Category: Covid-19

Truckers Hurt If Union Dock Workers Strike to Add to Their Six Figure Pay, and to Block Efficient Technology

(p. B1) LOS ANGELES — David Alvarado barreled south along the highway, staring through the windshield of his semi truck toward the towering cranes along the coastline.

He had made the same 30-minute trek to the Port of Los Angeles twice that day; if things went well, he would make it twice more. Averaging four pickups and deliveries a day, Mr. Alvarado has learned, is what it takes to give his wife and three children a comfortable life.

“This has been my life — it’s helped me support a family,” said Mr. Alvarado, who for 17 years has hauled cargo between warehouses across Southern California and the twin ports of Los Angeles and Long Beach, a global hub that handles 40 percent of the nation’s seaborne imports.

He weathered the blow to his paycheck early in the pandemic when he was idling for six hours a day, waiting for cargo to be loaded off ships and onto his truck. Now the ports are bustling again, but there is a new source of anxiety: the imminent expiration of the union contract for dockworkers (p. B5) along the West Coast.

If negotiations fail to head off a slowdown, a strike or a lockout, he said, “it will crush me financially.”

The outcome will be crucial not only for the union dockworkers and port operators, but also for the ecosystem of workers surrounding the ports like Mr. Alvarado, and for a global supply chain reeling from coronavirus lockdowns and Russia’s invasion of Ukraine. Inflation’s surge to the highest rate in more than four decades is due, in part, to supply chain complications.

The contract between the International Longshore and Warehouse Union, which represents 22,000 workers at 29 ports from San Diego to Seattle, and the Pacific Maritime Association, representing the shipping terminals, is set to expire on Friday. The union members primarily operate machinery like cranes and forklifts that move cargo containers on and off ships.

. . .

The negotiations have centered largely on whether to increase wages for the unionized workers, whose average salaries are in the low six figures, and expanding automation, such as using robots to move cargo containers, to speed up production, a priority for shipping companies.

“Automation allows greater densification at existing port terminals, enabling greater cargo throughput and continued cargo growth over time,” Jim McKenna, the chief executive of the Pacific Maritime Association, said in a recent video statement on the negotiations.

. . .

As he drove past the ports, Mr. Alvarado turned his truck into a warehouse parking lot, where the multicolored containers lined the asphalt like a row of neatly arranged Lego blocks.

It was his third load of the day, and for this round, he didn’t have to wait on the longshoremen to load the carrier onto his truck. Instead, he backed his semi up to a chassis, and the blue container snapped into place.

He pulled up Google Maps on his iPhone and looked at the distance to the drop-off in Fontana, Calif.: 67 miles, an hour and half.

It might, Mr. Alvarado said, end up being a four-load day after all.

For the full story see:

Kurtis Lee. “As Dockworkers Near Contract’s End, The U.S. Has a Stake.” The New York Times (Thursday, June 30, 2022): B1 & B5.

(Note: ellipses added.)

(Note: the online version of the story has the same date as the print version, and has the title “As Dockworkers Near Contract’s End, Many Others Have a Stake.”)

“Quiet, Unassuming” Dr. Zelenko Got Twitter Suspension and Death Threats for Speaking on Hydroxychloroquine

Dr. Zelenko was stricken with a rare form of lung cancer in 2018, shortly before the Covid-19 pandemic. I wonder if that increased his personal sense of urgency to find a cure for Covid-19?

(p. A21) Vladimir Zelenko, a self-described “simple country doctor” from upstate New York who rocketed to prominence in the early days of the Covid-19 pandemic when his controversial treatment for the coronavirus gained White House support, died on Thursday in Dallas. He was 48.

. . .

Like many health care providers, he scrambled when the coronavirus began to appear in his community. Within weeks he had landed on what he insisted was an effective cure: a three-drug cocktail of the antimalarial drug hydroxychloroquine, the antibiotic azithromycin and zinc sulfate.

. . .

“At the time, it was a brand-new finding, and I viewed it like a commander in the battlefield,” Dr. Zelenko told The New York Times. “I realized I needed to speak to the five-star general.”

