Showing posts with label isolation. Show all posts
Showing posts with label isolation. Show all posts

Friday, December 4, 2020

Draconian Quarantine Now and Then


The Romans did not know about bacteria or what caused diseases such as malaria and dysentery, but they made sure that their soldiers were exposed to fresh, clean air and water, and the military castra were located far away from such sources of “miasmas.”

In the first century B.C., a writer named Varro spoke about the “minute creatures which cannot be seen by the eyes, float through the air, enter the body through the mouth and nose, causing diseases.” Vegetius suggested in the 4th century A.D. that castra must be carefully located away from swamps and daily exercise does the body “more good than doctors.”

Through their health and engineering practices, scholars believe that the Romans probably prevented many deadly epidemics. On the battlefield the medici, with experience acquired from the Greeks who practiced far superior medical practices, tended to wounded soldiers.

A descriptive account survives of an officer who fought during the reign of Augustus (27 B.C.-14 A.D.). He wrote, “There was not one of us, not of those above or below rank, who fell ill without having his health and welfare taken care of by Tiberius [future emperor] with as much care as if this was his chief occupation despite his other weighty responsibilities. There was a horse-drawn vehicle for all who needed it, his own litter was at the disposal of all, and I among others have enjoyed its use.  Now his physician, now his kitchen, now his bathing brought for his personal use ministered to the comfort of all who were sick.”

Evidence dug up in Scotland, showed a hospital, valetudinaria, built during the Roman occupation, which had proper drainage, a sewage system and was divided into wards which indicate that the Romans were knowledgeable of the value of isolating the sick in order to prevent the spread of infectious diseases. It is important to note that the sick were isolated.

Putting people in quarantine, a word derived from Italian (via Latin) “quaranta giorni,” 40 days, started as a method to prevent the spread of the Black Death in fourteenth century Europe, protecting coastal cities. According to the CDC, “ships arriving in Venice from infected ports were required to sit at anchor for 40 days before landing.” http://cdc.gov/quarantine/historyquarantine.html

Despite such quarantine measures, 25 million people are said to have died in Europe within four years (1347-1351) of the plague, a quarter of Europe’s population.

Isolating the sick in places where the plague flared up or self-isolating healthy people from the public saved Pope Clement and large areas in Poland where quarantine was imposed. When the plague hit Milan, the archbishop ordered the first houses to be walled up and the dead, the sick, and the healthy, to be entombed within, halting the spread of the plague in his city.

But the plague recurred in 1665 London. The diary of Samuel Pepys describes the thousands of victims in this Black Death outbreak. Nobody understood how the disease spread until the twentieth century. The Londoners solution to dealing with their plague outbreak was to kill dogs and cats, the very animals who could have controlled the black rat (Rattus rattus) population that carried the plague-infested fleas with the bacillus Pasteurella pestis.

In 1967 when quarantine responsibility in the U.S. fell on the CDC, there were 55 quarantine stations and 500 staff members with quarantine stations located at every port, international airport, and major border crossings.

According to its website, by 1995 only seven quarantine locations remained but with the acute respiratory syndrome (SARS) epidemic of 2003, the CDC expanded to 18 stations with more than 90 field employees.

Quarantinable diseases listed in Executive Order 13295 were “cholera, diphtheria, infectious tuberculosis, plague, smallpox, yellow fever, viral hemorrhagic fevers (Lassa, Marburg, Ebola, and Crimean-Congo, South American, and others not yet isolated or named), and severe acute respiratory syndrome (SARS), which is a disease associated with fever and signs and symptoms of pneumonia or other respiratory illness, transmitted from person to person predominantly by the aerosolized or droplet route, and, if spread in the population, would have severe public health consequences.” Measles, mumps, rubella, and chicken pox were not included in the list. 03-8832.pdf (govinfo.gov)

The Executive Order 13375 of 2005 amended the list by adding “influenza caused by novel or reemergent influenza viruses that are causing, or have the potential to cause, a pandemic.” https://www.archives.gov/federal-register/executive-orders/2005.html#13375

Healthy people who were asked to wear a mask for 14 days (to flatten the curve) back in mid-March are finding themselves ten months later facing new draconian orders from some state governments to not only wear masks in perpetuity, but with more restrictions of small and medium size businesses, gyms, churches, schools, stadiums, cinemas, theaters, and any venues involving more than 10 people. Some states went as far as mandating fines for people having more than 6 family members in their homes.

Furthermore, there are cancellations of national holidays and the potential of being required to carry a vaccination passport for a vaccine that has been hurriedly developed at warp speed. The  media-anointed president-elect wants to lock down the entire country until such time that nobody will die of Covid-19. 

