More than 80 national security professionals break with tradition and endorse a presidential candidate — Biden

Trump “has created an existential danger to the United States.”

Washington Post, by Ellen Nakashima , March 18, 2020 3:22 p.m. PDT
Former vice president Joe Biden participates in a Democratic presidential primary debate on March 15. (Mandel Ngan/Afp Via Getty Images)

More than 80 career national security professionals have signed an open letter of support for Democratic presidential candidate Joe Biden, saying that President Trump “has created an existential danger to the United States.”

Most of the signatories, who include career diplomats, intelligence officers and defense policymakers, have served both Republican and Democratic administrations. They noted that their policy views cover a spectrum and as officials they “have often been in opposition, sometimes bitterly, with each other.”

But in a letter published online Wednesday, they expressed a shared belief that Trump’s approach to leadership has undermined the country’s role in the world.

“His reelection would continue this downward spiral and will likely have catastrophic results,” say the signatories, most of whom have never publicly endorsed a candidate for president.

Doug Wise, a former CIA clandestine officer and former deputy director of the Defense Intelligence Agency, broke a career-long vow to serve in silence by signing the letter.

[Inside Trump’s frantic attempts to minimize the coronavirus crisis]

“We need to restore courtesy, respectability and consensus decision-making based not on the personal interests of Donald J. Trump but on the personal interests of Americans,” said Wise, who retired in 2016 after 48 years of government service.

Wise, who leans Republican, said that he has never voted for president, content to trust in the American democratic system “to produce a good president and commander in chief.” But the system has failed, he said. So this November, he said, he will cast his first vote for president — for Biden.

Larry Pfeiffer, former senior director of the White House Situation Room and a former chief of staff to then-CIA Director Michael Hayden, said he leans Republican. “If Donald Trump wasn’t running, and it was Mitt Romney versus Joe Biden, I’d be endorsing Mitt Romney,” he said. “And I probably wouldn’t be public about it.”

Pfeiffer, who served five presidents dating to Ronald Reagan, said he sees himself as nonpartisan, so much so that endorsing a candidate feels like “an unnatural act.”

Margaret Henoch, a former CIA officer who joined the agency in the Reagan administration, agreed that a public endorsement is “absolutely” unheard of for career professionals. But these are not normal times, she said.

Henoch said her endorsement is “not political.” It’s driven by a desire to restore “the stability of the country and the world and the respect for the role and function of government” in a democratic society.

Paul Rosenzweig said he was a Republican but became an independent in 2017 because “the standard-bearer for my party no longer represented the values that I think the party should stand for.”

“Even though I am sure I will disagree with much of what [Biden] does, I am also certain that the overall result will be far superior under Biden than under Trump,” said Rosenzweig, who served as a senior policy adviser at the Department of Homeland Security under President George W. Bush and as a senior counsel to Independent Counsel Kenneth Starr in the Clinton administration.

James R. Clapper Jr., a former director of national intelligence who entered government service in the Kennedy administration and retired in 2017, has voted “both ways” in federal elections. He considers himself a “Democrat domestically and a Republican in the foreign and national security realm.”

He, too, said he would vote for Biden. “I just think he would represent, if elected, a restoration of normality to the country,” said Clapper, a retired Air Force lieutenant general who served in five Democratic and five Republican administrations.

Younger adults are large percentage of COVID 19 hospitalizations in U.S., according to new CDC data

Millennials warned they are not immune.

Washington Post, By Ariana Eunjung Cha, March 19, 2020 5:55am PDT


The deadly coronavirus has been met with a bit of a shrug among some in the under-50 set in the United States. Even as public health officials repeatedly urged social distancing, the young and hip spilled out of bars on Bourbon Street in New Orleans. They gleefully hopped on flights, tweeting about the rock-bottom airfares. And they gathered in packs on beaches.

Their attitudes were based in part on early data from China, which suggested that covid-19 might seriously sicken or kill the elderly — but spare the young.

Stark new data from the United States and Europe suggests otherwise.

A Centers for Disease Control and Prevention analysis of U.S. cases from Feb. 12 to March 16 released Wednesday shows that 38 percent of those sick enough to be hospitalized were younger than 55.

Earlier this week, French health ministry official Jérome Salomon said half of the 300 to 400 coronavirus patients treated in intensive care units in Paris were younger than 65, and, according to numbers presented at a seminar of intensive care specialists, half the ICU patients in the Netherlands were younger than 50.

