see the emotional problem with the delay in updating statistics, especially if the health department trumpted the idea of zero deaths.

But it seems to be a hard concept to grasp that what is published is a trailing (ie after the time) indicator.  We saw a lot of this on this site at the beginning of the pandemic with people arguing that because the numbers were low "it was not bad", not realising that they had to wait for the statistics to catch up with the reality.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Tabitha111 Quote  Post ReplyReply Direct Link To This Post Posted: July 06 2020 at 12:14pm

Very moving story Josh, thank you for sharing.

'A man who does not think and plan long ahead will find trouble right at his door.'
--Confucius

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