On March 28, [2020] the Food and Drug Administration granted emergency authorization to doctors to prescribe hydroxychloroquine and another antimalarial drug, chloroquine, to treat Covid. Mr. Trump called the treatment “very effective” and possibly “the biggest game changer in the history of medicine.”

But, as fellow medical professionals began to point out, Dr. Zelenko had only his own anecdotal evidence to support his case, and what little research had been done painted a mixed picture.

Still, he became something of a folk hero on the right, someone who offered not just hope amid the pandemic but also an alternative to the medical establishment and Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, who insisted that months of research would be needed to find an effective treatment.

. . .

A quiet, unassuming man, Dr. Zelenko seemed unprepared for the attention he received, which included harassing phone calls and even death threats. In May 2020, a federal prosecutor opened an investigation into whether he had falsely claimed F.D.A. approval for his research.

. . .

After the F.D.A. rescinded its approval of hydroxychloroquine as a Covid treatment, he founded a company, Zelenko Labs, to promote other nonconventional treatments for the disease, including vitamins and quercetin, an anti-inflammatory drug.

And while he claimed to be apolitical, he embraced the image of a victim of the establishment. He founded a nonprofit, the Zelenko Freedom Foundation, to press his case. In December 2020, Twitter suspended his account, stating that it had violated standards prohibiting “platform manipulation and spam.”

. . .

In a memoir, “Metamorphosis” (2018), Dr. Zelenko wrote that he grew up nonreligious and entered Hofstra University as an avowed atheist.

“I enjoyed debating with people and proving to them that G-d did not exist,” he wrote. “I studied philosophy and was drawn to nihilistic thinkers such as Sartre and Nietzsche.”

But after a trip to Israel, he began to change his mind. He gravitated toward Orthodox Judaism, and in particular the Chabad-Lubavitch movement.

He graduated from Hofstra in 1995 with a degree in chemistry, and he received his medical degree from the State University of New York at Buffalo in 2000.

. . .

In 2018, doctors found a rare form of cancer in his chest and, in hopes of treating it, removed his right lung.

For the full obituary see:

Clay Risen. “Vladimir Zelenko, 48, ‘Country Doctor’ Who Pushed Unfounded Covid Remedy.” The New York Times (Saturday, July 2, 2022): A21.

(Note: ellipses, and bracketed year, added.)

(Note: the online version of the obituary has the date July 1, 2022 and has the title “Vladimir Zelenko, 48, Dies; Promoted an Unfounded Covid Treatment.”)

Dr. Zelenko’s pre-Covid-19 memoir is:

Zelenko, Vladmir. Metamorphosis. Lakewood, NJ: Israel Bookshop Publications, 2019.

A highly credentialed Yale academic presented evidence of the promise of hydroxychloroquine for early outpatient treatment in:

Risch, Harvey A. “Early Outpatient Treatment of Symptomatic, High-Risk Covid-19 Patients That Should Be Ramped-up Immediately as Key to the Pandemic Crisis.” American Journal of Epidemiology 189, no. 11 (Nov. 2020): 1218–26.

Arbitrary Long Lockdown Shows Shanghai “the Precarity of Rights” Under Communist Xi

(p. A5) BEIJING — June [2022], for Shanghai, was supposed to be a time of triumph. After two months of strict lockdown, the authorities had declared the city’s recent coronavirus outbreak under control. Businesses and restaurants were finally reopening. State media trumpeted a return to normalcy, and on the first night of release, people milled in the streets, shouting, “Freedom!”

Julie Geng, a 25-year-old investment analyst in the city, could not bring herself to join. “I don’t think there’s anything worth celebrating,” she said. She had spent part of April confined in a centralized quarantine facility after testing positive and the feeling of powerlessness was still fresh.

“I feel there is no basic guarantee in life, and so much could change overnight,” she said. “It makes me feel very fragile.”

. . .

Some residents are confronting the precarity of rights they once took for granted: to buy food and to expect privacy in their own homes. Some are grieving relationships that fractured under the stresses of lockdown. Many people remain anxious about the weeks they went without pay or whether their businesses will survive.

Hanging over it all is a broader inability to put the ordeal fully behind them, as China still holds to its goal of eliminating the virus. The authorities announced recently that every district in the city would briefly lock down each weekend until the end of July for mass testing.