At a White House news conference on Wednesday, Deborah Birx, the response coordinator of the nation’s coronavirus task force, warned about the concerning reports from France — and Italy, too — about “young people getting seriously ill and very seriously ill in the ICUs.”

She called out younger generations in particular, for not taking the virus seriously, and warned of “disproportional number of infections among that group.”

Coronavirus looks different in kids than in adults

President Trump reinforced her warning, saying: “We don’t want them gathering, and I see they do gather, including on beaches and in restaurants, young people. They don’t realize, and they’re feeling invincible.”

The CDC report looked at 4,226 covid-19 cases, with much of the data coming from the outbreaks among older adults in assisted living facilities. As in China, the highest percentage of severe outcomes were among the elderly. About 80 percent of people who died were older than 65.

A group of young women walk past New Orleans police officers on Bourbon Street after midnight when the police department enforced a statewide shutdown of bars and restaurants ordered by Louisiana Gov. John Bel Edwards on Mar. 16. (Max Becherer/The Advocate via AP) (Staff Photo By Max Becherer/AP)

However, the percentage with more moderate or severe disease requiring hospitalization is more evenly distributed between the old and the young, with 53 percent of those in ICUs and 45 percent of those hospitalized age 65 and older.

“These preliminary data also demonstrate that severe illness leading to hospitalization, including ICU admission and death, can occur in adults of any age with COVID-19,” researchers wrote.

Severe outcomes among patients with covid-19.

There was more encouraging news about children in the United States. Those age 19 and younger who were tested appear to have milder illness with almost no hospitalizations. A much larger sample of children in China, as detailed in the journal Pediatrics this week, found that most children had mild to moderate illness.

The CDC report did not specify whether the younger patients had underlying conditions that might make them more vulnerable, but Anthony S. Fauci, the head of the National Institute of Allergy and Infectious Diseases, commented on CNN on Wednesday night that some did.

One younger adult, a University of Utah genetics researcher, Clement Chow, has been tweeting about his experiences. “Important point: we really don’t know much about his virus. I’m young and not high risk, yet I am in the ICU with a very severe case,” he wrote. He said he was facing respiratory failure and put on oxygen.

Public health experts say it’s difficult to compare coronavirus numbers by age across countries at this stage due to the limited numbers tested and that differences may be due to the environment, lifestyle, demographics or something about the virus itself.

There may be a high percentages of young smokers in some areas of France, for example. Or “the high proportion of critically ill young people in the Netherlands may reflect the relatively younger population,” the Dutch news service NRC, surmised.

Maybe some young people who were tested happen to be in cities or industrial areas with a lot of pollution that might impact their susceptibility to serious respiratory illness. Or the bar for admission to the hospital and the quality of treatments may vary enough by country that it impacts the course of the illness.

Adolfo Garcia-Sastre, the director of Global Health and Emerging Pathogens Institute at the Icahn School of Medicine at Mount Sinai in New York City, said the numbers are difficult to interpret because there are so few people who have been tested. He said some populations may be overrepresented due to public health officials focusing on testing of clusters of people who live together and may be of similar ages.

However, Garcia-Sastre said, the numbers show it’s clear “everybody has risk. Even in young people there is a percentage that has serious infection.”


Read more:

Hospital workers battling coronavirus turn to bandannas, sports goggles and homemade face shields amid shortages

Spiking U.S. coronavirus cases could force rationing decisions similar to those made in Italy, China

Largest study to date suggests infants may be vulnerable to critical illness after all — and that children may play a ‘major role’ in spread of pathogen

Solano County issues formal Coronavirus “Shelter at home” Order and Directive

Just before 5:30pm on Wednesday, March 18, Solano County issued a countywide Shelter at Home Health Order and Directive.  The order begins with a lengthy title that goes into some detail and follows with a warning that “Violation of or failure to comply with this Order is a misdemeanor punishable by fine, imprisonment, or both.”

Order of the Solano County Health Officer directing individuals to shelter at home except that they may leave to provide or receive certain essential services or engage in certain essential activities and work for essential businesses and essential governmental services; exempting individuals experiencing homelessness from this order but urging them to find shelter and government agencies to provide it; directing all businesses and governmental agencies to cease non-essential operations at physical locations in the county; prohibiting all non-essential gatherings of any number of individuals; and prohibiting all non-essential travel

Please read this Order carefully. Violation of or failure to comply with this Order is a misdemeanor punishable by fine, imprisonment, or both. (California Health and Safety Code § 120295, et seq.)