If we are to believe the inflated and manipulated statistics purveyed by the media, casualties have dropped significantly for many diseases but have sky-rocketed for Covid-19.

Nursing home patients, the first required to take the COVID-19 vaccine, are currently prisoners in their respective facilities, with no way to exit or see their families, get a haircut, or see their doctors outside of the facility unless they are moved each time into an isolation room with their personal belongings for 14 days, then moved back to their private rooms once the clear is given.

It does not matter that they have been tested numerous times and were proven COVID-19-negative, the imprisonment continues for their own good.

One can argue that jail inmates have more rights and freedom than the elderly in nursing homes ruled by draconian measures. One can also argue that this imprisonment is akin to the Archbishop of Milan entombing the healthy and the sick during the Black Plague. How else can one describe the total physical isolation and mental desperation of patients in nursing homes where even Face Time with loved ones on a cellular phone is restricted to 15 minutes a week unless they are in isolation in which case, even that is taken away?

 

Sunday, June 28, 2020

Covid-19 Nursing Homes Neglect

My mom’s mental and physical health has deteriorated enormously in the last four months of the forced lockdown in her nursing home. They were kept isolated and bed-ridden without the benefit of any exercise or even wheelchair self-strolling.

The staff lost her dentures for the seventh time in four years and a trip to the dentist did not help as her jaw muscles were too weak to bite down to make imprints for new dentures.  Leg muscles, and most muscles in general have atrophied from lack of movement.

By order of the Virginia Health Department, they shuffled the elderly from the rooms they knew into unknown rooms previously occupied by other patients sick with the flu.

The entire move was done in one day, hardly enough time to sterilize the rooms properly. They hurriedly threw some of their belongings in plastic bags and put them on the floor in the new rooms with a roommate.

The single occupancy rooms were dedicated to Covid-19 patients’ isolation. Of the 101 residents, 76 tested positive for Covid-19 and 26 did not. Most who tested positive were asymptomatic.
Mom was tested twice for Covid-19 and came up negative both times. But she got pneumonia from the flu even though she had a mandatory flu shot. Thankfully, she recovered, her second bout with pneumonia in three years.

Eventually eight people died of underlying multiple illnesses but were marked as Covid-19. One man was 100 years old. In the best of times, caretakes and underpaid careless facility cleaners carry bacteria and viruses from room to room.

Recently, the nursing home resumed admission of new patients, but former residents are still in lockdown and families are not allowed to see them.

Among the many sad lessons, I learned from this flu epidemic called a “pandemic,” was how poorly and inhumanely the elderly were treated in nursing homes.

Jon Rappaport called the Covid-19 the “nursing home disaster.” He wrote that it was “mass murder by cruelty,” and by painful physical isolation, lack of mental stimulation, and loneliness. He added that “The excess mortality of 2020 is largely the result of elderly people dying in nursing homes.”

He explained, “it has nothing to do with a virus, it has to do with patients who are already on a long downward health slide---then hit with the terror of an arbitrary and fake Covid-19 diagnosis, and then isolated and shut off from family and friends---in facilities where gross neglect and indifference are all too often the ‘standard of care.’”

I can certainly attest to the neglect and slowly delivered care despite my weekly insistence. Under the best of times, mom was neglected. Now I cannot have access to her at all, I have no idea of her level of care. There are some good nurses who care about their patients but most of them do not stay long, replaced by foreign caretakers who do not relate to our standards of medicine.

It is easy to overcome nursing home patients with terror and isolation. When I asked to take mom outside for a stroll for fresh air and sunshine, even wearing gloves and a mask, I was told that she would have to be put in isolation for 14 days if I did that. But if she would go out into the world for a doctor’s visit, that would be approved.

And the elderly locked down at home, scared to death by the non-stop media COVID-19 panic, died alone and isolated, afraid to call 911 for help. Those who did go to the hospital, were intubated immediately with breathing ventilators, heavily sedated with several drugs, never came out of sedation to breathe on their own again and died.

Forbes reported on May 22, that in 43 states, “42% of all COVID-19 deaths have taken place in nursing homes and assisted living facilities.” The excess mortality allegedly came from nursing homes and the use of ventilators in hospitals. https://www.forbes.com/sites/theapothecary/2020/05/26/nursing-homes-assisted-living-facilities-0-6-of-the-u-s-population-43-of-u-s-covid-19-deaths/#46e33a6074cd

A study published in the Journal of the American Medical Association (JAMA) looked at charts of 5,700 patients with Coronavirus infections who were hospitalized in 12 hospitals in New York City and the patients’ outcome based on age, sex, and co-morbidities. The mortality rate on ventilators was 88.1 percent.  https://pubmed.ncbi.nlm.nih.gov/32320003/