. . .

The long-term fallout of the containment policies was already becoming clear in the inquiries that Xu Xinyue, a psychologist, received in recent weeks.

When the pandemic began two years ago, said Ms. Xu, who volunteers for a national counseling hotline, many callers were scared of the virus itself. But recent callers from Shanghai had been more concerned with the secondary effects of China’s controls — parents anxious about the consequences of prolonged online schooling, or young professionals worried about paying their mortgages, after the lockdown pummeled Shanghai’s job market.

Others were questioning why they had worked so hard in the first place, having seen how money could not ensure their comfort or safety during lockdown. They were now saving less and spending more on food and other tangible objects that could bring a sense of security, Ms. Xu said.

“Money has lost its original value,” she said. “This has upended the way they always thought, leaving them a bit lost.”

. . .

Anna Qin, an education consultant in her 20s, has started going to the office and the gym again. She walks and bicycles around the city, delighting in feeling her feet on the pavement.

But the fact that such mundane things now feel so special is just a reminder of how much the city was forced to sacrifice.

“We’re glad it’s opening up again, but also there’s no acknowledgment of what we went through,” she said.

“Now it’s closed, now it’s open, and we have no control. And now we’re supposed to be happy.”

For the full story see:

Vivian Wang. “Strict Lockdown Is Over, But Raw Feelings Linger.” The New York Times (Thursday, June 30, 2022): A5.

(Note: ellipses, and bracketed year, added.)

(Note: the online version of the story has the date June 29, 2022 and has the title “‘Very Fragile’: Shanghai Wrestles With Psychological Scars of Lockdown.”)

WHO Scientists Say China Should Release Data and Reports on Origin of Covid-19

(p. A9) In its first report, a team of international scientists assembled by the World Health Organization to advise on the origins of the coronavirus said on Thursday [June 9, 2022] that bats likely carried an ancestor of the coronavirus that may have then spilled over into a mammal sold at a wildlife market. But the team said that more Chinese data was needed to study how the virus spread to people, including the possibility that a lab leak played a role.

The team, appointed by the W.H.O. in October as the organization tried to reset its approach to studying the pandemic’s origins, said that Chinese scientists had shared information with them, including from unpublished studies, on two occasions. But gaps in Chinese reports made it difficult to determine when and where the outbreak emerged, the report said.

. . .

Filippa Lentzos, a biosecurity researcher at King’s College London, praised the latest report for noting the lack of published findings from China’s own origin studies. But she said that its proposals for future pandemic origin studies did not adequately account for investigations into “accidental or deliberate events,” which she said would require expertise outside of public health.

Jesse Bloom, a virologist at the Fred Hutchinson Cancer Research Center, said that the report made clear that mitigating future pandemic threats required considering both animal and laboratory origins.

“Both of these things are sufficiently serious possibilities that they need to be thought about together,” he said.

For the full story, see:

Benjamin Mueller and Carl Zimmer. “Scientists Say More Chinese Data Is Needed to Trace Covid’s Origins.” The New York Times (Friday, June 10, 2022): A9.

(Note: ellipsis, and bracketed date, added.)

(Note: the online version of the story has the date June 9, 2022, and has the title “Mysteries Linger About Covid’s Origins, W.H.O. Report Says.”)

“Byzantine Health Care System” Slowed Rollout of Effective COVID Anti-Viral Medication Paxlovid

(p. A16) GREENBELT, Md. — Last month, the owner of a small pharmacy here secured two dozen courses of Pfizer’s new medication for treating Covid-19, eager to quickly provide them to his high-risk customers who test positive for the virus.

More than a month later, the pharmacy, Demmy’s, has dispensed the antiviral pills to just seven people. The remaining stock is sitting in neatly packed rows on its shelves here in the suburbs of Washington, D.C. And the owner, Adeolu Odewale, is scrambling to figure out how to get the medication, Paxlovid, to more people as cases have increased over 80 percent in Maryland in recent days.

“I didn’t expect that I was still going to be sitting on that many of them,” he said of the pills he still has on hand. “It’s just that people need to know how to get it.”

. . .

