Lets just pour it on for 2020 – https://www.scmp.com/news/china/diplomacy/article/3092563/chinese-embassy-warns-deadly-unknown-pneumonia-kazakhstan?

“‘Unknown pneumonia’ deadlier than coronavirus sweeping Kazakhstan, Chinese embassy warns”

Kazakhstan denies this – https://www.hindustantimes.com/world-news/kazakhstan-denies-china-s-advisory-of-pneumonia-deadlier-than-coronavirus/story-QFdydbXmyt8XElpIng8MMO.html

“The Kazakhstan health ministry acknowledged the presence of “viral pneumonias of unspecified etiology,” but denied that the outbreak was new or unknown.”

A not very comforting rebuttal….yes we have something that we don’t know but this is not new or unknown….

Didn’t hear much about this side effect – https://www.sciencedirect.com/science/article/pii/S1201971220305282

“The treatment had to be interrupted for potential side effects for 4 out 5 patients including two alamine aminotransferase (ALT) elevation and two renal failure cases.”

Kidney and liver failure is the potential outcome for remdesivir. I cant get over the fact how far apart the analysis and review of HCQ vs. Remdesivir….risk/reward – the amount cost (risk) and the amount tested and how many people have taken remdesivir unknown side effects (risk) – and the reward of improving a few days earlier (reward) not improving fatality rate seems to be a trade I wouldn’t take now compared to HCQ with zinc.

Back to Harris County – unfortunately got to use the saying “Houston we have a problem” Not sure why this graph was not displayed vs those other complicated graphs. We are now pulling the data available by TX DHS. They have the ICU data by Trauma Service Area (TSA) which does not coincide with county data. The ICU bed availability is also competing with other ICU bed requirements non-covid – hence a range.

We did see an uptick in deaths for Harris county 12 deaths. The Max daily death for county for Covid was 14 on July 6th

Confirmations stopped their declines rate and went up 205 yesterday relative to the previous day making total daily confirmation at 906.

I have tried to be consistent with the message. Confirmations will rise from spread and confirming what is already out there. The virus is out and it is likely to spread. The constraint is the ICU beds from being overwhelmed resulting in doctors/nurses making a decision to who lives and who dies. Deaths are inevitable but once ICU fills deaths will rise more than necessary. Those likely to go to ICU will have to do more measures than those that would not likely have to go to ICU – smart quarantine was needed not a free for all into the economy and not everyone isolated either. Nonetheless NO ONE should WANT to get the virus. Long term implications are unknown and being a carrier even if asymptomatic is not an envious position as you will likely impact those nearest to you not strangers since you are not likely to be in room for a long time with a stranger communicating. Based on the data/studied reviewed the virus spreads through air/droplets from an infected person. Overtime the more the infected person speaks/breathes in an enclosed area the greater the viral load. It requires a certain amount of viral load to infect you. The healthier you are the higher the viral load you can take. Any action that reduces viral load will shift the odds in your favor. Viral load can be considered as a pollutant in the air. As with all pollutants the goal does not have to be zero it just has to be small enough to not impact you. Dilution is the key to pollution mitigation – this is why being outside in a breeze works and is effective and why we have not seen any study or documentation showing an outbreak from an outside event. Fresh air HVAC units are available along with UV filtration and advance filters to capture particles as small as viruses.

Brazil up another 1220. Not to be lose is their confirmations have also been up. Current fatality rate sits under 4% – slightly better than the US. US death up 990 with 63K confirmed increase.

CA lead the way in deaths at 141 and TX second at 131. Texas lead in confirmation at 11.6K

LA and Maricopa and Miami led the way in deaths the CA, AZ, and FL as expected. Hidalgo county surprisingly lead the way in deaths in TX – https://www.themonitor.com/2020/07/09/covid-19-death-toll-sees-sharp-rise-20-people-die-hidalgo-county/

“The individuals who died, according to a county news release, resided in Alamo, Edinburg, Hidalgo, McAllen, Mission, Pharr, San Juan and Weslaco. Ages ranged from their 20s to over 70.”

Interesting that Maricopa and LA are converging in confirmation per capita around 6%. They do have a large difference in fatality rate 1.4% (Maricopa) vs 3% for LA. Maricopa and LA has tested around 12% per capita. Miami-Dade has tested 15% per capita. Harris county has only tested 8% per capita.

Miami-Dade is so much better than LA and Maricopa – why is that? They are older have lower income has more population than Maricopa – uses more public transport than both LA and Miami. My hypothesis is the general public is more outside than those in LA and Maricopa. Miami folks go hang out at the beach. I need to find a stat to prove that.

Kazakhstan is in red below and you can see their deaths are rising along with confirmations.