Anonymous ID: 9a4425 April 2, 2020, 7:46 a.m. No.8661068   🗄️.is 🔗kun   >>1171 >>1579 >>1672 >>1726

>>8661045

 

Many state departments of health and healthcare corporations (hospital management) were Failures at virus response and public health oversight. New York is particularly poor. They also do not list covid-19 deaths on their page, so no distinction of cause when all the bodies are shown.

 

State DOH's and Healthcare Corp Fails: December thru February:

 

did not review and update their epidemic plans

did not train on contagion procedures

did not educate agencies/public at risk or US ports of entry

did not inventory supplies needed for a viral epidemic

did not order supplies such as ventilators and masks

did not cooridinate with other states and agencies in preparation ofcase spikes

did not update their flu season websites beyond a few CDC resources

did not provide oversight of emergency reposnse agency at the state/county/local levels.

 

Congress FAILED to pass appropriations by the fiscal year and almost 3 months late

 

Congress cut $660 Million from CDC line items 'immunization' and from 'public health response.'

 

Congress placed 'political games' and 'shenanigans' above public service and public health.

 

In contrast:

 

President Trump signed EO 13887 in September 2019 to make flu season a CDC priority - because Congress FAILED to pass appropriations.

 

Some hospitals and working staff did perform training and plan review.

Anonymous ID: 9a4425 April 2, 2020, 8:10 a.m. No.8661252   🗄️.is 🔗kun   >>1579 >>1672 >>1726

>>8661171

 

Urban Outbreak 2019

https://digital-commons.usnwc.edu/civmilresponse-program-sims-uo-2019/

 

US Navy did a 2 day simulation of a viral pandemic in a fictional 21 million population last September. Their summary seems realistic. Naval War College "Urban Outbreak 2019" wargame scenario document is a 14 page pdf by Mr Davies. Appendix III provides a summary of the war game results and copied below. (published 4/01/2020)

 

https://digital-commons.usnwc.edu/cgi/viewcontent.cgi?article=1001&context=civmilresponse-program-sims-uo-2019

 

Appendix III

 

Urban Challenges and Areas of Inquiry in Urban Outbreak 2019 Scenario

 

Round One: Outbreak

• Concept of employing informal public health providers in the response

• Concept of informal governance/security for access or mobility for

vulnerable populations in key dense urban areas

• Establishing role of private security

• Determining differential access to resources based on social strata and

location

• Assessment data from rural mountainous region

• Self-interested government officials and private sector actors

• Prostitution as a vector

• False information/suspicion concerning the outbreak and response

 

Round Two: Cascading Failures

• Loss of power, utilities, dockworkers, security, etc.

• Failure of existing medical system

• All other medical services severely affected

• Logistical capacity stretched for outbreak response purposes at the expense of all else

• Hoarding, theft, and black market becomes extremely lucrative

• Increased international military role

• Challenges for responder security and ROE for military

• Ambiguous role of the national government

• Role of informal transit for response

• Flight of populations

• Quarantine/roadblocks

• Mortuary affairs

• PPE and medical demand

 

Round Three: Cleanup Wish List

• Pre-transition change in priorities

• Engineering, heavy lift or logistics from international military before transition begins/departure

• Reviving broken livelihoods

• Mortuary affairs

• Refuse in urban areas

• Security - rise of gangs and religious groups

• Badly damaged infrastructure

• Hobbled workforce

• Extreme needs associated with fractured health system (public health emergencies associated with those failures)