But with the medication now more abundant, pharmacists, public health experts and state health officials say that encouraging the right people to take it, and making it easier for them to access, could help blunt the effects of another Covid wave.

State health officials say that many Americans who would be good candidates for Paxlovid do not seek it out because they are unaware they qualify for it, hesitant about taking a new medication, or confused by the fact that some providers interpret the eligibility guidelines more narrowly than others.

Since the medication has to be prescribed by a doctor, nurse practitioner or physician assistant, people have to navigate an often byzantine health care system in search of a prescription, then find a pharmacy that carries the treatment, all within five days of developing symptoms. The medication, prescribed as three pills taken twice a day for five days, is meant to be started early in the course of infection.

. . .

More than 630,000 courses of the drug — roughly a third of the supply distributed to date — are currently available, and the federal government has been sending 175,000 courses to states each week, according to federal data.

. . .

Giving pharmacists prescribing power could help people get the treatment much more quickly and easily, public health experts say. But regulators at the F.D.A. and other federal health officials believe there is reason to not allow pharmacists to prescribe Paxlovid themselves, even though some Canadian pharmacists can do so. The treatment can interfere with certain medications and should be prescribed at a lower dose for people with kidney impairment, which is measured with a blood test.

Pharmacists say that they are highly trained and well equipped to conduct such screening themselves. Michael Ganio, senior director of pharmacy practice and quality at the American Society of Health-System Pharmacists, said pharmacists could get Paxlovid to patients faster if they could prescribe it, “without having to call a physician’s office and wait for a call back, and hope it happens within five-day period.”

For the full story, see:

Noah Weiland. “Plenty of Covid Pills, Not Many Prescriptions.” The New York Times (Wednesday, April 27, 2022): A16.

(Note: ellipses added.)

(Note: the online version of the story has the date April 26, 2022, and has the title “With Supply More Abundant, Pharmacies Struggle to Use Up Covid Pills.” The online version says that the article appeared on p. A18 of the print version, but in my National edition of the print version, it appeared on p. A16.)

Angry and Frustrated Shanghai Citizens Help Each Other Survive During the Lockdown

(p. A1) Four days into a coronavirus lockdown in her Shanghai neighborhood, Ding Tingting began to worry about the old man who lived alone in the apartment below her. She knocked on his door and found that his food supply was dwindling and that he didn’t know how to go online to buy more.

Ms. Ding helped him buy food, but also got to thinking about the many older people who lived alone in her neighborhood. Using the Chinese messaging app WeChat, she and her friends created groups to connect people in need with nearby volunteers who could get them food and medicine.

When a woman’s father-in-law fainted, the network of volunteers found a neighbor with a blood pressure monitor and made sure it was delivered quickly.

“Life cannot be suspended because of the lockdown,” said Ms. Ding, a 25-year-old art curator.

In its relentless effort to stamp out the virus, China has relied on hundreds of thousands of low-level party officials in neighborhood committees to arrange mass testing and coordinate transport to hospitals and isolation facilities. The officials have doled out special passes for the sick to seek medicine and other necessities during lockdown.

In Beijing on Monday [April 25, 2022], the government ordered about three-quarters of the city’s 22 million (p. A6) residents to undergo three mandatory rounds of testing in five days in an effort to get ahead of a new outbreak.

But the recent surge in Shanghai has overwhelmed the city’s 50,000 neighborhood officials, leaving residents struggling to obtain food, medical attention and even pet care. Angry and frustrated, some have taken matters into their own hands, volunteering to help those in need when China’s Communist Party has been unable or unwilling, testing the party’s legitimacy in a time of crisis.

“A claim of the Chinese Communist Party is that only the Communist Party can deliver basic order and livelihood to every person in China,” said Victor Shih, a professor of political science at the University of California, San Diego. For Shanghai residents now trying to get food and other fundamentals, “their confidence in these claims has probably been weakened,” he said.

For the full story, see:

Alexandra Stevenson, Amy Chang Chien and Isabelle Qian. “Shanghai Residents Bend Lockdown Rules to Help One Another.” The New York Times (Wednesday, April 27, 2022): A1 & A6.

(Note: bracketed date added.)

(Note: the online version of the story has the date April 26, 2022, and has the title “‘I Just Want to Help’: Amid Chaos, Shanghai Residents Band Together.”)

