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Lessons of Los Angeles’ Deadly Winter



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Good morning.

In Golden State, the average number of new Covid-19 cases per day in the past week has dropped to 6,641. Although not the lowest level, this trajectory is very obvious in terms of the rate of decline in the positive rate, especially after the state’s surge in summer The flattening speed of cases has slowed down.

As reported by the Los Angeles Times, the decline in the number of cases in California is likely due to a combination of factors, including extensive behavioral preventive measures, vaccinations and, ironically, the large number of people already infected with the virus.

[Readmoreaboutthefactorsaffecting[阅读有关影响因素的更多信息[ReadmoreaboutthefactorsaffectingWhen will the United States achieve herd immunity. ]

At the same time, the United States is facing another incredible milestone: 500,000 people died of the coronavirus in just one month after the United States exceeded 400,000 people.

Leaders continue to urge caution, as the dangerous variant of the coronavirus has gained a foothold.

And as the vaccine continues to spread, experts say that ignoring the inequalities that led to the California winter crisis may affect our recovery. Earlier data has shown that whites in California are vaccinated faster than those who have been hit harder by the virus.

As my colleague Sheri Fink recently reflected in his distressing eyes, there are countless centers of the proliferation of Los Angeles hospitals. Hundreds of people have died. These inequalities are in Martin Luther. Jin Community Hospital fully demonstrated.

I asked her what Californians should learn from the plight of the hospital. This is our conversation:

At the beginning of the pandemic, you sent some of the earliest and most distressing Dispatched to New York hospital, And you too Houston Report In the summer. During this period, how was the report in Los Angeles different? How does it compare?

Sadly, this is too familiar. The disparities are similar, and the impact of the disease is disproportionate in Latino and black communities and poorer areas. The hospital once again had to take care of critically ill patients who were much heavier than the design and staffing, scrambling to create space and recruit reinforcements.

The distress of medical staff is even more serious. They have been running a marathon, they are exhausted, and often cannot believe the denials they see in the larger community. Although I now have more knowledge about how to treat severe Covid patients, the level of death in the hospital that I have spent more than a week reporting is shocking.

The difference now is that if you are at a higher risk of developing severe Covid-19, if you are 65 or older or have certain chronic diseases, there is a treatment that can reduce hospitalization and death.

But it should be noted that you must infusion of monoclonal antibodies early before hospitalization. It prevents viruses from entering cells, and several types have received emergency authorization from the FDA. However, in the South Los Angeles I reported, relatively few patients seem to benefit.

There are also some positive differences: health care workers have the protective equipment they need to ensure their own safety. And many of these vaccines have been vaccinated against the virus that causes Covid-19.

In the story, You interviewed Dr. Elaine Batchlor, CEO of MLK. He is overwhelmed by his hospital, while patients in other large hospitals are less frustrated.but State official said In the boom, they continue to work closely with hospital groups and providers to reduce the burden.

Can you explain if or why the hospital cannot transfer enough patients to a larger institution with better resources?

Even if the tide subsides, MLK will remain at or near the top of the area, the proportion of Covid patients per licensed bed. For this special hospital, apart from government officials providing National Guard personnel and contract nurses, there is almost no sign of an increase in the burden.

Dr. Batchlor told the story of personally calling other hospitals to try to transfer patients. When I was there, government officials let the hospital manager know that the two local hospitals have been staffed to receive some emergency patients, but this is after the curve has been bent. MLK’s doctors said that when they tried to transfer patients who they thought needed special care in other facilities, they were rejected.

In their view, this is related to the patient’s payer portfolio, of which only 4% have commercial insurance. They say that the pandemic is just a prominent long-term problem.

With the increase in vaccination, what are you most concerned about now? (I am considering national treatment trends, worrying hot issues or the fairness of vaccine promotion.)

After reporting abroad, I have been studying the promotion of vaccines not only in our community and our country, but also in most other countries that are unable to support advanced manufacturing or purchase global supplies.

The lowest-income countries have so far little opportunity to obtain licensed vaccines. If fairness itself is not a sufficiently important value, then the virus itself is reminding us of the common destiny of mankind.

The new virus may appear wherever it continues to spread. Some experts say that the recovery of the global economy depends on the control of the virus and is not limited to wealthier countries.

[Read[Read[读[ReadThe full story here. ]


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Jill Cowan grew up in Orange County, graduated from the University of California, Berkeley, and reported statewide, including the Bay Area, Bakersfield and Los Angeles, but she has always wanted to see more .Follow here or continue Twitter.

“California Today” is edited by Julie Bloom, who grew up in Los Angeles and graduated from the University of California, Berkeley.




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