Here is page 1 of 5.  Click to view the complete document on the Solano County website.

Solano County Alert Email: Shelter At Home Order

[EDITOR’S NOTE: The County’s email alert differs from the official “Stay At Home” Order.  The County’s official order begins with a lengthy legal summary, some exceptions, and a warning that “Violation of or failure to comply with this Order is a misdemeanor punishable by fine, imprisonment, or both.”  – R.S.]


Solano County Email Alert: “Shelter At Home Order,” March 18, 2020, 5:25 PM

This is an important message from Alert Solano

Solano County issues shelter at home health order and directive to clarify social distancing and self-isolation measures
March 18, 2020

SOLANO COUNTY – Solano County has issued a countywide Shelter at Home Health Order and Directive to continue protecting the health and safety of our community, clarify directive guidance in accordance with the Governor, and ensure consistent compliance across the County with social distancing and self-isolation measures. These mitigation measures are disruptive, but critical to curb the growing number of cases resulting from community spread, particularly given that most those infected show mild symptoms or no symptoms at all.

Effective immediately and will continue to be in effect until 11:59 p.m. on April 7, 2020, or until it is extended, rescinded, superseded, or amended in writing by the Solano County Public Health Officer, the Order directs the public to implement the following:

– Gatherings of any size that do not allow for participants to maintain six feet of distance apart are strongly prohibited unless they are for “essential activities” as defined in the Order.

– Establishments serving alcohol such as bars, wineries, nightclubs and breweries must close. Movie theaters must also close.

– Establishments serving food may remain open with takeout and delivery options only. Dine-in operations must cease.

– All health clubs, tanning facilities, gyms and spas must close.

– Prohibits non-essential travel.

– Employers are required to ensure compliance with social distancing guidelines and should implement teleworking where appropriate and feasible. Only employees performing essential duties that are not able to be done remotely should physically come to work.

– Employers that require a doctor’s note for a leave of absence due to illness must suspend those policies. Employers are strongly encouraged to allow employees flexible use of paid time off/sick leave.

– All people with fever, cough, or other respiratory symptoms should stay home until seven days after symptom onset. Self-management of these symptoms is encouraged, but if difficulty breathing and lethargy develop, or symptoms suddenly become worse, they should contact their healthcare provider or urgent care center immediately. Calling ahead is strongly encouraged.

– Childcare centers may remain open if they strictly follow social distancing protocols in accordance with the guidance distributed and posted on the Solano Public Health website.

– Nonessential personnel are prohibited from entering hospitals and long-term care facilities, including patient visitation. All essential personnel displaying symptoms of COVID-19 should self-isolate until seven days after symptom onset, and hospitals are urged to delay elective procedures.

– Populations with higher risk of complications from infection should stay home and away from all gatherings involving people outside of their immediate families. These populations include: people with chronic conditions such as cardiovascular disease, diabetes cancer, heart disease, lung disease, immuno-compromising conditions and those over 65 years of age. Pregnant individuals should also strongly consider self-isolating to the extent possible.

– All Solano County Residents, regardless of risk-level, should stay home to the extent possible, and continue practicing universal precautions of handwashing for at least 20 seconds, disinfecting commonly used surfaces, and covering coughs or sneezes with their elbow or tissue instead of hands.

“We are taking this health crisis seriously and trying to protect our community while still ensuring that the essential parts of our County can function and attempting to lessen the substantial burden placed on workers and businesses,” says Dr. Bela Matyas, M.D., M.P.H., County Public Health Officer.  “We trust our community to adhere to these directives, and we stress the importance of working together to get this through this difficult time.”

This is a rapidly evolving situation. For the latest updates about COVID-19, please visit cdc.gov/covid19. Solano Public Health will continue to provide up-to-date information about COVID-19 through their website at solanocounty.com/publichealth and on Facebook @SolanoCountyPH.

Instructions:

Effective immediately: Solano County Public Health has issued a shelter at home order for all residents. Visit https://bit.ly/2QqsC6L

For full details, view this message on the web.
Sent by Solano County, CA
530 Clay St, Fairfield, CA 94533