Chinese Communists Are Extending Covid Controls to Use Against “Hostile Political Forces”

(p. 1) The police had warned Xie Yang, a human rights lawyer, not to go to Shanghai to visit the mother of a dissident. He went to the airport anyway.

His phone’s health code app — a digital pass indicating possible exposure to the coronavirus — was green, which meant he could travel. His home city, Changsha, had no Covid-19 cases, and he had not left in weeks.

Then his app turned red, flagging him as high risk. Airport security tried to put him in quarantine, but he resisted. Mr. Xie accused the authorities of meddling with his health code to bar him from traveling.

“The Chinese Communist Party has found the best model for controlling people,” he said in a telephone interview in December. This month, the police detained Mr. Xie, a government critic, accusing him of inciting subversion and provoking trouble.

The pandemic has given Xi Jinping, China’s top leader, a powerful case for deepening the Communist Party’s reach into the lives of 1.4 billion citizens, filling out his vision of the country as a model of secure order, in contrast to the “chaos of the West.” In the two years since officials isolated the city of Wuhan in the first lockdown of the pandemic, the Chinese government has honed its powers to track and corral people, backed by upgraded technology, armies of neighborhood workers and broad public support.

Emboldened by their successes in stamping out Covid, Chinese officials are turning their sharpened surveillance against other risks, including crime, pollution and “hostile” political forces. This amounts to a potent techno-authoritarian tool for Mr. Xi as he intensifies his campaigns against corruption and dissent.

For the full story, see:

Chris Buckley, Vivian Wang, and Keith Bradsher. “China’s Strict Covid Controls May Outlast Covid.” The New York Times, First Section (Sunday, January 30, 2022): 1 & 14.

(Note: the online version of the story has the same date as the print version, and has the title “Living by the Code: In China, Covid-Era Controls May Outlast the Virus.”)

Slices of Swiss Cheese to Protect Against Harm

(p. C1) In fact, the “Swiss cheese model” is a classic way to conceptualize dealing with a hazard that involves a mixture of human, technological and natural elements. The British psychologist James Reason introduced the model more than three decades ago to discuss failures in complex systems such as nuclear power, commercial aviation and medical care. As Prof. Reason argued, “In an ideal world each defensive layer would be intact. In reality, however, they are more like slices of Swiss cheese, having many holes. . .. The presence of holes in any one ‘slice’ does not normally cause a bad outcome. Usually, this can happen only when the holes in many layers . . . line up…bringing hazards into damaging contact with victims.”

This is also an invaluable way to think about the response to Covid-19. Last month, a graphic illustrating the model, sketched by the Australian virologist Ian MacKay, became an online sensation among (p. C2) Covid-19 watchers. It showed particles of the SARS-CoV-2 virus passing through layers of Swiss cheese, shrinking in numbers as they negotiated the holes and finally being stopped at the end.

For the full commentary, see:

Nicholas Christakis. “The Swiss Cheese Model For Combating Covid-19.” The Wall Street Journal (Saturday, November 14, 2020): C1-C2.

(Note: ellipses in original.)

(Note: the online version of the commentary has the date November 13, 2020, and has the title “How the Swiss Cheese Model Can Help Us Beat Covid-19.”)

Chair of Obama’s Council of Economic Advisers Worries that the Huge Covid Stimulus Spending Is Causing “Permanently Higher Inflation”

Jason Furman, quoted below, was the Chair of President Obama’s Council of Economic Advisors. He is now a professor of economics at Harvard.

(p. B1) The United States spent more aggressively to protect its economy from the pandemic than many global peers, a strategy that has helped to foment more rapid inflation — but also a faster economic rebound and brisk job gains.

Now, though, America is grappling with what many economists see as an unsustainable worker shortage that threatens to keep inflation high and may necessitate a firm response by the Federal Reserve. Yet U.S. employment has not recovered as fully as in Europe and some other advanced economies. That reality is prodding some economists to ask: Was America’s spending spree worth it?

. . .

“I’m worried that we traded a temporary growth gain for permanently higher inflation,” said Jason Furman, an economist at Harvard University and a former economic official in the Obama administration. His concern, he said, is that “inflation could stay higher, or the Fed could control it by lowering output in the future.”

For the full story, see:

Jeanna Smialek and Ben Casselman. “Same Relief Goal, Different Costs.” The New York Times (Wednesday, April 27, 2022): B1 & B3.

(Note: ellipsis added.)

(Note: the online version of the story has the date April 25, 2022, and has the title “Rapid Inflation, Lower Employment: How the U.S. Pandemic Response Measures Up.”)

Locking Down Against “Out of Control” COVID in China Is “Not Worth Sacrificing . . . Our Freedom”

(p. A7) After Leona Cheng tested positive for the coronavirus late last month, she was told to pack her bags for a hospital stay. When the ambulance came to her apartment in central Shanghai to pick her up two days later, no one said otherwise.

So Ms. Cheng was surprised when the car pulled up not to a hospital but to a sprawling convention center. Inside, empty halls had been divided into living areas with thousands of makeshift beds. And on exhibition stall partitions, purple signs bore numbers demarcating quarantine zones.

Ms. Cheng, who stayed at the center for 13 days, was among the first of hundreds of thousands of Shanghai residents to be sent to government quarantine and isolation facilities, as the city deals with a surge in coronavirus cases for the first time in the pandemic. The facilities are a key part of China’s playbook of tracking, tracing and eliminating the virus, one that has been met with unusual public resistance in recent weeks.

Footage circulating on Chinese social media on Thursday [April 14, 2022] showed members of one Shanghai community protesting the use of apartment buildings in their complex for isolating people who test positive for the virus. Police officers in white hazmat suits could be seen physically beating back angry residents, some of whom pleaded with them to stop.

. . .

Ms. Cheng said she had once admired the government’s goal of keeping the virus out of China. It meant that for more than two years, she could live a normal life, even as cities and countries around the world had to lock down.

Now, she’s not so sure.

“This time I feel it is out of control and it’s not worth controlling the cases because it is not so dangerous or deadly,” she said, referring to the highly contagious Omicron variant. “It’s not worth sacrificing so many resources and our freedom.”

For the full story, see:

Alexandra Stevenson. “Covid Patient In Shanghai Describes Life In Isolation.” The New York Times (Saturday, April 16, 2022): A7.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the story has the date April 15, 2022, and has the title “‘Too smelly to sleep’: Thirteen days in a Shanghai isolation facility.”)

Pre-Covid Federal Pandemic Plans Did Not Include Lockdowns

(p. A19) California Gov. Gavin Newsom announced the first statewide U.S. stay-at-home order on March 19, 2020. All U.S. states and most other countries have long since abandoned lockdowns as oppressive, ineffective and exorbitantly expensive. But why did free countries adopt such a strategy to begin with?

. . .

Stay-at-home orders weren’t part of the script in pre-Covid federal pandemic plans. The idea of “flattening the curve” through what are known as “layered non-pharmaceutical interventions” can be traced to an influential 2007 Centers for Disease Control and Prevention guidance paper, updated in 2017. Contemplating a severe pandemic with a 2% case fatality rate, the CDC recommended now-familiar strategies, such as masking, surface disinfection and temporary school closings.

Yet aside from suggesting limits on mass gatherings, the CDC paper makes no mention of closing workplaces. Instead, it concludes that such a severe pandemic could warrant recommending that employers “offer telecommuting and replace in-person meetings in the workplace with video or telephone conferences.” The closest it comes to lockdowns is recommending “voluntary home quarantine” for people with an infected family member.

. . .

When Western nations were confronted with Covid-19, they seemed to believe the Communist Party’s unproven claims about the efficacy of lockdowns. In the end, every other country got some variant of the virus and some variant of China’s official response. The world has learned to live with the former, as politically accountable leaders found they couldn’t maintain draconian restrictions forever. The people of China will be forced to endure the latter indefinitely.

For the full commentary, see:

Eugene Kontorovich and Anastasia Lin. “Covid Lockdowns Were a Chinese Import.” The Wall Street Journal (Thursday, March 24, 2022): A19.

(Note: ellipses added.)

(Note: the online version of the commentary has the date March 23, 2022, and has the same title as the print version.)